ACL and Meniscus surgery all at once -- or separate?

Cruciate repair, allograft, autograft, synthetic ligaments. Ligament braces.
Post Reply
JennBennC
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 5
Joined: Wed Dec 21, 2005 7:05 pm
Location: Royal oak, MI
Contact:

ACL and Meniscus surgery all at once -- or separate?

Post by JennBennC »

Hello all,

I injured myself on Oct 29th and ruptured my ACL, torn MCL and torn meniscus. I had surgery originally scheduled for tomorrow morning (Jan 4th), but last week my OS ended up ill in the hospital himself and had to cancel all surgeries until mid-february.

So....I went out looking for a new OS and think I found him to do my surgery. He seems very knowledgable and I feel very comfortable with him. However, his opinions differ from my original surgeon. My first surgeon was one who believed that if there is not full ROM prior to surgery (which I don't have -- don't have full extension), that he should fix the meniscus and THEN go back and do a second surgery for the ACL recon. once I've regained full motion.

The new doc differs and thinks it's better to do meniscus AND ACL together even if there is not complete range of motion.

I'm wondering what the consensus is out there amongst all of you.....

Thanks!

Jenny
Slip/twisting/fall accident 10/29/05
MRI 11/12/05
Awaiting meniscus (and?) ACL recon surgery in Jan or Feb '06
Hoping not going to need two separate surgeries!
User avatar
feeny
SuperKNEEgeek
SuperKNEEgeek
Posts: 2275
Joined: Tue Nov 01, 2005 11:56 am
Location: Melbourne Australia
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by feeny »

My view is that i never want my knee opened up - and if it does need to be opened up then most certainly the less number of times the better!

GO WITH ONE TIME ONLY

I worked on my ROM and muscles for 5 weeks - got it all back and then had the surgery once and once only. I strongly recommend doing the same.

Good luck
Sep-05 ACL rupture, Medial mensical tear, MCL rupture
Oct-05 Had it all repaired (hamstring graft, meniscal rivet)
-and then-
4.5 Months post-op Snowboarding like a demon
7 Months post-op Successful return to indoor soccer (YEH!)
-and then-
Mar-2015 Arthroscopy to fix meniscus
User avatar
jb-knee-geek
SuperKNEEgeek
SuperKNEEgeek
Posts: 1523
Joined: Tue Sep 21, 2004 8:24 am
Location: west coast U.S.A.
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by jb-knee-geek »

I can relate to this one. It sounds like your injuries are more severe than mine.

Is your ACL stable? If not, having separate surgeries may may jeopordize the meniscus surgery, should you do that first. If it is stable, then you should speak to your OS about the advantages/disadvantages of separate surgeries.

My meniscus tear is healing (no pain, no locking, full ROM), my ACL is stable, I'll most likely have both surgeries at once.

Sorry I can't give you a yes or no, I struggled for weeks with it.








User avatar
smiley196
SuperKNEEgeek
SuperKNEEgeek
Posts: 1712
Joined: Sun Jan 30, 2005 1:42 pm
Location: Canada
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by smiley196 »

I would def. get them done at once, thats what i did
krista
*16 years old*
Left Knee:
Torn:PCL, ACL, MCL
SEVERAL dislocations
Grade 3 Chondromalacia
Medial & Lateral Meniscus tears
Plica Syndrome
Sept 14th 2005-(LK)ACL recon, TTT, menisectomy,plica removal

May 26th/06-Torn ACL(RK)

June 14th/06-(LK)ACL graft recon, screw removal, menisectomy
FMW
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 9
Joined: Wed Dec 28, 2005 4:38 pm
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by FMW »

I had a locked knee following ACL rupture, MCL tear and torn meniscus and my OS recommended two separate surgeries on the basis that if the knee is locked you can't get full ROM and therefore it will be very hard to build up the quads and hamstrings enough. He said he could have done it in one operation but that the rehab would be easier and quicker if I was able to build up my leg muscles before having the ACL recon. I guess it depends how severe the lack of ROM is and whether you have enough existing muscle bulk to help recovery.

[The only other thing I would add is that my first op (meniscus) was done on the NHS in the UK and as the knee was locked that was classed are urgent. ACLR is not urgent over here so the waiting list is much longer].
axomatic
MINIgeek (20-50 posts)
MINIgeek (20-50 posts)
Posts: 30
Joined: Wed Dec 21, 2005 11:04 am
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by axomatic »

I had both acl & meniscus tear done at the same time. Consultant did not know before op that meniscus was torn but I discussed the possability that it might be before the op and he told me he would fix it if it was. Had a bucket handle tear and the meniscus had also folded over itself. Consultant said it added about 10-15 minutes to the op. I would always prefer one op to two, I'm sure there was no additional problems due to fact I had both done in one op.
Hexum
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 12
Joined: Wed Nov 23, 2005 7:24 pm
Location: Toronto
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by Hexum »

Hey,

I tore my acl and had a totally messed up medial meniscus.
I spoke with two specialists before going under the knife and both said to do both at the same time.

First guy gave me the option of whether I wanted to do the meniscus first then ACL later or at same time. I ask his opinion and he definately recommended both, why have two different surgeries when you can do them both at the same time, since they are affecting the same place.

Second guy didn't even give the option of two surgeries, just said what he planned on doing and that was it, having two surgeries in his mind I guess wasn't an option.

I'm currently on my 6th week and progressing well, saw my OS yesterday and he was pleased (waited 2 1/2 hours to see him for 2 minutes).
I'm for having them both done together.

Good luck.
Nov. 28, 2005
ACL recon (hamstring), medial meniscus repair
fabienzan
Regular Poster
Regular Poster
Posts: 59
Joined: Thu Sep 11, 2014 11:32 pm
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by fabienzan »

jb-knee-geek wrote: I can relate to this one. It sounds like your injuries are more severe than mine.

Is your ACL stable? If not, having separate surgeries may may jeopordize the meniscus surgery, should you do that first. If it is stable, then you should speak to your OS about the advantages/disadvantages of separate surgeries.

My meniscus tear is healing (no pain, no locking, full ROM), my ACL is stable, I'll most likely have both surgeries at once.

Sorry I can't give you a yes or no, I struggled for weeks with it.
Just wondering how you are going 11 years after an ACL reco and 40% of the medial meniscus removed ? I have knee reco with menisci tears left in situ and I am worried of OA in few years time. I am 43. How old are you now ?
User avatar
feeny
SuperKNEEgeek
SuperKNEEgeek
Posts: 2275
Joined: Tue Nov 01, 2005 11:56 am
Location: Melbourne Australia
Contact:

Re: ACL and Meniscus surgery all at once -- or separate?

Post by feeny »

Fab,

Pretty much everyone that has had an ACLr will develop OA later in life - that's what I've been told.
Heck, there's a better than 50% chance of developing OA without ACLr too apparently...
Sep-05 ACL rupture, Medial mensical tear, MCL rupture
Oct-05 Had it all repaired (hamstring graft, meniscal rivet)
-and then-
4.5 Months post-op Snowboarding like a demon
7 Months post-op Successful return to indoor soccer (YEH!)
-and then-
Mar-2015 Arthroscopy to fix meniscus
Post Reply

Return to “Cruciate ligaments”

Who is online

Users browsing this forum: No registered users and 0 guests