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Author Topic: Torn acl Pcl lcl plus drop foot  (Read 9515 times)

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Offline Csuttorp

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Torn acl Pcl lcl plus drop foot
« on: December 14, 2012, 01:09:03 PM »
On may 30 I tore my acl lcl Pcl playing softball. Changed my life forever I now suffer from drop foot the good news is I get pains shooting down my leg and almost unbearable pains on the top of my foot. I dislocated my knee.  It was pretty gross.  I had a four hour surgery June 14 to repair my Pcl lcl and have a nerve decompression done thankfully no nerve tears. The pain was terrible then three months later I had acl surgery. My leg is stable working on strength but having some issues with the screws in my shin...anyone else have discomfort there? I wasn't aware of the rarity of this type of injury until at the er I was told by two docs in the hospital they were not comfortable performing this surgery and they made a call to my now doctor jabara who has been fantastic! I was told I'd only get 110 degrees of motion I'm up to 120 it's still relatively painfully I'm almost 7 months since my accident and feeling good I'm 12 weeks post acl surgery and will begin running after the first of the yr. then well decide on the route of the drop foot has anyone had any of the drop foot procedures?? But I was told it could take up to 2 yrs for the nerve to regenerate if at all.anyways I'm on here because no one understands the pain or the push I have to do everyday to go through life's everyday activities .  I mean walking up and down stairs isn't a piece of cake not is getting out of the shower. Or having to wear an AFO to walk semi normal. Most people hear acl and think oh I've done that no big deal but I had one ligament left and a knee dislocation a little different. But I'm just looking to talk and hear stories or even take advice so thanks for reading look forward to speaking to ta
Pcl/lcl reconstruction cadiver 6/14/2012
Acl reconstruction 9/14/2012

Offline JFisher3

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Re: Torn acl Pcl lcl plus drop foot
« Reply #1 on: December 16, 2012, 09:43:51 PM »
Hey csuttrop I had a similar injury last February and had surgery in September, I dislocated my knee leading to complete rupture of acl mcl pcl, I don't have foot drop that I am aware of but I can safely say what I have been through isnt the best thing to experience, I love sports and was kind of fit and relatively healthy but I havnt done a sporting activity for nearly a year now.

I do expect to return to sports sooner or later but am realistic about it, keep your head up and just think yourself thankfull that you still have your leg, I read a forum once were some guy had his leg amputated
After a similar oporation due to infection.

Hope it ges better and just try to keep positive, you will see a bit more info of my accident in the post below and there is some positive replies from people, another guy on this forum in a similar position to you is Johnny, take a look at his posts for a little info too.....


This was done I. My iPhone so sorry about that shabby writing   

Jfish
« Last Edit: December 16, 2012, 09:46:32 PM by JFisher3 »
Football injury leading to dislocation of tibia and rupture of ACL,PCL,MCL.... Feb 2012.
ACL,PCL,MCL Reconstruction.....Sept 2012.
PCL,MCL failed.
PCL,MCL reconstruction..... Sept 2013.
Currently doing home workouts and have pcl laxity.

Offline Johnnyp060

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Re: Torn acl Pcl lcl plus drop foot
« Reply #2 on: January 25, 2013, 09:20:46 PM »
Hi Csuttorp, I'm Johnny. Welcome to the 0.02%, that's the statistical percentage of tearing 3 ligaments at once. I tore my ACL, PCL and MCL in a dirtbiking accident back in March, to make a long story short I fell off my bike and the bottom half, my tibia, got caught between my bike and a rock bending my leg at a 90 degree angle outward. We splinted it with tree branches, duct tape and zip ties, then to top it off I has to ride out of the woods for 2 hours to get to our trucks then an hour truck ride to the hospital.  I saw 3 docs before being referred to a multi ligament specialist, Doc Fanelli, awesome doc!!!  He did my surgery in May, replacing my ACL, PCL and MCL with cadaver tendons, 4 hour surgery. I was locked out in a straight brace for a month to allow the MCL graft to set well. After that I started physical therapy, very slowly, no weight bearing til another month. Went weight bearing and pushed it to hard and felt like my knee was buckling during squats, eased back a little. Kept working my way up to being able to walk unassisted, at about 5 months post surgery I walked across our kitchen for the first time with brace on, of course. As I started walking on my leg and using it more I came down with a really bad case of shin splints which might be what you have. My therapist was watching me walk the one day and told me to stand up straighter while walking, I did and it took stress off my shin, shin splints subsided. I'm 8 months post surgery now and doing fairly well, I'm getting stronger every week and increasing exercises every week also. I'm able to walk a half mile on the track, do stairs fairly well and just this week I walked for the first time unbraced without my crutch, felt really stable.
My advice to everyone that has this injury is it's a long process but you'll get there. Keep working hard at therapy and remember not to gauge or compare yourself to others, everyone heals differently.
As for the drop foot, luckily I did not get that but one other person that I contacted from this site does, she is fully recovered and wears a brace, she's able to walk fast and lift a lot of weights but still is unable to run and wear high heels. Hope this helps and if there's anything you have questions about or just need to vent, I've needed to do that a lot since my crash, don't hesitate to contact me, my email is on here to. Stay positive and keep up the good work.
3/4/12 Dirtbike crash, tore ACL, PCL and MCL
5/14/12 Surgery done to replace ACL, PCL and MCL with cadaver tendons
12/4/13 ACL and MCL replaced again, kneecap released and anchored and external fixator installed

