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My ACL Surgery! Video - Page 8

post #211 of 292
Thread Starter 
Quote:
Originally Posted by Kneale Brownson View Post

Stitches!! I had a couple dozen staples on the side where the plate and screws went into my tibia plateau. They even used two or three on the tiny incision on the other side of the knee where they put in a big clamp to hold the bones in place while drilling and screwing. Every one of those staples came out with more discomfort than any stitches I've had removed.
So are staples a West thing, Finn? Maybe Midwest too because I had a bunch of staples in the back of my leg when I blew out my Achilles in Michigan in 1996.

Your incisions are considerably larger than what I had. In fact, D and I were discussing how much smaller my incisions were than hers on the same type of surgery. I had no staples or stitches on this, my back surgery or 1st knee scope either.1996? things have changed a bit since then....   I had a ton of staples and stitches on my open shoulder surgery (somewhere in the 1990's) and on my 1st shoulder scope I even had a few. There is actually no need to do that as an open surgery anymore. 


Edited by Finndog - 5/24/12 at 6:14am
post #212 of 292
I had a shoulder scoping to chip off a bone spur that was limiting tendon space and scrape out some of my arthritis a few years ago. Three tiny incisions with no external stitching. Can't even find the scars now.
post #213 of 292
Thread Starter 

yeah, I think in a couple of years I won't even be able to see my knee incisions. I can't find the one's from my 1st scope.

 

11 weeks, can you find the 4 incisions? 2 others are on the outter side of my quad which are literally about a 1/4"

 

knee 11.jpg

post #214 of 292

wow, great pics and x-rays. I was given a set of pics, but no x-rays after the surgery.

 

I'm sitting at week 16 and a day (Feb.1 of this year) after ACl surgery on the right leg, getting around pretty good. Wear the brace all the time still, partly because I am busy all day, and would try to take short cuts now and then and not wear the brace and of course hurt myself. I do an hour and a half of re-hab twice a week and may try for three times. I'm O.K. to ride road bike but no clips and no hills (I need to talk to the surgeon about the hill part and hiking, get some better defined guide lines).

 

I've started excercising both legs as the PT people have reminded me that I need both legs in shape for next year. Most of what I am doing now is just good general excercise for the left leg. I like the side steps with the elastic band, do that about three cycles of 15 and you know you are making better muscles.Balance board is fun, also just to keep general balance in shape. Heel lifts on one leg, step-ups and the bike riding are all things you can actually do at home (I was just up living in a tent for two weeks in Pullman, Wa. and did most of the excercises at the campground) along with the still standard leg lifts and quad sets. The hamstring curl and leg press are done at the re-hab center, all though I am sure you could find someting to do at home that would accomplish close to same results. Road bike three or four times a week, 1/2 hour to 45 minutes. 

 

Pain has basicaly gone. Now I am more likely to have some strange feeling, not so much hurt as annoying. Once or twice I have had aching problems a day after a  walk or ride, but that was mainly when I was just starting riding and long walking (about three weeks ago). As everyone eles has mentioned the ice box cold pack is amazing. While I hope I never again need it having one on the shelf is nice back-up.

 

Had a few stitches but everything is healing very nice. Where the pin was placed, below the knee on the inside of the leg, the bump is slowly becomming less obvious as the bone is healing. Just a slight bump as the pin becomes less defined. The other scars from the cuts are almost gone, not noticeable at all.  

 

Glad to hear that everyone has positive news on healing, slow but hopefully well worth the wait in the long run.

post #215 of 292
Quote:
Originally Posted by skejunky View Post

wow, great pics and x-rays. I was given a set of pics, but no x-rays after the surgery.

 The hamstring curl and leg press are done at the re-hab center, all though I am sure you could find someting to do at home that would accomplish close to same results.

Glad to hear that everyone has positive news on healing, slow but hopefully well worth the wait in the long run.


Theraband around the leg of some heavy piece of furniture or fixed pole and your ankle while seated can work out your hamstring.
post #216 of 292
Thread Starter 

hamstring curl yes, quad extension no! 

