Advertisement - Hide this advert





Author Topic: what to expect with plc/pcl reconstruction?  (Read 2313 times)

0 Members and 1 Guest are viewing this topic.

Offline gman012

  • MINIgeek (20-50 posts)
  • **
  • Posts: 25
  • Liked: 0
what to expect with plc/pcl reconstruction?
« on: September 25, 2012, 04:43:07 AM »
My name is Gary, and this is my first post on here. To give some brief background for my knee injury, I slipped and fell on some ice while at work. I work as a Diesel mechanic/ fleet mechanic for a tree care company, and most of the work we do is outside. I slipped and fell back in January and was told after seeing an orthopedic specialist that i had a torn lateral meniscus and a non displaced fracture of the lateral condyle of the femur in the weight bearing surface of that femoral condyle. The dr put me into a short runer brace and locked it at 15 degrees  of movement and told me I could go back to light duty work, aka filing paper work for 6-8 weeks. After an mri , is when they found out i had the torn meniscus. I was sent to physical therapy, in which my knee was starting to lock while walking( wearing the brace). Before I had arthroscopic surgery I showed the surgeon the lateral instability I had in my left knee, and told him when I would work for a few hours, and come home and ice my knee and take the brace off, my left knee felt very loose. I was told they would checkit when they did the procedure. I was told that they could reconstruct it, but it wouldn't be any better  than it was before surgery, and I would have a "party trick for the rest of my life." SO a few appointments after the procedure, and many sessions of therapy, at one visit, I was told my LCL was stretched and had bsaeline instability and give therapy a chance to strengthen every thing. I was also told that once a ligament was stretched, it wont go back to it's original form.I was also told my ACL, MCL and PCL were fine, and I was worrying over nothing. The next visit after that, the dr told me I had movement in my PCL, and the following visit that the looseness wasn't improving. I was told that I should get a second opinion and that I would be a candidate for a mulit -ligamental reconstruction. I have got the second opinion, and the new dr wanted a new mri, and told me he feels I have a torn PCL and a torn PLC by the movement in my knee. Once I get in to see him with the original mri, and the new mri, I will know more of what I am looking at. I have been dealing with this for 8 months now, and am pretty frustrated . To make matters a bit worse, I am 43 yrs old, and have a feeling that  the recovery time is going to be a long one.I have alot of pain, just walking and going up and down stairs, it is tolerable " going 1 step at a time" and  but feels very wobbly while walking if I dont wear a brace. If anyone has any advice or have been through something similar, I would appreciate  any input, or advice.
1/12 fracture femur on lateral condyle,torn meniscus in fall on ice
4/12 lateral and medial menisectomy
10/12 debridement of lateral meniscus.

Offline gman012

  • MINIgeek (20-50 posts)
  • **
  • Posts: 25
  • Liked: 0
Re: what to expect with plc/pcl reconstruction?
« Reply #1 on: September 25, 2012, 04:50:08 AM »
I have also had tingling and some numbness at times in my left knee and lower leg. I dont know if that is normal with this kind of knee injury?I had told the original surgeon about it, and he didnt seem concerned about it.
1/12 fracture femur on lateral condyle,torn meniscus in fall on ice
4/12 lateral and medial menisectomy
10/12 debridement of lateral meniscus.

Offline Kaputt_Knee

  • SuperKNEEgeek
  • *****
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • Posts: 24562
  • Liked: 75
  • [Ed: Sue sadly passed away in 2016]
Re: what to expect with plc/pcl reconstruction?
« Reply #2 on: September 25, 2012, 06:21:11 AM »
Sounds about right for a lateral collateral ligament rupture. If they recognised that you had the fracture, you are one step further along than I was! My fracture was missed and the avulased LCL as well.

Before you go to any old surgeon to get another opinion see if you can research a specialist in PCL and PLC injuries. They are as rare as hen's teeth to be honest, but at least try and find someone who has done a few of these.

The good news is that with the right treatment and a skillful surgeon and rehab with good physio you should be able to return to where you were before your accident.

As you did this at work, surely you are covered by some kind of industrial injuries insurance? It might be worth investigating as it can pay for some extra physio or perhaps your travel to a more experienced surgeon and things like a privately handled operation.