Offline ff89

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Re: Torn acl Pcl lcl plus drop foot
« Reply #3 on: February 20, 2013, 12:38:41 AM »
Hey I did the same thing! torn acl, pcl, lcl, popliteal tendon and artery, tib plateau fracture and injured peroneal nerve. Its been 10 months since the injury, still have the foot drop but my knee feels good and I am back to my regular activities.
There is a good peroneal nerve thread in the success stories board, check it out lots of good info in there  :)

Offline cshells

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Re: Torn acl Pcl lcl plus drop foot
« Reply #4 on: February 21, 2013, 10:34:15 PM »
Hey everyone.

I am excited to have found this. There isn't much out there on knee dislocations. I was in a motocross accident 10 months ago. I dislocated my knee, tearing my ACL, LCL, and PCL. Also had a tibia plateau fracture, crushed my artery, and nerve damage. I had emergency surgery that night to save my leg because of the artery damage. I was in a external fixator for a month and half. I then had another surgery to repair my tibia plateau fracture which I ended up in a external fixator for another month and half.

I was also lucky enough to get a infection in my leg from one of the fixator pins. I have spent the last 5 months fighting the infection with IV antibiotics, surgery, wound vac, etc. etc. I finally have a tiny pin size hole that should heal up in the next few weeks. The doctor wouldn't operate on my knee until my infection was fully cleared up and the holes in my legs had healed. So unfortunately I still don't have an ACL, LCL or PCL.

This has been a long rough road and unfortunately still have a long ways to go, but I refuse to believe I won't be back. I have foot drop still and I walk with a cain, but my knee doesn't feel remotely ok due to not having ligaments. I was very active before this and am realistic to my goals. It won't ever be the same but I will do as much as I can.

I understand what you are going through and the nerve pain sucks, but it gets better. Mine was terrible for a long time but has started to become better and better with time. I also understand that the foot drop sucks, but I am optimistic it won't hinder me too much. Take a look at these youtube videos. These gave me a better hope for remaining active even if I always have foot drop.

http://www.youtube.com/watch?v=pNoGr9_gvQI
http://www.youtube.com/watch?v=FNCsDP5_6iU

Also, youtube Chad Jones "Always a Fire." My brother showed it to me to inspire my motivation. He was a free safety for the Giants and was in a horrific car accident.

Another good story, look up Blaine Irby, he was a Texas Longhorns tight-end. Dislocated his knee, multi-ligament damage, and nerve damage. He came back to play football after 2 years.

I apologize for such a long post. Take a look at the stories, they have really helped keep my drive and hope alive. 50% of this battle is mental.

Offline ff89

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Re: Torn acl Pcl lcl plus drop foot
« Reply #5 on: February 22, 2013, 07:34:28 AM »
hey cshells, I had a similar injury as you but my tib plateau fracture was non displaced so it healed without screws and luckily no infection. I also had to have emergency surgery to repair my popliteal artery. Did you have fasciotomies? I had 2 they were open for 5 days and its a shock to say the least, to see the inner workings of your leg. 
Once you get your knee put back together you will be back in no time! Seriously! I'm amazed how good my knee feels considering the amount of damage I did to it. Do you have any idea how they are going to repair it? Mine was with allografts, I had the reconstruction surgery on July 26 2012 and I am back hiking, mountain biking and power lifting, even with the footdrop + a cheap AFO none of that fancy stuff yet. 
The foot drop sucks at first but whatever can't let it hold ya back. Those videos you posted gave me a huge boost, its good to know I can run...one day! Do you have any idea if your nerve is torn or intact? How long has it been since the injury? If its under a year you may be a good candidate for a nerve transfer which I hear work well if done in time.

Offline cshells

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Re: Torn acl Pcl lcl plus drop foot
« Reply #6 on: February 22, 2013, 08:48:33 PM »
Hey ff89, that is very fortunate it wasn't displaced. I got 2 plates and 4 screws, so I am hoping it doesn't cause many problems down the road. I didn't have a fasciotomies, they took a vein from my left leg and used it on my right leg.

I hope it will feel alright. That is my only worry, it just doesn't work of feel right at all. We haven't discussed how he will repair it, we have been on this infection thing for so long I haven't talked to my ortho for a couple months.

My nerve is intact, unfortunately the infection from the pins has destroyed my muscles that are usually used to lift your foot. So it is pretty much a double whammy, even if I got my nerve back I most likely don't have any good muscle left. My injury was on 4/21/12 so 10 months to the day yesterday.

