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Author Topic: Post-Op DIARY of ACL Allograft #3 - June 14th-2007  (Read 44982 times)

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Offline knee-will-be-great

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Re: DIARY of ACL Allograft #3 - Surgery is June 14th
« Reply #30 on: June 26, 2007, 01:15:29 PM »
ACL DONE June 14, 2007

DAY 11 - POST-SURGERY

Summary of day's events
First official visit to the physiotherapist; glad I have this PT.  The guy knows that I am very motivated; he therefore indicated that we would get along quite well; i.e. because I am a motivated type of patient.

Pain level
On a scale of 10, it is 2 to 4.

Pain Management
2 Tramacet and I was flyinging/dozy/nauseous until 11:30 pm, in fact aftertaking the second Tramacet at 7:00 pm, the room spun and I didn't trust myself to move off of the couch.

Icing
Wrapping all four frozen gel-packs around my knee for two hours; the gel packs lose heat quickly.  I think that there may be a more effectacious device for wrapping aorund myself and reducing swelling.  Or need better gel-packs/hot-packs.

Walking
Two crutches only.  Physiotherapist said that he would tell me when I xcould use one crutch.

Range of Motion
Extension - 5 degrees (no assisted)
Flexion - 118 degrees (assisted)
ROM = 113 degrees - give or take a few degrees.
Knee is just painful to extend or flex fully.

Weight/Fitness Level
Still feeling like a blob.  Somehow all of my clothing has shrunk since last September (LOL).

Exercise Protocol
PT says that I am doing fine.  Has added 10 minutes of biking on a stationary bike (low/no resitance) to my current protocol.  (I have a stationary bike at home, so I am happy about being able to use it.)  The biking should be once or twice a day - after icing of course.

Conclusion
Went to bed at 11:30 pm and up at 8 am. 

Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: DIARY of ACL Allograft #3 - Surgery is June 14th
« Reply #31 on: June 27, 2007, 01:36:55 PM »
ACL DONE June 14, 2007

DAY 12 - POST-SURGERY

Summary of day's events
A non-eventful day at home.

Pain level
On a scale of 10, it is 2 to 4.

Pain Management
2 Advil and I was lethargic all day.

Icing
Wrapping all four frozen gel-packs around my knee for two hours.

Walking
Two crutches only.  Physiotherapist said that he would tell me when I could use one crutch.

Range of Motion
Extension - 5 degrees (no assisted)
Flexion - 118 degrees (assisted)
ROM = 113 degrees - give or take a few degrees.
Knee is just painful to extend or flex fully.

Weight/Fitness Level
Feel like a blob ar 155 lbs.  Lots of "junk in the trunk"; i.e., the rear end is chunky, clothes don't fit.  Ripped one side of my goregous, form-fitting (sausage casing?) black evening dress - along the seam on the week-end (blush).  Lucky that I had another evening dress to change into.

Exercise Protocol
Exercise & recumbant bike.

Conclusion
Went to bed at 11:00 pm and up at 8 am. 
« Last Edit: June 27, 2007, 06:52:15 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: DIARY of ACL Allograft #3 - Surgery is June 14th
« Reply #32 on: June 27, 2007, 07:50:22 PM »
Some musings on the ACL reconstruction (my 3rd one) and reasons for ACL reconstruction failure:

_______________________________________________________________________

1)    Graft choice, hardware removal, revision notchplasty, tunnel placement, and method of fixation are key points for a successful result.

http://www.arabmedmag.com/issue-15-01-2006/rheumatology/main02.htm

2)    [PDF] Tendon graft fixation in ACL reconstructionFile Format: PDF/Adobe Acrobat patellar tendon autograft and allograft used for anterior. cruciate ligament reconstruction in ... struction with Endobutton fixation: A 2-3 year follow-up ...
taylorandfrancis.metapress.com/index/D4HU4A92VER72M7J.pdf - Similar pages

http://www.informaworld.com/smpp/content?content=10.1080/00016470410001708170

I copied this reference straight from the internet.  You can open and download this as a PDF file.  Google endobutton acl allograft to find this article. 

The article describes my ACL revision surgery - a Tibialis Tendon affixed using an Endobutton.  Apparently a strong and competent way of doing a revision ACL allograft.

