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Author Topic: 4 (5)ligaments snapped in snowboard accident with lower leg dislocation VIDEO  (Read 8575 times)

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Offline backflip king

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hi all - new to this forum, i have alot of time on my hands after last week.
Ill give you a quick overview at my present state then go into more depth after - hopefully wont bore you to much as i have pics & videos coming soon.

first off ill explain the state my knees are in at the momment. bear with me as i dont have all the answer's yet or know the full medical terms??
Right - has a snapped ACL & damaged miniscus
Left - snapped ACL,PCL & right lateral ligament. few bone fragments floating around near lateral & some bits in the joint ??

The RIGHT happened about a year ago at a  enduro/motocross race in austria called erzberg. I had the relavent x-rays & scans & found out what the  damage was. after alot of consideration I decided to leave both alone & use alternative to surgery. Knee braces when i ride motorcross/snowboard (CTI/FOX POD). Do lots of cycling gym work, with icing after most activites.
After a slow start i had very little swelling or pain, so i returned to near normal life - training racing & never even took a day off work as a firefighter.

The LEFT leg is a complete different story. This was upto a week & half ago my strong good knee with no problems what soever!! Then I had my accident!!
I collided with a friend  :'( virtually head on at a closing speed between 40-50 mph. He is a skier & i'm a boarder. We both had not seen each other because of the way the slope angled.

We impacted, with him in a rugby tackle style hunch while i was still stood tall on the board.his whole upper body made contact with my left thigh which was my leading leg. because my leg/foot is secured into the board the top of my leg seperated from my lower leg!!! when i eventually looked at my leg - i could see the bottom part at nearly 45 degree to the upper part. the rest of the incident was lots of screaming cursing etc till the air ambulance arrived. they gave me some morphine etc & progressed to put the leg back. I was off my face but was told later that i had to be held down while they tried 3 or 4 times before it popped back in place -all the time screaming with the pain !! but i dont recall much of this??
At the hospital they poppped it in a split cast after a few x-rays & told me i needed a MRI scan & stook me in a taxi back to my hotel!!

Back here in the UK i've had another few x-rays which show the pattella is in the right place & there bits of bone hanging around that i mentioned earlier. I have a full length splint on while the swelling goes down. Saw the specialist yesterday & he told me i need an urgent MRI scan then surgery wont be to long after??

So what i'd like to know from anybody with knowledge to this type of injury is ??
1.How extensive is the surgery?? keyhole or big cut ??
2.will they be going in my other leg to get any bits out they need??
3.What sort of time am i looking at before i can walk un-aided
4.what sort of timescale before i'm back to normal life - cycling- enduro -gym etc.
5.does the UK NHS provide good knee braces - donjoy -CTI, as my job as a firefighetr can be quite demanding.
Sure i will have more questions as the weeks & months go on. I will get some pics & i do have head cam footage of the impact as i was wearing it.but i wont post any till ive had the insurance pay up on my medical bills (just in case)

Thanks in advance for any advice good or bad :)








« Last Edit: September 29, 2011, 11:17:27 AM by backflip king »
Torn ACL & Meniscus May 2010 Right Knee (No surgery done)
MCL & LCL Reconstruction April 2011 Left Knee
PCL Reconstruction March 2012Left Knee
ACL Reconstruction July 2012 Left Knee

Offline greenlexie

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Re: 3 ligaments snapped in snowboard accident with lower leg dislocation
« Reply #1 on: March 30, 2011, 09:50:16 PM »
I had my accident just before christmas(i'm 14 weeks post accident) which is kind of similar in a way to what you have done as I also have multiple ligament damage.
I have a complete tear in my PCL and a minor tears in  the LCL,MCL and ACL all on my left knee.
My OS has been conservative at first due to the different level of damage in my knee.
I was in a full leg cast for 6 weeks so that some of the minor damage could repair first by itself and then he put me into a full Donjoy Cast so that I could build the muscle strength in my leg and get motion into the leg  before I have surgey.

I must say that with talking to some lovely people on the board who have had PCLsurge y(soozles,Qcassidy 2 name just a couple)  it can take a long time to get back onto your feet properly.
I see your a firefighter... I don't want to sound harsh as I now that it can sometimes really not help but knowing how long it takes for recovering especially with multiple injuries and how there will be days that will be disheartning and tough, I think it may take you more than like over 6 months to a year to be fully able to work again. I spent my first 6 weeks non weight bearing in a wheelchair to be able to get around... I'm not sure how your OS will go about your recovery as every OS is different and will aproach in a different way.
But I suggest talking to some people who have had reconstructive surgary about ability and repair as I'm not quite that far on my journey yet(but it will be your PCL rather the ACL repair that will take more time to heal).

