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Author Topic: ACL AND PCL GRAFT HELP PLEASE  (Read 2704 times)

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Offline markbiggles

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ACL AND PCL GRAFT HELP PLEASE
« on: January 20, 2008, 07:01:17 PM »
HI ALL
Waiting to have an op to repair my ACL and PCL after a motorcycle accident ruptured them some months ago,
been of work since the accident waiting for other injuries and operations to heal,
Now comes the time to have my knee repaired acl pcl and torn meniscus and pci injury,
To say i am scared is an understatement being nearly fifty and not as fit as i should be,
just dont know what to do now, yes i know i guess i have to have it done if my life is to return to some normality
just dont know how i can possibly cope with the pain and worry of it all.
any helpfull suggestions or any words of encouragement or  or what to expect
from you guys who have been through knee surgery
would be great,
Thanks
.

Offline lenorem9

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #1 on: January 20, 2008, 07:14:29 PM »
Hi Mark,

Don't panic when you read some of these boards.  You'll read some horror stories and some great success stories.  Hopefully yours will be one of the success stories.

I'll share my progress with you.  I had ACL/PLC surgery 2 months ago.  Was back at work 6 days after surgery with very little pain.  Had to be on crutches for a month with no weight bearing but now I'm free of crutches and the immobilizer brace.  I'm walking 3 miles a day and using an exercise bike 20 minutes at a time as well as all the other exercises recommended.  I have some issues/concerns but overall it hasn't been that bad. 

As far as the worry goes...just keep sending messages to this wonderful site and you'll get all kinds of responses.  We all understand what you are going through.  It's very scary and frustrating at times.

When is your surgery scheduled?
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline markbiggles

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #2 on: January 20, 2008, 07:30:19 PM »
HI
Thanks for your reply sounds like your making progress which is great and makes me think there is light at the end after my knee surgery i should be all fixed,
i am of to see my doc on weds so hope to have a date in the next few weeks thanks again

Offline lenorem9

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #3 on: January 20, 2008, 07:41:47 PM »
Mark,

The best advice I can give you is to do exactly what your OS and PT tell you to do.  This is a case where more is not necessarily better.  Your OS will set limitations and you should stick to them.  Your PT will push you to do more than you think you can do but try and do it anyway.  Sticking to the program will help you get to that light at the end of the tunnel.  And last but not least...if you think your OS or PT is telling you something wrong...question, question, question.  They aren't always right.  Keep searching until you find an OS and PT you are comfortable with and someone you trust.  That's very important.

Good luck on Wednesday and let us know how you make out.  Feel free to e-mail any time. 

Lenore

07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline ATsoccergirl

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #4 on: January 20, 2008, 11:34:14 PM »
Mark,

You may want to make a list of questions that you want to ask your surgeon before you go on wednesday.  Multiligament operations are not easy but there are ways to make them easier.

Based on your age, I would suggest using allografts for both the ACL and the PCL.  There are some strength differences with the different allografts available for the ACL, but your surgeon may have one that he is more famillar with.  However, for the PCL it is important that you get a split graft.  A split graft is Y shaped and superior to a single graft for the PCL.  The PCL has two insertion points, so it is important to recreate this.  Many PCL reconstructions failures have been attributed to using a single stranded graft since the PCL is not taunt in all the ROM areas that it is supposed to and this places additional stress on the graft.  Split grafts do much better as they more closely mimic the natural PCL. 

Allografts will help reduce the overall trauma to your knee from the surgery since there will be less tissue disruption since your surgeon will not need to harvest graft tissues.  Post-operatively you could have less pain so that you will be able to rehab more aggressively sooner.

For the meniscus, it will be important to find out if your surgeon is going to attempt a repair or whether he will cut away the tear.  Again, because of your age I think that a partial mensectomy would be your best option.  The mensicus does have the ability to heal, much more than many doctors orginally thought.  In young, healthy athletes we prefer to attempt a primary repair and proceed to a partial mensectomy only if the repair fails.  However with older patients, the mensicus does not heal as well and sometimes cannot hold the repair.  Repairs also require more extended immobilzation to protect the mensicus. 