3)    The Future of Ligament Knee Surgery

http://www.josonline.org/PDF/v9i2p77.pdf (available as a PDF) of HTML document.  Link to HTML document is cited below.

http://72.14.205.104/search?q=cache:Iy3XKzYshm0J:www.josonline.org/PDF/v9i2p77.pdf+endobutton+acl+allograft&hl=en&ct=clnk&cd=78&gl=ca

4)    Types of ACL grafts - a 46 slide PowerPoint presentation.

PDF] PowerPoint PresentationFile Format: PDF/Adobe Acrobat - View as HTML
Types of ACL grafts. AUTOGRAFT. - bone-patellar tendon-. bone. - Quadrupled. semitendinosus/. gracilis tendon. - Bone quadriceps. tendon. ALLOGRAFT ...
www.fhs.mcmaster.ca/surgery/rescentre/eduresources/Orthopaedic%20Grand%20Rounds/Anterior%20Cruciate%20Lig... - Similar pages

Overviews types of grafts, the tensile strength of different types of grafts, shows an MRI of a ACL intact knee and an MRI of an ACL-deficient knee, natural history of progression of an ACL-deficient knee that is left untreated (i.e., without an ACL autograft or allograft), photos of the inside of the knee during surgery, graft positioning, interference screw positioning - plus many other little bits of information that all of us ACL reconstruction Geeks really should know.

Use endobutton acl allograft to search for this highly informative powerpoint presentation.

5)  The ACL Reconstructuon Question: Use of Bone-Patella Tendon-Bone OR Hamstring Tendon

http://www.injuryupdate.com.au/images/research/RationalePatellaACLreco.pdf

6)  Literature Review of the ACL

http://www.wimbledonkneeclinic.co.uk/literature.pdf

7)   Abstracts/Information from an Orthopaedic Surgeon's Meeting (2006)

http://www.datatrace.com/medical/MAOA_ABSTRACTS.doc

Check out Abstract # 22, 23, 25, 28, 30

8)  Interesting debates about types of grafts to use - and the operative protocol associated with ACL Bone-Patella Tendo and-Bone autograft harvesting and preparation.

http://www.sma.org.au/publications/sporthealth/v24i1/AutumnContents.pdf

9)   Graft Fixation Alternatives - with diagrammes and pictures of knees presented in the middle of surgery

http://www.bachmd.com/Articles/ACL%20Graft%20Fixation%20Alternatives.pdf

_________________________

That's all for today folks!

Cheers from Knee-will-be-great!  :)


« Last Edit: June 27, 2007, 08:39:35 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #33 on: June 28, 2007, 03:49:58 AM »
Here is another reference to using the Anterior Tibialis Tendon for an ACL Allograft

http://www.aclstudygroup.com/Powerpoint-pdf02/Verdonk-tibialis.pdf

This is a 27 slide PowerPoint.
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #34 on: June 28, 2007, 03:58:46 AM »
1)    Here is an ACL Reconstruction with photos and good explanation of procedure.

http://www.westinghousenuclear.com/Community/WSHI/E3e_Fu.pdf

12 page colour document

2)    Here is a discussion about ACL repair techniques (single bundle vs. double bundle graft placement) and outcomes.

http://www.touchbriefings.co.uk/pdf/1857/grana.pdf

2 pages
« Last Edit: June 28, 2007, 04:11:25 AM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #35 on: June 28, 2007, 01:06:05 PM »
ACL DONE June 14, 2007

DAY 13 - POST-SURGERY

Summary of day's events
A non-eventful day at home.

Pain level
On a scale of 10, it is 0 when sitting; 2 when cycling on the recumbant bicycle; 8 when trying to stretch the knee and get the knee to full extension - which is not possible currently.

Pain Management
2 Advil and (again) I was lethargic all day.

Icing
Wrapping all two frozen gel-packs around my knee; didn't do this continuously, however.

Walking
Two crutches only per PT's orders.

Range of Motion
Extension - 5 degrees (not assisted)
Flexion - 118 degrees (assisted)
ROM = 113 degrees - give or take a few degrees.
Knee is just too painful to extend or flex fully.

Weight/Fitness Level
A blob at 155 lbs. 

Exercise Protocol
Exercises as assigned & recumbant bike.

