Step 1. Post on sports blog. Check... Sorry to hear that though, good luck on your recovery.
OT: i just tore my ACL, what to do
I am an orthopaedic surgeon and I would encourage you to have ACL reconstruction if you want to remain active doing impact activities. The surgery has a very high success rate if you do your rehab. Unless you are content with being less active there is no good reason not to do it. Do your homework and find a good surgeon. If you have surgery, my advice is to have an autograft (your tissue) instead of an allograft (cadaver). The studies show hamstrings and patella tendons to be equal (there are some pros and cons of each). Most surgeons have a preference of one or the other. Have the surgeon you pick do the one he does the most of (and likely the best). Good luck.
...and came to MGoBlog for advice?
You sir, are awesome.
Haha yeah, I am waiting or my wife to get the car and figure I'd ask the smartest community out there
Well if you're waiting for your wife to get the car, your options may be limited. Do you have a ball point pen?
Orthopaedic surgeon here....fix it. Rehab to get your range of motion back first. I recommend autograft, not cadaver graft. Patellar tendon is my choice but hamstrings are good too. You cannot ski without an ACL without risking repeat injury.
Two words I hope a doctor never utters to me: cadaver graft.
He'd be better off checking an Iowa blog. You won't find a more experienced fanbase. You can always check with Purdue if you want a second opinion, though.
check out my past couple posts, specifically my last one which focuses on surgical options.
If you're someone who wants to continue to ski/ play cutting sports / etc , surgery is a excellent option. However, if you're ok with walking or jogging for exercise, you may be able to get away with going non surgical.
From the sounds of things, you're one of the people for whom a cadaver graft may be an option at least worth looking into
Take a quick cortisol shot and get back in the game, the team needs ya
You sir win the "advice you probably shouldnt take from random, unqualified strangers without beneift of any medical training or your personal health history" award.
Mostly hoping to hear from people that have been through it before. Already saw a doctor and will be seeing another one when I get back. But it seems like the decision to have surgery depends.
I hate to the guy to burst your bubble of internet trust but sometimes people make things up and claim things that arent true.
Anyone who's ever done internet dating knows that the girl posting this pic on line......
Turns into this girl when you actually meet
I am drunk. I don't get it.
is that you, sharing from your personal experience here on MGoBlog?
No......if I was Manti the second picture would've been of a dude....not an ugly woman.
It's clearly Renee Tuiasosopo...duh.
playing a girl, playing another...hotter girl.
Dude is committed. don't fall for his siren call
Just out of curiosity, if the doc gave you an option, it couldn't have been a complete tear, right?
I tore mine at 19. The surgery was more I trust e back then. My advice, if you wish to remain active is to have surgery. The recovery takes time, but I can do all kinds of stuff without a brace, including firefighting.
The surgery was more INTRUSIVE back then. Stupid auto correct!
thought i'd throw you a bone with a serious response since there arent too many on here... i tore mine, grade 3 and also did other major damage at the same time, bout 8 yrs ago. surgery went well, scars are pretty minimal, and after rehab, was absolutely back to 100%. once you get your mri results, your doc will be better able to advise. its a pretty common injury now, your doc should be well versed on the topic. i think if its grade 1 or 2 you might be able to get away without surgery, but you might want it anyways.
Thanks that is helpful, I wi ask what grade when I go see the specialist this week
Post of the year.
Walk it off
Don't forget to rub some dirt on it first.
Rub some 'tussin on it.
No "walking it off".
No rubbing dirt into it.
And no, no "rubbing some 'tussin (?) on it".
Maybe, but only temporarily, duct tape might help.
What you really need, though, is Snake Oil! Anyone here know of a good Snake Oil Salesman?
A little dirt on it, put on a band-aid and get your ass back on the slopes, pain is just fear leaving the body. In all seriousness...get surgery, otherwise your knee will fall off later in life.
Especially if there was some negligence involved by the resort.
Even if there wasn't any negligence involved by the resort. Why get hung up on negligence? The guy needs some money, right? Let Saul git 'er done. Better call Saul!
Consult Bob Loblaw's Law Blog
Do some physical therapy before the surgery. The better shape your leg is in before surgery, the faster you'll recover.
When choosing a surgery, I would recommend going the patellar tendon route.
I'm speaking from testing my ACL in May 2010 (my graduation present) playing soccer at Elbel Field. Had surgery the Tuesday after graduation and was playing soccer again in September.