Keep us posted on your progress

 
23/12/2010- tripped and fully dislocated my knee and ruptured PCl and torn the other ligaments
today- in a knee brace with no idea
my blog-http://thingsthatchangeyourlife.blogspot.com/

Offline backflip king

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Re: 3 ligaments snapped in snowboard accident with lower leg dislocation
« Reply #2 on: March 31, 2011, 12:21:57 PM »
cheers lexie
thanks for the heads up on what i can expect !???
really hope they dont cast me - with the full length brace i got on at mo means i can whip it off while sat on couch. I still have a large ammount of swelling on the inside of my knee. I have been icing it eveyday & this is helping i think ?? if not it def making me feel better.
I got my MRI scan this sunday - so that seems quite quick for NHS - 5 days from seeing consultant.
I pretty much guessed that 6-12 month for full recovery - thanks for confirming that. Ill prob be doing light duties as soon as i can get around without to much bother.
We also have quite a few Rehab centres dotted around the country - which i have used before. they have everthing needed to help aid recovery physically & mentally. it the mental side that gets me as i;m very active usually !!! Not that im mental haha
I have a large group of friends that keep my chin up - usually with beer !! haha  ;D
Hope your injury is progressing well & you having more up beats days than down :'(
Thanks again & ill keep you posted with my scans & beer drinking haha :D
ged
Torn ACL & Meniscus May 2010 Right Knee (No surgery done)
MCL & LCL Reconstruction April 2011 Left Knee
PCL Reconstruction March 2012Left Knee
ACL Reconstruction July 2012 Left Knee

Offline backflip king

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just an update as some of you might see my thread has changed from 3 to 4 ligaments snapped !!!
saw the specialist yesterday - he showed me my scans & said " I couldn't have damaged my knee any more seriously" his words !! :o
The scan showed that the 4 main ligaments have all snapped !!! plus he mentioned some other stuff was damaged but was in a bit of a daze at that point !!
So not alot holding the top part to the bottom ???
He said i need a full reconstruction & has bumped the job onto another surgoen that specializes in serious knee re-build. :'(
Still not got a date when this happening as i need to see doc 1st so he can have a chat.
Funny thing was - I was there to have a chat about taking a screw out of my scaphoid in wrist. They have decided to take that out at same time - sort of 2 for 1 job !! :)

Does anybody have an idea of were they are gona take all these ligaments from ?? or will there be some artifical stuff done ??

few pics of injury


knee cap on left - pic taken from above - just after crash


2 days after


7 days later - point of impact - back leg

ged
Torn ACL & Meniscus May 2010 Right Knee (No surgery done)
MCL & LCL Reconstruction April 2011 Left Knee
PCL Reconstruction March 2012Left Knee
ACL Reconstruction July 2012 Left Knee

Offline Snowy

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Holy smokes. That's some hardcore damage that you have there. I'm a skier and your description of the accident made me cringe - I can easily picture how that happened. Unfortunately full lower leg dislocations often do take all the ligaments with them, but it sounds as though you're going to be seen by an expert in this kind of injury which is good news.

My guess (and it is just a guess based on other people's posts here and elsewhere) is that you wouldn't use your own tissue for all the ligaments. There are two main options for using your own tissue - the hamstring tendons and the patellar tendon, and some surgeons also use the quad tendon - but I'm guessing with four ligaments to repair that some or all of yours will be allografts (donor tissue) or LARS (synthetic ligaments.) There are pros and cons to all the graft types so this is something worth reading up about in case you have questions for your surgeon when he tells you what he's planning to do. For single ligament reconstructions the preference is usually your own tissue from the same leg (though this does vary by surgeon) but I'm sure the seriousness of your injury will affect the options.