Scar
The OS and his assistants did an excellent job.  Aside from the three arthoscopic portals (which were not sutured and are healing nicely), the cut into my tibia has essentially healed.  In fact it does not even look like he cut my leg open - that's how good the repair is!  I am very, very impressed with this; the OS no doubt has a magic touch!  And my body is participating in a healthy healing - so aside from the bent knee (without complete extension), all seems well with the knee healing.

Conclusion
Went to bed at 11:30 pm and up at 7:45 am. 
« Last Edit: June 28, 2007, 10:42:59 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #36 on: June 29, 2007, 12:51:05 PM »
ACL DONE June 14, 2007

DAY 14 - POST-SURGERY

Summary of day's events
Another non-eventful day at home.

Surgical Stitches
Per doctor's orders, I cut both visible ends of my incision stitches off - by my skin.  I am amazed that the incision through which the OS accessed the top of my tibia (and through which he removed my HTO hardware <a plate and four titanium screws>) and drilled a portal for the ACLr allograft - is healed!  This is absolutely amazing.  I have small little scabs left on the three arthroscope portals, but that is it.

Pain level
On a scale of 10, it is 0 when sitting; 2 when cycling on the recumbant bicycle; 8 when trying to stretch the knee and get the knee to full extension - which is not possible currently.

Pain Management
2 Advil

Icing
Wrapping all two frozen gel-packs around my knee; didn't do this continuously, however.  Gel packs warm up after 20 minutes.

Walking
Two crutches only per PT's orders.

Range of Motion
Extension - 5 degrees (not assisted)
Flexion - 118 degrees (assisted)
ROM = 113 degrees - give or take a few degrees.
Knee is just too painful and mechanically, it does not look like I can extend or flex fully; (owing to anterior tibial subluxation).

Exercise Protocol
Exercises as assigned & recumbant bike.

Conclusion
Went to bed at 11:30 pm and up at 6:45 am. 
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #37 on: June 29, 2007, 07:45:14 PM »
ACL DONE June 14, 2007

DAY 15 - POST-SURGERY

Physiotherapy Session #2
Sheer, unmitigated _ _ _ _  #[email protected]%!*  :P Spent close to 2 hours there.

The results at the end of the session, however, were great.

PT's protocol for this session:  

*  20 minutes icing to straighten the knee
*  15 minutes of bikeriding; he told me that at home, I can increase the resistance - and that two 15 minute recombant bike session daily would be appropriate.
*  balance on operated knee for 5 seconds; ensure that operated knee's muscles are as tight as they can be. Three to four sets of 10.  The PT wanted me to start balancing on the bad knee for 15 seconds (without any bracing/holding on to anything), but I could only do 5 seconds comfortably - so we went with 5 seconds of balancing on one leg - unaided.
*  lying down on my back and using a "leg pushing machine", where I would start with my operated knee in a bent position (about 100 degrees) and then push on the plate that my foot was placed on - until the operated leg was a straight as can be (for today).  At the endpoint of the push; i.e., when the knee is almost straight, I was to angle my heel so that only my heel touched the plate; the rest of my foot was pulling forward towards me.  So I could feel this exercise in my calves and my quads and my soleus and gastrocneius muscles - to name a few.  Do this is a fluid motion; hold the leg stiff - with the quad muscles tight - for a count of 3 - and then control the machine so that you start again in a bent (100 degree) position.  This machine (to my mind) reproduces squats.  I only used one leg (i.e., the operated leg) to do this exercise.
*  biofeedback device that is attached to your quads - so that you can self-monitor how hard your quads are working as you simltaneously push the back of your knee down.  Hold quads tight for 5 seconds and then release.  I did over 100 of these exercises.
*  20 minutes icing at end of session to calm down the knee

ROM
The PT showed me that the biofeedback device is an effective way of incenting oneself to work the hardest at getting the extension and hyperextension one so desires in order that one has symmetrical knees.  I am amazed to say that the back of my operated knee did in fact touch the back of the Physio mat by the end of this round of highly motivated self-torture overssen by a professional PT.   :P

Biting down on something during active physiotherapy so that I don't clench my jaws/grit my teeth
I asked my PT to give me a clean facecloth to clench between my teeth during this PT session.  Better top have a cloth absorb the bone-aching tension of rehab - rather than gritting one's teeth and breaking a molar or developing jaw pain.  I usually do my exercises at home wearing my dental night guard.  I will remeber to bring it to the next PT session  in the upcoming week.

