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Author Topic: best surgeons for ACL revision  (Read 1655 times)

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Offline spamula

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best surgeons for ACL revision
« on: February 06, 2012, 12:36:48 PM »
I had an ACL recon 17 years ago. All has been fine but I think I may have stretched the hamstring graft as I seem to be getting a number of small dislocations and may have torn my meniscus. Angus Strover did my first.

Can someone recommend good surgeons if I need a revision?? I live in Wales but don't mind traveling.

Offline Kaputt_Knee

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Re: best surgeons for ACL revision
« Reply #1 on: February 06, 2012, 03:01:51 PM »
Mr Stover has now retired, but any of the doctors at the Droitwich clinic would be more than capable of assessing and possibly revising the reconstruction, if they think it is necessary.

Otherwise you need to look in the Information Hub and work outwards from your area. There are several names mentioned who work in the Cardiff area (Llandough and the Spire Hospital down that way).Jonathan Webb (former England fullback from the days when the English team actually played running rugby  ;) ) works out of Bristol and is excellent. He advised on my 2nd revision advising a patella graft but my specialist only put in another carbon fibre one which subsequently snapped again, then my consultant put in his first patella graft (1992). Webb was his houseman or Registrar at the time.

good luck
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 spamula

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Re: best surgeons for ACL revision
« Reply #2 on: February 06, 2012, 05:44:49 PM »
mmmm was thinking of going to see Mr Roy or Mr Rhys Williams in Wales. Adrian Wilson also looks very good and seems to specialise in Hamstring grafts
but I think I would prefer a stroner allograft or Patella graft this time out.




Offline Kaputt_Knee

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Re: best surgeons for ACL revision
« Reply #3 on: February 06, 2012, 07:56:18 PM »
If you have private insurance, you can see as many opinions as possible. The same goes in theory for the normal NHS, but getting the referrals can be difficult.

Look at the Information Hub, there is a list of clinics and surgeons world-wide there. The UK is divided up into counties, then towns. This means you can start close and work outwards. The list is compiled by the owner of this site, Dr Sheila Stover. She was one of the co-founders of the Droitwich Knee Clinic which was the first ever specialist clinic for knee injuries and problems. She knows all the top people in the UK for sure and also keeps tabs on others outside of the UK. The presence of a specialist's name on this list means that they are recognised by their peers as being specialists in their area.

Hope this helps. Revisions are not straightforward and it is best to get a recognised specialist to evaluate your present situation and let them decide if a revision is the best way forward.
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 spamula

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Re: best surgeons for ACL revision
« Reply #4 on: February 06, 2012, 09:19:13 PM »
I didn't think I could get insurance on a reconstructed knee? Didn't think they would give it to me

Offline Vickster

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Re: best surgeons for ACL revision
« Reply #5 on: February 06, 2012, 09:36:00 PM »
Might be ok if access to a big corporate policy through work?  Or you are self paying privately?

There may be a policy out there given how long ago the ACLr was - I think some have a time period for pre-existing conditions
« Last Edit: February 06, 2012, 09:38:43 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline spamula

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Re: best surgeons for ACL revision
« Reply #6 on: February 06, 2012, 09:52:17 PM »
I think I will be paying privately. I don't trust my local NHS in Pembs for the revision if necessary, not even sure if to have the arthroscopy through it. Ideas?

Offline Vickster

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Re: best surgeons for ACL revision
« Reply #7 on: February 06, 2012, 09:58:31 PM »
Kaputt_knee has given you good advice - she is a serious ACL veteran!

Look in the information hub - if you click on profile, for most surgeons you'll get linked to their experience/webpage.  There are some good ACL fixers around London, but I doubt you'd need to travel so far

Mr Wilson certainly has a good reputation, especially for complex bone work.  If I ever need to have the osteotomy that was threatened, he'd be first on my list (I do have access to one of those all singing corporate insurance policies luckily)!  I am not sure I'd want to travel hundreds of miles are a big painful op, but I'm a wuss

Have you had an MRI?
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline spamula

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Re: best surgeons for ACL revision
« Reply #8 on: February 06, 2012, 11:02:10 PM »
I went to my GP in September demanding an MRI they gave me a date in November but then it got put back to December. So I had it done and thought the NHS has forgotten me. Then on friday I had my new knee brace through and decided to go for a game of 5 -a-side, barely got tackled and it dislocated and was taken to A&E and I'm on crutches. Bit better today and I'm walking on it but can't straighten and its sore.

The DR at A&E said that are no notes following my scan in December for whatever reason. Great since I went in September. The NHS is like banging your head against a wall they are not interested. The Dr at AE said I needed to see the orthopedic Dr tomorrow urgently, but there was no room untill 13th Feb. It goes on. >:(


Offline Vickster

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Re: best surgeons for ACL revision
« Reply #9 on: February 07, 2012, 05:27:54 AM »
Oh dear - certainly going privately does eliminate much of this if you can afford it

'footballfan' in this thread says he had a revision in Bristol using a patella graft, might be worth enquiring as to who did his surgery  http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=58721.0

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up