Scott 5A hypothetical guide to knee reconstructions...
August 14th 2006 03:28
From whoa! to go! A hold-your-hand guide to a common sporting injury - the dreaded knee reco!
You’re blazing across the Telstra Dome turf. Adrenaline surges through your body as you gather the loose ball and prepare to kick long into attack. You take a bounce, soon another, then, like so many times before, drop the ball onto your boot. But a moment before contact is made a bone-crunching tackle forces you sideways.
Your body snaps towards the ground, but your left leg remains firm. Plummeting towards the grass, tension skyrockets in your left knee. You fall further, but the studs in your boot hold firm.
‘POP’ – The stress vanishes. Your left knee buckles under the weight of your body. The anterior cruciate ligament that separates your tibia and femur bones has just ruptured… Audibly.
The crowd descends into silence as you writhe in pain. The game is halted; a doctor shoves a morphine whistle into your mouth and helps coax your body onto a stretcher. It must be bad – even the opposition supporters are cheering you from the ground.
So, you’ve ruptured your ACL? Don’t despair; there are plenty of options.
1. Retire from the game.
2. Have reconstruction surgery.
You’re only how old? Be optimistic! The younger you are the greater chance you have of recovering from surgery without complication and being a spring chicken also decreases your chances of contracting osteoarthritis.
The first few days after the injury are amongst the most debilitating. Pain and swelling seem endless, as days and nights blur into a 24-hour clock of agony. Remember PRICE.
Protect:
Guard your knee with your life, prevent any further trauma.
Rest:
Unless you’re going to see a medial practitioner, stay off your feet.
Ice:
Give your ruptured ligament a gift.
Compression:
Firm bandaging can prevent and relieve swelling.
Elevation:
Keep your knee above your heart.
Don’t forget HEAT either!
Heat:
Keep the knee cool. Heat therapy comes much, much later.
Exertion:
Try to keep your heart rate down.
Alcohol:
Let’s not get too technical, but stay away from the booze!
Testing:
Restrain yourself from discovering ‘how bad’ it is, you’ll soon find out!
So, you’ve reached rock-bottom. For the moment, your football career is on hold, the media coverage has vanished and you’re left to face the consequence of pursuing a risk versus reward sport. But don’t worry, it gets worse.
Come back tomorrow to discover that your ACL is not the only ligament damaged and start the lengthy diagnosis process!
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Comment by jon
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Comment by Anonymous
i think its something like only 20% play more than 100 games...???
AFL players train between 1000-1400 hours a year and take more than 600 collisions over a four year period... so serious injuries will occur. the speed of the game is a worry.
But is soccer safer? surely ACL injuries etc are almost in bad in soccer? those guys change direction about as much as AFL players?
Any soccer fans want to comment?
Comment by Anonymous
Comment by Anonymous
Recently dislocating my own knee and tearing my left medial ligament, I know the exact pain and agony which so few of us experience.
The point of pain, follwed by your leg feeling as heavy as lead, to the point of shock where nothing hurts anymore you body juts in shock, but no tears.
The onset of ambulances rides, hospital admissions, crutches, pain killers, x-rays, bandanges and physio is only the beginning.
However being told by the nurse I had done the same injury of many footballers like this one, and that childbirth would be easy from now on... i never thought i'd ever say this but i'd rather childbirth than a knee injury any day.
Comment by jon
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Comment by Anonymous
on the same court three weeks later someone collided with me in the air and fell on their neck awkwardly and when we left the person was in a neck brace sucking a pain-whistle.
i ended up stopping playing, netball is dangerous. never seen an ACL injury tho.
Comment by jon
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Comment by Anonymous
it's not as good as the IV stuff, that is delivered into the blood within 3-5 seconds, but the whistles take the edge off any serious trauma.
used a lot in patient transport these days, because the amount of morphine can easily be regulated by the attending medic.
im not a junkie i just know about them. matt mcguire from st kilda used one when he broke his leg. notice how as soon as he got going on it he started waving to the crowd etc?
good ol' morphine!
Comment by Glen Atwell
Computer Game
Has anyone out there had a knee reconstruction? Care to share?
Comment by Anonymous
i twisted my knee on landing so bad i cracked my fibula,completely tore my acl,partially tore my medial meniscus and have torn cartilage throughout my knee.the guys on the sideline said the screams coming out of me were spine chilling!!!
Had to wait 6 weeks for the sweeling to go down to get a full diagnosis.
I just wanna get the op over and done with and get on the road to recovery!!!
Comment by Glen Atwell
Computer Game
Wow! Thanks for sharing your trauma... I mean story!
How did it happen? Sounds like sport?
I havn't heard of cracking a fibula during an ACL rupture. I imagine it would make things a little more complicated during recovery and pre-op physio.
I'm three weeks post-op ACL/medial meniscus surgery, so if you have any questions or doubts just post them on Sport Talk!
Good luck and hope to see you again on Sport Talk soon!
Comment by Anonymous
I went up for a reception and got hit early in the back and as i landed my my knee twisted and just as i planted
my leg i got tackled.The guys helmet hit me on the fibula and as my knee was already twisting and planted it just blew
it straight through if you know what i mean?
it was the most horrible pain i could ever imagine
Comment by Anonymous
Comment by Glen Atwell
Computer Game
Welcome to Sport Talk.
Interesting question... To help answer, I need some more information.
What graft is being used?
What date are you flying? Big difference between say 23 December and 27 December.
Post some more info up and we'll try to help!
Don't be scared to talk about how everything happened and how you are feeling!
Comment by Anonymous
so playing lots of sports could have contributed to this happening, but the actual pop came during a soccer game, when the ball was at the other end of the field... lesson? don't think it's just a contact injury.
Comment by Anonymous
I have already had 2 knee constructiosn and may need yet another one. I must tell everyone out there that I had lots of time between my recos, and although the two I have had on are the same knee, they are totally un-related. I went back to playing competitive basketball and netball for 4 years until unexpected contact caused it to go again. This time 3 years later i have hurt the other knee due to an unexpected hip-and-shouldered (Aussies wil know what I mean) on the netball court and appear to have bounced off the guy and my knee was the first place my body bent sideways. I am able to hperextend all my ligaments, which does make the normal seem unsusal for me.
For the first two I have had hamstring tendons used, but as I dont have anymore to donate to the cause, wondering if anyone out there has had the patella tendon graft and what their experiences are/were. Ie is the knee cap stable and all that jazz.
If anyone wanted advice on recos, just make sure you listen and trust your physio, doc adn surgeon and dont listen to anyone else. And make sure you work really hard to get your body back in tothe best condition you can!
Comment by Glen Atwell
Computer Game
I had a patella tendon grafted (I've only had one reco) and I've had no real troubles to date.
The only real pain in the bum (especially for potential mothers) is the inability to kneel down comfortably (even two years after surgery).
The knee cap is stable, and provided you do some good strenghtening before and after the op (stationary bike and elliptical cross trainer) you'll be right.
I haven't gone back to competitive sport, I only played socially (mixed netball) so I don't think it's worth the risk. I'll stick to tennis and running in a straight line!
Hope your next reco goes well. Feel free to post on here! I'll keep writing back
Glen
Comment by Anonymous
Im two weeks post ACL reco...did it playing Aussie Rules.
For those that have been through it all before can you please let me know at what point you could swim, cycle and run?
Also - how long before i can walk without any discomfort?
