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Anyone ever re-injured an ACL allograft? - Page 2

post #31 of 49
Quote:
Originally Posted by stuckinPA View Post
Well, it's been 3 days since my spill at Alta. The swelling is almost completely gone and my range of motion (bending) is only a couple degrees away from my "good" knee. Would I really be feeling this good if I had torn my allograft? I understand about the absence of pain but it just seems weird. Could I have just strained a collateral ligament or torn a bit of cartilage? My doctor can't see me until next week, so I'll be sure to give his report when the time comes.

I feel like I'm ready to hit the stairmaster tomorrow and, hopefully, the treadmill in a couple days.

More to come....
Sounds hopeful, but have someone do a drawer test on you anyway, just to be sure.
post #32 of 49
Lachmans is supposed to be more indicative of ACL laxity, particularly the posterolateral band. (a better test) The only real difference with Lachmans (20-30deg) and an anterior drawer (90deg) is the degree of knee flexion.

Anyhow...the tests can be performed in a varity of positions. Supine, prone, sitting...Sometimes it is difficult to get someone to relax. I usually try at least 2 positions. And I usually perform several other tests, varus/valgus at full extension and at 20-30deg, McMurray's, etc. When someone guards or there is a significant amount of swelling it is going to give you a potentially false negative. Also if someone has very strong legs they can give you a false negative.

Not to sound pompous or anything but I'd estimate it took me 1-2 years of performing these techniques to become proficient at it. It is indeed an art.

Something else you might try...Have some nice herbal tea, a hot shower, read your Powder magazine...then when you are relaxed stand on your non-effected leg and Gently swing your injured leg anterior lateral. (like you are beckham trying to sneak one in the corner off the outside edge of your foot) You may notice some gapping on the swing or backswing. Gotta go. Good luck.
post #33 of 49
umm ... what about an MRI instead of all this black art form?
post #34 of 49
Man thats cold...Black Art? It shouldn't really hurt to do these tests.

An MRI on the knee is something like $3K.

Catch me in a good mood Apres ski and I'll do it for 2 micro brews.....As long as people don't start lining up (me next, fix me!) I hate that.

O and you can't wear pants.
post #35 of 49
sorry ... cranky because I haven't skied yet. Will change that tonight hopefully
post #36 of 49
Yes, I have. The second time I didn't even know it happened; saw the ortho surgeon at the end of ski season and he said it was torn. I'm going on my third ACL revision from the initial one.
post #37 of 49
Thread Starter 
Appointment with Ortho on Thursday morning.... I'm afraid it might be worse than I thought. I had some more swelling after I hit the gym today and I had a lot of pain on the outside of my knee. Hopefully, I'll know for sure Thursday. I'm assuming I'll get sent off to the MRI clinic....
post #38 of 49
Thread Starter 

update

Ortho thinks it's a torn medial meniscus. He said my knee feels like my ACL is still intact; however, we won't be sure until I have an MRI next week. I'm feeling better and starting to rehab it on my own at the gym...still can't run, though.
post #39 of 49
Any update?

Funny how several people here have proclaimed how great the allograft is compared to the Patella surgery, yet in the same thread several people have had to have the same surgery 2 or even 3 times.

Hmmm...
post #40 of 49
Thread Starter 

The verdict is in!

Evidently, my crash at Alta resulted in a strained MCL. This caused my femur to strike my tibia resulting in a compression fracture to my tibia. Basically, it's a severe "bone bruise." I can ski again in a month and though I'm not supposed to be doing so - I'm back to running 4 miles a day on the treadmill. My ortho was happy that the allograft was fully intact and I had no meniscus tearing (per the MRI).

Life is good.
post #41 of 49
Congratulations PA! Good vibes are all around!
At the risk of upsetting the medical community here, be cautious on your running routine, right now. There may be a possibility of of stressing those fractures even more (my opinion, not based on playing a doctor on tv)
post #42 of 49
good deal. Keep up the PT - listen to the docs and your body.
post #43 of 49
I know this is a couple weeks old but I noticed no one really answered the original question.

I had an ACL reconstruction with allograft in June 2004. I injured it playing soccer. I re-tore it in September 2006 playing soccer again. My doctor actually never prescribed me a knee brace so I was not wearing one.

It didnt hurt when I tore it the first time. Maybe it was adrenaline but I walked off the field and too my truck. The next morning was painful. It hurt less so the second time around. I remember the knee sublaxating (sp?) felt it pop and then it just kinda felt tingly and went numb and got swollen. I actually rode a bicycle race within 2 weeks of the re-tear.

I had surgery again in November 2006. I had an allograft again from the same doctor. So far so good. I am still recovering from the surgery. I dont feel like my knee and quad is completely back to being strong. That is with well over 2000 miles on the seat of my road bike.
post #44 of 49
Have you been doing any kind of directed rehabilitation, i.e. physical therapy, or did they just tell you to go have fun? You really should rehab it with guidance from someone familiar with ACL reconstruction. Bracing is controversial. There are several threads on this site and others on the web. Many orthos will have patients wear a brace for the first year, mostly to remind you that you are getting over major reconstructive surgery. Re-injury of a graft wouldn't hurt much since the graft doesn't get nerve endings to grow back into it. Hope this answers your question.
post #45 of 49

which acl allograft did you had? patella tendon allograft, achilles, etc?

post #46 of 49

mswindsor, you just resurrected a 4 year  3 month old thread.......

post #47 of 49

I received the graft in the early 90's. Tough break for a girl in her early teens. Off and on I've had some issues with it, but nothing major. I've been through a couple of different police academies with some rigorous training. A couple weeks ago, I noticed that my knee felt tight, but wasn't concerned. I thought I was just having a bad day. By the end of the day my knee was popping constantly. When I went to bed I had trouble with a straight leg raise and had quite a bit of pain. After some x-rays the doc told me that there were some bone fragments under the patella and getting wedged in the joint. I figured that was all. After the mri, I received a call yesterday from the doc saying that I completely ruptured the acl graft. Obviously I had no pain when I ruptured it, because I have no idea of when it happened. I'll update after I see the surgeon...

post #48 of 49
Hi, I have a question re: your allograft. How long did you wait to weight-bear? I just had surgery 9 days ago w/ an ACL allograft and feel great. Doc says 25% weight-bear and my PT says to full weight-bear IF you feel comfortable, which I do. I'm only walking in the house....very short distances, am elevating my leg A LOT and doing my PT...riding the bike and doing other exercises. My gait is almost normal and I have 120 ROM. I know I need to protect my graft for the next 6 mos.
Does this sound like I'm doing the right thing? Thanks for any insight!
post #49 of 49
Hi, I have a question anyone's ACL allograft. How long did you wait to weight-bear? I just had surgery 9 days ago w/ an ACL allograft and feel great. Doc says 25% weight-bear and my PT says to full weight-bear IF you feel comfortable, which I do. I'm only walking in the house....very short distances, am elevating my leg A LOT and doing my PT...riding the bike and doing other exercises. My gait is almost normal and I have 120 ROM. I know I need to protect my graft for the next 6 mos.
Does this sound like I'm doing the right thing? Thanks for any insight!
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