Best of luck. Hope that info helped.
"Doctors said it was my choice Re: surgery. Recommendations?"
Need a bit more to go on. Is it your first knee injury? Is it a partial tear etc.
Otherwise, swinging a bit wildly in terms of any sort of recommendations.
First knee injury, looks like full tear but they told me to o see Another doctor one the sweelling goes down
That's actually very reasonable advice; until there is clarity in your diagnostic imaging the ability to consider rehab outcomes vs. surgical outcomes won't be clear.
Sadly, it is what it is given the potential for a complete ACL tear.
Active how? You should be able to continue most activities without the surgery. Pivot activities/sports (Bball, maybe tennis) will be difficult. However you are leaning, WAIT. Your pain from the initial injury & bone bruising will heal & then you'll know what your symptoms are
As a student who was pre-med for about a week and therefore highly qualified in this department, I suggest self-operation to save some money. Not too hard to do.
It all depends on how good you are at this. Note the "skill game" part.
I always hate to be the first serious post in a thread. Particularly after two dozen funny ones.
Prof of knee and shoulder surgery at UM Med School did my ACL/LCL reconstruction in 2002. ACL rupture and LCL avulsion fracture while skiing in Utah. Autograft.
Did all my rehab at UM MedSport at Domino's Farms. Also did 10 weeks of pre-op rehab before surgery a few days after graduation.
Rehab sucked, and I was in a lot of pain post-op after all the drilling in my bones. Took 2 years to get all the way back, but I made it back to ski at full speed and play basketball with no noticeable impairment.
Get the surgery. At UM Hospital. And do your rehab.
I second that. Do it at the UM hospital. It's amazing. I had the same experience you had when I broke my leg. Surgery at the hospital and rehab through medsport.
When I actually got my ACL I did it at a hospital other than UM and it sucked.
As someone mentioned earlier, hoops and tennis are probably out of the question. Anything that requires a lot of hard running, planting, stopping and cutting is going to be tough. You'll be able to do it, just not the same way you used to.
Better think about playing first on a sottball team or taking up golf!
There is only one reasonable action to take:
Blame Rich Rodriguez.
But the fact that this came right after a Section 1 post is all kinds of hilarious.
I actually saw Section 1 and his response and immediately thought of Rich Rodriguez. I mean, who doesn't when they see Section 1?
Then I typed it out and hoped for the best from a timing perspective.
Get a subscription to Netflix.
House of Cards... Kevin Spacey is pretty awesome in it.
Well my wife is a Psychiatrist and not an Orthopedist but I asked her what you should do.
She said "how does it make you feel?" That probably didn't help you much. But that will still be $300.
Are you the guy that mentioned buying skis last week to embrace winter and be active?
I talked with your Doctors, it's not looking good. We're going to have to amputate you're whole lower half of your body
Do you at least have a good story or did you just get too far back and the knee went pop?
Nope first run!
Brutal. Did they at least refund your lift?
You need to come up with a better story than that. Try something that involves a trapeeze and a double jointed girl.
then this story is worthwhile.
I'd just stashed a case of Labatt's at Boyne Mtn, near the warming shed/halfway house at Victor. To be enjoyed throughout the day, by buddies and me.
I started skiing away, and a 300 lb hag on skis ran over my tips and I full-yard-saled and in the process wrapped a ski around my skull, snapping it in two. I had several hundred yards to go, with one ski and a concussion.
I made it to the condo and slept the rest of the day.
She is a practicing physician board certified in stroke and blood. Not an ortho but a damn good M educated doctor. She says "get the surgery!" I have rarely seen her so decisive on a med care question. She's srsly you guys.
Some tussin on it.
Let that tussin soak on through to that tendon.
"You just got the wind knocked out of you"
Go see Dr Andrews. Duh.
Rub some beer on it!
running back. You satisfy their most important selection criterion.
You don't need to make any decision quickly. First goal is to get the swelling resolved (time, icing) and get your motion back. In the meantime work to avoid atrophy. Then you need to examine your activity goals. If skiing is something you enjoy, you'll want/need an ACL for that. Low demand, straight line, non-cutting and pivoting or stop/start activities often can be accomplished without an intact ACL.
Ultimately, if you opt for reconstruction, patellar tendon, hamstring, quadraceps autografts or allograft probably doesn't make a big difference. Your surgeon will most likely have a preference. More important is to recognize that your rehab is at least 50% of the equation in terms of a successful reconstruction.
