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Author Topic: Room 101's December 2, 2008 ACI (**January 31, 2011 update**)  (Read 32347 times)

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Offline momhanaway

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Re: Room 101's December 2, 2008 ACI (March 5, 2009 update)
« Reply #45 on: March 06, 2009, 05:42:56 AM »
Wow, that's a bigger incision than I was expecting.  No wonder everyone talks about pain management.  So, do all ACIs look like that?  I'm just trying to prepare my daughter what to expect.  I've seen the inside pictures, but not the outside.

Thanks for sharing them. 

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 5, 2009 update)
« Reply #46 on: March 06, 2009, 04:54:10 PM »
I think it's pretty typical... some are crazy! I know mine are smaller than predicted also.  I did find out that my patella defect was 1.8 cm x 3.5 cm as well.  Still trying to get the inside pictures.

Therapy went well last night.  We progressed through some different exercises and again stepped up the volume.  I worked well over 1 hour on exercises plus the 1/2 hour of manipulation, flexion and massage work... I was there around 2 hours, so i definitely got my money's worth.  I was at 121 degrees by myself and 125 with a little help and 127 with a lot of help.. so about the same, although I am sure overall it feels better.  very sore today around the knee, but it feels good also to have worked.

Kim
February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 9, 2009 update)
« Reply #47 on: March 09, 2009, 05:27:13 PM »
Happy Monday... man did it rain here all weekend.  It was crazy!  I will be 14 weeks post tomorrow.  Things are progressing well despite my malfunction in bending.  I was sup stiff today.  My PT didn't even tell me what the number was, so it must have been great  ::)  - Oh well.  All else is good.  The knee feels good.  We started some lateral movement drills, backwards exercises, some soft surface balance & stability exercises like airex pads and the rubber discs.  It feels good to sweat.  On Friday I worked with my trainer, and we did a series of bridging exercises and some more advanced matt work... some crazy new stuff he has been working on.  I was extremely sore in my hammies, quads and calves.  It was great.  Someone mentionwed my limping on Saturday, but it was from working out and muscle soreness  ;D

I really hit a breakthru at around 3 months (for me probably more like closer to 13 weeks.  I had read that and been told that quite a lot, and it was actually true for me.  I am getting more energy from being more active as well.  It just feels good to work hard enough to be tired and sweaty.  It seems like a lifetime ago.

Here's to another week of rehab & hard work.  Hope you all are progressing!

take care,
Kim


PS - I finally got some surgery photos.  Only 3, but it sums it up quite well.  I'll try and get them posted soon.  Hopefully tonight after work.


February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 9, 2009 update)
« Reply #48 on: March 09, 2009, 11:14:56 PM »
Here is a link to the surgery photos...

... had to repost farther down
« Last Edit: March 18, 2009, 08:16:51 PM by Room 101 »
February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #49 on: March 16, 2009, 09:36:55 PM »
Well, as nasty as it was last weekend w/ rain and cold, it is absolutely gorgeous here now.  What a great weekend.  Did a mile walk on Saturday and Sunday close to 2 miles, a half hour on the bike, my regular workout and then a sauna.  Fabulous!  the windows were open. 

I will be 15 weeks post tomorrow (happy St. Patricks Day!!) -- PT today went well, considering how much I did yesterday.  My range was 120 prior to really stretching and all.  I was 127 after that, so I seem to still be hung up at this point and quite stiff.  I feel really good walking, and I can walk without limping for a long time.  I can stand for quite a while before I need to sit down.  It just bugs me that I can't get the flexion back... I can tell I am getting stronger though.  Backwards walking w/ resistance is now quite easy.  We upped the resistance today.  Did more 8" step ups and those are much easier now.  We started doing some step downs off a 4" box.  It went ok.  We stopped when I got sore and lost proper form.  Short arc squats on the bosu are easy now, as is lateral walking w/ resistance.  I worked on balancing on an airex pad, which also is easier.  I can feel my glute muscles turn on now where before they were shut down completely.  It's amazing how using those muscles helps  :P  Besides that, my IT band is just tight as heck, and I also feel a slight strain in the groin when i walk far, so we did a lot of massage & stretching.  hip flexors, hamstrings, calves.  It sucks during and feels great afterwards  :o

I think things are going well, although a bit stagnant in big change/improvement over the last couple of weeks.  I can feel myself getting stronger, though, and that's always a good thing!

Have a great St. Patrick's Day!