How is the leg feeling now? This is a really horrible injury, but it sounds like you're going into the reconstruction with the right attitude. I would do all the reading you can about reconstructions and recovery - the more prepared you are, the better. Best of luck with your recovery, and I hope you get a date to see the surgeon soon.
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline backflip king

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hey there snowy -  thanks for the reply & the heads up on the reconstruction.
the leg is not so bad considering ??
alot of heat still coming from the side of the knee & feels very wierd if antyhing touches it. I have a full length brace but wen sat down I take it off & dont wear it in bed.
i can actullay bend the knee about 30 degree before it locks but keep working it - but not load bareing it.
I can walk from kitchen to front room on the brace but dont do anything else without the crutches.
all the bruising nearly gone now - but leg is looking sparrow like now haha !!!
Im not taking many pain killers now - prob just morning & before bed. not anti infams - just ice it wen i can.
hopefully this is all helping to my recovery & pre op readiness ??
I'm trying to do a little fitness & stength work - floor exercise's & trx straps to keep my spirits high ??

selling my beloved ktm 300 exc (mx/enduro  motobike) so i'm not tempted to go riding while in recovery - but have focus on a new 1 in the future !! ???

if anybody has anymore pointers or info on my injury situation - more than welcome !!!
ta ge
Torn ACL & Meniscus May 2010 Right Knee (No surgery done)
MCL & LCL Reconstruction April 2011 Left Knee
PCL Reconstruction March 2012Left Knee
ACL Reconstruction July 2012 Left Knee

Offline Kaputt_Knee

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  • [Ed: Sue sadly passed away in 2016]
I had a similar injury in 1989 when my ski was twisted through 180° while I was standing still. They operated straight away in Austria using open knee surgery and repaired/replaced everything that they could. I was back skiing a year later. When my students helped me back up after my accident, the right foot was facing one way and the left the other. I got them to release my bindings and the foot spun round to match the other one. I was lucky as my pain receptors in the brain shut down according to the surgeons and I felt no pain until I woke up after surgery 48 hours later. As I was operated on so quickly they were able to repair most of the tears and only replace one ligament in the end. But I eventually spent 3 months in plaster in a wheelchair.

The Austrian surgeons wanted me back on skis in the Autumn after my accident (23rd March) but the UK surgeons ignored the protocol I was given and told me I would never walk again without a stick. Well I blew them out of the water but had to fight for every damned thing. I resented being told that I would have to retrain and/or find another profession. I used the positive responses I had in Austria to prove the English surgeons wrong. I have since moved out to where sports related injuries are not seen as self-inflicted wounds and a drain on precious resources.

Techniques have improved vastly since then, but maybe not the attitudes. But as you are still relatively young and in a career where fitness is key - fight for the best treatment you can get and keep pushing until you get it. Do not go for any of the artificial ligaments - I did and they snapped- twice. You have enough suitable graft sites in your body, so using autografts is not impossible. Be guided by the surgeon YOU trust and knows your body. If you don't trust them, find another. Make sure that they are experienced in the procedures they are proposing - ask how many they have done in a year, a life time, etc. Don't let them use you to train themselves, you have too much riding on this. There are plenty of qualified and knowledgeable surgeons in the UK, get your GP to refer you to the best you can find. Start by using the lists here on this site and email them directly with your diagnosis. Honest ones will come back and say that they are not experienced enough to do the work and refer to others who may be better qualified. Although you did not suffer your injury while in service, perhaps your union can help you find good experienced orthopaedic surgeons who ma be qualified to do the work. Be pro-active, do not wait for the NHS to write you off.

Sue  ;)
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline DaVinche14

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WOW! that sounds major! Made hairs on my neck stand up as your pics look similar to my injury (minus the ski gear). Have you got the type of swelling near LCL (just bellow outer part of knee) where if your press it, it leaves a 'fingerprint'? Freaked me out big time lol.

 Like other members have said though, fish around for a good surgeon. This is VERY important as your type of injury is rare. Most likely they will take a contra-lateral semi-t graft from your good leg. This is what I had done and can be very awkward and painful, but IMO it is always best to use your own tissue! It's going to be a long journey for you, but there are many others on here in the same boat and are very helpful! I hope all goes well in your pre/rehab. Most important thing is to keep your spirits high bro, it makes a BIG difference.
My Post-op Diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=55672.0

Sep 2003: Major trauma to right knee; ruptured ACL, LCL, biceps femoris.
Sep 2003: LCL repair
Mar 2004: Lateral meniscus trim
Mar 2011: ACL + LCL/PLC recon w/L+R hamstring autograft

Offline backflip king

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hey fellow geeks - thanks for all the good adivce & support.
I have had plenty of support from friends & family but I dont think they really understand what i'm going through till you are in the minefield of knee injury !! :D

So anyway I have my date for my op & got to see the surgeon that specializes in knee trauma. I have taken some independant advice & been in touch with the OSWESTRY SPORTS INJURY CLINIC through a few contacts that got me some fast track info without actually goin for a consultation. frienf of a friend told spoke to them & to cut a long story short confirmed the route i'm going with my surgeon in my local hospital is doing exactly what they would be doing.