That awesome to know you are back to all that. I have accepted the footdrop and will deal with that, I just worried about the outcome of my knee. Unfortunately, having to be in an external fixator for 3 months did a number on my foot and knee mobility. The foot doesn't have near the range it used to and is very tight. They aren't positive how much I will get back. It has also been a big fight to get my knee moving again. The three months of not moving it scarred it in pretty bad. My ortho said it was like concrete..ha. So we are going to have to scope it before I can get it repaired.

Offline ff89

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Re: Torn acl Pcl lcl plus drop foot
« Reply #7 on: February 26, 2013, 03:36:05 AM »
Ouch dude! That sounds rough, best wishes for your recovery  :)

Offline Johnnyp060

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Re: Torn acl Pcl lcl plus drop foot
« Reply #8 on: March 02, 2013, 01:13:39 PM »
Keep up the good work, guys!!!!  My therapist just cleared me to ease back into riding my bicycle again. Can't wait to be pedaling in the fresh air again....:)
3/4/12 Dirtbike crash, tore ACL, PCL and MCL
5/14/12 Surgery done to replace ACL, PCL and MCL with cadaver tendons
12/4/13 ACL and MCL replaced again, kneecap released and anchored and external fixator installed

Offline jdub820

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Re: Torn acl Pcl lcl plus drop foot
« Reply #9 on: April 16, 2013, 06:09:48 PM »
Two years ago (summer of 2011) I tore my ACL/PCL/LCL and biceps femoris as well as fracturing my tibia due to a motor scooter accident.  As a result of all the trauma I also injured my peroneal nerve and as a result of the severe trauma had complete foot drop as well as loss of feeling from the top of my foot all the way up to my ankle.  Needed an AFO to walk properly for a year but needless to say I have regained full motion and feeling in my foot and have made a full recovery after a couple surgeries (nothing to correct the foot drop however.)  You CAN recover from this but you need to realize that regaining feeling could take anywhere from 12-18 months as I'm sure you all know due to the slow growth/regeneration of nerves.  I had multiple tests done to pinpoint where the damage occurred however they came back inconclusive and electrical stimulation of my foot through electrostim actually made my foot bend downward (instead of the normal reflex which is to contract the muscles and pull up) which perplexed my doctors and physical therapists.  Needless to say I'm writing this so others know my experience with this and my recovery process.  The first good sign that the nerve was coming back was a lot of pins and needles and pain that shot down through my leg and in to my foot, and at times it was pretty bad.  This came about a week or so after my first surgery in which all three of my ligaments were replaced with cadaver tissue.  This "tingling"sensation lasted for maybe a little over a month but then subsided, eventually to a point where it didn't happen at all.  From there on out it was a waiting game to see if anything would come back within the time frame doctors said would be evident that it would come back.  For about 5-6 months nothing.  I couldn't lift my foot or feel it, no feeling whatsoever (to pain, hot/cold etc.) During this time however, I constantly was thinking about trying to lift my foot and pull it up which my doctors had recommended for me to do as it has your brain send signals down to your muscles in your leg/foot even though the nerves that activate them aren't functioning properly or damaged.  In other words your still keeping the rest of the wiring active and they said it could spur growth or speed it up (whether that helped or not in the end I don't know but I'd like to think it did since I know have all my feeling/motion back).  After about 6 months or so was my first signs that I was regaining my motion.  I could just barely move my big toe (maybe about a cm) but still had no feeling.  As time progressed more and more motion came back, working from my big toe on downward.  Again, this was gradual and took many months.  Not only that but even though the motion was starting to come back the feeling was not.  This came back probably around the 12 month mark and although it took a little longer than the motion, came back much quicker in terms of no feeling to feeling.  All in all, the point of this is is that I fully recovered from this and that it is possible.  I no longer where an AFO and can do all the normal things I once did (no motor scooter anymore and more care for my knee when doing activities) but this was a slow gradual process with many downs and some depression here or there thinking I'd be confined to an AFO forever, wouldn't run etc..  The only thing I'd say I still lack a little is strength in my foot but nothing to bad, and after all that happened I'll take it.  You can do it and don't get down.  Stay positive and remember this isn't something that fixes itself overnight, you could wait almost two years before anything changes!

Offline Johnnyp060

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Re: Torn acl Pcl lcl plus drop foot
« Reply #10 on: April 16, 2013, 08:36:27 PM »
Any of you have any kneecap tracking issues?  I'm 11 months out from surgery and I was doing awesome until my kneecap started tracking funny. It's bugging the crap out of me. My therapists think that it's just due to the muscle imbalance in the quad, my VMO is taking forever to rebuild. I see my surgeon on Thursday, I'm hoping it's just due to a weak quad. Maybe he'll prescribe a tracking brace, hopefully.
3/4/12 Dirtbike crash, tore ACL, PCL and MCL
5/14/12 Surgery done to replace ACL, PCL and MCL with cadaver tendons
12/4/13 ACL and MCL replaced again, kneecap released and anchored and external fixator installed