So yes, once the swelling goes down, go for another eval. More imaging. Then go to PT before surgery. Pain shuts muscles down and you want to re-educate them prior to the surgery so it's not so hard to re-educate afterwards. Which type of surgery is probably up to your physician, I'm a fan of the HS or cadaver, but it's not my knee. For PT go to Dominos Farms. They specialize in sports medicine and not all PTs are the same. Seriously.
Not everyone needs surgery though. A lot of PTs don't get ACLs fixed but if you don't rehab will take longer and you will need to do a lot of stability work (for pretty much life) and there is a higher incidence of OA later in life (especially if the stability isn't there). If you want to be active, get it done. Regardless, listen to your therapist and finish your program.
And ice is nice too.
Wow thanks guys
Its simple, if its completely ruptured have the surgery and attack the rehab seriously , dont take it lightly even if you feel like your recovery is going fine. If you can just strengthen the hamstring to tighten the joint do that. If it completely goes skiing again then have it done. Get the Hamstring graft unless you plan on playing offensive tackle. Oh, and its never the same, no matter what any one tells you. Post surgery is devastating as an athlete mentally, and getting over the hesitation that comes from that can take time to over come. All that being said, I had full reconstruction 6 years ago of the ACL & MCL, and dispite sublte knee pain, I still have a succesful athletic career without a brace.
Otherwise you will likely end up with early osteoarthritis. More work now but less problems later.
Tore my ACL when I was 28. I tried to go without the surgery but every time I moved wrong, the knee would swell up for days causing considerable pain.
I decided to have the repair done a year later so I could continue my rec league career but I wish I hadn't. The post surgery pain was nearly unbearable and I was on crutches and off work for eight weeks.
My knee now feels great but I wound up never playing any sports because I was terrified that I would tear it again and I wasn't about to go through that process a second time.
Your knee feels great, but you regret the surgery? Think about how your knee would feel now without the surgery.
If you have a complete tear you're going to have to get the surgery. Otherwise you'll never have a fully functional knee. The rehab is a real pain and those first few months will suck, but it definitely will pay off down the road.
The first few months of therapy suck. Great advice: if you don't do what your PT tells you and stretch consistently, they will do it for you. And it will hurt more. And take longer to get better.
I tore my ACL my Junior year of high school. The doctor told me the same thing, only diffrence was the rehab time. I could just let it heal and stay inactive and I wouldnt miss half of my Senior year of wrestling or I could have surgery. If I choose surgery Id be looking at maybe, being ready with a few weeks left of wrestling. I of course took the quickest route. Well Im now also in my mid 30's and should have choose the surgery.
Just to add to this, occasionaly my knee still swells up so bad that I cant even walk without being in unbearable pain. I've been told a few times now that they need to do the surgery, but I keep putting it off, because I don't want to miss race season. I can't play any sport that requires any long periods of rapid change in direction or stopping.
Apply for your medical redshirt. We should get the results by 2017.
I tore my labrum in my right shoulder in August of 2012. I opted for physical therapy, and the first 3 months were pretty awful. However, I'm now back to playing sports and lifting weights with little to no pain. That being said, I can't imagine going through a similar situation with a knee. I would get the surgery. We're too young to settle for a limited life.
I'm 23 and tore my ACL playing soccer. It was a completely clean tear (kind of unusual) where nothing else was damaged at all (e.g. meniscus, MCL). Tear was from a noncontact, but instead an unlucky turn of the knee.
Get the surgery otherwise your knee will never be the same. ACL not only helps keep you knee aligned, but also provides cushion on impacts. Arthritis at an earlier age is very common in people who do not get the surgery. Also, get the surgery done by a doctor who has specialized in orthopedic surgery and sports medicine. Many professional sports team doctors also have a practice where they perform surgeries on ordinary guys like you and me (NFL docs are normally at the top of the list). You want the surgery done by someone who does a lot of them... hence the sports docs.
Patella vs Cadaver: there are benefits to both. Patella is the tried and true gold standard, but obviously is more painful as you are taking your own muscle. Cadaver takes a bit longer to heal (1-2 months) but also keeps your patella in tact. More and more pro athletes are going the cadaver route and there is no real evidence to state one is better than the other.
EDIT: As I was able to take an extra month to get back to sports, I chose the Cadaver route. I would do this again if I had the choice. My surgery was done by doctor of an NFL team and he said that it is almost 50/50 now in the NFL when choosing between patella and Cadaver.
