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Author Topic: No surgery after complete tear of ACL  (Read 1319 times)

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Offline pauldfc

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No surgery after complete tear of ACL
« on: May 03, 2006, 06:03:12 PM »
Hi, I have torn my ACL, The OS wants me to strenghting the muscles before i resort to surgery.I am not that happy about this as a few days after deciding this my knee sort of gave way and is swollen and hurts at the lower right of the patella. This was 3 weeks ago and i still cant walk properly and is still as swollen. I get the feeling that i should have surgery as everyone on this site seems to get a operation rather than trying to carry on without the ACL. Has anyone been in my situation? has anyone gotten back to there sport without the ACL?

Thanks
Paul
Mniscus removed form right knee
Miniscus removed from left knee
ACL ruptured left knee
ACL recon left knee

Back playing football, 5 times a week and arguably as fit as i was!!

Offline raquetball1

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Re: No surgery after complete tear of ACL
« Reply #1 on: May 03, 2006, 06:16:14 PM »
Well, Paul,

First, sorry to hear about your rupture.  I've been playing racquetball with a severed acl for about thirteen or more years now while wearing a functional acl brace.  So, yes, it's possible to go without surgery.  However, I have compromised the other ligaments and other structures in that knee and am now wishing I'd had that acl reconstructed.  If you are younger than about age sixty and want to carry on in a sport without having to worry about the leg, ask your OS to reconsider recon. 
autopatellar acl recon Nov. 2004 at age 51

Congress shall make no law...abridging the freedom of speech.

Offline pauldfc

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Re: No surgery after complete tear of ACL
« Reply #2 on: May 03, 2006, 06:22:50 PM »
Thanks for your reply, Yes i am 22 and training to become a PE teacher. I got injured on the second day of the soccer season, Scored a hatrick in the first game aswell. The problem is trying to get another appoitment with the OS as there is such a waiting list in britain.
Mniscus removed form right knee
Miniscus removed from left knee
ACL ruptured left knee
ACL recon left knee

Back playing football, 5 times a week and arguably as fit as i was!!

Offline henri

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Re: No surgery after complete tear of ACL
« Reply #3 on: May 03, 2006, 07:20:35 PM »
Sorry to hear about your accident.Anyhow as much as i know, before doctors make the ACLR on you,they usually,some doctors,let you to build up your muscle strenght and get the swolling down and movement back,before the injury.Mabe its that case.
It could be also the case,that you only tore very little part of your ACL,thought i wonder how should your doctor exactly know that,without not haven done any arthospy.So,if you have only tore your little part of acl,then mabe he thinks that you could carry on with your original acl.
Most likely, he thought,as you said:"The OS wants me to strenghting the muscles before i resort to surgery"<it means,he wants you to work out with your knee muscles and then,if you are better,he makes the operation,if you wish and decide,that it is better like that.Rehabilitation after the aclr is also supposed to be better,if you have done previous work out after your aclr.Just avoid pivoting sport for a while now.
I also was without my acl for 6 months,before it was even discovered,that my acl was indeed torn.So i basically drove with bike alot,even tricked a little,but finished after i fell on my bad knee later on:P, then a swam alot, even skied for 2 days on mountains etc.I did that,because my knee started to feel normal ,because i got back my muscle strenght which i had lost after my first knee operation.It was 6 months beside 2 operations.I was before the aclr even able to run without immense pain.So,its your decisioun.But as the raquetball1 said, go for the acl,its my suggestion.It cant do no harm,only that your knee feels worse for few months after the surgery,but it eventually gets much more better,than it would without the acl.
Cheers
unhappy triad

Offline pauldfc

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Re: No surgery after complete tear of ACL
« Reply #4 on: May 03, 2006, 07:33:06 PM »
Thanks henri for your reply, good to know other people in the same situation, unfortunatly i forgot to include that i have had an athroscopy. It took me 6 months to be diagnosed, as the specialists, GP's and PT's never thought id even torn the ligament. Im taking this as a positive note as my muscles must be tight that they cant detect it with there tests. I cant strenghthing the muscle's right now as i have a pain on the right ride of my patella that when i starighten bulges out (hard bulge so not squishy fluid) I see my PT tommorow so im gona tell them i want ACLR immediatly.
Mniscus removed form right knee
Miniscus removed from left knee
ACL ruptured left knee
ACL recon left knee

Back playing football, 5 times a week and arguably as fit as i was!!

Offline sezb

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Re: No surgery after complete tear of ACL
« Reply #5 on: May 03, 2006, 07:57:12 PM »
Hi,

I had a ski accident at the beginning of the year and have just has an ACLR. My OS said the same as yours and  I was upset the same as you. But having has the same thing happen 16 years ago I knew what I wanted and that was to have my ACL repaired as I have not regretted it one bit on that knee. My OS wanted to see how I was with physio before deciding on surgery, plus time doing physio builds up the muscles ready for the rehab. after the op. and lets any swelling go down so that they can see what they are doing better in surgery! I understand your frustration! I would tell him that you definitely want you ACLR and keep pushing for it.....that's what I did and it worked! (It took about 3 months from the injury to the op.)

Good luck!

Sez :) 
ACL op R. knee 02/90
ACL op L. Knee 04/06
(Yes went and did the other knee too - skiing again!)
Had enough of knees now!!!