Thanks
Comment by Glen Atwell
Computer Game
Don't overdo it! That's probably the best advice I can give you.
Stationary cycling is probably the first achievable goal, but don't even consider it for at least another two or three weeks.
Swimming could happen two or three months post op, and running probably four. It's all about how you feel.
Initially, learn to walk with your brace on, and just let the graft settle. Given that total healing takes over 12 months, most likely 18, you certainly don't want to push it.
I'm two years post op, and still have some slight discomfort every now and again.
You'll be back playing football within a year, but only if you respect the injury and the graft in the first six months.
Comment by Anonymous
I have had my third reco now and the patella graft seems to be the best one I've had so far (given its only been 13days I can't exactly confirm this) I had no pain at all after the surgery which has helped me get back to work etc very early on.
TO the latest guy with the reco questions, take Glen's advise (and mine) and dont over do it. You may get back to the pool a couple of weeks after the op, but you can't do lap swimming for months. You try to walk better without the brace, bend you knee, do squats, a bit of strength work on your legs etc. And doing all this in the water helps to take the weight off it.
BUT you must NOT kick you leg. As my surgeon said - no open chain work. which means, dont do exercises where the foot it not grounded so you dont get any side-way movement of your foot which can stuff the graft.
Comment by Anonymous
Its sounds as if I just need to be patient - something that doesnt come easily to me. It also looks as though im going to be losing a fair bit of fitness over the next few months - at least pre-op I was swimming (will a pull bouy).
For those of you involved in kicking sports - how have you found kicking a football/soccer ball goes when you return to the game?
Thanks again.
Comment by Anonymous
You will get quite unfit in the first couple of months of the rehab, but just make sure you work hard on the things the physio tells you to do.Once you have full knee motion, you should be able to run in the water (in the deep end where you can't touch the bottom) which does help with the fitness levels. My physio has a hydro pool which you attach a rope around your waist which means you aren't actually moving along the pool but just running in the same spot.
Comment by Anonymous
My surgeon told me that my tendons and the rest of my ligaments in my knee are in perfect condition and the muscles in my hamstring and quads are the best they could be. "At least i know my body and everything else is in perfect condition".
I played for the Perth Demon colts in western Australia and i wish to get back to that level and further as soon as possible.
My question is, after my rehab and everything else, will i be able to play football like i did before i had the injury?
Football has been my passion since i was very young, and i dont want to lose my goal of reaching the afl level to a knee injury. Could someone please answer my question?
Thanks again.
Comment by Glen Atwell
Computer Game
thanks for sharing your story. don't stress! you'll be back on the football field, fighting fit, within 12 months.
i'm two years post-op and have had little trouble. i almost blew it playing netball the other night, heard a pop, but thankfully it must have been just a ligament rolling or some old scar tissue!
you'll have good days, bad days and ok day. the thing to remember is take your time.
don't rush your recovery. football will always be there, so take your time. don't set deadlines, just approach each day with an open mind.
you had no trauma associated with your rupture. i was hit by a car, so had a bit of assoicated damage to other parts of my knee.
follow the surgeon instructions, and make sure you are doing physio TWICE a week for AT LEAST 10 WEEKS after surgery.
this will help immensely.
feel free to post here anytime for further discussion.
Glen.
Comment by Anonymous
Im 3 months post-op. A couple of weeks post op I remember thinking 'will this ever get better', as I was in a fair bit of pain. Glen is right, some days are alot better than others, you just need to stay positive and be patient.
Over the last month the improvement has been excellent and im now positive that it will get better...hopefully in time for the start of the 09 season.
The hardest part is to keep weight off. Its hard when your around a footy club - but try your best to limit your drinking...because for the first 8 weeks theres not alot exercise to do. Im now riding a bike, swimming and on the cross trainer daily...and dont think ive lost too much conditioning. Ive seen other ppl put on a bit of weight with this injury and it makes coming back to footy a bit harder.
Comment by Marley
I suffer alot less pain then what i did a few days post-op, hopefully the weeks past by quickly with no problems and exercise can be something i can do once again. The thought of running back onto the footy field on the first match is a bit daunting but im sure i will do fine, with the courage to once again twist the knee when everying is ready and good to go.
Thanks for the comments, i really appreciate it. (Greatly)
Comment by Anonymous
I am pretty sure i have done my knee in soccer about 4 mths ago when i tried to stretch my right leg out to my front right then instantly the pain was so bad that i had to crawl out. It was swollen up real bad after that. The pain stayed for about 3 mths before I was able to run again. But now when twice in the last 4 weeks I played tennis, with a simple action, I can hear my knee pop and a shot of huge pain.
I am so afraid of the inevitable often heard of only professional AFL players get ACL or need knee reconstructions but now I might definately be faced with this fate. I am just a weekend type of athlete. It seems so unreal.
I am from Melb. and would like to ask for a recommendation of a good Orthopaedic surgeon. I do have private insurance.
Secondly, would I need to be referred to a Physician first to get diagnose first or a scan before proceeding to see a surgeon?
I am so worried b/c i have a 1 yr old son and my wife is 3 mths pregnant. I 've read on many sites that it takes 3 or 4 weeks on crutches then 4 - 6 mths before I can run/tennis again. But the most worry is would i be able to carry my 1 yr old around or drive as soon as 2 weeks after the surgery.
This can be a mess as I can not help my pregnant wife.
Any help is appreciated.
Comment by Anonymous
Its very difficult to drive with a knee brace on. I had a brace on that went from my hip to ankle ( I am small though only 5ft 2), but highly doubt you can drive with that on your right leg. My brace had no ability to bend when it was on. You may need to talk to a surgeon about your options, and you recovery will depend on the type and amount of damage you have sustained.
From my recent knee reco (I am 3 months post op), I was on crutches for about 1 and half weeks, then only used them when I got tired at work. I was back at work within 2 weeks, but unable to drive a car for the first 8 weeks due to the brace. The driving a car bit is really up the individual's progress. I was very scared of not being able to respond to an accident situation, so it took me a bit longer to drive. After my second reco I was driving an auto after 6 weeks, and it was my right leg.
Given its almost footy season also, the surgery times are most likely to be pretty booked up soon. In Geelong its about 2 weeks usually before you even see the surgeon, then they might want MRIs, XRAYs etc, then you go back to them, then you can book a surgery date. So it might be a while before you can even get in to have your surgery.
My mum had her knee reconstructed (yes it runs in the family) when I was about 4, I had two older brothers (6 and 8 at the time) so she was able to get them to help her out as my dad worked night shift.
Comment by Glen Atwell
Computer Game
Thanks for sharing your story on Sport Talk. As you can read, you're not alone!
You should be looking forward to being diagnosed and getting on the road to recovery! It may be a long road, but it is certainly better than living in pain and fear.
From your description, it sounds like you may have ruptured your MCL, or possibly both your MCL and ACL.
From personal experience Ton Tran is a great surgeon. He has a clinic in Bundoora and near Waverley Gardens.
You'll need a referral from your local GP to see an orthopaedic surgeon and will most likely undergo an MRI scan before any operation.
Three to four weeks on crutches may sound a long time, but this is relative considering the lengthy period of recovery. Don't stress yet though.
Get to a GP, see a surgeon, have a scan and get the information in front of you.
If you need some advice along the way, post a comment here
Glen.