Surgery: Do pre-op physical therapy. This is where I really skimped and it made it sooo much harder to recover. A week of muscle atrophy takes about a month to recover. Muscles right above the kneed and hamstrings are what take the hit. Trust me, you need to work these out before surgery!
Pain: Surgery sucks. No way around it. You will be basically handicapped entirely for a week (at least in my experience). You will need someone to help you do ordinary tasks. It hurts like hell and was the worst thing I've ever had to go through. But you get through it.
Hope this helps. Good Luck.
There is real evidence to state one is better than the other.
I'm currently 31. I tore my left ACL and meniscus (repaired) in 2009 playing basketball and tore my right ACL and meniscus (bucket tear so not repaired, just cleaned up) in 2011 playing kickball (please no comments!). Both surgeries were done by Dr. Kurt Spindler (Vanderbilt Medical Center), who is one of the very best in the nation. He's had ACL studies published in the New England Journal of Medicine and is a part of the MOON (Multicenter Orthopaedic Outcomes Network) study (link above) that studues ACL injuries. There are 3 other medical centers that work together to compile their data: Washington University in St. Louis, Cleveland Clinic and Ohio State University,
The article states just what he explained to me as to what type of procedure I should have. He asked me if I wanted to stay active and get back to the things I was doing before the injury. I said yes so given my younger age and desires to stay active he advised to use a part of my patella tendon. I've had this done with both knees. The only differences I feel now is due to this type of surgery I have a numb/swelled sensation in my knees when I'm on them. Not that big of a deal but is a bit annoying but since I'm hardly ever kneeling I don't notice it much. If I were older and less active I could have done about any type of surgery I wanted due to my chances of reinjuring were much less. Like the article states, the older and less active you are, surgery type isn't much of a factor but the younger and more active you are you're better off going away from the cadaver.
My friend was going through the same injury in Florida and was going cadaver because of his doctor's advice. I was a bit confused because my doctor was telling me the exact opposite. I had this conversation with Dr. Spindler about my friend and I and he cleared things up. My friend's doctor was telling him what he THOUGHT was best. My doctor, everyting he advised me to do, was backed up by a study they had done so it wasn't just his opinion supporting his beliefs, he had FACTS. Dr. Spindler told me the only reason a doctor would tell young, active individual to get the cadaver is so the surgeon can make more money. The procedure costs are about the same regardless of surgery but the length of surgery varies: surgery takes longer for petella/hamstring because you have to go get the tendon to use vs cadaver surgery in which the cadaver is already sitting there...so over the extent of a day, the surgeon may be able to do one more surgery using all cadavers vs patella/hamstrings and would make more money due to the longer volume of surgeries.
My advice, as well as someone that has done studies on ACL surgeries and chances of retear: get the patella.
Some people are fine without getting the ACL repaired but both instances I never could feel normal. I couldn't run or do anything active even if it were just in a straight line. May be because I'm bigger (about 240 lbs) but after surgery I'm back to normal.
Another interesting study Dr. Spindler conducted: knee braces show no signs of prohibiting ACL tears. Knee braces are designed to keep your knee from buckling out but ACL tears are basically like twisting a towel...which braces don't prohibit this type of motion. You see offensive linemen wear them since they often get rolled up on which helps but a perfect example of knee braces being useless was RGIII. The brace only gives you the thought of stability and safety from tearing your ACL.
I guess that we are just going to have to disagree. I know that there is literature out there stating that using ones own patella is better. There is also plenty of literature stating the opposite. I don’t mean to sound smug, but I was lucky enough to have family connections in the medical world and consulted multiple Professional Team Physicians before my surgery (NFL, MLS…). I was told pretty universally the same thing each time – using ones own patella used to be hands down what was considered the gold standard. Then about 15 years ago things started to shift and using Allograft (donated tissue)started to gain momentum. Fully recovery to 100% form takes a month or two longer, but in the end has almost exactly the same chance re-tearing.
Spero Karas was the MD who performed my surgery (http://www.sperokaras.com/).
I don’t think that you can go wrong with either one, but if I were an older man (I’m 23) I would definitely want the less invasive surgery and would go for the allograft.
Dead people inside me........... not great to think about, but it's not adding more trauma to you. Why weaken yourself if you don't have to.
I find it strange that there would be literature stating cadaver would be better for a young active person than taking ones own tendon when there are studies showing that using your own tendon gives you a better chance of not reinjuring again.
