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Author Topic: Surgies After ACLr  (Read 1017 times)

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Offline aclsurprise82

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Surgies After ACLr
« on: July 14, 2012, 04:17:26 PM »
I see a number of people here who have an ACLr one year and they have a number of other knee surgeries afterwards.  I understand that most people who have positive experiences do not stick around, but what is the thought for why these other knee surgeries occur.

Is it from a bad ACLr?

Do ACLr cause certain common complications?

Are there other injuries that were undiagnosed? 
ACL Tear probably March 2010.  Brief intense pain, but feel fine the next day.

3-4 giving way incidents over 2+ yrs

June 2012:  Diagnosed with torn ACL tear w/small tear of med. meniscus. 

Oct. 22, 2012:  Auto hamstring ACLr w/ med. meniscus repair

Blog: http://aclsurprise82.blogspot.com

Offline Kaputt_Knee

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Re: Surgies After ACLr
« Reply #1 on: July 14, 2012, 07:54:35 PM »
You have not had the reconstruction yet so way are you worrying about things going wrong? I have had 5 ACL operations, but why is unique to me.

The revisions that do occur are by far the exception in the real world. For every reconstruction that has to be revised, there are thousands that never require any further work other than diligent rehab by the patient.

Concentrate on the positives and ignore the negatives, rehab carefully under the guidance of your real life surgeon, physiotherapists and doctors and you will be as right as rain.  :)
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 aclsurprise82

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Re: Surgies After ACLr
« Reply #2 on: July 14, 2012, 10:07:50 PM »
I just see so many post-op diaries that have follow ups of further surgeries on the knee.  I cannot tell if this is because of a complication or because other issues were just present that would have appeared in any case. 
ACL Tear probably March 2010.  Brief intense pain, but feel fine the next day.

3-4 giving way incidents over 2+ yrs

June 2012:  Diagnosed with torn ACL tear w/small tear of med. meniscus. 

Oct. 22, 2012:  Auto hamstring ACLr w/ med. meniscus repair

Blog: http://aclsurprise82.blogspot.com

Offline Kaputt_Knee

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Re: Surgies After ACLr
« Reply #3 on: July 14, 2012, 10:34:42 PM »
This is the Internet, where people come when things go wrong. Get a grip on your reality and concentrate on the positives, for goodness sakes.

If you carry on like this why bother with anything? It is all bound to go pear-shaped! It has to be the truth,'cos you read it on the Internet  ::)
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 aclsurprise82

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Re: Surgies After ACLr
« Reply #4 on: July 14, 2012, 11:22:17 PM »
Sorry, I didn't mean to offend.  I know I am being overly cautious and it may be doing me more harm than good. 
ACL Tear probably March 2010.  Brief intense pain, but feel fine the next day.

3-4 giving way incidents over 2+ yrs

June 2012:  Diagnosed with torn ACL tear w/small tear of med. meniscus. 

Oct. 22, 2012:  Auto hamstring ACLr w/ med. meniscus repair

Blog: http://aclsurprise82.blogspot.com

Offline emergRN

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Re: Surgies After ACLr
« Reply #5 on: July 15, 2012, 12:25:54 AM »
I don't think you are offending anyone, but Kaputt is right!  Most of us find this site after we have trouble.  I am also one of those who have had 2 ACLr's, but I personally know a bunch of people who have had the reconstruction, and have not had a hitch.  Actually, I am the only one that had trouble of all the people I know outside of this forum.

I know that it is natural to want to arm yourself with as much information as possible pre op, but I think you would be better off looking at real medical journals and studies.  There you will find that the vast majority of ACL surgeries do fine.

You might also want to remember that this site is quite international, and has a huge membership.  People who do fine with their surgeries do not end up on these forums often.

This site has an excellent information hub.  There you can find out a lot of useful information to help you with your decision.  Do not make it based on the bulletin board.  It is a great place to start a post op diary after your surgery, and if like most people, you do fine, then the next person like yourself can find a positive experience on here. 

It is a good place to ask questions about what to expect post op, questions about rehab and the like.  I would also caution on that point that most surgeons have their own protocol, and that not everyone progresses the same way.  All in all, this is an excellent forum to gain info and support.  Some of us have actually made some real life friends because of KG!

Welcome!

