The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: rotaholic on July 12, 2011, 08:33:46 AM

Title: ACL Reconstruction Reconstruction............
Post by: rotaholic on July 12, 2011, 08:33:46 AM
Hi guys, im from New Zealand, first time poster long time reader. I had ACL surgery 9 months ago and some meniscus repairs. Im 33 male. This site was a so great for me for the amount of info and knowledge on here, I dont know how I would have gotten through without it. Knowledge is power :-)

I did my ACL injury wakeboarding. Surgery went great, rehab went really well and I was just about to return to sports until two weekends ago :(

I was at a motocross doing some training, I wasnt riding (giving guys pointers etc) at the end of the day I was a passenger on the back of a bike, we werent going very fast, maybe as fast as jogging. My foot caught a lump of dirt which allmost pulled me off the bike. It didnt hurt and the only place I really felt it was in my foot and in my hip.

I carried on my day as normal thinking nothing of it, the next day everything was fine, nothing out of the ordinary, the following day I went to the gym and I couldnt even do the lightest of weights with my legs so I didnt do a work out and left, the next day my knee blew up like a basketball. I iced it and the swelling went away after a week, the knee has fealt really weak and unstable and I cant fully straighten it. I went to my rehab and they dont think I have done my ACL again but maybe some other injury. I believed them at first but now have a gut feeling I have indeed done my ACL. I see them again on Thursday and im picking they will send my off to the specialist and xrays etc as it hasnt gotten any better, infact I think its getting worse.

Has anybody ever had ACL surgery 9 months after ACL surgery lol, I had the same leg patella graft, will they have to use a graft from my other leg or is there a way they can reattach the old failed graft?

I will keep you guys posted with updates
Title: Re: ACL Reconstruction Reconstruction............
Post by: Kaputt_Knee on July 12, 2011, 09:31:05 AM
Sadly the incidence of re-rupture in your age group and gender is relatively high, especially within the first 12 months. More commonly the rerupture is due to returning to sports such as football too soon and without sport specific rehabilitation as part of your ongoing rehab programme. In your case I would say possibly bad luck or maybe you just under estimated the risks. Motorcross is not to be taken lightly at any speed to be honest. A lot of skiing ACL ruptures result from slow twisting falls, for example.

Revision surgery depends on a lot of factors as to how long it takes and what is used to replace the busted graft. You say you had a same leg patella tendon graft first time around, so they could opt to use some of the hamstring tendons from the same leg, or go contralateral and use either patella tendon or hamstring from the other leg. Are allografts common in New Zealand as that could also be an option.

There are a fair few of us that have undergone revisions for a variety of reasons. Two of mine were for busted grafts, slipping on spilt food being my downfall. As my grafts were artificial fibre ones at the time the replacement was relatively easy. When the second one bust under similar conditions I had one of the first patella tendon grafts done under the NHS in the UK and it is still going strong after nearly 20 years. I under went a revision for an incorrectly placed graft more recently and that rehab was way longer and more intensive than the initial rehab.

My revision took 6.5 hours of work by my surgeon in the operating theatre - he had to drill out the misplaced stuff, fill the holes and clean up then drill correct (I hope) holes, harvest and implant the new graft and then tidy up the joint itself. He used a same leg hamstring harvest for the replacement graft. I was non-weight bearing for a while, originally planned to be 6 to 8 weeks but I was released to partially weight bear at 4 weeks and fully weight bearing at 6 weeks as I healed very quickly in his opinion.

Listen to your therapists and maybe you are lucky and not done anything to the graft. Here's hoping any way!


Title: Re: ACL Reconstruction Reconstruction............
Post by: rotaholic on July 12, 2011, 09:46:29 AM
I guess I was just extremely unlucky, I wasnt even doing anything, I was just catching a ride back so I didnt have to walk over all the uneven ground. Ohwell, whats done is done. I think in New Zealand they only preform petella and hamstring ops. Im pretty sure they dont do allografts. I know in Australia they do LARS surgery but I would have to fund that myself.
Sorry to hear about all your bad luck that you have had and thanks for sharing.

Title: Re: ACL Reconstruction Reconstruction............
Post by: Kaputt_Knee on July 12, 2011, 12:02:11 PM
Take a look around the Information Hub and read up the articles there - there is a lot of really interesting stuff there.

LARS grafts are also carried out elsewhere in the world, but I've read some articles where surgeons who have used them are now questioning their use again. If you have 2 good stumps or a partial tear, they are one option as they can form a scaffold for the tissue to bond to. However, they have been all to often sold as a "quick" solution and some Australian surgeons are now questioning their long term viability for anything other than a quick and dirty solution when used outside of the recommended scenarios.

As I said before there are a number of us here who have had revisions for one reason or another. If you start a search in the Cruciate ligament section looking for the words ACL revision, it should throw up quite a few results for you to look at.

To be honest, if no twisting was involved i.e. foot on footrest and toes catching but not twisting, the chances are that you have just made the joint angry. If you get that disconnected feeling and the knee starts giving way, maybe you can pay for a private MRI scan to speed things up a wee bit. If I remember correctly from other Kiwi posters, the wheels creak really slowly in your system and your options are limited if you have to go with state health care.

Good luck and please do keep us posted on how things develop.

Sue  ;)
Title: Re: ACL Reconstruction Reconstruction............
Post by: rotaholic on August 08, 2011, 11:05:03 AM
Well just got my MRI results (things move slowly here in New Zealand) and my ACL is still intact! im very happy. I do have cartlidge/meniscus damage so I have to meet with the surgeon to discuss my options. So happy right now ;D
Title: Re: ACL Reconstruction Reconstruction............
Post by: Kaputt_Knee on August 08, 2011, 02:18:35 PM
Fantastic news - the meniscus should be a walk in the park compared with the ACL repair.

I'm waiting to see a surgeon about a meniscus tear as well. But sadly I've just broken the ankle on my other leg so I suppose I will be delayed in getting all this sorted! As long as everything is OK before my ski season starts in December I'll be happy  ;)
Title: Re: ACL Reconstruction Reconstruction............
Post by: Lottiefox on August 08, 2011, 04:15:44 PM
Great news on the intact ACL - BUT just seen the ankle break Sue!!! Noooooooo!!!  ::) :(  How did you do it (spilt food or sporting injury?  :P)

Hope both of you heal rapidly.

Title: Re: ACL Reconstruction Reconstruction............
Post by: Kaputt_Knee on August 08, 2011, 04:54:04 PM
The ankle has been unstable for a while now as I have sprained it so often (occupational hazard when you play high level volleyball - I played in the UK National Div 1 and in France in Division 2) The ankle went over as I was walking out of my hotel and finally snapped in 2 places. Hurts like hell at the moment but I will be put into a walking plaster on Thursday so I can return home on Friday. Some lovely friends are looking after me in their B&B in the next town to where I was staying until I can go home.

Worst things happen to others, just one of those things innit!  ;)
Title: Re: ACL Reconstruction Reconstruction............
Post by: Snowy on August 08, 2011, 05:33:30 PM
Oh Sue - I'm very sorry to hear this! I hope you heal up quickly. At least you did time it right for mending well before ski season starts. ;) You really deserve a rest from leg woes...