Comment by Anonymous JC
now 4 months on i am going under the knife in 3 weeks, scared? no, worried about the pain? no. the only thing i want is to be able to run, jump and play again.
if anybody has any advice on quick recovaries please do tell. also in comparrison to when you do it, how is the pain after the operation??
Thanks for reading
Comment by Anonymous
Thanks for your supporting comment. Yes the long rehabilitation is what scare me most but i guess that is the only way to ensure successful healing.
I am booked in this Monday with Orthopaedic Peter Fuller in Ashwood but most likely I might need a second opinion from Ton Tran as judging from his name i am from the same country.
Will keep you all update.
Cheers,
Vinh
Comment by Glen Atwell
Computer Game
JC - The biggest advantage you have is your age. It may seem a cruel curse to rupture your ACL at 16, but if it is ever going to happen, better now than later.
You'll be fully weight bearing (in a brace, of course) within 24 hours of surgery, and you'll be walking and moving freely within a month.
Post-op pain is nothing to worry about. Your surgeon will administer a strong anesthetic into the nerve below your hip just before the operation ends.
When you leave hospital, you'll be prescribed a codeine-based drug to help ease you through.
Pain is great indicator of 'over-doing it'. Keep that in mind.
Vinh - The prospect of a long rehab program can look scary, but you'll find yourself enjoying it! The healing process is quickened with quality rehab, so look forward to it!
A good question to ask all surgeons is 'how many ACL reconstructions have you performed?' You're looking for someone with a solid history of successful operations.
Ask whether they'll take the patella tendon or a hamstring graft. Then do some of your own research to evaluate the options.
Patella tendons are stronger than hamstring grafts, but be warned; don't expect to kneel comfortably ever again without your patella!
I had my patella taken and kneeling is impossible. The sensation is hard to describe, a mixture of subtle pain and floating on your knee cap.
Good luck and keep us posted!
Glen.
Comment by Anonymous
You sort of make me feel a little better but still unlike JC, I am 38 yrs old, feeling sort of like i am losing another valuable year of my life.
I am determined so hopefully like you suggested here, the process won't be as daunting.
Yes, i love gardening as i get into my late 30s. In fact when i am not golfing and playing tennis, i found myself potting around the backyard. So i think i will request the surgeon to use my ham string instead of the Patella.
The Physio told me this Orthopaedic guy is specialized in sport injury so hopefully that is correct. Sometimes i feel like i offend the surgeon if i directly ask them for a reference of a few people they did recently.
However, past experiences it pays to search around for a proper one. My Pneumothorax lung surgery was a horrible experience at the public Dandenong hospital 9 yrs ago. But my Atrium Septic Defect heart surgery at Epworth Richmond was great. May be it has something to do with private health insurance.
Anyway I digress here, i hope all who are unfortunate like me will be recovering fast and even stronger than before
Cheers,
Vinh
Comment by Glen Atwell
Computer Game
If you have had an experience at Dandenong Hospital, you're not alone!
I live close to Dandenong and work for a newspaper group that covers the area - and I've heard plenty about that place!
It's great that your physio has a high opinion of this surgeon, very reassuring. A reputable surgeon will be happy to discuss their experience. Successful ACL reconstructions are like trophies to surgeons! So they are keen to share their work!
But I do understand the feeling of asking, and I guess if you have a good feeling about a surgeon, a gut instinct, then you'll probably be right!
Gardening may be an issue with your kneecap and the hamstring graft might be the way to go. You're not playing contact sport, so the initial strength that a patella graft offers isn't so important.
Women of child bearing age always avoid the patella graft because of their need to kneel. I guess gardeners are the same!
Glen.
Comment by Nutmeg
I'm just wondering (all you fellow ACL's out there) whether people know of anyone going back to high level contact sport after two recos on the same knee at the age of 27 (which is how old I'll be by the time I can get back on the field) I had my first reco at 22, 3 years of issue-free rugby (including a test match for the Wallaroos). I guess I just want a bit of hope that it isn't the end of all sport for me.
Comment by Glen Atwell
Computer Game
Bad luck about the graft. I guess the likelihood of getting back to full contact sport is more a mental issue than anything else.
Physically, the new graft will be as strong, if not stronger, than the first ACLR. But whether or not you want to 'chance' the new graft is up to you.
I played social contact sport before my surgery, but scrapped that afterwards. I found other sports to play that were just as enjoyable.
But it sounds as though rugby is one of the most important and enjoyable parts of your life. If so, then play it by ear (or by knee) and see how your recovery tracks after the operation.
At 27, you're well and truly young enough to return, no doubt about that, but you'll run the risk (just like everyone else playing rugby) that it might go again.
Hope this helps.
Glen.
Comment by Anonymous jc
does any1 know whats the problem/repacutions if u have a tiny as cut or a cold when u go under the knife??
i cant wait to be better, or on the road to better... still concerned about the pain a bit. but never the less talk soon guys
Comment by Glen Atwell
Computer Game
Not sure about a cut/pimple? Why will it delay surgery? Infection risk?
Let's hope your operation goes ahead and I'm sure it will be a success!
Glen.
Comment by Anonymous jc
every1 asks if i am scared but i aint, i am wondering if i should be and if so when will i be?
Comment by Glen Atwell
Computer Game
This is most certainly normal, and even expected!
I almost passed out when I saw my drip thing get inserted into my arm!
The surgeon's assistant will probably shave some hair off your knee/leg while your waiting, this can feel a little weird too.
Glen
Comment by Anonymous jc
Comment by Marley
Jc my knee reconstruction was my first ever operation in my entire life and iam 18 years of age. I was quite nervous and a little scared at the time, but the nurses and anesthetists are very kind people and they will talk to you and just get you to calm down. I remember when i was laying there getting my drip and nerves blocked they were just making jokes and talking to me just to get me to calm down.
They will be with you every step of the way JC so dont think you are alone. On the day just think positive, and the operation is usually for 1hr to 1 and a half hours. You will be fine, i assure you that.
I would just like to say, goodluck with your surgery and hope for a successful and prosperous recovery.
Please, let us know how it all went when you get out of hospital. I am eager to know.
Marley
Comment by NightOwl
Hope you are recovering well after your surgeries.
I'm due for an ACL reconstruction that also includes repairing a meniscus tear. Just have a few questions that id really appreciate advise on:
* Which is a better graft.. patella or hamstring? for the people who have had to do more than one op, which grafts had failed?
How much pain does the patella one produce when bending, and does it get minimised over time?
* Does anyone have a surgeon they particularly recommend?
* i heard anesthesia would not only involve general anesthetic but a local one in the groin.. or does that mean just under the hip but not directly..? ahem lol
* have any of you had complications with blood clots?
thanks heaps!
Comment by Nutmeg
I had a lot of trouble getting bend into my knee, however my extension was very good - my sister had the reverse problem, bending fine, extension no good. The pain kneeling on the patella improves but I found that when I was fatigued, kneeling was very painful, even years after the surgery.
not sure about the anaesthesia question...
I've had no complications with blood clots - I had a fantastic rehab physio who also helped me avoid tendonitis.
Comment by Anonymous jc
Comment by Glen Atwell
Computer Game
I've had a patella graft and aside from not being able to kneel down, I've had no real related pain. If I work my knee for three or four days straight, I get a little pain, but I think this is cartlidge problems more than graft.
Your surgeon will advise the best graft to take.