W
Rt.knee scope-1990-91Dx with Partial ACL tear
Rt. ACLr with hamstring graft-2010
Rt. knee scope- partial lateral menisectomy and plica excision 2010
ACL revision quad tendon graft- 2011 
Rt. Knee partial lateral menisectomy, debridement 2012
Rt. knee partial lateral menisectiomy, debridement 2014

Offline Kaputt_Knee

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Re: Surgeries After ACLr
« Reply #6 on: July 15, 2012, 08:20:18 AM »
Sorry, I didn't mean to offend.  I know I am being overly cautious and it may be doing me more harm than good. 

No offence taken and none meant to be given either, but you need a REALITY CHECK. This is bread and butter surgery to knee specialists. My surgeon for instance reckons he does an AVERAGE of 600 a year (I live in a ski area so we have more ACL injuries than most). The number of revisions he has to do he can count on one hand. The reasons for the revisions are unique to each patient and can be largely put down to bad luck to be honest.

EmergRN points you in the right direction - the INFORMATION HUB. Here you can read about the type of operation choices you may have, the anatomy of the knee and you can build a list of questions to ask your surgeon. If you are then unhappy with their answers, perhaps you will be happy to say no to them and move on to another. If you are in a country where it is not easy to switch to a specialist knee surgeon, then speaking to your GP may give you access to specialist surgeons before you have to choose. In the UK, for example there is the Choose and Book system which allows you to research your surgeon beforehand (Internet is very useful here), and then you go through the Choose and Book system to get the one you have selected. A good start is the Information Hub here as they have a list of some of the knee specialists known by reputation to be good by the owner of this site (a doctor co-founded the first ever specialist knee clinic in the UK).

Once you know your options come back here and ask for recommendations and information about procedures from those who have had them. BUT bear in mind, this is an internet forum and you have no way of verifying the truth of anything said here. The only verified truth you can find is that you see in reality with your own eyes.

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 kcknee

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Re: Surgies After ACLr
« Reply #7 on: July 15, 2012, 06:54:59 PM »
I had complications following my ACLr and have had 5 additional surgeries since.  But, if my husband or son tore their ACL and had instability or it was keeping them from doing what they enjoyed in life, I would not hesitate to tell them to have the surgery. The majority of ACLr are successful with out any complications, but there is always a risk with any surgery even if you pick a qualified surgeon and follow the rehab program. You need to decide if the lack of an ACL is impacting your quality of life enough that you want to take the risk of surgery. The odds are strongly in your favor that the surgery will be successful and you will get back to the life you enjoy.

Kristin
12/31/08 - Skiing injury L knee
6/1/09 - ACL stump removed from joint
8/31/09 - ACLr - Hamstring Graft
12/21/09 - Ant Fasciotomy 
8/26/10 - Anterior Interval Release
12/6/10, 5/5/11, 12/22/11 - Fasciotomy
12/7/12 - Nerve Decompression
6/3/13(m), 7/29/13(l), 12/13/13(m & foot) 2/3/14(l) Fasciotomy

Offline Snowy

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Re: Surgies After ACLr
« Reply #8 on: July 15, 2012, 07:36:13 PM »
When I was making the decision to have surgery, I found the bulletin board helpful for shared experiences but I did have to be very careful not to let the ratio of stories of complications on here skew my perspective. EmergRN also makes the very good suggestion of using authoritative medical studies to assess the success and failure rates of surgery, not the anecdotal evidence shared here. As others have pointed out, ACLr is one of the most commonly performed knee surgeries - roughly 75,000 per year in the US alone - and the general success rate is very good.

Based on my research, the most common reasons for an ACLr to fail are surgical error or a patient who doesn't stick to the rehab protocol. These are both within your control to some degree, if you take care to find a surgeon who does a lot of ACL reconstructions and make sure you follow your rehab protocol to the letter. Finding a good and experienced physiotherapist for rehab helps, too - I know of three people on this board who suffered failures after physiotherapists pushed them to move faster than their protocol specified. Then there's the fact that a lot of people who have ACL reconstruction are very athletic, and the whole reason they have surgery is because they want to go back to a sport like soccer or skiing which is a high risk for ACL injury in the first place. They may suffer a subsequent injury that would have taken place regardless of whether they had had a previous ACLr.

What I'm trying to say is that there are many reasons for the scenarios you read on the board, including bad luck. But they represent a small minority of ACL cases. It's really easy to freak yourself out reading about all the things that can go wrong, but realistically these things only happen to a very small percentage of the thousands who go through ACL surgery every year. What you need to do is make sure you're comfortable with the overall success rates, the surgeon you've chosen, and the commitment to rehab, and then make your decision.
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















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