Assessment of Patient Population
My knee-healing colleagues at PT today were an interesting bunch; the "youngies" (fit, muscled, lean <relatively speaking>) were all there as a result of sport; the "oldies" (heavy, in obvious pain and obviously physically debilitated) were there as a result of old age and/or motor vehicle accidents.  The common denominator for both populations was that our knees had really and truly hindered us in the performace of our jobs/our domestic duties around the house/our personal lives (in other ways)/our recreational enjoyment of family/friend gatherings, sports and gardening and just plain walking around.

In one case, an aged mother (at least 75) was taking care of a duaghter that looked no older than 35; funny; I remeber my grandfather telling me that sports ruins your body.  He and my grandmother lived well into their eighties without a speck of osteoarthritis.  I am starting to feel that sports is debilitating more people - and at an earlier age that even 25 - 30 years ago - because of the rise in extreme sports and the increase in physicality of the population.  Oh well.

Conclusion
Watched Bee Gees videos on YouTube (wanna dance now - badly) until 12:30 am; woke up 8:15 am.


Cheers to all kneegeeks out there!

KWBG
« Last Edit: June 30, 2007, 02:28:24 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline miltonc

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #38 on: June 29, 2007, 11:42:20 PM »
Why is your physical therapist asking you to use 2 crutches, when you feel you can walk around with 1 crutch. 
I got rid of my crutches around Day 18 or 19 (after seeing one of your posts) and feel great about it.  A week later, I also got rid of my knee brace.  Feeling good about it also. 
3/4/07 - Soccer injury
5/30/07 - ACLr

Post op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=36990.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #39 on: June 30, 2007, 03:17:14 AM »
Why is your physical therapist asking you to use 2 crutches, when you feel you can walk around with 1 crutch. 
I got rid of my crutches around Day 18 or 19 (after seeing one of your posts) and feel great about it.  A week later, I also got rid of my knee brace.  Feeling good about it also. 

Hi Miltonc,

Thanks for the posting ... good question re: me being instructed to go back to 2 crutches.

My Physical Therapist told me that he would be the one to determine when I stopped using both crutches; this is because I am a very "gung ho", "let's move forward" Type A kind of individual who is very motivated - and in my PT's and OS's opinion, I may just try to do a little too much a little bit too soon on my own.  "Wouldn't want to hurt that ACL allograft #3" is what he said to me. 

Back to one crutch:  The PT tested out my stability today.  As long as I do not wear sandals or flip-flops or backless or unstable shoes without support, he has given me the go ahead to walk with one crutch - and then revert to two crutches if I get tired.  He said that I don't really have too many more chances at having an ACLr if I tear this one - in that this one is the third ACLr I am having.  If you look at my posting immediately previous to yours, however, you will see that the PT made me work very hard today when I visited his facility. 

I am interpreting his instructions as him wanting me to be totally compliant - and that is what I will be - completely compliant. 

Cheers to you from KWBG. 
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #40 on: June 30, 2007, 10:21:52 PM »
Check out this link!

http://www.eorthopod.com/eorthopodV2/index.php/fuseaction/topics.main/ID/bc6117f6c5f98a17135e5aac6c0cf6d7/area/17

Explained in this link:

  • Anatomy of the knee
    How the knee works
    Diagramme of injured ligaments
    How an injury to ligaments affects the functioning of a knee
    Surgical choices for ACL repair
    Many, many other bits of knee information provided to us with pictures and clear explanations
« Last Edit: July 08, 2007, 03:11:09 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #41 on: July 06, 2007, 06:06:10 PM »
Hi Kneegeeks,

Here's a few videos of an ACL Reconstruction ...

