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advice please???? [torn ACL,MCL ,menisci]

post #1 of 6
Thread Starter 

was knocked off bike 6 weeks ago. have torn ACL,MCL ,menisci.

very active 51 year old. love bike, yoga, ski, hike, 

surgeon in USA said yes to ACl reconstruction, Surgeon in UK says he will fix torn menisci and wait 4 months before decision on ACL.

any advice welcome?

post #2 of 6
The conservative (read government care) approach for someone your age is you don't need the ACL/MCL, so no repair necessary. I'd see a private orthopod who takes care of sports folks or come back to the USA and see a sports medicine orthopod. It's true that couch potato types can get along without the ACL/MCL, but active people need the support.
post #3 of 6
Quote:
Originally Posted by Claire View Post
 

was knocked off bike 6 weeks ago. have torn ACL,MCL ,menisci.

very active 51 year old. love bike, yoga, ski, hike, 

surgeon in USA said yes to ACl reconstruction, Surgeon in UK says he will fix torn menisci and wait 4 months before decision on ACL.

any advice welcome?

 

Sorry your introduction to EpicSki is for a major knee injury.  Given your interests and age, there are many reasons to deal with the meniscus surgery first, rehab, and make a decision later about ACL reconstruction surgery.  I say that as an advanced skier who hasn't had an ACL since June 2012.  In my case, no medical intervention needed for the collateral damage to MCL and meniscus was needed.  Did formal PT for a few months.  In my case, my surgeon (American) agreed that ACLr was not needed.  I was more deliberate about ski conditioning before last season.  Also improved technique with private lessons.  End result was I skied better, on harder terrain, and had a very good season.

 

Have you looked at kneeguru.com yet?  Look for the threads about copers.  Every knee and life situation is different, so gather as much info as you can before making a decision.

post #4 of 6

We were talking to one of the other doctors in my surgeon's practice (he was on call).

Dr: "I said to Eric [my Dr.], why the heck did you reconstruct an ACL on a 56  year old man?"

My wife:  "Well he's a skier."

Dr: "Yeah, that's what he said."

 

So even here there is a presumption that people in their 50's are not active.

post #5 of 6

A good book to check out is called "The ACL Solution" by by Dr. Marx.  He is a well respected ortho surgeon at a hospital in NYC.

http://www.amazon.com/ACL-Solution-Prevention-Recovery-Devastating/dp/1936303337

 

Dr. Marx was a primary author of a recent study looking at recreational skiers.  You should ask your surgeon what he knows about the conclusion of that study.

http://www.sciencedaily.com/releases/2013/02/130206103718.htm

post #6 of 6


I would say that the fact that you have meniscus tear and ACL tear is a reason to consider ACL reco that is my understanding with regards to protecting other structure of your knee.

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