The MOON study is a group of research universities so it's not like they have an agenda either way, they just want to know what is the best and must successful procedure (which in their studies has clearly been using ones own tendon).
Most of the studies noting a difference find age to be the difference in graft success. More evidence is suggesting that under the age of 25-30, autografts (patellar or hamstring) are probably a better choice. At your age of 35, it becomes less clear.
I usually recommend autografts in my younger patients. If I were to tear my ACL at my age of 47 I would have a cadaver graft if I got a reconstruction at all.
Most ACL injuries happen to younger people because they are more active so more data can be compiled for this age group. The fact that there is so much less data for older people is because they just don't have as many of these types of injuries.
My surgeon (Dr. Spindler) showed me the results of the MOON study and charted age (Y) over % of reinjury (X) and graphed cadaver vs using your own tendon and the two curves had more separation at the younger ages and gradually came together as the ages grew older and older. I want to say the percentage between the two types of surgeries was 18% difference but not positive for a younger, active person. Basically no difference in the two for older people.
I wouldn't say a viable reason for doing something is because "that's what they do in the NFL." I was sold with data, not an opinion. Someone in the NFL obviously thought a brace would help RGIII and look what happened to him. If his knee was tweaked to begin with a brace wasn't going to help. This was how I tore my second ACL. I turned and heard a pop during a game, walked it off and had another game the next day and wasn't 100% but wanted to play...5 innings in a routine play and my knee gives out completely erasing all doubt as to whether or not I tore anything.
or you'll be booted to UAB before the weekend is over ...
and you might not have a car to get to the specialist.
Whatever you do, don't go chasing a bad snap or you'll make it worse.
Knee replacement. Titanium > Bones and Tissue
Adamantium > titanium.
Vail Summit Orthopaedics
Lots of great information from people who deal with this all the time
But seriously, I have ACLs done on both knees. Did patella graft on one, and hamstring with the other. Looking back I would have done patella on the other knee too. My hamstring has never been the same since the surgery.
And get surgery. I went two years without surgery on my left knee after tearing my ACL (long story), and really messed it up. Ended up badly tearing my meniscus as well and having to lose a chunk off it. I am fully resigned to arthritis by 40. I just hope they have some awesome replacement knee by then and I can finally be part-transformer :)
But post-surgery has been fine. There are still random aches and pains and the knee never got back to feeling completely normal, but I play sports, can run around, and have no problems with instability or anything else. The rehab is long, and it sucks, but really really push yourself. The key to full recovery and getting your strength back is being diligent about your rehab.
Have surgery, rehab, rush for 2000 yards.
Thanks everyone, incredibly useful info. MGoRescue!!!
Make sure you consult with us again before making a final decision. Good luck sir.
And do the best job rehabbing that you humanly can. I got one repaired in high school and the other one repaired in college in '02. I did a much better job rehabbing the second, and I can still tell the difference with ease today.
I tore my ACL and virtually every other ligament in my knee two years ago skiing, so I feel your pain. I had surgery and I am still not 100%. Whatever choice you make, rehab like crazy but don't over do it. I wish you a speedy recovery.
Did it hurt?
Hurt some, but mostly my pride
1. Set out the rest of the season
2. Get a fresh new high top fade.
3. Declare for the NBA draft.
I tore mine at 41 (6 years ago).I haven't had it repaired but have been able to run, snowboard, do squats, and surf since then. I suck at all of those activities, but I'm able to do them without an ACL.
Contact Adrain Peterson for more info...
I tore my PCL,MCL,ACL and my Patellar Tendon at the same time when I was 22, 6 knee surgeries later and it still isn't right.
how the heck did you do that?
I used to treat soldiers at Fort Benning. Nice jump school injury, their leg gets caught up in the cord. ACL, PCL, MCL, and med/lat meniscus. That was a sucky injury. Basically ended their careers.
I tore mine at age 31. I had no cartilage damage, went with the hamstring graft and had a great experience. 24 hours after surgery bent my knee flat to 90 degrees. On a bike the next day, jogging lightly in a straight line 6 weeks later.
It did take 18 months for my hamstring to recover but it never hurt, it was just weaker. And you can't start rehabbing your hamstring until after the 6 weeks so since I was done with rehab by then I never really did anything to strengthen it.
Knee itself feels as good as new and doctor said its 3 x stronger than my native ACL. Good luck!