The tingling and numbness are due to nerve damage most likely. The dsruption in that area often affects the nerves that pass around the outside of the knee. Hopefully it is not too bad. After my LCL reconstruction I had quite bad tingling and numbness. Now I just have numbness in the superficial areas of the shin and outside of my calf.

 :)
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 gman012

  • MINIgeek (20-50 posts)
  • **
  • Posts: 25
  • Liked: 0
Re: what to expect with plc/pcl reconstruction?
« Reply #3 on: September 25, 2012, 04:10:32 PM »
I did find a surgeon who does pcl reconstructions, and went to him for a second opinion. I go back to see him on thursday, after dealing with workman's comp insurance ( a work related injury insurance through employers) and it took them a while to get the initial visit for the second opinion approved. They also wotn allow for extra physical therapy unless they deem it necessary, but how can they argue with a dr's decision to say you need more therapy, and they say no, we arent paying for it? thats what has me frustrated through this whole ordeal. But I will do what the new surgeon says, and hope for the best. I appreciate your input, and will let you know what I find out on thursday.
1/12 fracture femur on lateral condyle,torn meniscus in fall on ice
4/12 lateral and medial menisectomy
10/12 debridement of lateral meniscus.

Offline gman012

  • MINIgeek (20-50 posts)
  • **
  • Posts: 25
  • Liked: 0
Re: what to expect with plc/pcl reconstruction?
« Reply #4 on: September 28, 2012, 04:58:42 AM »
Found out today that I need to have a plc reconstruction done. The surgeon is going to use a graft from my hamstring and redo it. He said I will be off work for 6 months. Does that sound like a typical time frame for a plc reconstruction? If anyone knows for sure, or if it varies form case to case and could let me know I would greatly appreciate it.
 Thanks 
1/12 fracture femur on lateral condyle,torn meniscus in fall on ice
4/12 lateral and medial menisectomy
10/12 debridement of lateral meniscus.

Offline Kaputt_Knee

  • SuperKNEEgeek
  • *****
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • Posts: 24562
  • Liked: 75
  • [Ed: Sue sadly passed away in 2016]
Re: what to expect with plc/pcl reconstruction?
« Reply #5 on: September 28, 2012, 08:03:01 AM »
Hi gman012,

as with all things to do with knee injuries and surgery, the times vary from patient to patient and from surgeon to surgeon. While there are some commonalities about these procedures, the unknowns are often the most influential. Things like how well you heal, how you respond to pain, amongst other things all impact on how long a rehab you have.

I was warned I would be non-weight bearing for 6 weeks and only partially weight-bearing for another 6 weeks, so was prepared for 12 weeks off work. I'm a desk-jockey these days so I can return to work earlier than someone with an active job. I think with your type of work that 6 months is not a bad figure to start from in terms of preparing your employer for your absence. I was actually only off for 6 weeks in total in the end as I healed way faster than the surgeon expected, but to be honest the first month back in work was hard and I was only sitting at a desk!

Whereabouts in the world are you? I had superb cover through my country's version of Worker's Comp and am covered for life as a result of the injury and the subsequent treatment. This means that if, or when, I need a knee replacement I will be covered under the same insurance regardless of whether I am working for that employer any more or not. In the UK for example, I know the system is nowhere near as generous. I did have to jump through hoops to get the coverage though, but once it was in place it was just the bureaucracy that made things drag a wee bit.

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 gman012

  • MINIgeek (20-50 posts)
  • **
  • Posts: 25
  • Liked: 0
Re: what to expect with plc/pcl reconstruction?
« Reply #6 on: September 28, 2012, 04:09:13 PM »
Hi Sue, nice to meet you. I live in the U.S. in Illinois ( state where Chicago is.lol) The workman's comp insurance I am dealing with isn't bad, it just gets frustrating because they take so long to approve things. It took 3 weeks to approve a new mri, 3 weeks to approve a follow up visit to the new surgeon, plus they changed the claim adjuster without even notifying me. So right now I am just frustrated with how long the process takes, plus the last surgeon I dealt with, didnt listen to what I was telling him, and now I am going through another surgery, and more time off work. He told my wife that when they scoped my knee to clean up the torn meniscus, that when he was done , they could reconstruct my knee, but it would be the same as it was after he was done, and I would always have a party trick for the rest of my life. So I am looking forward to getting it fixed, I know it may not be perfect when it is healed, but if it has improvement, I will be happy with that. Plus I will follow his instructions, so that way I dont have any setbacks, so if I heal faster, great and if it goes a bit longer, then so be it.Just kinda funny they are doing surgery on halloween.lol
1/12 fracture femur on lateral condyle,torn meniscus in fall on ice
4/12 lateral and medial menisectomy
10/12 debridement of lateral meniscus.

