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  • Posted by jagcat 4 months ago. There are 6 posts. The latest reply is from Deborahlr.
  1. Hi all, just to premise this entry; I am a 31 y-o male and I partially tore my ACL 5 years ago playing basketball and then completely tore it back in January, again playing basketball (stupid decision, I know). Never had any other surgery besides lasik and oral (wisdom teeth). So this first "real" surgery had my emotions all over the place. My reasoning for having surgery is that I felt like I can still do the things I needed to do but there are things that I wanted to do that I couldn't without surgery. After much research and the help from you fine folks, I decided that since I am "relatively" young, I should opt for the patellar tendon autograft based on it being considered the "gold standard" and the rate of success and strength vs. an allograft. I know, there are pros and cons to both types but it came down to my age and rate of success/strength.

    I had surgery last Wednesday and things are going well. I live with my fiancee' and she is a physical therapist so I am fortunate to be able to do my rehab at home everyday. We've spent nearly 2 hours each PT session and really, that's the only time I feel alive. I am a pretty active and healthy individual overall and so I've been fighting this depression about being bedridden and the inactivity that accompanies surgery. Anyhow, I seem to have gotten over that now that things are progressing quite nicely. Even before the surgery, I acquired a TENS unit from a co-worker and after surgery, I was sent home with an ICEMAN unit. I keep the ICEMAN running throughout the day as long as I have my leg elevated. The TENS unit is used before and after a PT session. Before PT is more like a warm-up and then afterwards for pain management. It works nicely and I am very thankful that my co-worker let me borrow hers.

    The hardest part about PT is the flexion exercises (heel slides, etc.) although my fiancee' says that I have been doing excellent and have surpassed her short and even mid-term goals. I am consistently getting flexion between 100-115 degrees and just yesterday unlocked my brace to 90 degrees (just to be conservative and get used to it when walking around). I am still on crutches and make every effort to remember to do the minimum exercises while still propping the leg up on the couch/bed (in complete extension). Leg lifts were not a problem the first 2 days but after the first PT session I lost significant leg strength and felt the pain in the patella where my graft was harvested. That's the usual pain I feel when doing any bending exercises obviously.

    I know my situation sounds similar to many others but I hope this helps at least one person with their decision/research. I look forward to hearing from others who are either in my shoes or contemplating surgery and I hope to continue adding to this thread. Thanks for your time and good luck!!

  2. Waiting on ACL surgery when you need it only reduces your fitness and health in my opinion. But congratulations on making it through your surgery. Mine was week of Feb 22, 2010.

    I found as swelling goes down (mid-knee and top-knee) the range of motion came back with little effort. My procedure was an achilles tendon allograft using bioabsorbable post in femur and screw in tibia. No tens, no ice machine, icing up to me, no range/motion machine and soft brace required when standing weight bearing with crutches.

    Hated the cotton and ace bandage dressing. Dry. Itchy.

    I slept on my back with knee in brace and pillow below ankle/foot with little extension work needed in PT. Walking really helped at about six weeks to get me within 3° of flex/extension goal. But we have different doctors. My surgeon didn't do more surgically other than to get out the cartilage floater and install ACL. I don't get much from PT vs my regular activity level.

    What were your first steps like? My knee felt soggy.

    The first shower after stitches were out was wonderful, right?

  3. Hi, I wasn't necessarily "waiting" on surgery, when I injured it the very first time 5 years ago, I did not have sufficient medical insurance and so it was definitely unaffordable at the time. Plus, it turned out it was only a partial tear (or it could have been a meniscal tear) and I was still able to do everything to maximum strength except for lateral movements. I workout regularly in the gym and had no problems doing squats (heavy weights) or any other leg exercise. I'm a avid runner and running in a straight line was not a problem either, no swelling and no pain afterwards, so my fitness and health was not in any decline whatsoever.

    I am back to work as of today 4/28/10 after having my follow-up yesterday to get the sutures out. Everything looks good and the doc is very pleased with my progress. I still do PT on my own for at least an hour everyday and focus alot on flexion exercises. I am still able to get into the 115-120 degree range consistently after warming up of course. I am a little frustrated because I haven't made more progress than that but I know it's due to the swelling that is still present. I'm sure once that goes away I will continue to make progress and pass 120 degrees with no problem. I plan on going back to the gym to start riding the bike this weekend after getting back into the swing of things at work and getting my body accustomed to a regular schedule.

    I hated the island dressings that they provided because they were super sticky and very irritating to my skin. The sticky part always ended up on my leg hair and it was hell getting them off, had to soak the edges in alcohol to make it easier to remove. After the first 2 dressings I changed to just the pad without the adhesive and used gauze to wrap and hold in place. Thank goodness the stitches are out now and I don't have to use those anymore anyway. Even when I had all the dressings on, I took some people's advice from here about using saran wrap to take a shower, worked wonderfully so I had two or three showers before I had the sutures out.

    My first steps were very weak but I have since started walking more on it and weight bear as if I was walking without crutches. Weight bearing was never a problem for me even immediately post-surgery.

    So where are you on your rehab progress? What kind of exercises are you able to perform now other than the basics?

  4. Jag - My surgery was 2-22-10 and I am 51yrs. Last week my ROM is 133° (136° normal side) flex and -3° (-6° normal side) straight leg.

    My PT is about strength increase and balance propreceptive work. But I have some odd symptoms in thepost below this. Can you read it and comment. Your procedure with the autograft of your patella tendon produces so much rehab work. I compliment your progress.
    I do leg lifts in 4 directions and ride a step bike and swim daily.

    The person who developed my procedure was Dr. Eugene Wolf of CA at www.kneeandshoulder.com but one of his residents did my surgery. Arthrex has a .pdf on their web site of Biotransfix II process.

    Alexa

  5. Just an update to this log. I'm almost 5 weeks post-op;

    - able to get 140 (sometimes a bit more) degrees flexion
    - riding the bike regularly for 30+ mins. low resistance
    - starting to do more weight training for the recon. knee
    - seeing more and more definition in my quads
    - walking around with the full length brace still (hoping I can get prescribed a Donjoy)
    - have my next appt. next Tues. (5/25)

  6. I'm 11 days post op from an allograft (achilles tendon); I'm 43 years old, and the doc also did a menisectomy for 30% of my medial meniscus, cleaning up the other "age related" shredding.....

    At 6 days post op I went to PT and my extension was 100% and my flexion was 115. I injured my knee back in February, so I had plenty of time to rehab from the initial injury before the June 1 surgery, and I am sure that helped--I think Alexa (above post) is right. Sitting around and waiting for surgery can't do much for the immediate post op experience. But I got back to jogging and swimming and using the ellipse at the gym. I stopped playing soccer and skiing, and I stopped lifting weights. (I waited until school ended ,I'm a teacher, so I could focus on rehab--joyful summer!). I just saw my doc yesterday and he wants the immobilizer on my leg for 2 more weeks, even though I am to do my PT exercises several times each day. Three weeks in this thing will surely drive me crazy, but I appreciate he's just waiting for the allograft to catch up to my flexibility. I don't think he's going to let me bike for 30 minutes anytime soon, and I'm wondering how steady you all feel when you finally start walking without the crutches--I'm walking with them now, and I feel stronger every day. But I don't want to get too ahead of myself...

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