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Author Topic: PCL tear sugery vs non-sugery  (Read 1561 times)

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Offline Jamezy88

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PCL tear sugery vs non-sugery
« on: January 28, 2013, 08:57:56 AM »

Hi all

I'm a 24 year old Uni student from Australia.
I play a fair bit of sport and im just pretty active in general being from a farming back ground.

I had a fall off a dirt bike and landed flush on my knee about 12 weeks ago.
I ended up going to see a knee specialist 2 weeks ago because after 12 weeks by knee was still a bit swollen and it just wasnt quite right not overly painfall just felt really wierd and i wasnt able to run and it would ache after id be standing or walking on it for extended periods.

The Dr sent me off for x-rays and mri's and it revealed a near complete or complete tear of my PCL.
The surgeon said i could either try getting it better through phsysio and strengtheing up my legs or i could get it reconstructed. He said he would lean towards sugery as im still pretty young and active.

So i have booked to have it done in April. Many people on here with a similar injury? and what have you chosen to doo? and how did you go with it?

Cheers Matty James
Dec 5 2012 - Knocked off motorbike and injured right knee.

16th Jan 2013 - Diagnosed with a complete or near complete tear of my right PCL

8/4/2013 PCL reconstruction surgery by dr M.J.W Begg at Wakefield Hosplital Adelaide.

Follow my recovery with pictures at http://jamezy88.blogspot.com.au/

Offline Wookee

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Re: PCL tear sugery vs non-sugery
« Reply #1 on: January 28, 2013, 05:15:11 PM »
Matty,

 Your injury/symptoms sound identical to mine, and I've just had surgery. My diary is here http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=61475.0. I take it they did the test to see how much freeplay there was in your knee?
12- L PCL reconstruction with LARS (motorbike)
99- R Meniscus repair (hockey)
98- L Meniscus repair (hockey)

Offline Jamezy88

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Re: PCL tear sugery vs non-sugery
« Reply #2 on: January 28, 2013, 09:56:18 PM »
Hi Wookee

Thanks for the reply and the link to your diary.
I'm curious how u hads the LARs sugery my surgeon did present that as an option but he said he preffered not to use it.

He did the drawer test and checked how much drop off i had. When he did it i didnt have much idea about what he was doing to be honest, but even i could see it dropped off a hell of a lot compared to my other knee. He also said it was very loose.

I'm off to see a physio today too get a plan together before my sugery.

Cheers Matty
Dec 5 2012 - Knocked off motorbike and injured right knee.

16th Jan 2013 - Diagnosed with a complete or near complete tear of my right PCL

8/4/2013 PCL reconstruction surgery by dr M.J.W Begg at Wakefield Hosplital Adelaide.

Follow my recovery with pictures at http://jamezy88.blogspot.com.au/

Offline Wookee

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Re: PCL tear sugery vs non-sugery
« Reply #3 on: January 28, 2013, 11:57:14 PM »
I did see another surgeon who recommended no surgery, just physio. However, I subsequently found out that he wasn't that experienced in PCL's as he is with ACL's and probably just didn't want to perform the surgery ???.

 The surgeon who did the job had no hesitation, both my physio and GP were also in full agreement. He happens to use the LARS procedure to do it and I'm thankful he does :)

 I don't believe that LARS is used in the States and therefore isn't widely covered online. Most of the literature I read originates in Australia so I wouldn't imagine you'd have much trouble finding a surgeon?? Maybe you should be seeking a second opinion from someone who does PCL's regularly.....
12- L PCL reconstruction with LARS (motorbike)
99- R Meniscus repair (hockey)
98- L Meniscus repair (hockey)

Offline Jamezy88

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Re: PCL tear sugery vs non-sugery
« Reply #4 on: January 29, 2013, 02:42:37 AM »
My surgeon seems pretty onn top of things, he explained both the lars and hamstring graft option but said he personally prefers to use the graft. Then he reffered me too a physio to work with me both before and after my sugery. I got my appointment with the physio to.mmorow and my sugery booke for April. This gives me 3 weeks from my sugery till i go back to uni.
Dec 5 2012 - Knocked off motorbike and injured right knee.

16th Jan 2013 - Diagnosed with a complete or near complete tear of my right PCL

8/4/2013 PCL reconstruction surgery by dr M.J.W Begg at Wakefield Hosplital Adelaide.