 

free-Standing squats, both one an two leg with full flex (consult Dr) below knee. Lunges, lunges lunges.  1 leg stands on a bosu ball. Don't forget your buttwalks!   TONS of stuff on PT on youtube.  Do a search for ACL rehab but please consult dr first.

post #217 of 292
Thread Starter 

Did my first real bike ride yesterday. I rode 10 miles yesterday on a rails to trails near my house. It was more of a quick test to see how everything felt. the knee was great!  Ankle not so great but it was tolerable. Shoulder felt a little stiff but fine.  It was only about 40 minutes so today I am going to take it up to 15 or so. My "Spot Acme" is a pretty incredible bike and it's great to be back in saddle. icon14.gif

post #218 of 292
Excellent news, Ron. Enjoy your return to freedom.

Mike
post #219 of 292

Great news on getting back on the bike Ron.  How is the ankle doing? 

post #220 of 292
I'm jealous. I have started PT and we're still just working on heel slides, straight leg raises (in all directions), calf raises, and quad fires. I'm able to do all of it without a problem, but I feel it for the rest of the day. Have been bearing full weight on the leg when it's locked out at zero; however, if I have the brace unlocked (I'm allowed to flex to 60* when seated) and forget and then stand up, I pay for it. Dearly. I think the knee is fine when that happens because I can't over flex, but man does it hurt! Also, if I've been up and around for a lot of the day, I'm exhausted by evening. That part kind of sucks. On the up side, it's a great excuse to go take a nap when I'm stuck at the in-laws' on a holiday weekend like this one!!! wink.gifwink.gif
post #221 of 292
Quote:
Originally Posted by DSloan View Post

I'm jealous. I have started PT and we're still just working on heel slides, straight leg raises (in all directions), calf raises, and quad fires. I'm able to do all of it without a problem, but I feel it for the rest of the day. Have been bearing full weight on the leg when it's locked out at zero; however, if I have the brace unlocked (I'm allowed to flex to 60* when seated) and forget and then stand up, I pay for it. Dearly. I think the knee is fine when that happens because I can't over flex, but man does it hurt! Also, if I've been up and around for a lot of the day, I'm exhausted by evening. That part kind of sucks. On the up side, it's a great excuse to go take a nap when I'm stuck at the in-laws' on a holiday weekend like this one!!! wink.gifwink.gif

It sounds like you're making good progress, considering you're only 2 weeks out of surgery.  I bet its good to see someone who is only a few months out of surgery doing as well as Finndog is.  THAT is a great window into your future progress. 

beercheer.gif

post #222 of 292
Thread Starter 

well its 11 weeks but who's counting.  

 

D' just don't overdue it. It does tire out very quickly and then you are just aggravating it. Sounds like rehab is good but painful (it will get better) . Ice, Ice, Ice.  Advil Advil Advil....biggrin.gif Just remember to walk heel to toe, heel to toe. Shorten up the stride. You are doing great

post #223 of 292
Thread Starter 

Did 15 today in an hour; a 700 wheeled bike is so much faster than my Mtn 26'r :)  very easy ride, but can really feel the muscles in my glutes, Piroformus, ITB and calfs so its a good thing. quad is feeling pretty good and the ride is flat on compressed gravel. I am going to try to ride before work or after as much as I can. 

post #224 of 292
Quote:
Originally Posted by Finndog View Post

well its 11 weeks but who's counting.  

 

D' just don't overdue it. It does tire out very quickly and then you are just aggravating it. Sounds like rehab is good but painful (it will get better) . Ice, Ice, Ice.  Advil Advil Advil....biggrin.gif Just remember to walk heel to toe, heel to toe. Shorten up the stride. You are doing great

Bite me. I can't take any form of ibuprofen for the next two weeks due to the Lovenox. So, ice, ice ice . . .

post #225 of 292
Quote:
Originally Posted by DSloan View Post

 Have been bearing full weight on the leg when it's locked out at zero; however, if I have the brace unlocked (I'm allowed to flex to 60* when seated) and forget and then stand up, I pay for it. Dearly. I think the knee is fine when that happens because I can't over flex, but man does it hurt! 