It will be extremely important to find an excellent PT or ATC to take you through rehab.  Your OS may be able to recommend someone.  If not, usually within a practice different people specialize in different things.  PTs can also obtain additional certifications in certain areas such as orthopedics or sports medicine.  If they have such certifications it will be listed as with SPS or OCS.  Athletic trainers do not have the additional certifications available yet, but they are specialists in sports medicine.  Also, check with your insurance company first, as they may have a preferred provider. 

I hope this helps
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 markbiggles

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #5 on: January 22, 2008, 05:36:37 PM »
Hi
thanks for the post yes it does help i am at this moment doing a list of questions to ask the surgeon tomorrow ,
Hopefully i  will lose the sling on my arm after my last op for ligament reconstuction on my shoulder will post results tomorrow
thanks again
Mark

Offline markbiggles

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #6 on: January 23, 2008, 09:33:32 PM »
Hi
sling came of today and started intense pt on my shoulder which hurts alot more then i thought it would'
so talking to my os he as decided to wait for 6 weeks before he scopes my knee so i can use a pair of crutches to get about on after , so just exercise my shoulder and wait now i guess seems never ending
Mark

Offline lenorem9

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #7 on: January 28, 2008, 05:51:17 PM »
Hi Mark,

How's the shoulder doing?  Waiting 6 weeks (or 5 now I guess) for the knee scope probably feels like an eternity to you huh?  Hang in there and post often so we know how you're doing.

How did you crash your motorcycle?  I used to ride and crashed once too but I didn't get hurt. 
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline markbiggles

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #8 on: January 28, 2008, 08:36:41 PM »
Hi
lenorem9
shoulder is coming along but o so slowley cant believe how hard it is just to do normal daily things with it,
i guess only time is the way forward but it has been almost 7 months since my accident and sometimes i feel no further on, Dont get me wrong i was very badly injured broken bones and a nasty head injury.so bad i not only cant remember the accident but also lost about six weeks of my memory.
 All breaks and head injury have healed just these ligaments that are taking forever,
i guess just like everybody else i just want this episode of my life to end and to return to normal
Thanks
catch up with you later
Mark

Offline lenorem9

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #9 on: January 29, 2008, 06:09:55 PM »
Hey Mark,

Hang in there.  Sounds like you have a very long rehab road ahead of you.  Keep reading blogs and asking us all for support.  It has really helped me. 

It sounds like you are lucky to be alive and are healing even though it seems like at a snail's pace.  I'll say a prayer for your quick recovery.

07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline henri

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #10 on: January 29, 2008, 07:07:03 PM »
what exactly happened -Mark? car crash i assume?
unhappy triad

Offline markbiggles

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #11 on: January 29, 2008, 09:20:56 PM »
Hi
thanks lenorem9 sure is going to be a long road, i am hoping the worse is over now yes i know i ve still got to have my knee sorted but at least i am at home now and there seems to be no long term damage with my head injury,
I am sure you already know how quickly life changes when you have an injury i just cant believe how much,
Thanks for your prayers
Mark
Hi
Henri not a car crash but was on my motorcycle at the time
Thanks
Mark

Offline lenorem9

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Re: ACL AND PCL GRAFT HELP PLEASE
« Reply #12 on: January 29, 2008, 09:28:41 PM »
Life changing?  What?  You mean like going from fun and fitness to couch potato and rehab?  You bet!  It's amazing how much we take for granted.  I've never had any serious health issues and I'm being a serious baby about this whole knee thing.   

Just imagine some of the people on this board that have had multiple surgeries and years and years of chronic pain.  Ugh!  I can't even imagine.  It just proves to you that there's always someone way worse off than you are.

I'm glad to hear you say the worst is over.  That's great!  Try to keep your chin up and ask for help any time.
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"