Follow my recovery with pictures at http://jamezy88.blogspot.com.au/

Offline Wookee

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Re: PCL tear sugery vs non-sugery
« Reply #5 on: January 29, 2013, 09:35:31 AM »
I think you might struggle to be back at uni in 3 weeks after surgery! I had mine 17 days ago and I can walk unaided, slowly, as am weight bearing. I can also drive with some slight discomfort as I have 90 degrees ROM. However, I tend not to do too much of either as I know that the knee is still healing. This is with only one ligament repaired and no hamstring graft taken.

 As is said many times here; everyone heals differently, but you might want to make plans on not being able to take a full part in uni when it restarts.
12- L PCL reconstruction with LARS (motorbike)
99- R Meniscus repair (hockey)
98- L Meniscus repair (hockey)

Offline Jamezy88

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Re: PCL tear sugery vs non-sugery
« Reply #6 on: January 30, 2013, 01:10:54 AM »
Thanks for the advice Wookee!

Most of the study I'm doing this semester i can do online with out having to go to uni, So i should be able to manage doing most of my study from home and i'll only be going into uni when essential (i've got people who are happy to drive me). I'm also pretty lucky that I'm on a small campus without any stairs so i dnt have to move around too much. I've also notified the subject coordinators too my injury and they are happy to work around what im able or not able to do.

Thanks again for the advice i'll keep this updated as i get a little closer too and after my surgery.
Dec 5 2012 - Knocked off motorbike and injured right knee.

16th Jan 2013 - Diagnosed with a complete or near complete tear of my right PCL

8/4/2013 PCL reconstruction surgery by dr M.J.W Begg at Wakefield Hosplital Adelaide.

Follow my recovery with pictures at http://jamezy88.blogspot.com.au/

Offline leitoeva

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Re: PCL tear sugery vs non-sugery
« Reply #7 on: January 30, 2013, 09:26:26 AM »
hi matty,

have you or your surgeon considered cadaver's tendon (allograft) instead of LARS or hamstring graft?

cheers.

p.s. i had my ACL, PCL and MCL reconstructed. motorbike accident too.
9th Feb 12 - Motorbike Accident
21st Aug 12 - ACL, PCL recon (allografts)
                    MCL (hamstring)

Offline Jamezy88

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Re: PCL tear sugery vs non-sugery
« Reply #8 on: January 30, 2013, 09:45:24 AM »
Hi leitoeva

My surgeon didnt mention the cadaver's tendon the allograft is from a donor right? I don't think they even use this method in Australia but i stand corrected.

My surgeon said they either use grafts either hamstring or patella or the LARS method, which he said has got a bit of bad press in footballers, but thats with ACL's he said they tend to work a lot better with PCL's.
In saying that im having the hamstring graft as he said he prefers that method and he seems to know what hes talking about and he came recommended so i'm happy to go with what he recommends.


I stand corrected

Cheers
« Last Edit: January 30, 2013, 09:53:32 AM by Jamezy88 »
Dec 5 2012 - Knocked off motorbike and injured right knee.

16th Jan 2013 - Diagnosed with a complete or near complete tear of my right PCL

8/4/2013 PCL reconstruction surgery by dr M.J.W Begg at Wakefield Hosplital Adelaide.

Follow my recovery with pictures at http://jamezy88.blogspot.com.au/

Offline Jamezy88

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Re: PCL tear sugery vs non-sugery
« Reply #9 on: April 16, 2013, 01:36:32 PM »
Well i thought id update this.

i had surgery to recontruct my PCL, 1 week ago.

All went well and im coping okay, im not havig any siginificant pain, infact i havernt taken any of my pain meds for a few days now "fingers crossed that continues".  I do get a bit of swelling occasionly but nothing a little ice doesn't fix.

I'm in a straight leg brace, which being a taller person is pretty limiting. I'm weight bearing, and im genrally hobbling around without my crutches.

I go back to me surgeon in another 2 weeks, to get me wounds cleaned up and work out my physion program.

Thanks for the advice peoples
Cheers Jamezy
Dec 5 2012 - Knocked off motorbike and injured right knee.

16th Jan 2013 - Diagnosed with a complete or near complete tear of my right PCL

8/4/2013 PCL reconstruction surgery by dr M.J.W Begg at Wakefield Hosplital Adelaide.

Follow my recovery with pictures at http://jamezy88.blogspot.com.au/















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