http://www.youtube.com/watch?v=i8EpT3uCVWU

http://www.youtube.com/watch?v=3UogiiLRJ5I&mode=related&search=

http://www.youtube.com/watch?v=nOlpPMM_dZ8  This one is 63 minutes long.  It is of a teen-age boy who injured his leg playing football.  Lots of good discussion about diagnosing an ACL tear (using the Lachman's Test).  Other good discussion about ACL injuries; 200,000 annually in the USA.  Two doctors (in suits) sitting directly outside the operating room also add (essentially) play-by-play commentaries about what is going on in the OR room.  Almost like a hockey, football or soccer game folks!  The orthopaedic surgeons also discuss the different options for ACL replacement: Autograft (a patient's own tissue) vs. Allograft (a cadaver's tissue).  Very good!

http://www.youtube.com/watch?v=_DkdOQSHYkY - This one is 60 minutes long folks!  It is of a teen-age girl who is getting her hamstring tendon cut out - to thereafter be used for an ACL autograft.  The doctors give you a running commentary of what they are doing ... also a play-by-play of sorts!  Also very good!

Good to know and see what they are doing.  Helps make us Kneegeeks understand why the post-surgery time (first few days) is so very painful ... lots of instrumentation has been inserted into the knee cavity; the bones have been drilled through; tissues has been cut and moved with metal instruments; in some cases torn ACLs are debrided and menisci are trimmed/fixed; also, the leg will feel sore with part of its tendon removed for use as the autograft material.

Cheers from KWBG!
« Last Edit: July 14, 2007, 02:58:48 AM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline knee-will-be-great

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #42 on: July 06, 2007, 10:30:30 PM »
ACL DONE June 14, 2007

DAY 16 to DAY 22 - POST-SURGERY

DAY 16
Exercised per PT's directives.  Took 2 Advil.  Knee swollen.  Had fun with my significant other who went fishing that day and then later prepared me a fine dinner of filleted perch/bass prepared in a sumptuous batter ... yum.  I did the gnocci, the tomato sauce, the herbed potatoes au gratin, the asparagus and the garden greens salad.

DAY 17
Junped on a plane for an 8 - 10 hour excursion to another city after spending 10 hours arranging alternative flight arrangements and undertaking a drive (someone else drove) of 200 km to get to another airport in another city.  Many stops; re-routed my flight to originate from another city because original plane developed engine problems.  Knee was swollen by the time I got to my hotel at 2:45 am.  Iced the knee - but it looked bad and felt quite bad.

DAY 18
Had a 2.5 hour sleep, woke up and got to another airport in another city at 6:15 am - to recommence my trip.  Jumped on 7:15 am flight and got to my destination at 9:30 am (11:30 am my home time).  Knee swollen.  Iced the knee and went to sleep for the afternoon.  Took 2 Advil.  Later, I awoke and used both crutches to walk about 800 metres to 1 kilometre to breakfast-lunch; had steak and salad and decaf coffee - yum!

DAY 19
Had my appointment; walked 800 metres to the appointment using one crutch.  Left my one crutch in the waiting room.  Had appointment then walked back to the hotel where I iced the poor, sad looking knee, slept for 2 hours and made my way back to the airport for a 7:15 pm flight out of one city.  After numerous stops, made it home on a red-eye at 6:15 am.  Knee swollen and tender.  Took 4 Advil.  The trip was great.  Too bad I couldn't walk all through the city centre.  PS - I was wheeled around every airport that I land at.  All you have to do is arrange to have an airport porter help you out.  These porters are very gracious and quite personable.  Offered to buy a few coffee/tea/a doughnut but they refused.  Probably something they cannot do; i.e., take food gifts of gratitutde from their clients.

DAY 20
Slept for most of the day after I got home at 6:45 am.  Knee swollen.  Took 2 Advil.  Wondered how I could get my now (bent) knee (from all that airplane sitting) back to the extension I had worked so hard to achieve.

DAY 21
Physiotherapy Session #3
Went for Physiotherapy (um, torture session #3).  All of the hard work I had done to get the knee straight seemed to have disappeared in two days.  The physiotherapist (great guy) helped get me back to near full extension (not hyperextension yet, however).  Physiotherapist told me to get rid of the wrap-around neoprene knee brace I was "installed with" post-surgery.  Did so.  Used 2 Ibuprofen and one Tramacet.  Tramacet has a sunthetic opiod as its active ingredient - and gosh do I feel its effects!  (I do not like the feeling) BUT it stops my feeling any pain and therefore allows me to get that oh-so-necessary extension.

