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Author Topic: Recently diagnosed ACL rupture  (Read 1213 times)

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Offline Pepsi13

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Recently diagnosed ACL rupture
« on: September 27, 2014, 11:44:15 PM »
Hi I've very recently been diagnosed with a slight hairline fracture to the tibial plateau and a ruptured ACL cause by football. As far as I know the fracture is healing on its own and I will need surgery to reconstruct the ACL. I just want to know after injury how soon did people get physio. And how soon after injury did people get their op. Hope someone can give me some idea thanks
« Last Edit: September 28, 2014, 01:08:48 AM by Pepsi13, Reason: New header »

Offline LAS

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Re: Recently diagnosed ACL rupture
« Reply #1 on: September 29, 2014, 01:05:09 AM »
Hi Pepsi13:   In most cases when you have a tibial  fracture and ACL rupture  the fracture will be addressed first and can take up to 6 weeks to heal or maybe longer.   After the fracture has completely healed will the surgeon address the ACL tear.   Usually fractures require some sort of immobilization by a brace for a few weeks.   When you can start physical therapy  should be determined by a physician.  Your therapy in this situation would be a little tricky because of both injuries.  I would not do physical therapy unless advised by your doctor.  It's very good news  that you don't need surgery to your tibia and that is healing on it's own.   The bad news is that it could take 6 months  before it's all said and done.   Sorry about your injury.   Best of Luck: LAS

Offline Pepsi13

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Re: Recently diagnosed ACL rupture
« Reply #2 on: October 14, 2014, 12:00:25 PM »
So I've been for my first physio session where I've been told ive pretty much managed to get myself full range of movement in my knee and am pretty much full weight bearing on the knee. I rang the consultant to discuss when surgery could be for his secretary to tell me that he disagrees with the treatment plan one of his registras decided and for my acl rupture rehab is the best way forward. I'm planning on getting back into football as soon as and am very sceptical that rehab alone will allow me to do this. What are your opinions as anger over my care is definitely taking over.
Thanks
Emma

Offline vickster

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Re: Recently diagnosed ACL rupture
« Reply #3 on: October 14, 2014, 12:06:37 PM »
Assuming you are in the UK? Do you have private healthcare?  If so, perhaps seek out an orthopaedic specialist (in knees) who is very sports oriented, someone like Jonathan Bell in Wimbledon

If NHS, ask for an appointment with the consultant to discuss the options

You presumably still need to wait for the fracture to heal before surgery?  Time for that will depend on your healing rate as well as any waiting lists (I think 4-6 months is not unusual for ACLr on the NHS, privately will depend on your case and surgeon)

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

Offline Pepsi13

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Re: Recently diagnosed ACL rupture
« Reply #4 on: October 14, 2014, 12:26:11 PM »
Yes I am in the UK. We do have private healthcare but due to the injury I am currently not able to work so there is no way I could afford this. The last appointment I had at six weeks the said my fracture has already nearly healed.
I'm just concerned that the consultant wants to just do rehab when I'm quite an active person and I have an active job.

Offline vickster

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Re: Recently diagnosed ACL rupture
« Reply #5 on: October 14, 2014, 12:33:01 PM »
So you are being treated on the NHS, no private HC? (I'm in the UK too)

Talk to the consultant about your concerns (don't get angry, perhaps take a family member or friend with you), or as NHS you may not be able to access the specialist so easily so perhaps talk to your GP and see if they have any suggestions.  Rehab is usually the first step, surgery should be the last.  An ACLr surgery will keep you off the football field for 6-9+ months generally, it's a long haul

Is your knee unstable or hard to tell if on crutches?
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 Pepsi13

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Re: Recently diagnosed ACL rupture
« Reply #6 on: November 04, 2014, 11:40:46 PM »
Hi.
I'm being treated on the NHS and have been given a new consultant who seems really nice and has definitely reassured me.
My knee is unstable have felt it rocking have now also been informed I have torn some cartilage and sprained another ligament on top of the acl and fracture so did a good job.
Managed to get myself on waiting list for op could be 2 to three month but got myself on list for any cancellations.
They also said they will be using the hamstring tendons for this. Will this cause any problems whats are opinions for this.
Feel more confident with this doctor and plan of action.
Thanks















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