Kim
February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline nikkiluv

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #50 on: March 16, 2009, 09:58:36 PM »
Room 101,

I just saw the pictures from your ACI...how did you get the photos of the inside of your knee that were taken in the OR? It's very interesting to see (I've seen some online and they are very graphic). Were you very suprised when you saw the photos of what it looked like?
03/25/05 - RK debridement
12/22/05 - RK medial meniscal repair
10/31/08 - RK partial lateral menisectomy
03/13/09 - RK ACI biopsy
05/18/09 - RK ACI/DFVO
01/06/11 - ACI failure confirmed
*Currently awaiting call for fresh Osteoarticular Allograft Transplant cadaver match & removal of femoral hardware

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #51 on: March 16, 2009, 10:47:51 PM »
I asked at my last appointment and the PA emailed them.  It is interesting, but I have to admit it was freaky to see my pictures.  I had seen other's pics either in articles I had read or on this site in another diary.  I did know the size of the lesion before I saw the pictures, but it was crazy to see the photos the first time.  Mostly, I was surprised at the rough edges, since I had just had it cleaned w/ debridement a few months prior.  It's amazing how fast you can damage the area.  I had been rehabbing the AMZ, so my activity level had diminished quite a lot over the previous year.

Kim 
February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline nikkiluv

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #52 on: March 16, 2009, 10:59:40 PM »
I wonder if they take pics like that of everyone's surgery. It is interesting to see but I think I would be freaked out to see the inside of my own knee, especially like that. Although I've never been given the choice of whether or not to be awake or asleep for all my other surgeries, that is one of the reasons I'd never want to be awake. Hearing them talk about what tools they're going to use, the condition, etc. I think would freak me out way too much. Also, with my next surgery I will be having a distal femoral osteotomy along with my ACI, and I totally know I DO NOT want to hear them sawing through my femur or screwing it back together!
03/25/05 - RK debridement
12/22/05 - RK medial meniscal repair
10/31/08 - RK partial lateral menisectomy
03/13/09 - RK ACI biopsy
05/18/09 - RK ACI/DFVO
01/06/11 - ACI failure confirmed
*Currently awaiting call for fresh Osteoarticular Allograft Transplant cadaver match & removal of femoral hardware

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #53 on: March 16, 2009, 11:17:35 PM »
That I understand.  I was only awake for one surgery... a shoulder reconstruction... and I don't remember any of it besides the fact that I know I talked the entire time... my surgeon just laughed when I walked in to the follow-up.  I wonder what i said.  I think I told a couple jokes... and asked a lot of questions.  I decided sleep was a better option for me, haha

I did sleep with both the AMZ osteotomy & the ACI.  I wouldn't have wanted to be awake, but I wasn't given a choice either.

Good luck!
February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #54 on: March 17, 2009, 10:49:51 PM »
So, here's a question to anyone... when were you able to do stairs comfortably?  Or really going up & down correctly, without going left foot, left foot, left foot?

I can do up sometimes now.. but I have to be very slow and deliberate, and some days I'm sore and just don't feel like it's the right thing to do.  Down is another story.  I'm not comfortable with that one yet.  I haven't tried anything beyond some step downs at PT, but I was curious when folks started doing stairs w/ alternating legs like normal people?  :P

Thanks,
Kim
February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

dileigh

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #55 on: March 17, 2009, 11:39:59 PM »
Wow, I had to go back to my diary for that one- somewhere between 4 and 5 months, but closer to 5. I haven't posted  in my diary in a few months and it's already on page 4.  Right now I'm just waiting for my 1 year appt next week.

 I have stairs in my house and work where my office is upstairs, so I just worked on it a little bit at a time, every day.


Diana

Offline courtem10

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #56 on: March 18, 2009, 02:59:30 PM »
Kim- I tried to open the link of your surgery pics, but it wouldn't open saying the link had been closed. I think they were linked to your facebook profile. What is your name on facebook so I can try to find you??  I'm having my sugery in 2 weeks.  Thanks for your help.

Courtney Moore
7/08 Left knee microfracture
12/08 Left knee ACI biopsy
4/09 Left knee ACI/AMZ

Offline Room 101

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #57 on: March 18, 2009, 08:16:02 PM »
Hi, Courtney.  I sent you my info also, but here is a new public link.

http://www.facebook.com/album.php?aid=2010284&id=1491844604&l=4c47d1a72e


February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline Hathor

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #58 on: March 22, 2009, 06:41:28 AM »
Hi Kim

I had a patella MACI 2 weeks after yours (13 weeks post op) and have not tried stairs yet. I am doing step ups in the gym no higher than 2 inches at this stage, with no step down.

Am also only doing squats in the pool, trying not to rush anything. Hope this helps.

Hathor
aci left patella 05
MACI left patella Dec 08

Offline markld

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Re: Room 101's December 2, 2008 ACI (March 16, 2009 update)
« Reply #59 on: March 23, 2009, 05:38:00 PM »
I am about 2 weeks post op from aci my lesion was located in my trochlea and is 1.5cm2. rather small for aci, however I cant seem to manage to do a leg lift when lying on my back without some assistance. I definately cant do it on my own. It feels as though I cant activate my quad and hurts behind my knee cap. So basically I seem to be experiencing a lot of the same symptoms as you.
How are you feeling now? Any improvements lately?

Mark
April 2008 microfracture left knee trochlea
Jan 2009 ACI harvest from right knee
Mar 2009 ACI right knee trochlea
July 2009 Aci left knee
Nov 2009 left knee scope to check graft















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