I had a friend who partially tore it senior year of college. He was given the same advice: wait for the swelling to go down, see a specialist, and then get an mri. He tried playing basketball a couple weeks later and injured it again. Opted for surgery but after be made a trip to India. When he was hiking there it was a bitch cause of the elevation changes and going downhill and all. He ended up having to sit a bunch of his planned activities out. Reaffirmed his desire to have the surgery. Really depends on what the doc says and how active you want to be. Rehab was tough but he had a netflix so that helps.
I've torn my ACL twice and went to two different doctors. The first doctor used my hamstring and it didn't take in my knee. The second one used my patellar tendon and had a completely different method of therapy. I was back to competitively playing high school golf and shooting low 40's, a month and a half after surgery. The second doctor is Dr. Shelbourne out of Indy and used to be the team surgeon for the colts and I think does the surgeries for Purdue and other teams as well. I'd highly recommend him
Do the surgery, follow the doctor's instructions. If they tell you not to walk on it, then don't. Do the PT, do your exercises at home.
Shower the morning before surgery, because you may not be able to for a few weeks after. (that really sucked...)
As soon as you can after surgery, get Vitamin E gel caps. Pop (as in break open) one a day and smear it all over your incision. My doc couldn't believe how fast my incision healed and how good it looked. Oh, and if you don't want a scar (minimize it anyway), keep the incision out of the sun as long as you can.
You're going to build up scar tissue from inactivity, so when there's a terrible ripping noise in PT after the surgery, don't freak.
Don't rush the PT after the fact or you'll get tendonitis and back to crutches you go.
Hopefully your tear won't be as bad as mine was, I was on crutches for like a year. :( Anyway, there's a summary of my ACL tear experience. Good luck!
I had two ACL surgeries; my right knee at UM at age 19 and my left knee in Chicago at age 25. I had the patellar tendon repair on both knees and currently have zero pain and am fully active. That's the way to go if you want to continue being mobile (basketball, skiing, similar cutting sports). Usually you are ready for activity 6 months after surgery, usually you start physical therapy immediately after surgery
Dr. Bruce Miller at the university of Michigan hospital was excellent. Harvard MD and under graduate, he's the head team physician for the hockey team I believe.
I currently live in Chicago and Dr. Bach operated on my other knee.
and didn't know it. I was transported down the mountain, and after a few weeks on crutches, I got better and had it checked by the same ortho who did Bo Jackson's hip. He found my knee to be stable and to continue my rehab- if it worsened I would get an MRI and possibly have it scoped. Within 5-6 months I was almost normal (just some discomfort on deep knee bends) and within 9 months it was completely normal. I ran marathons, played squash, skiied, cycled, etc. without a problem for nearly 17 years. Cycling in particular (I ride centuries) probably stabilized my knee so that I didn't know I had ruptured my ACL.
Two years ago I slipped on some ice and felt something pull in my knee- it hurt like hell, but I walked it off- it didn't swell, and I went skiing the next day without any problem. BUT, I started having these little "incidents" with my knee, and eventually it worsened to the point where I had an MRI and it was "hey, did you know you have an old, total ACL rupture?" It continued to worsen, and I had the reconstruction surgery. I chose a cadaver graft because a) I am over 50 b) I am not a high-level football or basketball player. Cadaver graft has a much faster and less painful recovery.
It was the best thing I ever did- I had to give up running, but I now spend more time cycling. It was also the impetus to drop 30 lbs (better to avoid a total knee sometime in the future).
It really depends on how your knee is, and it's too soon to tell. If it is at all unstable, get the surgery because with an unstable knee you run the risk of further damage to the menicus and collateral ligaments. Cadaver vs autograft is a decision best made between you and your orthopedist. There are arguments either way. If I were Blake Countess I would absolutely have chosen an autograft.
I didn't read all the posts but' I'm an orthopaedic surgeon who specializes in sports med. Typically an active 35 yo would get the ACL reconstructed. Under 40 I still recommend using an autograft. Cadaver could be an option however there is a higher failure rate under 40. Unless you are a professional football player, there is essentially no diference in hamstring vs BTB in terms of outcome. They each have their advantages and disadvantages. Some surgeons have a preference based on their skills or outcomes. I personally do whatever the patients wants after they have all the information. I also send all patients to "prehab" prior to surgery to relieve swelling, gain full range of motion and strength. This is essential to a good outcome. Good luck. If you are in Ann Arbor, Bruce Miller is excellent.