JC: Hi mate, glad to hear the op went well. How long were you in the hospital for? You're making fast progress, that sounds great! Just make sure you don't overdo it, there is plenty of time. Good to hear the pain was minimal, reduces stress big time!
Keep us updated and keep listening to your body to make sure you're not overdoing it.
Comment by NightOwl
thanks for the responses. hope you are all doing well..
Nutmeg... how long since you had your reconstruction done did u snap it again?
Atwell: when did u get yours done? glad it went well.
im in sydney and have heard that merv cross has been working in this field for 30 yrs and does lots of professional athletes. has anyone had theirs done by merv and if so how did it go?
its good to hear the pain is not that bad when u have the patella reco. i was worried that since i have a bad tear of the meniscus, taking a tendon from the kneecap would put lots more stress on the knee
JC: glad it went well for u!
Comment by Anonymous jc
anyone see that player for geelong today do his right acl, looked bad. then robert harvey slid in and tackeled... poor guy
Comment by Glen Atwell
Computer Game
I had my knee done two years ago and have had little problems. I remember the morning after my operation, the nurse / physio forced me to walk across the room.
It's amazing how techniques have changed.
Even five or six years ago, patients were in a plaster cast from toe to hip for eight weeks!
JC, you'll come to realise that nothing is really normal when it comes to getting better. go at your own pace, if it feels good enough to walk on, then go for it!
I remember my first big rehab moment was after I had the brace off, and did a straight-leg raise on the couch. gee it felt good!
Comment by PW
An old mate I used to play soccer with, Stu Reily did my knee. He was fantastic.
Had the total recon in Feb, so just over 6 months ago. But still a bit sore to walk on. I can run at about 3/4 pace. If I try and run flat out, I can't walk the next day. Was hoping to get back to cricket this summer, but that feeling a long shot at the moment.
My only real problem now is the soreness (is that normal after 6 months?) and walking like my old man when I get out of a chair.
I cant stress enough for you guys just getting it done to do your physio. Not only at the physio's rooms, but at home as well. I coached my 14 yr old soccer team and my 16 yr old rugby team this winter so I at least would keep some sort of fitness which is really important.
Also, dont get sucked into kicking a footy around. The worst possible thing you can do (as I have found out). As your physio will say, 'Dont brake the chain!"
Comment by Nutmeg
I had three years/2.5 seasons of pain free, issue free rugby before the graft snapped. In that time, I even managed to get selected in the national team, so it didn't have a massively negative affect on my speed or performance.
Just got my surgery date - Oct 7 and it's gonna be a hamstring this time. AAARRGGH just wanna get it done and start rehabbing!
I saw that Prismall guy go down - I hate seeing that, even though I'm not a Geelong supporter. We all know how awful it is!
Comment by Anonymous
I have finally done my ACL surgery. It is exactly 2 weeks now. Lucky enough I decided to contact an old school friend for a second opinion, who is working as an assistance surgeon for Tim WhiteHead at OrthSport Epworth hospital. Within a week i was booked in and the operation was a great success. They took a piece of my hamstring for my ACL. I found that they used arthroscopy technique instead of cut open my knee.
I felt lot of pain the day after the surgery when all the pain killer has eventually evaporated. The doctor gave me Panadol and Endone. I found that i needed to take 2 Panadol almost every 4 hours for 5 days. I was able to limb around without my crutches after 3 days. I am now at the end of my second week. I can bend my knee about 50% and straighten it almost 80%. I sometimes take 2 Panadols at night to get rid of the pain. May be because i move around too much during the day.
I am so glad that it is out of the way now. All i have to do is to follow the Physiotherapist advices. I am booked in to see my surgeon tomorrow for a post operation check up. I hope he will say all is great.
I now can share the same feeling as all those who have been through an ACL. It is so frustrating to be confined sitting down all days. Especially watching the U.S open getting me all excited to be out there running about not only enjoying the game but to stay in shape.
Other thing i forgot is that I have been driving my family around after 1 week. However, the worst part is getting in and out of tight spot because i have to be very careful. The side effect is at night it is a bit painful.
Hope all those who will have the surgery will recover fast.
Cheers,
Vinh
Comment by Marley
Glad to hear it all went well.
All i can say is Welcome to the ACL Bandwagon.
I am now 1 month and 3 weeks post op.
The first month is the most difficult time. There is little you can do and you have to be oh so careful with everything you do.
Just keep an open mind and do your exercises and dont push yourself to much. You have along time ahead of you.
Good Luck with your rehab and hope all goes well.
Marley.
Comment by NightOwl
Just out of interest, will u do the reco with the same surgeon u had originally?
Is there are reason why you decided on hamstring this time instead of patella? 2 of the best syd surgeons prefer different methods so its doing my head in trying to decide which one to choose.
From all ive read, apparently patella graft is a bit stronger, but the knee is less flexible and theres more pain using this graft. how bad is the pain when kneeling etc?
Comment by Nutmeg
I've got a different surgeon to last time, it was organised through a different doctor and she managed to get my appointment time bumped up and stuff (he's one of the official surgeons for the Australian Rugby Union so I get priority YAY).
The reason I'm getting no patella graft - there's no patella in that knee anymore, so if I wanted patella it would either have to be a transplant OR taken from the other knee. This particular surgeon favours hamstrings for (insert reason here). From what I can tell, it doesn't make a huge amount of difference, though the patella graft is 'supposedly' stronger. The pain when kneeling isn't too bad if the leg is well warmed up, but I found that when I was fatigued, kneeling absolutely caned.
Comment by Anonymous jc
Comment by NightOwl
im hoping since im considering the most well known knee surgeon, who favours patella reco, that it will be less painful due to his extensive experience.
the other most popular syd surgeon also works with some sports legends but favours the hamstring graft.
Does the missing part of patella thats used ever grow back? possibly be strengthened in time?
Anyone know if osteoarthritis is increased with a particular choice of graft?
thanks
Nightowl
Comment by Anonymous Jc (again)
cant wait to get back into sport, might be able to play the last 2 or 3 games of cricket (3 months away) since its non-contact...
Comment by Vinh
Surgeon recommend after 3 mth can start light 10mins jogging but i feel i can go back to normal running. Better not risk it i thought.
The physio exercises are not tough but it seems so boring, like 4 set of 20 squatting, then lie back with knee lifting body etc..
Anyway, wish you unlucky guys with ACL to be done a fast and successful recovery. Also to those like me post op a speedy one and don't be tempted to go back to early.
Cheers,
Vinh
Comment by Glen Atwell
Computer Game
Comment by Marley
My physio and progress is going great, i have 1 more physio appointment then i'm finished.
On December 3rd i will see my surgeon and assess whether i can play footy next season, which is awesome news.
Take care all.
I'm wishing you all the luck you need.
Comment by Anonymous
Just wondering if anybody out there has had the LARS synthetic ligament knee reconstruction, as i have. I had the surgery just over a week ago, on my twentieth birthday, yeah, happy birthday i know.
I completely tore my ACL 6 months before hand playing indoor soccer. I had actually recovered to the point that i was playing again, however my knee was giving way whenever i landed on my right leg, and i ran the risk of injuring other ligaments, cartilage etc.
The surgery using the synthetic graft is still considered to be largely experimental. yet my surgeon, who is melbourne based, has done over 30 of them. It is the same surgery Nick Malceski, (AFL player, sydney swans) underwent prior to his remarkable 2008 recovery.