The likely reason to have it locked at 0 when weight bearing in the meniscus repair- you want to be careful with this, especially the first 6 weeks or so.  I was on crutches for about 6 weeks post op because of my extensive meniscus repairs (both medial and lateral), but different Drs have different protocols.  Best of Luck!

post #226 of 292
Thread Starter 

I had meniscus tear repair as well but was unlocked in the 1st week, it was very painful when you got it at just the right angle/degree of bend though!  I had the repair very close to where they drilled so it was very painful for a few weeks. I remember the 1st week of rehab (inside of knee) was brutally painful. I was nauseous the 1st couple of sessions. 

 

 

D', what is that drug for?

post #227 of 292
Quote:
Originally Posted by DSloan View Post

I'm jealous. I have started PT and we're still just working on heel slides, straight leg raises (in all directions), calf raises, and quad fires. I'm able to do all of it without a problem, but I feel it for the rest of the day. Have been bearing full weight on the leg when it's locked out at zero; however, if I have the brace unlocked (I'm allowed to flex to 60* when seated) and forget and then stand up, I pay for it. Dearly. I think the knee is fine when that happens because I can't over flex, but man does it hurt! Also, if I've been up and around for a lot of the day, I'm exhausted by evening. That part kind of sucks. On the up side, it's a great excuse to go take a nap when I'm stuck at the in-laws' on a holiday weekend like this one!!! wink.gifwink.gif

Don't get discouraged. It takes time to rehab. And don't overestimate your progress. While you may think you are getting the quad to fire, the issues you have when standing show it isn't firing yet. This is largely a body self defense mechanism. As the pt explained it to me, your brain basically becomes unwired from the quad, and it takes a long time (more than a month) to get it retrained. That's why they do the estim for muscle reeducation.

Do your pt exercises religiously. Don't do more. Remember the training adage: "train hard, but rest harder."

Mike (15 months post acl, 3,500 miles and 46 days of skiing since)
post #228 of 292
Quote:
Originally Posted by Finndog View Post

Did 15 today in an hour; a 700 wheeled bike is so much faster than my Mtn 26'r smile.gif  very easy ride, but can really feel the muscles in my glutes, Piroformus, ITB and calfs so its a good thing. quad is feeling pretty good and the ride is flat on compressed gravel. I am going to try to ride before work or after as much as I can. 

Great news! Add the mileage cautiously -- aggravating the knee through swelling just limits the speed of your recovery. I was on the bike outdoors at week 6 and rode my first metric century at week 10 or 11. That was probably a bit much, but the load was much higher as it was an out and back ride and the first half was uphill into a 15mph wind.

Keep the rubber side down.

Mike
post #229 of 292
Quote:
Originally Posted by DSloan View Post

Bite me. I can't take any form of ibuprofen for the next two weeks due to the Lovenox. So, ice, ice ice . . .


I was allowed to use Tylenol with the Lovenox, D. You might ask about trying that. It's not nearly as effective for me as Vitamin I, but it helped. I was really happy when the surgeon told me our last visit I could go back to using Ibuprophen for all my old-age aches and pains.
post #230 of 292
Quote:
Originally Posted by Finndog View Post



D', what is that drug for?


Lovenox is a blood thinner used to prevent clots. Often prescribed for leg surgery patients. It's a real "fun" drug you inject under the skin, usually in the abdomen.
post #231 of 292
Thread Starter 

I was not on any thinners.  Interesting.

post #232 of 292
Thread Starter 
Quote:
Originally Posted by habacomike View Post


Great news! Add the mileage cautiously -- aggravating the knee through swelling just limits the speed of your recovery. I was on the bike outdoors at week 6 and rode my first metric century at week 10 or 11. That was probably a bit much, but the load was much higher as it was an out and back ride and the first half was uphill into a 15mph wind.
Keep the rubber side down.
Mike

 

 60 miles is not in the cards right now. The knee is great, no swelling or pain at all. The ankle gets tired and painful but at 15 miles it was feeling pretty good. It wasn't all too happy last night, but just stiff this AM, so that's a good sign we are on the right path. I do my glide exercises (nerve stretching, not painful)  2x per day with the ankle strengthening stuff. It will just take time.

post #233 of 292
Quote:
Originally Posted by Finndog View Post

I was not on any thinners.  Interesting.