I had a full 45mins with my specialist that brought his fracture clinic to a hault & rushed me in once i eventually got my file in his hands with alot of rining around & pledging the urgencey of my case. He had me in within an hour of reading my case file & bollocked quite a few other specialist for letting this roll on for so long!! Just over 4 weeks since I had crash.
So here is the full list of injuries I have that they can see on scan & xray but said I may have some more complications once they have opened up for the 1st procedure.
1.ACL COMPLETE RUPTURE
2.PCL COMPLETE RUPTURE
3.MEDIAL LIG COMPLETE RUPTURE
4.LATERAL LIG COMPLETE RUPTURE
5.OUTER MENISCUS DAMAGED
6.INNER MENISCUS DAMAGED
7.CATRLIDGE BETWEEN KNEE JOINT SPLIT & SLAPPED OVER
8.BROKE BONE ON BACK HEAD OF FIBIA
9.BROKE BONE ON SIDE FEMA (WERE MEDIAL LAT ATTATCHES)
10.SOMETHING ON BACK OF KNEE CAP (NOT SURE WOT THIS WAS?)
mentioned some other things but by this time i was on information overload & in a little shock!! ?? ???
He said there are goning to be 3 operations minimum as I have so much damage. 1st Op is going to be 4hr were he goin to fix both ligaments on sides of leg & tidy up & remove cartlidge that is beyond repair.
2nd & 3rd will be ACL & PCL. said he going to take grafts from my other leg - 1 from my knee & other from hamstring. He will discuss these ops in more drtail nearer the time & may change the graft sites once he has had a closer look at what is happening inside my knee.
I was quite taken aback when i was told  that people that suffer such a severe lower leg dislocaion that like mine have a 40% chance of amputation !! this is because of a main artuery & nerve that gets trapped & causes leg to loose feeling etc etc etc. So on that i was happy that I have strength & good circulation in my foot !! ;D

I have been told to keep my leg as mobile as possible & try & get it to bend as much as possible. I had been doing this as I already had a DONJOY brace & a CTI2 brace that i bought for my motocross. I have been walking round house un suported as well but only slowly & not stairs.
I have also been using thera bands on the the foot with my brace on to try & help with the muscle & increase movement of the knee.

My 1st surgery is thur 21st april & will be in for 3 to 4 days in depending how i recover from surgery etc.
The subsequent surgeries will be ever few months on depending how my rehab is progressing. Fingers & toes crossed i heal qiuckly ??
I have been told by the 2nd opinion that i may not have the PCL done as it does tend to fix itself & you can get by without it ?? I will just wait & see & see what the specialist says about this. I'd rather get everthing done while I'm on the rehab wagon & doing light duties at work than go back years later when i'm still having problems.

I was told I would not get back to what my knee was like before injury but I could prove hime wrong ??
The 1st op i'm having has 1 complication with a nerve that is 10mm away from the inner lig which may lead to loss of feeling to some of my foot from a few weeks upto  6 months but should be back to normal. I know this is a worst case & he has to tell me this.
He did tell me that I can right this year off - but should be well on the way back to normal life by next year !! so long haul ahead !!

So this is were i'm at now - sort of looking forward to getting 1st OP done then I'm on the road to rehab !!

Ill keep ya all posted with how my surgery goes & will get some pics up of what my leg will be looking like - said i will have two 6-7 inch scars down side of leg after 1st op - cant be done on keyhole.
Speak to ya all after easter weekend !!  ;)
Torn ACL & Meniscus May 2010 Right Knee (No surgery done)
MCL & LCL Reconstruction April 2011 Left Knee
PCL Reconstruction March 2012Left Knee
ACL Reconstruction July 2012 Left Knee

Offline Lottiefox

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Wowsers! I've followed this thread since you first posted - you certainly have managed to damage a few things in that knee! I don't ski but even the thought of that accident made my toes curl. Thank goodness you've got a specialist who understands what you need and is getting you on the way to rehab. As you say, there is a LONG road ahead but you sound in great spirits and that is a big part of the mental battle. Where in the UK are you based?

Good luck for the 21st, let us know how that goes and we'll be cheering you on through this road of surgeries and rehab.

Stay strong!