New Exercise Added to my Routine
Stand against a wall with feet 14 inches apart; stand and have about 8 - 10 inches of wall between the back of the wall and the back of your sneakers.  Then slide down the wall at bit until you cannot see the tops of your (toed) sneakers.  Repeat five times.  Do two sets.  I now have two sets of five to add to the rest of my exercises.  The PT had me do as many as I could to start, (which was about 25), but the pain from the unused muscle strain and still sore joint was so intense that I had to sit down and have a glass of water before I recommenced.  So the PT said only do 2 sets of 5 at home - although I wanted to do more.  No sense in straining healing things.  Very little swelling.  Scars from the three arthroscope portal holes are more or less indistinguishable from the rest of my knee.  Just a bit purple.  Not using any stitches or staples on the portals allowed them to simply heal naturally.  The results are amazing.  The ACL cut in my tibia looks fabulous; this OS and his team are great!  Used 2 Ibuprofen and 1 Advil.  Am now instructed to use one crutch.  The quad muscles were very stressed after this PT session.  Felt good walking, though.  Am still finding my way in terms of re-educating my knee and leg to walk like the other leg.  The leg still does not feel like it is a part of me.  And I still walk with a gait that shows that the knee is still bent relative to the other knee.

DAY 22
Knee looks great today.  Straightened the knee using a large ice bag.  There is still some room for extension improvement, however.  Didn't take any meds.  Put in night-time mouthguard to protect my teeth while I am gritting my teeth doing these exercises.  Starting to feel strong.  Have lost 5 pounds as well ... yeehaa!!!

_______________________
Summary Comments for the Week

I am so very grateful to the OS who did this surgery.  Finally, I believe that the knee joint will be tight and not subject to that horrid grinding when I walk/bend/move slightly - stemming from laxity and instability.  Thank God!  I finally am seeing a light at the end of the tunnel - and it is sunshine and happy days without constant pain.  Now, to rebuild my career and get back to my ideal fitness level.  No more running; probably no more skiing - either alpine or nordic.  At least that is how I feel just right now.  I do not want to compromise this knee - but my PT says that I should consider that when one does sports, one always takes a chance - but one shouldn't sit in the house and knit instead of engaging in sports.

PT says it is, however, not adviseable to engage in any sports for 12 months.  Although he did say that he knows of some people who start running 3 months post-ACLr.  That won't be me, however ... will follow the PT's orders to a T!
______________________

Cheers to all dear Kneegeeks from Knee-will-be-great!   :-*  Keep your chin up and never, ever give up! ... and like Canadian television icon Red Green says ... Remember, we are all in this together!  Keep your stick on the ice!  ;D


« Last Edit: July 06, 2007, 11:09:21 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline garth

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #43 on: July 07, 2007, 10:43:26 PM »
KWBG,
Thats a pretty exaustive diary that you have posted so far. Some of the links (the ones I've looked at so far anyway) that you posted are also pretty helpful. I can't watch the youtube videos though as no youtube content will play on my laptop for some reason. Something to do with their coding and not my laptop at least.
You sound pretty positive, which must be the best way to go about things. Keep it up.

garth
Knee troubles since 1997
Dec 07 - Scope, just a clear up.
Feb 09 - Plica removal
Nov 09 - Lateral release
Mar 11 - More done to LR and some 'tweaks'
Nov 12 - Fulkerson and possible vmo advancement, dont know yet!

Offline Jaspy

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Re: Post-Op DIARY of ACL Allograft #3 - June 14th-2007
« Reply #44 on: July 08, 2007, 11:29:29 PM »
Hi KWBG,,

I have been reading your post op diary with interest as I'm nearly 3 weeks post op now. (Hammy)

I watched the 60min you tube vid of the complete op you posted above and was amazed, it is very detailed and I'm so much more informed now, thank you. (I couldn't find one with comentary for the hammy op)
Maybe you could put it in it's own thread? I know there is one for the patella op already that has has some interest.

I hope your rehab and fitness continues to go well.

All the best
Jaspy
Accident: June/July 05. Tore ACL. Ping!
Sent to Physio: Didn't stop instability, told to test the knee.
Skiing: March 07. Injured knee more, now locks and aches when used a lot.
ACLR: Done 19 June 07















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