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Author Topic: nagging problems after 2 surgerys  (Read 1223 times)

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Offline yosef

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nagging problems after 2 surgerys
« on: April 13, 2005, 02:33:52 AM »
i am now 26 (27 in 2 weeks) i had some miniscus removed in 1998 and some more taken out in 2002 as well as a replacement of my ACL. i had some infection issues and a rough go with rehab afterwords and it was well over a year before i had 95% range of motion back to pre-op conditions which were not great to begin with. since then i have tried to get back into the shape i was before i blew my knee out the second time while playing college lacrosse and have not been able to do it.

every time i take a step i feel a sharp pain in my knee at the bottom outside area.  and when i climb stairs or jog i hear a constant grinding noise and occasional clicking and popping. this gets worse at night and i can barely walk in the mornings or after kneeling down or sitting with my legs folded.

i haven't gone in to have it checked out because i thought it would all get better with time but here i am more than 2 years later and i am dealing with acute knee problems everyday. accordingly i have a few questions

any ideas of what is causing the grinding and poping?

also i have a deep ridge at the bottom center of my knee cap (above my surgery scar) that hurts like crazy when i touch it. i know they took some of my pattella tendon for a new ACL but should my knee cap still be super sensitive to the touch after more than 2 years?

what are the odds a third surgery is going to improve my knee function, i really would like to take a jog and play tennis without shooting pain all the time?

Offline Heather M.

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Re: nagging problems after 2 surgerys
« Reply #1 on: April 13, 2005, 02:40:45 AM »

It sounds like you might be dealing with complications, either from your post-op infection or from the patellar-tendon graft for ACL reconstruction.  Both of these put you at elevated risk for forming excessive amounts of scar tissue.  This can sometimes wrap around the patellar tendon and do all kinds of damage--and also mimic symptoms of other conditions.  Or you could be dealing with pure tendinitis, or maybe IT band syndrome since the pain is the lower, lateral part of your knee.

Also, there are elevated risks for ACL recon patients with respect to future meniscal tears.  Doctors are very good, but even they can't exactly approximate mother nature's mechanics.

The best thing for you to do is see a knee specialist, and preferrably one who deals with ligament injuries, ACL revisions, and complex referral cases.

Where do you live?  Someone here might be able to point you in the direction of a good surgeon.  I have to travel 1000 miles to see mine, because I have a rare problem--excess scar tissue developed in my knee following surgery and post-op infections.  This scar tissue has caused a number of problems and just taking it out hasn't helped--you have to see the right doctor and do the right rehab regimen to keep more scar tissue from growing back.  This has taught me that knees are complex things, and you are best seeing an expert whenever possible--especially if you have a rare complication.

Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja

Offline ATsoccergirl

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Re: nagging problems after 2 surgerys
« Reply #2 on: April 13, 2005, 02:48:06 AM »
It sounds like you may have some graft site morbitiy which is fairly common and rather self limiting.  With your delayed progress in rehab after the ACLR I would be very concerned with the possibility that you may have a cyclops lesion.  These spontaneously occur sometimes after an ACLR, but they occur the majority of the time when full ROM is delayed.  It could also be further meniscal damage.  Mensicectomies were once quite common, but are falling out of favor with OSs because they are so detrimentral to the knee.  The mensicus is only as functional as it's narrowest section, so your mensicus may actually not have enough left to be functional.  However, there is no elevated risk of mensicus tears after an ACL reconstrution, the risks increase without the surgery. 

Depending on what is actually occuring in your knee, a third surgery could potentially solve your problems.  Either way, it would not  be a bad idea to push for an exploratory scope. 
1999 LR, 2002 ACL/PLC recon, reversal of LR, 2004 ACL revision, 2006 Car accident torn PCL and small fractures resulting in bone chips in my knee.  Torn MCL 3 times.  Wicked screws under IT band and Pes Anserine.  June 2008-Hip Arthroscopy.

Offline three_screws

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Re: nagging problems after 2 surgerys
« Reply #3 on: April 13, 2005, 03:17:46 AM »
Hey there Yosef, I had part of my meniscus removed in 2002 and again in the same area in 2004, I too am still having problems. Whilst the pain in manageable it is more of a nagging pain. i find it difficult going up and down stairs and ofetn feel a grinding behind my knee cap. Due to my hip surgery nothing can be done about it at the moment but my OS has advised to me to build up the muscles in the thigh such as the quadricepts and hamstrings to try and fix the problem as he thinks my injuiries are due to unstable kneecaps. I have not had any problems with my ACL though so it could very well be a different problem.
Goodluck :)
Bilateral Hip Dysplasia
Closed reduction on hip '85'
Salters Osteotomy on hip '87',
Osgood Schlatters 1996,
Several subluxes- right knee, meninscal cyst 1998,
Full patella dislocation left knee/cracked knee cap,
Arthroscopy on knee *2 '02', '04',
Full Hip Recon (PAO) Jan '05'