Lottie :-)
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline Rknees4

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Hey Dude,
You really did a job on that poor knee. :o
Best of luck on the upcoming surgery, and the future rehab.  Keep posting as this will be a long haul for you and you will get the support you need from this group for sure.
Take Care, ;)
Rknees4
Knee pain since teens
06/09 Patella mal-alignment grade 3/4 chondromalasia both knees, PFS
09/11/09 patella realignment,Trillat/LR/scope cleanupRK
10/02/11 patella realignment,Trillat/LR/scope cleanupLK
Cortisone LK 04/06/11
Scope LK,/RK HW removed 28/06/12
Chin up keep hobbling!

Offline Snowy

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I'm so sorry the damage is worse than you thought - but as Lottie says, you have a really positive attitude and that's going to stand you in great stead as you begin the long haul to recovery.

I didn't mention this when you originally posted, but I've heard the stat about lower leg dislocations and amputation before. There's a poor guy whose story I read on a skiing forum who had an artery entrapment, and came within about 30 minutes of losing his leg. This also really complicated the situation for him when it came to having the ligaments reconstructed, as he had to have a venal bypass and a lot of the doctors he talked to were really concerned about the risk to the veins if he went through another tourniquet surgery. His story is here if you're interested: http://www.tetongravity.com/forums/showthread.php/42924-Recovering-from-Knee-dislocation - certainly not an easy read, but I'm very glad for you that you're not facing the complications that can come from artery involvement.

It's going to be a really tough road back and the surgeon may be right about your knee not ever feeling quite like it did before. However, Kaputt_knee is a great example of how someone can come back from an equally traumatic knee injury and return to the activities they love, even if the knee isn't the same kind of joint that it was before the accident. Stay strong, stay positive (but don't beat yourself up for having bad days - it will happen along the way) and keep focused on your rehab to give yourself the best possible chance of getting over this. As you say, once the first op is done you're on the road, even if the journey ahead is a long one.

Will be sending positive thoughts your way on the 21st. Best of luck!
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline Kaputt_Knee

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  • [Ed: Sue sadly passed away in 2016]
Quote
The 1st op i'm having has 1 complication with a nerve that is 10mm away from the inner lig which may lead to loss of feeling to some of my foot from a few weeks upto  6 months but should be back to normal. I know this is a worst case & he has to tell me this.

Know that one - feels like you have a lump of cold porrige instead of a lower leg for quite a while. The front of my shin is still numb and I really don't expect that to change too much now after nearly 3 years. Just means I don't feel any pain on my shin either, so swings and roundabouts  ;D

You really have done a number on your leg but it sounds like you have someone working for you now. My ops started with 24 hours of my dislocation and I was in a back-slab plaster for about 6 weeks, then a full plaster for my return to the UK - supposedly just a travelling one, but the UK docs whipped it off and whacked a full hip to toe plaster of paris jobbie on amd left it there for 3 months. I think I could pull my leg out by the end it was so sticl like! I'm glad things have moved on since then.

Good luck with the first op on Thursday. My only advice is take every drop of pain relief you can and then some - I was on a drip for 48 hours after my first op and was as high as a kite most of the time. If they offer you a pain relief pump grab it with both hands. Don't try and man it out - be a wimp and take everything that is offered. I tried to be "Brave" and ended up screaming for pain control - it is not worth it and it slows down your healing if you are fighting pain and trying to rest and heal.

Good luck again - you'll win through!

Sue  ;).
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline MISS DIVA

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Good luck with your op and keep us posted

Offline backflip king

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hey there knee buddies  ;)  thanks for all the kind words - means a real lot !! I got more from this forum than anywhere else. truly great. I'll be making a donation when i'm out of hosp because this is one of the best ways of getting your head round the road ahead !! & an endless ammount of informative advice !!

I forgot i had 2 other injury's - also snapped the lig that attatches to knee cap ?? & a something sack in knee that had burst/split ??  think that all for now !!

I'm over in Bury,Manchester. Having the Op at Fairfield. (just 1 of you ask ) O ye love jelly babies & Monster energy -in case u visit HAHA

I been minting up my motox bike ready for selling which made me feel good (coz wen i'm more mobile i'm gona buy a new 1!!)


thanks again ged
« Last Edit: July 12, 2012, 11:40:34 AM by backflip king »
Torn ACL & Meniscus May 2010 Right Knee (No surgery done)
MCL & LCL Reconstruction April 2011 Left Knee
PCL Reconstruction March 2012Left Knee
ACL Reconstruction July 2012 Left Knee