Offline spenno

  • MICROgeek (<20 posts)
  • *
  • Posts: 14
  • Liked: 1
Re: what to expect with plc/pcl reconstruction?
« Reply #7 on: October 04, 2012, 04:09:34 PM »
Afternoon,

I had my PLC/PCL done on the 23rd July and the 18th Aug 12. Only got off my crutches 2 weeks ago and my knee brace. Recovery was very painful and still currently off sick hopefully going back to work on the 22nd Oct. First 2 months was awful especially with two kids and the wife wasn't very happy!! Rehab is going well and the hydro pool really helped my recovery. My left leg is pretty weak, quads and hip etc. Doing alot of exercises to work on building the strenght in my leg. On the exercise bike and rowing machine. The first op to repair my PCL took 5 hours in the operation theatre, and my 2nd op took 2 hours. Knee is still swollen but i guess that will take time to go down. Hopefully I will be jogging by December or Jan.

Offline gman012

  • MINIgeek (20-50 posts)
  • **
  • Posts: 25
  • Liked: 0
Re: what to expect with plc/pcl reconstruction?
« Reply #8 on: October 05, 2012, 04:31:52 AM »
Hi Spenno, I am scheduled to have mine done on Halloween , as far as what time , wont know till the day before when they call with an approximate time. The doc told me it would take about an hour to do, hoping it doesn't take several hours .lol They are just doing my plc, but if it does, it does. He also told me I will be off work for 6 months, and I am not looking forward to the first several days of recovery. The only good thing I can say about the timing of this is, I wont have to deal with the snow and ice much this winter, except for going to physical therapy and Dr. appointments. Hope you regain strength in your left leg so you can get back to jogging by December.
1/12 fracture femur on lateral condyle,torn meniscus in fall on ice
4/12 lateral and medial menisectomy
10/12 debridement of lateral meniscus.

Offline spenno

  • MICROgeek (<20 posts)
  • *
  • Posts: 14
  • Liked: 1
Re: what to expect with plc/pcl reconstruction?
« Reply #9 on: October 05, 2012, 08:49:36 AM »
hope your op goes ok. im over in the uk so thankgod it was the summer when i had my op. spent all my time in shorts due to wearing the knee brace. I just want to go back to work now and im sure work want me back. Found this website very during my recovery.

Offline gman012

  • MINIgeek (20-50 posts)
  • **
  • Posts: 25
  • Liked: 0
Re: what to expect with plc/pcl reconstruction?
« Reply #10 on: October 10, 2012, 07:46:44 PM »
Is it unusual for there to be pain in the medial side of the knee with a plc injury? I am scheduled for surgery at the end of the month and have been having pain on and off in the medial side of my left knee. It is painful at times, sitting or moving, doesnt matter. The pain is usually tolerable, but at times feels liek there is a knife digging in it. Is that just from the knee joint being unstable and the medial side trying to hold it together? if any one else has been through this before, i would appreciate any input.

Thanks,
Gary
1/12 fracture femur on lateral condyle,torn meniscus in fall on ice
4/12 lateral and medial menisectomy
10/12 debridement of lateral meniscus.

Offline spenno

  • MICROgeek (<20 posts)
  • *
  • Posts: 14
  • Liked: 1
Re: what to expect with plc/pcl reconstruction?
« Reply #11 on: October 11, 2012, 08:22:46 PM »
Gary,

I had alot of pain in my knee before the op but that was due to the fact it was unstable. My knee used to  give away walking down stairs. Still a long way to go for me.















support