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Author Topic: Scar tissue post-ACLr  (Read 1766 times)

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Offline Deepclue

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Scar tissue post-ACLr
« on: December 04, 2010, 07:27:54 PM »
Long story short, I'm almost 18 weeks post-ACLr. My "only" knee complication (that I know of so far) after surgery was prolongued effusion and PFPS due to quad inhibition. Now all of that is gone but I cannot extend my leg in the air without causing a pretty loud cartilage "crunch" because apparently I have a chunk of scar tissue attached to the upper-medial pole of my patella. I do have near-full flexion (I worked on it a lot) and also full extension, but I guess I worked the scar tissue to conform to that shape and it obviously doesn't match the path the patella follows when doing a muscle-driven leg extension.

I am VERY discouraged; my doctor claims that I will be able to "overpower" it as I regain strength, but I -know- I am already strong enough, and I am very concerned that if I overpower it it will be at my cartilage's expense. The doctor also recommends Euflexxa and that is something that scares me even more--isn't that stuff for OA?

I am strongly inclined to seek a 2nd opinion; anyone has similar experience? Any doctor that you would recommend? I live in upstate NY although that is not a determining factor.

Thanks everyone... :(((
07/08/2010 - ACL tear and MCL strain
08/04/2010 - ACLr (ST+G autograft)

Offline afgrandpre

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Re: Scar tissue post-ACLr
« Reply #1 on: February 07, 2011, 08:15:19 AM »
Are you working with a physical therapist? Three years ago I had a knee surgery that led to a post-op infection and four months after surgery I hit a complete wall with pain and swelling. My doc was convinced I just needed to work on more strengthening, but i couldn't get very far due to pain, so my (smart) physical therapist insisted that I get a second opinion.
After six more months, two MRI's (which did not show the scar tissue), Celebrex (arthritis meds), and a set of Euflexxa injections (which didn't do any harm, but no good either), my new doctor went in to see what was wrong. He spent an hour and a half removing scar tissue and by two weeks after surgery I had improved beyond where I had been before the debridment. It made a world of difference. 
I think the bottom line is that EVERY surgery does a certain amount of damage to the knee, so I would encourage you to explore all options before surgery if you have the patience, but sometimes what is to be gained is 100% worth the risk. And a second opinion never hurts, although I lived in Washington state at the time, so I'm no good for doctor recommendations.

Offline Countess

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Re: Scar tissue post-ACLr
« Reply #2 on: February 07, 2011, 08:01:46 PM »
I would go to a specialist and definitely get a 2nd opinion. It looks like there is a Arthrofibrosis specialist in NY per the Knee Guru site:

Dr. Thomas P. Sculco
535 East 70th Street (btw York Ave & FDR Drive)
New York, NY 10021
tel: (212) 606-1472

Even though Arthrofibrosis may not be what you have you should probably go to a doctor who has extensive experience in scar tissue.
Powering through scar tissue is a risky proposition and you could do much more harm than good. Also afgrandpre is need to work with a physical therapist if you're not. I hope this helps. Cheers!
Nov 4, 2010 - patellar realignment, lateral release, open debridement, cartilage implant, medial reefing and chondroplasty - left knee.

April 18, 2011 - MUA

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