I agree with the above Dr. I work with the Andrews institute in Pensacola Florida as an Orthopedic Consultant. We work with all types of Athletes.
I would encourage you to repair it at your age.
You are active and have many years ahead of you.
Next to full recovery would be expected.
Dr. Ostrander and Dr. Andrews are top notch. If you're in the panhandle region.
Best of luck to you.
For your services! Andrews and Fleisig (sp?) have been a tremendous asset to baseball pitchers everywhere.
No, unfortunately I the Bay Area
I tore my ACL (same knee) twice. Both times I went with the allograft repair. The first time after 2 1/2 years the allograft failed while I was playing casual coed beach volleyball. I was beyond shocked and in disbelief as I did nothing that should have torn it. I jumped up to hit the ball, came down square and felt something "wrong" with my knee. I didn't twist it, land funny or torque my knee in any way. Up until it tore again, it felt great.
The results of the second allograft have been very disappointing. I don't want a third surgery so I am dealing with it.
Not sure if you recall, the ex Purdue coach pulled a scholarship offer from a kid very close to signing day a couple of years ago after they discovered he had the ACL repaired with an allograft. They said studies and their experience indicated allografts had a much higher failure rate.
After living through this I would definitely agree and NEVER recommend any go with the allograft.
Hope this helps and your recovery goes well.
hamstring for his ACL reconstruction. but that was because he's still growing. otherwise they would have repaired using the patella tendon.
four month recovery time for the patella tendon version.
I just had a torn meniscus repaired by a great sports med guy specializing in knees. Couldn't be happier with Lawrence Lieber of M&M Orthapedics (and played hockey with one of his partner's sons, which is the referral I went by).
Curse the fact you didn't declare for the NFL draft when you could have.
seriously, good luck with the recovery
Fax in your letter of intent to play quarterback at Purdue.
Ha, it is an absolutely true story, enough people on MGo know me personally so that I would not make it up. Right now sitting in the apartment while the rest of the group went out skiing and trying to get a better sit on the flight back. It was a pretty funny thread but honestly I also got a lot of info/things to ask the doctor about.
Did mine many years ago skiing as well. My doc had me do a few months of rehab before the surgery to strengthen the muscles around the knee and let the swelling subside, then they cut me open and it was back to square one. I opted for hamstring graft which the doc really preferred over both the patella tendon repair and cadaver graft. His reasoning was cadaver was the least amount of rehab but most likely to have problems (your body could reject it, it could loosen over time and tear, etc.), and the patella option could leave you with problems bending the knee or putting pressure on the knee (squatting or being on your knees playing with kids) as you get older. That was a big concern for me as i was about to start a family when it happened. Downside to hamstring is you have to rehab 2 parts of your leg as taking the graft really messes up your hamstring and obviously your knee is wrecked so rehab is longer and harder but I'm 100% now so can't complain. Took 2 years for me to get there, though. Keep that in mind.
You are in for a rough 6 months but you'll likely be 95-100% once all said and done if you are committed to the rehab. Good luck and Godspeed.
Valentine's Day was 8 months post-op for me. Tore my ACL and meniscus last February playing basketball. Initially didnt think much of it and about 6 weeks later after the swelling resided I was back playing basketball until I landed with all my weight on it and it gave out again. MRI revealed the damage and I opted for surgery.
My doctor recommended the patella graft so that's the route we took. Im only 29 and still pretty active so it was the best choice. Biggest advice I can give is to stay diligent on the rehab. I only went to PT twice a week, but each visit they gave me exercises to do at home and I kept to a strict 3-times daily routine of rehab at home. After two months I was nearly back to 100% full range of motion and just had to work on strenthening my leg muscles. I didnt do any 'prehab' (doctor never mentioned it so maybe he didnt think it was necessary) but looking back I wish I would have now. The amount of muscle lost through atrophy is incredible.
So far no issues. Started playing bball again about a month ago. Just taking it slow and half-ass guarding guys in pick up ball but it feels good to be back out there. Few downsides to the patella option are the numbness you get on the outer part of the knee due to the nerves being cut when they slice you open to take the patella tendon. Also, it's hard to put pressure/kneel on that knee. Just feels really weird and it probably something I will have to get used to over time. Doctor said it may go away, it may not.
The first few weeks will be the hardest, after that you will start to notice daily improvements and see your rehab paying off. Good luck!