 I assume you weren't/aren't taking birth control pills, either? wink.gif

 

Seriously, though, with contraceptive pills/patches/rings comes an increased risk of blood clots (even without surgery), so the blood thinners are a must post-op. The choices were Lovenox and Coumadin. The former requires subcutaneous shots (in the abdomen) every day (for 21 days post-op for me), and the latter is a pill that one takes daily AND requires blood work every couple of days. So, I went with the Lovenox. Rather give myself a shot every day for three weeks rather than haul my ass to Quest Diagnostics every few days (with a bum knee and an infant).

 

I have some updated pics. Will post soon.

post #234 of 292

Glad everything went well. Get well soon mate smile.gif

post #235 of 292
Quote:
Originally Posted by DSloan View Post


 I assume you weren't/aren't taking birth control pills, either? wink.gif

 

Seriously, though, with contraceptive pills/patches/rings comes an increased risk of blood clots (even without surgery), so the blood thinners are a must post-op. The choices were Lovenox and Coumadin. The former requires subcutaneous shots (in the abdomen) every day (for 21 days post-op for me), and the latter is a pill that one takes daily AND requires blood work every couple of days. So, I went with the Lovenox. Rather give myself a shot every day for three weeks rather than haul my ass to Quest Diagnostics every few days (with a bum knee and an infant).

 

Hmmm, my husband did the shots and I don't think he's on birth control pills either, but maybe I should ask. (He does have a family history of clotting and the like, however, so I assume that has something to do with it.)

 

I don't think he did his that long, though, maybe just a week. I think he started before surgery, too.

post #236 of 292
Thread Starter 

no birth control pills but I did have my tubes tied. biggrin.gif  that makes sense.  I had to wear those old lady support hosiery for about 3 weeks though. I had a lot of deep bruises on my tibia from the drilling.

post #237 of 292
Quote:
Originally Posted by segbrown View Post

Hmmm, my husband did the shots and I don't think he's on birth control pills either, but maybe I should ask. (He does have a family history of clotting and the like, however, so I assume that has something to do with it.)

 

I don't think he did his that long, though, maybe just a week. I think he started before surgery, too.

 

I didn't think everyone who took the drugs was on birth control pills, but I know that was a factor with me. I would imagine that family history (like in MrSegbrown's case), age, weight, etc. all come in to play in determining whether or not people have to take it. I do wonder, however, if the length of time I have to give myself shots in my love handles (awesome, by the way) has to do with the contraceptive. Hmmm . . .

 

Quote:
Originally Posted by Finndog View Post

no birth control pills but I did have my tubes tied. biggrin.gif  that makes sense.  I had to wear those old lady support hosiery for about 3 weeks though. I had a lot of deep bruises on my tibia from the drilling.

 

No old lady support hose for me. Just shots. Ya win some, ya lose some, right?

post #238 of 292

I promised some pictures, so here are updated shots. These are all from yesterday - exactly two weeks post-op.

 

It's hard to see with the brace on, but I figured a few of these shots were necessary so I don't get scolded by Finndog.

IMG_0310.jpg

 

Here's a closer view. I still have some steri-strips on because the incision for my meniscal repairs is so long (top incision in this pic) AND the incision for the ACL repair is kind of botched (bottom incision below). They definitely didn't have a plastic surgeon sew me up (not that I care, but there'll be an interesting scar there).

IMG_0311.jpg

 

 

Close-up without the brace.

IMG_0312.jpg

 

 

POV without the brace. Nice shot of my dead quad, too. Depressing. <sigh>

IMG_0313.jpg

 

On the upside, minimal bruising and the pain is more of a constant ache than anything major. Looking forward to the day I can take some ibuprofen . . .

post #239 of 292

Oh yeah. And then there's the reason that I have been bearing full weight on the leg from early on and walking way more than I would like (note the brace in the background):

 

IMG_0309.jpg

 

It's a good thing she's cute!

 

 

 

(sorry for the shameless kid stoke)

post #240 of 292

D heal fast. We look forward to skiing with you and Mr.DSloan this winter. You are the leader of the Springs group. We should have some planned GTGs this season.

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