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Skiing with ACL tear anyone? - Page 2

post #31 of 44
Quote:
Originally Posted by newfydog View Post

No ACL for 17 years of hard skiing (patrolling with 300 pounders in the sled), hiking, running, mountain biking.  No problem.  A US Ski team doc told me to leave it seven years ago, and it is still going fine.  Better than most friends who had surgery

 

I do wear an off the counter donjoy witha hyper-extension stop for skiing. I actually put it on the wrong knee one day last year.

 

 

I started to wear one on each knee and at the beginning of last season and couldn't figure out why the both were so uncomfortable.  Actually hurting.  Went back to the guy that fitted me for them and as you've probably guessed, I had them on the wrong side!  He's probably still laughing at that one.

 

Artemat,

One of the things to consider is what the OS is good at.  Reviews are all over the place no matter the product or procedure, just as what is best for one person or another is so if you discount that for a second and only consider the abilities of the person doing the surgery.  If he/she is better at an allograft than using your patella tendon, that might be the wiser choice.

 

A procedure done correctly is better than one done poorly.

 

Don't get caught up in playing the numbers like those with re ruptures.  There is a very good chance, that the person that had a re rupture, would have torn there acl no matter what was in their knee because they are doing or at least did, the exact same thing that caused it the first time.  Doing the Pt as stated is huge.  I think it is good to wear a brace for a while too, even if it only gives your brain one less thing to worry about.

 

I don't have an acl in my left knee and a cadaver's tendon in my right knee (thank you gun shot victim).   I ski a lot, race and bumps (not much in the bumps) and set race courses.  I started wearing compression under layer with the brace last year and that was great.

 

Ken

post #32 of 44
Thread Starter 

Thanks Ken, and thanks everyone who contributed to this post. The surgery is tomorrow and I think I am ready for it. I am NOT READY to miss a  ski season, but I am hoping to come back strong next year. This winter I will put my efforts into rehab and overall body shape....

I will post the progress report, 

 

Thanks everyone! 

post #33 of 44

Sending good thoughts for the surgery and post-op recovery!

post #34 of 44
Thread Starter 

It is all over. Had my surgery yesterday, using cadaver for a graft. It took about 3 hours and the doctor was happy with results. The meniscus was pretty much trashed and they had to trim it out. I am not sure yet what that means. The time after surgery sucked. I had the strongest headache for 12 hours that I could feel even with my pain medicine. 

 

Now, I am surprised that I can move my leg around pretty good. I got it flat on the floor today stretching. Bending is very difficult, but I can do the straight leg raises. Overall it is a little better than I expected. I am borrowing a stationary bike today as well. 

post #35 of 44
Quote:
Originally Posted by Artemat View Post

It is all over. Had my surgery yesterday, using cadaver for a graft. It took about 3 hours and the doctor was happy with results. The meniscus was pretty much trashed and they had to trim it out. I am not sure yet what that means. The time after surgery sucked. I had the strongest headache for 12 hours that I could feel even with my pain medicine. 

 

Now, I am surprised that I can move my leg around pretty good. I got it flat on the floor today stretching. Bending is very difficult, but I can do the straight leg raises. Overall it is a little better than I expected. I am borrowing a stationary bike today as well. 

 

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post #36 of 44
Quote:
Originally Posted by Artemat View Post

It is all over. Had my surgery yesterday, using cadaver for a graft. It took about 3 hours and the doctor was happy with results. The meniscus was pretty much trashed and they had to trim it out. I am not sure yet what that means. The time after surgery sucked. I had the strongest headache for 12 hours that I could feel even with my pain medicine. 

 

Now, I am surprised that I can move my leg around pretty good. I got it flat on the floor today stretching. Bending is very difficult, but I can do the straight leg raises. Overall it is a little better than I expected. I am borrowing a stationary bike today as well. 

 

 

awesome but isn't your leg locked out in a full length brace? I don't think bending it now is a good idea not to mention riding a bike.......

post #37 of 44
Quote:
Originally Posted by Artemat View Post

It is all over. Had my surgery yesterday, using cadaver for a graft. It took about 3 hours and the doctor was happy with results. The meniscus was pretty much trashed and they had to trim it out. I am not sure yet what that means. . . .

 

How's it going?

 

 

In the short run, having major issues with the meniscus won't change what you do.  A ski buddy of mine lost his meniscus decades ago.  He is an expert skier who can handle any run and also runs long distance races.  However you are more likely to develop arthritis sooner rather than later. Recent research finds that the state of the meniscus is a bigger factor than the state of an ACL after a full rupture.