I was just wondering if any one else had had this surgery and could comment on the recovery. It's actually quite amazing how strong it feels already, 11 days after the surgery, i can walk unassisted, without crutches, or a brace. The knee is still quite swollen, but that's really a personal characteristic rather than anything indicative of the surgery. i can theoretically return to indoor soccer in 10 weeks time.
Anyway, it would be nice to hear back from others, or anyone with any questions about a LARS surgical experience.
Thanks,
Tim
Comment by Anonymous JC
I am now... 3 and a half months in and running/striding it out. I was about 5 weeks ahead of were i should be from weeks 1-12 but i have fallen back to about even with a few slips and stuff.
On the off note ~ GOING FOR MY P's TODAY WOOOH!
Comment by Anonymous JC
Comment by Vinh
My progress is on track after nearly 4 mths. I can jog pretty good now but still do feel a bit of a sharp pain at the the very start. I am a little wary of any sudden hard twisting movement because i feel it needs another month to grow stronger.
Good luck to all especially the young ones, you have nothing to worry about.
Cheers,
Vinh
Comment by annon
Im almost 7 months post op from my 3rd reco and unlike my previous 2 recos, I have hit a little wall. I now have tendonitis in my knee which is restricting my rehab. Although my muscles are strong I can't add bulk to them as I have immense pain and now have to reduce any impact in the hope of it going away.
I just wanted to say and stress that every reco is different, and I know from personal experience. With my first reco, (7yrs ago at aged 16; hamstring tendon) I was on crutches for 5 weeks, running at 3mnths, passed all my tests by 8months but waited till 11 months before getting back into representative sports.
The second (3 1/2 yrs ago; hamstring tendon from one leg replaced ACL in other leg) I was on crutches for about 2 weeks, we slowed down the rehab a little to make sure it settled, but I still started running at 4mnths, passed all the tests by 9mths and was back playing sport again at 12mnths.
And the 3rd (patella), well I could walk with the brace on and no crutches after about 1 week and had my full bend and extension earlier then with the previous two. I was able to run at 4mnths but we decided instead of all the weight bearing exercises to go back tot eh bike to make sure it heals. But this is a patella tendon graft and I am having a few problems with the patella, which is apparently quite normal.
So if you can walk earlier than others fantastic, but just keep in mind that every single rehab is different and just when you think you are going great, something unforeseen can come along and stop your rehab in its track. As long as you are listening to your surgeon and physio you will be fine. These things do take time and although it seems like it takes forever, when you look back on it it wasn't that bad.
Take care all recos buddies,
Kate
Comment by TimmyP1
Anyway, i think you're right, and that it is agreed that the synthetic graft is significantly better in the first 9 months, simply due to it's shorter recovery time. It is not any stronger in the long run, but due to the fact that it is less invasive, and the hamstring does not need to recover, you can be back playing contact sports within 3 months.
One thing i must correct you on, the graft is not weaker than the hamstring. The procedure involves reattaching the existing ACL, and reinforcing this with the synthetic ligament. The synthetic ligament itself, is actually stronger than the hamstring initially, yet it will degrade over time. Tests in cadavers have shown that, under normal conditions, the synthetic ligament degrades after 15 - 20 years. This graft is really just there to provide the stability, and the platform for the old ligament to heal, and return to it's original strength. Alongside this, it acts as a ligament for the first few years.
Admittedly, as the procedure is reasonably new, there are insufficient long term results to compare the different methods. After five years, it has been shown that there is no difference between the two, and that the rates of re-injury are the same.There are some results suggesting the same after 10-15 years, but nothing medically conclusive. So, really, it is still an experiment, for people willing to participate.
Also, there is not a significantly greater chance of infection. The rates are, statistically, the same.
Comment by Disco
Comment by annon ks
My friend had her knee recoed in private hospital without private insurance and it cost her about 6grand to cover the surgery.
But just so you know, I find (had three recos myself) its the rehab that is the costly part of the whole thing. You generally see a physio 2-3 times a week for the first 3-4 weeks of rehab then maybe 1/week which will eventually get scaled back as the months go by. But without private cover at my physio that would be about $52 a visit. So make sure if you are budgeting for the surgery to take this into account.
Goodluck
Kate
Comment by Nutmeg
re: walking after 4 days, when I had my first reco (patella graft) I had no brace and was walking after 3 - only had the crutches for going to uni and stuff on the train so that people would give up their seats (doesn't necessarily work!).
I'm now 14 wks 1 day post op and started treadmill running about 3 weeks ago. My muscle building is slow, but I'm riding the bike long distances now though when my bad leg gets tired it gets REALLY tired. I've been playing cricket too for a few weeks (fielding in slips, bowling of one step and no batting) which I've found really positive - you spend so much rehab time by yourself that it's great to get out there with people again!
Good luck to all - hope the tendonitis clears up Kate and that you get back to it soon!
Comment by Anonymous
I had my reco in a pvt hospital with no cover back in May. Rough Breakdown of costs:
Hospital, 1 night stay (incl theatre fees) $4,300
Anaethetist $640
Surgeon $3,955
Surgeon Assistant $1,200
Then after that you've got physio, the cost of which will depend on how frequent you go. But in my first 7 months, i reckon ive been about 8-10 times post op @ $60 a visit.
Not cheap
Comment by Anonymous
Comment by Anonymous
Since then it has collasped on me at least 1-2 times a year which has me back on crutches for around 4-6wks at a time. I have since seen a specialist and have been told i am a prime candidate to have the ACL reconstruction so that i can basically have my life back again and have the freedom to be able to do things i want to try like skiing and tennis!
My concern is whether anyone knows if there is a much larger failure rate in people like myself who are having the surgery so much later down the track from when i had the accident. 5 years later to be exact.
Please feel free to help me if you know anything as i wouldnt have a clue!
Thanks T.J
Comment by Vinh
I have posted here previously as i was under similar circumstances as you. I done my ACL reconstruction last year at 37.
My specialist told me that about 10 yrs ago i must have torn my ACL but as i was young enough for the other muscles around the knee to help out the ACL. As i get older
these muscles are weaken.
Anyway, in my case it only took one simple none contact incident when i flicked my right leg out to reach for the ball on my right while playing indoor soccer, to finally tore my ACL. From then only even with a slight but sudden side way movements in tennis or get out of a tight spot will cause so much pain as the knee will buckle under you.
So don't hesitate to get this done. I am nearly 5 mths post op. and feeling great. Just still have some stiffness and very light sore or pain because i think the new craft is in the healing process.
Oh, I had my first attempt over the weekend with a full round of 18 holes. It was so much fun but can't wait until my knee is back at 100% strength.
Cheers and a happy new year to all.
Vinh
Comment by Anonymous
Does that make sense?
Comment by Vinh
I think it worth to book yourself in for a first session with a local surgeon for some opinions.
All I remembered was that my surgeon told me it doesn't make it any worse except for the excruciating pain if it pops on you.
Comment by annon ks
After seeing my surgeon on the third time I was told the following:
You have three options:
1- Have the surgery now using this graft.. with whatever leg strength you have
2- Wait until your muscles have built up and use this graft
or 3- dont have the reco at all
Now as only being 23 I chose to have the surgery as soon as possible. But I did ask about what if I did No.3 but in a couple of years decided to have the surgery? Surgeon said ' no dramas'
I also dont think there would be any real problems with having it done so many years later, or otherwise the public waiting list to get knees reco-ed wouldn't be 2.5yrs.