Offline pauldfc

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Re: No surgery after complete tear of ACL
« Reply #6 on: May 03, 2006, 08:02:07 PM »
SEZB

Did you get your ACLR done by the NHS? It took me 4 months just to get the Athroscopy.
Mniscus removed form right knee
Miniscus removed from left knee
ACL ruptured left knee
ACL recon left knee

Back playing football, 5 times a week and arguably as fit as i was!!

Offline sezb

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Re: No surgery after complete tear of ACL
« Reply #7 on: May 03, 2006, 10:59:18 PM »
Hi Paul,

Luckily I had just taken out a private plan last year!! It has definitely paid for itself what with MRI's, etc plus all the family have used it this past year for one thing or another! Last time I was NHS but I have to say they were very good 16 years ago when I came back from France having had the ACLR there. The rehab. was good and the physio's were great here. Tins of baked beans used as weights definitely worked well!
I know it's a pain to have to wait so long and it's not fair if you can't go private but just keep on at the doctor and let them know what you want done. Private or NHS it still means doing all the physio first of all and preparing and you can't do enough of that, keep up those muscles it is well worth it! As soon as you are able, (it was about 4-6 weeks after the accident) get yourself as back to normal as you can, after the swelling is down a bit and stiffness goes you should be able to move better it will be much easier for you and you won't mind waiting. I was cycling, swimming and walking fine and went to the gym every week before the op. and because I was building the muscles up to compensate it made life much easier. Use an ice pack in the mean time and take some pain killers when required.

Good luck.
Sez :)
« Last Edit: May 03, 2006, 11:03:24 PM by sezb »
ACL op R. knee 02/90
ACL op L. Knee 04/06
(Yes went and did the other knee too - skiing again!)
Had enough of knees now!!!

Offline Charliemouse

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Re: No surgery after complete tear of ACL
« Reply #8 on: May 03, 2006, 11:44:14 PM »
I would definitley go back and pester, beg or plead whatever it takes just to be put on the list, check out the waiting time in your area and then use that, point out that you will have the time on the list to build up the muscles pre surgery. Surely your age and your career plans must be reason enough for them to agree to it!
My OSs team did their best to put me off but I was determined it was what I wanted. I'm still waiting for the op but it would have been September at the earliest if I'd not argued my case but now it should be done by the end of June (sooner with a bit of luck)!
If you really can't get them to do it, don't rule out going private, yes it's expensive, but most private hospitals will work out a payment plan for you (and you would get to choose your surgeon). In my case I'm prepared to wait as I can still work but if it's stopping your career then maybe it's something you should consider.
18/06/05 Injured trampolining
Fixed Flexion 20-90 deg until...
01/09/05 lateral meniscectomy (40%)
09/06/06 Patella tendon aclr
09/09/06 Back on the tramp (carefully)
10 years on and still going strong
!!Stop twisting when you land or it hurts!!

Offline patpalloon

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Re: No surgery after complete tear of ACL
« Reply #9 on: May 04, 2006, 10:38:10 AM »
Hi Paul,

I know exactly what you are going through. I tore my ACL last September and have only just had the ACLR recently, but that was privately. It was very frustrating at the beginning, as I knew what I'd done, but casualty and my GP fobbed me off. When I got referred (on NHS) I was lucky as I got an MRI the same day due to a cancellation. I only had to wait 2 more months for an arthroscopy, again I got lucky with a cancellation. This confirmed the ACL tear and minor meniscal tear.

Like you I was desperate to have an ACLR. I know not everyone needs it, but I thought life without an ACL would be a compromise. Also I knew that having an ACLR is a long road of rehab and hard work. I just wanted to get on with it. At this point I decided to go privately as I'd been recommended a very good OS by a friend who had had the same operation. I haven't got any private medical insurance and I'm not rich. There'll be no holidays this year, but as someone before has said on this site, you've got to spend money on something, so why not your leg? It cost 5000 but that includes all follow up consultations and 10 physio sessions. I got a BMI card which gives you 6 months interest-free credit.

But whether you have it done privately or NHS, the surgeon will still want you to get to a certain level before operating. You must have good ROM, full extension and have worked hard at the leg exercise to build up your quads and hamstrings. All the swelling must have gone. If they operate too early there is an increased risk of arthrofibrosis (scar tissue in the knee).

All the best,

Robin
LEFT KNEE: ACL and medial meniscal tear Sept 05.
Arthroscopy Jan 06.
Hamstring ACLR Apr 06.

RIGHT KNEE: meniscal tear 2008. Partial meniscectomy 2008 and again 2009.

Offline UK Girl !

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Re: No surgery after complete tear of ACL
« Reply #10 on: May 04, 2006, 09:28:44 PM »
Hi Paul
I had total rupture of acl when I was 18 - did not have recon.- have coped fine without it - good muscles kept kne quite stable. My son had acl recon last summer and his knee is stronger and more stable than other knee! - Difficult to know whats best really. - That didnt help you all did it!
1978 - ruptured acl and all cartalidge removed.
several debridements over years
TKR 10TH JULY 2006 http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=28257.0  Aug 07 patellar maltracking - more physio! Still pain - but so much better !
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