 

http://www.eorthopod.com/content/long-term-results-of-nonoperative-treatment-for-acl-injury

 

The concluding sentence of this summary of an 2008 article in the Journal of Sports Medicine is "Saving the meniscus seems to be an important way to prevent knee osteoarthritis after ACL injury."  Patients in the Swedish study were followed for 15 years.  Some had ACLr surgery, some did not.  Some needed a meniscectomy eventually and some never needed any surgery for the ACL or the meniscus.  The reason behind the study was to address the question of whether or not ACLr surgery decreased the incidence of later OA, in comparison to conservative treatment with PT only.

post #38 of 44
Thread Starter 

No locking brace for me. Weight bearing on day #7. Getting a slow start on my PT and already 3 days back to work. I am still using crouches as a walking support.The knee slowly coming back. 

post #39 of 44

best of luck to you.  did your os actually tell u you that u dont need a locked out brace?   after a few days most will unlock and permit 20-30* range of movement.  it makes the use of crutches unnecessary after a day or two and will help stabilize the knee.  be careful!


Edited by Finndog - 10/11/12 at 1:01pm
post #40 of 44
Thread Starter 
Quote:
Originally Posted by Finndog View Post

best of luck to you.  did your os actually tell u you that u dont need a locked out brace?   after a few days most will unlock and permit 20-30* range of movement.  it makes the use of crutches unnecessary after a day or two and will help stabilize the knee.  be careful!

Thanks Finndog! 

 

He told me that he doesn't want me in brace. He just said to take it easy and slowly move away from my crutches as I feel comfortable. I asked him twice about the brace.. His response was that the way my knee is and the way the surgery went, there is no need for the brace and the brace will only slow down my recovery... I figured I'd listen to him. I know several people who got their ACL done with that doctor and one person just recently got a full knee replacement, all seem to do pretty well. 

post #41 of 44

I had ACL reconstruction with an allograft last Dec. I hurt this one in 1998 and rehabed it without surgery so I was skiing and doing all without a brace.  Then, I hurt it again Feb. 2011 and tried to rehab it with PT but it is way laxer than before so I opted for surgery.  The surgery failed and I am trying to strengthen more and I wear a custom brace-am debating whether I will Alpine ski this season until 4 more months of strength training-That's when the doc wants to see me again.  He says I can ski with a brace.  I am concerned about tearing menicus or who knows what if I fall now with brace.  Anyhow I'd be curious to know more about the proprioception exercises you have in mind.  -have of course been to several pters-had surgery by a very competent surgeon.  I am doing strength training on my own and yes sometimes I have difficulty knowing how much I can push things My left knee has an ACL tear too and will wear the brace for that as well.  It's just not nearly as well.  I hike, backpack and bike some.-used to ski mountaineer and mountaineer-doc wants me to hike and snowshoe for sure.  Thanks

post #42 of 44

mtnewe: Welcome to EpicSki!  Sorry to hear the ACLr surgery failed.  I ruptured an ACL, with minimal damage to the meniscus, so have opted to avoid surgery for assorted reasons.  Completed most of the rehab in the fall about 4 months after injury.  Learning about proprioception made a huge difference in making sense of some of the PT exercises.

 

There are several videos in this thread about knee injury prevention.

http://www.epicski.com/t/114272/being-proactive-instead-of-reactive-with-your-knees

 

Quote:
Originally Posted by mtnewe View Post

I had ACL reconstruction with an allograft last Dec. I hurt this one in 1998 and rehabed it without surgery so I was skiing and doing all without a brace.  Then, I hurt it again Feb. 2011 and tried to rehab it with PT but it is way laxer than before so I opted for surgery.  The surgery failed and I am trying to strengthen more and I wear a custom brace-am debating whether I will Alpine ski this season until 4 more months of strength training-That's when the doc wants to see me again.  He says I can ski with a brace.  I am concerned about tearing menicus or who knows what if I fall now with brace.  Anyhow I'd be curious to know more about the proprioception exercises you have in mind.  -have of course been to several pters-had surgery by a very competent surgeon.  I am doing strength training on my own and yes sometimes I have difficulty knowing how much I can push things My left knee has an ACL tear too and will wear the brace for that as well.  It's just not nearly as well.  I hike, backpack and bike some.-used to ski mountaineer and mountaineer-doc wants me to hike and snowshoe for sure.  Thanks

post #43 of 44
I actually have a question related to this as well.. I am a 21 year old collegiate athlete. I tore my left ACL for the first time roughly 4 years ago, I went through all the rehab and recovery after replacing it with patella tendon. After about 10 months, I was hit by a car and the ligament was re-torn, once again I received the surgery, this time using a cadaver instead. Before all this I was an avid very advanced skier (i.e. Cliff jumping, moguls, racing, tricks, woods, etc.) I now haven't skied in roughly 3 years. Partly due to having to keep up with a rigorous athletic schedule and partly due to fear. I am planning to return to the slopes this year and was hoping someone could give me some advice for my first time back out there. I most definitely will be bracing my knee as well. Thank you all.
post #44 of 44

I tore my ACL about 5 years ago bowling of all things.  My doctor didn't want to do the repair, said I would be OK without it. I ski with a brace, relatively hard too, though I had said to myself, let me get it done this spring - then sadly better half tore her ACL. 

 

This is her story on the start of prehab and and later we will see about surgery. It just got featured on the carousel too! Totally flattered.

 

http://www.epicski.com/t/149183/alba-adventures-video-trip-report-thread#post_2061952

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