The advantage to having it later I guess is that your muscles should be equally strong from one leg to the other. And if you work hard before the surgery, there will be less muscle wasting way before you get back into it.
Good luck and having been through it three times now, Id say its better than having a knee that can give way at any time.
Kate
Comment by Anonymous
Also if anyone here is from melbourne I have been liasing with the orthopods at The northern hospital and wonder whether anyone knows if the surgeons here are good. Its a public hospital as i cant afford to go private.
Thanks
Comment by Glen Atwell
Computer Game
Great posting on here. This is the sort of discussion I hoped this post would facilitate.
I'm now 30 months post-op, no dramas, no genuine pain, one close call (a loud click on a netball court, turned out to be nothing).
In terms of timing, the longer after the initial trauma the better. Athletes have it done ASAP after injury because of their access to 24/7 rehab post-op.
But for the rest of us, the longer after the incident the better. It gives time for the swelling and minor damage to settle down and repair.
Also gives us a chance to strenghten muscles before the waste-away months that follow the operation.
Keep posting guys!
Glen.
Comment by Anonymous
Anaethetist, Surgeon, Surgeon Assistant fees?
Thanks
Comment by Anonymous
Comment by Anonymous
course at ur age u will make it back to sport, i coulda have played cricket this year but it was too risky, just look at the positives of the situation
Comment by Anonymous
I had ACL reco surgery 19 weeks ago now. I injured it some 9 months ago playing soccer. I jumped for the ball and as I landed with my left foot i twisted around to the right, and my left foot stayed planted on the super hard pitch. The noise was unforgettable and i just buckled straight away and fell to the ground in agony. Complete rupture of the ACL, full thickness tear of the medial ligament, cartilage tear, bone bruising and some other minor tears that I can't remember right now.
I had to wait 3 months until surgery because of the extent of damage and swelling/bruising.
Surgery wasn't too bad i guess. Pretty bloody, bruised and sore, but that night I had put weight on it with the aid of crutches. Used the crutches for around 2 weeks. Started daily home physio then, which helped a lot in the recovery. Loads of stretching, squeezing and tightening. Tiring & boring but very worthwhile.
Work wise I was at home for 4 weeks (I'm a sparky) and then was on light duties for another month after that. I'm still pretty careful kneeling down, climbing ladders etc.
Cutting a long story short, the soccer season is on again and I 100% know im not ready to play. My knee is stable and running in a straight line, cycling etc is no problem but kicking a ball around, stepping, jumping etc is just not very comfortable yet. I do hope to play a lil later this year.
Just for reference, I started physio 2 weeks after I hurt my knee and that was a BIG advantage.
Thanks
Comment by Glen Atwell
Computer Game
Great posts! Create an account or at least use a name so we can bounce ideas and suggestions around.
To the last poster, my story was similar to yours, except I was hit by a car as a pedestrian. I also waiting three months before surgery.
This has major benefits, not only pre-op but for decades post-op, that extra strength built into the knee without a functional ACL does wonders then the ligament is finally reconstructed.
Well done on staying so focused and positive. Some days, you feel as though rehab will never end. I'm three years post-op, and have only had one major scare on a netball court when I twisted and heard a pop, luckily it was nothing more than scar tissue breaking up!
I don't play much sport, my work doesn't give me the time, so I'm a different case to you guys, but we're all in the same boat I guess!
Glen.
Comment by Anonymous
thanks
Comment by Anonymous
im 14 but i tore my acl when i was only 11, playing soccer as i was a pretty keen player. i just had and acl repair 13 days ago. As i kept playing sports after i had the injury i also damaged my cartlidge, has anyone done the same and is there anything to expect from this? i'm gettin my brace off in 2 days ...excited. im not sure if this is normal but i have had pretty much no pain at all, only at the back of my knee as i had the graft taken from the patella tendon. i was also wondering when is the time period where i am able to walk without limping? i haven't started walking without crutches yet so does this mean i'm a bit behind in my rehab? Any other advice about the rehabilitation?
thanks
Comment by Anonymous
I had an ACL Reco 12 months ago and had an MRI last week which revealed a Cyclop Lesion. I havent been able to see my surgeon yet, but am expecting that I will require an Arthroscope.
If anyone has previous had a Cyclop Lesion can they please share there experiences ie recovery time to full sport, pain etc.
Thank you
Comment by Anonymous
Comment by Anonymous
Comment by Anonymous
Comment by Anonymous
Comment by TimmyP1
Comment by Anonymous
Comment by LG
Comment by TimmyP1
Comment by Glen Atwell
Computer Game
The graft will not heal itself. Ligaments don't have a great blood supply.
Some MCL and LCL tears are left without repair because scar tissue can help minimise the impact of the injury, but the ligaments never heal themselves.
Speak with your surgeon, but I would imagine you'll one day need another ACL reconstruction.
Don't stress mate, it's not the end of the world, you've been through one and the next will be easier.
With the partial tear, it means you won't need the operation straight away. Take some time to strengthen your leg muscles and get prepared.
You may be able to function with a partially torn ligament in day-to-day activities, but if you're keen on your footy, talk with your surgeon.
- Glen.
Comment by Anonymous
Comment by Glen Atwell
Computer Game
Walking, running and swimming should be fine.
Skiing is definitely something to avoid with a bad knee, that sideways impact is tough on the healthiest of knees. But let's be real here for a moment, if you've half torn your ACL and are facing a second reconstruction anyway, you may as well take it easy on the slopes but at least enjoy yourself.
Talk with your surgeon or doctor, they'll be able to offer specific advice - but I'd steer clear of footy, strengthen your leg muscles before your holiday and look at surgey when you return.
Have fun in New Zealand, just stick to the beginner's slopes!
- Glen.
Comment by Anonymous
Comment by Anonymous
Failing that, hit your parents in the knee with an axe and tell them there banned from surgery...see how concerned they are then.
Comment by Glen Atwell
Computer Game
LG - What is the concern of your parents?
If you're playing AFL, no player has ever taken to the field with a torn or partially torn ACL.
David Schwarz returned from an ACL reconstruction after 15 weeks and kicked three goals.
He re-ruptured the following week.
Tony Liberatore returned mid-season after rupturing in the pre-season, but it was in the twilight of his career.
Rugby players can continue with partial tears, because most of the running is straight, but all will eventually require a full reconstruction.
There's nothing to say it will definitely re-rupture the moment you put pressure on it, if you bulk up your leg muscles, it may hang on for another year or so.
But at your age, you've got plenty of time for an operation and the chance to spend at least a year rehabilitating to give the next graft the best chance possible.
If money is a problem, there is obviously other issues to work through and that may affect your time-frame.
- Glen.
Comment by annon ks
Just to add to the debate about whether LG requires surgery or not, Jared Waite from Carlton had I think his mum said 40% tear and he had to have a reco. So I dont think you could play without the the serious possibility of tearing it completely, which would increase the chance of further damage. I mean Carlton would have looked at every avenue and they have access to almost any medical needs.
I have had 3 recos now and am only 24yrs old. When I hurt my knee the second time, my original physio had left the practice and with my ability to hyper extend everything, the diagnosis of a torn ACL took about 7weeks. I continued to play competitive basketball, but any sudden stoppages were excruciating.So im definately not advocating you to continue to play.
Something else to consider is making sure if you hurt your knee playing footy in a proper game, hopefully there was a record of it mention, which would allow you to use the insurance to help cover costs. I have done this with all mine as they all occurred playing sport. Netball insurance is the best I have come across so far -basketball wasn't anywhere near as generous - but I would assume footy is pretty good too as there are so many injury possibilities. So basically everything that can't be claimed through medicare can usually be covered by the insurance, down to the pain killers scripts you get. Even if you dont get the surgery, it might help keeping costs down for the physios.
Kate
Comment by Glen Atwell
Computer Game
Comment by Anonymous
Comment by Anonymous JC
Back (again), many of u may know me. I'm Jake, i posted 11 months ago when i had mine done and have a fair few posts all over this thread.
Well 11 months post op and i played my first game of football (afl) for The corowa under 18's...
played half a game, got a few kicks, tackles and set up 2 goals... was so bloody terrified when i came on, but i guess thats natural. Hurt my hammy at training the monday after, only 1 week off it.
I guess just here to say YES! although the road is long and very hard. u make it people... DONT give up, l'm 17 years old and keepin my head high
Comment by Glen Atwell
Computer Game
Welcome back! Your post made my day. It's great to hear you finally made it back on the field after your ACL journey!
How good does it feel to look back on the injury, surgery, recovery and rehab and realise that you've made it this far.
I'm sure your hamstring will continue to strengthen and become used to the rough and tumble of Aussie Rules.
Keep it up mate, and keep us posted on your progress.
- Glen Atwell
Comment by Anonymous
Last Sat night I again landed badly but on my right knee and snapped my ACL - this time there was only a bit of pain and I walked right off the court. Had the scan and found out yesterday I have to have another one. What I want to know is - does anyone have any info about Lars Ligaments. I'm seriously consdering going down this track as I've heard good things. Can someone please share with me?
Thanks,
Grateful.
Comment by Anonymous JC
will see how i go tomorrow, sick of this half assed shit, gunna attack it full on 100%
NOW! doesnt return....
Comment by TimmyP1
Tim.
Comment by Anonymous
Comment by Anonymous jC
I had a plate, 2 screws and 2 pop-rivets, so yea not sure bout all that stuff (hamstring reco)
Was weight baring after 3 days, running after 6-8 weeks
One last question. with cricket season coming up, with my knee afect keeping, i use to keep and not sure how squating and jumping will go, especially if its 70 overs
Comment by Anonymous
Tim.
Comment by MarchSurgery
I did my knee 4 months ago and im booked in for surgery easter this year. Pretty much tore it to pieces, both minicus, acl and maybe lateral tear. Will see how bad when he opens it up. Got a question which i guess is a taboo subject but had this discussion with my physio during the week. I was a pro bodybuilder 2 years ago, and duuring my pro period testosterone was used prior to competition. After playing some social footy i tore my acl and am in the position im in today. My BB career is now over however it has been advised to me to consider doing a tesosterone or anabolic cycle post op to aid in recovery. Now i know some people will jump up and down regarding STEROIDS however i have been a long time user, and know the very in and outs of this subject.....My question is to the experienced, do you think there is sufficient gains to be had using a form of steroid to aid recovery post op. Morally i have no problem using this, my physio told me that many rugby league players (rodney howe) used this very method to assist in there recovery.
Apologise to those if i have offended
Comment by Anonymous
It must be coming up to 1.5 yr since my ACL surgery.
Yes it was a tough decision due to my older age (38)
and with a very young family but because i love sport
I needed to do it.
Well, I pushed through all the tough time, pain post operation then the rehab and missing out all the fun.
However, looking back now I am glad i got it out of the
way. My right knee is very strong but sometimes still
feel a bit stiff b/c they took some of the hamstring muscle
to craft mine knee.
Good luck to all.
Cheers.
Comment by Anonymous
Comment by Ariana.b
I'm 20 years old and ruptured my ACL nearly 2 months ago playing netball, (fist time i have injured my ACL)
I am yet to have my op done and my specialist told me that i'll be out of netball for a year.
They will be using my hamstring as the acting ACL.
Can anyone tell me whether i will return to netball at 100% and how high the risk is that we will injure the ACL again?
Comment by Fitness Trainer
As a result he had half the miniscus in his knee removed as it was destroyed and a hamstring graft to rebuid the ACL. This operation was completed in Nov 2009. He was told by his surgeon he would not play football for at least 1 year. The physio the hospital provided was very poor and occured once a week. As a fitness instrutor I decided to take over his phsiotherapy and after 3 months (4 months after the operation) he has played his first game of football but took it easy. He said his knee felt a little strange and tight but there was no pain or swelling. His physio's said his knee is the fastest and best recovery they have ever seen and his local sports Dr examined pre game and cleared him to play. If anyone is interested in my recovery program respond to this comment and I will post it.
Comment by Anonymous
Comment by Anonymous
I had it in 2008, and I was playing soccer again three months later.
It's still holding up really well now, with no reinjury.
A couple more AFL players (David Rodan, Brad Fisher) have also had it done recently, so it's becoming a little more widely considered.
But, to answer your question, there's always the chance of reinjury, and it's more or less likely depending on your own joints. If it was a freak accident, then it's probably less likely to happen again, but if you're the kinda person who's knees are likely to go (If, for example, you have hyperflexivity), then it's more likely to happen again. In fact, Brad Fisher, who i mentioned before has had three knee reco's, two traditional and is now undergoing the LARS.
And the rates of reinjury for the LARS and the hamstring graft are the same. Though the LARS has the advantage of not messing with your hamstring.
Tim Paoli.
Comment by Anonymous
Structurally, the knee shouldn't be a problem once you've gone through the time and the physio,and let it heal, regardless of which operation you get. I found the biggest problem was the fact that I lost all the practice, and had to get my co-ordination back. On top of that, you lose a bit of muscle tone and strength, cause you don't use the knee for so long. The real challenge was getting the confidence back to land on my leg, and kick through the ball again, stop suddenly and all that. You can tell yourself that your knee feels fine, but the back of your mind keeps telling you not to push it or you might hurt it again.
Anyway, if you put in the work, and the training, you'll get back to 100% provided everything goes well.
Tim Paoli
Comment by Anonymous
Structurally, the knee shouldn't be a problem once you've gone through the time and the physio,and let it heal, regardless of which operation you get. I found the biggest problem was the fact that I lost all the practice, and had to get my co-ordination back. On top of that, you lose a bit of muscle tone and strength, cause you don't use the knee for so long. The real challenge was getting the confidence back to land on my leg, and kick through the ball again, stop suddenly and all that. You can tell yourself that your knee feels fine, but the back of your mind keeps telling you not to push it or you might hurt it again.
Anyway, if you put in the work, and the training, you'll get back to 100% provided everything goes well.
Tim Paoli
Comment by Marley
hi everyone, im 16 and while playing AFL (first ever practise match for the year) i went for a lead but the ball got turned over so i planted my left foot in the ground and turned right, my knee collapsed underneath and had to get stretchered off. when we went to the hospital app. they told me ive torn my acl, mcl and maybe some cartlidge damage and most probably getting surgery soon its 14/03/2010 and the season starts around april. im just curious to see if anyone has had the same trouble and when id be ready to play AFL again. cheers.
Hey anonymous.
Your knee sounds like it's in a complete mess, but don't let that trouble you. Best thing for you to do right now, is forget about when you will be playing football and everything else and concentrate your mind and body on your knee. If you think about playing football to much you will find yourself pushing yourself to hard and to quickly after the op and end up hurting yourself again, and you would not want that.
The first day after the operation, get yourself into the right mindset and prepare yourself to put in the hard yards to your recovery. Do everything you are told whether it be (stretches, taking breaks, physio) and you will find yourself in the right place to play football again.
Also by the sounds of the damage you have done to your knee you will be out for a substantial amount of time, but don't let that get to you just have your mind set on your goal of recovering at 100%. Try not to lose to much conditioning as well, because the more you lose the harder it will be to get back to your original condition.
Take it easy champ and good luck!
Comment by Anonymous
Comment by Anonymous - kate
I just want to remind people about this as i think people are starting to bank on getting back to sports in 3-4mnths. As all rehabs, you still have to put in the hard yards and professional sports people have access to physios and equipment 24/7 unlike most of us who have to work and simply can't afford to see the physio everyday for months, or have one int eh family willing to do it for free.
Why rush rehab, do it properly and get your knee right and you will reap the rewards for years n years to come. Everything needs time to heal and your body needs time to adjust to the changes. It maybe a year or so out of your fav sport, but you knees are important for life, not just next years footy season. I think we all get blinded by what we want to do now and forget about what we want to do in 10 years time.
Im young, had my first at 16, 2nd at 20 3rd at 23. Now at 25 I realise my body just can't handle hip n shoulder contact on basketball or netball courts. There are times Id love to get back out on the basketball court, but I want to be able to play with my children and hopefully grandchildren pain free so its not worth the risk of more damage. I was going to quit contact sport after the 2nd reco, but I got the bug and went back for 2 years before the final hip n shoulder by a guy in a social game, made me realise its not worth it.
If I was being paid millions I might go back and play but Im not, so its not worth it.
Comment by Anonymous
My daughter who is 15 years old ruptured her ACL on 11 March 2010 at soccer training. She is a goalkeeper and went to take a dive that night and ruptured her ACL in her R knee, everything else around and in the knee is fine. She was devistated when this happened as she had starting training with the Australian goalkeeping coach, selected for state team and this was her first year of womans premier league.
She has been able to pick herself up, although there are times of tears and questions why, and focus on what she needs to do to recover and eventually go back to soccer. She has been doing all her physio at the physiotherapists and at home to reduce swelling and regain movement in her knee in order to have the op. All is good at this point and she is having surgery tomorrow morning. She is using her hamstring for the graft.
It has been and am sure will continue to be a roller coaster ride of emotions. She knows she will be out for 12 months but is keen to put in the hard work and get back to goalkeeping, bigger and stronger she says.
Is there any other goalkeepers out there that have done this type of injury and were they able to go back and pick up where the left off.
Thanks for reading and good luck to you all.
Comment by Anonymous
Any thoughts?
Caz
Comment by Abbott
I am only 21 and Playing AFL has been the activity i was playing when each injury has occured. 1st one i simply hyper-extended my knee while running next to my opponent in 2007, in 2008 my L knee just gave way with a shocking sound that still sticks with me to this very day. And then about 2 months ago, my R knee went again, when an opponent came accross it, forcing it to point outwards further than it should normally go.
My first 2 knee reco's were done by Hayden Morris and he performed the traditional knee reco method. which intially took me probably 7 months before i played football again. I found doing wicket-keeping at cricket was a massive help, as you do hundreds of squats without even thinking...
With my 3rd knee reco, i got the LARS method by Paul Plank. Had the surgery monday 4pm, was weightbearing monday 9pm. Was weightbearing as much as possible tuesday and wednesday, then began walking unassisted thursday and will be hoping to start jogging after 18 days.
I don't think i would ever go back to the traditional method, or advise people to get it anymore. My knee would still be in a brace for another 4 weeks if i had of gone with the traditional method, instead im walking around normally and doing exercises with far less pain than what i would have been able to do had i have had the traditional method again.
All the best.
Abbott
Comment by Anonymous
I'm only 15 and i tore my acl about 8 weeks ago playing my first aussie rules game for my new club. It didn't tear the whole way through but it still isn't healing too quickly. I don't know whether i should push for the LARS treatment because i am still growing. Is it a better idea to opt not to have surgery and see if it heals by itself or should i just go for the knee reconstruction? i just want my knee to be as strong as possible in the long run.
Thanks.
Kieran
Comment by Anonymous ks
I have had 3 recos, and from my background and knowledge, the acl along with the pcl in the knee can NOT repair themselves and must be replaced to be fixed properly. As I stopped growing when I was about 12, I have had no problems having my recos, but it was stressed that having my reco before I stop growing could just result in me having to have another reco to correct th growth impact.
Here is a quote from a website and there are many similar ideas around on the net.
"In younger patients who have torn their ACLs but still have growing bones, the hamstring tendon graft is a good choice because there is less chance of damaging the 'growth plates'- the area responsible for growth of the bone."
"Do we do a double-bundle reconstruction in every patient with a torn ACL?
No, we don’t. We perform single bundle ACL surgery on 30% of patients. There are cases (taking the rest of the knee and patient into account) where single bundle is better: 1) too small of a knee to safely place two bundles (technical issue), 2) Open growth plates 3) severe arthritic changes, 4) multiple ligament surgery. Again, your ACL surgery should be what is best for YOU as a patient and this includes age, activity level, bony anatomy, size of knee, open vs. closed growth plates, etc…."
The double bundle procedure helps to strengthen the ligament.
I haven't had the Lars procedure so i wont comment it on that particular reco, all I can comment on it, your knees are important for life, not just for next year or the year after, so if taking a year to two out of sport helps to make sure you are not requiring a knee replacement at age 45, I would do it.
Good luck with everything, including your decision making process.
Kate
Comment by Anonymous
i completely ruptured the anterior cruciate through playing soccer in a TRIAL MATCH.
i have been sitting on the sidelines for about 16 weeks now watching my team play.
the pain is beyond agony, many things to look forward to if you have surgery- crutches, sitting on a chair whilst having a shower, never being comfortable when sitting, not to mention the hours i have put in to rehab and at the gym.
i am hopefully returning to sport this coming week, hope this knee never ever bothers me in my life again
Comment by Anonymous
thanks
Comment by Sdp
I did my ACL, ski instructing in 2007. Long story but it wasn't covered by workcover and my private insurance lapsed(another long story) and I had just started a new job swim teaching, so time flew by and I didn't have it repaired until now. I had built up alot of muscle to help stabilize the knee and "only" had 3 collapses in 3 years ,but the last one was a doozy and I ended up doing mcl damage. As well. I bit the bullet and finally had the op 3 days ago. Cameron Norsworthy was my surgeon at epworth eastern. All good. I've taken it easy so far and this morning managed to hobble to the bathroom with my crutches but weight bearing on my knee was 90%. very happy. Swelling is down heaps but I've iced regulary and kept my compression sticking and splint on.Pain is minimal but the splint is making it hard to sleep. Off to the physio next week and my follow up with Cameron next week as well. Wish I hadn't put it off so long. So far so good and thnx for everyones input and experiences. It's thnx to you guys that I had some prior knowledge as what to expect,which made me less anxious
Cheers
Simone