Torn ACL Replacement Surgery.

27 replies to this topic
  • Nerofmx

Posted 04 December 2009 - 10:46 PM

#1


Not sure if anyone remembers a big thread about me and not allowing enough recovery time this time last year. But. I'll make a long story short. --- [For some reason my shift --> enter is not working so it might be a little messy. --- So This time last year I was scheduled for ACL surgery, and didn't really talk it over with anyone or research anything before I got it. It ended up being the cadaver ACL surgery, which Dr. Mark does not endorse in any way, I thought it would be fine, but no. 3 months later I was practicing flips into the pit WITH my CTI braces on, and sure enough, I tore my ACL again. I have video of the actual jump but I don't feel like posting it right now as it will make this more of a mess. --- --- --- --- So I'm on here again cause I absolutely cannot deal with no ACL for very much longer. I have barely any Meniscus in there so my knee pops out 3-5 times a day and the bones grind and it's just painful, Aleve just does not work. ha. Anyways. It's time for another surgery, and I'm making sure I do it right this time. As a freestyle rider and me wanting to try and do shows by the summer time next year I am going to need the quickest recovery time with the best possible surgery. I need to get a few choices with pro's and con's to each. .......I'm going to try and stay in Phoenix, AZ for the initial recovery :thumbsup: haha.

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  • DrMark

Posted 05 December 2009 - 04:48 AM

#2

Besides an ACLR you probably need an upper tibial osteotomy to deal with the loss of the meniscus.

This time you need to come to Texas.

  • Nerofmx

Posted 05 December 2009 - 08:25 AM

#3

And what exactly is that sir?

  • DrMark

Posted 05 December 2009 - 11:47 AM

#4

Many if not most folks who have had the meniscus removed develop arthritis on that sided. Usually is is associated with bowing of the leg. At the time of revision ACLR, the leg bone is cut and move laterally so the weight is taken predominantly by the other, normal, side of the knee.

This is likley because of your statement that the bones are "grinding"

  • Nerofmx

Posted 05 December 2009 - 06:49 PM

#5

I had the meniscus repaired too last time but it tore out pretty bad on the same jump. http://vids.myspace....ideoid=58598152 --- That's the jump. Anyways. I'm going to get more MRI's done really soon, so I can see the exact extent of the damage this time.

  • 1st4stroke41

Posted 05 December 2009 - 08:23 PM

#6

I'd listen to the man and head to Texas. I get problems with mine I'd heading south. The cost difference is not that much. A plane trip and hotel. I'd just drive down if I could find someone to haul me.

  • Nerofmx

Posted 06 December 2009 - 12:28 AM

#7

I'm so stressed about this. I'm going to pick up a second job for the next 2 months and wrench in my off time to save up some money to be able to take off awhile to rest up. I just wish I could be 100% on my whole plan of action. Don't want to make any mistakes this time.

  • DrMark

Posted 06 December 2009 - 04:15 AM

#8

Much more important than an MRI, is an X-ray of both knees taken while you are STANDING.
This will tell us if the loss of the meniscus has led to arthritis that needs to be corrected by an osteotomy in additon to the ACLR

  • Nerofmx

Posted 06 December 2009 - 10:54 AM

#9

Alright, thank you for the advice. I'm calling tomorrow to schedule everything, and i'll post up everything when I get it back.

  • quickness

Posted 08 December 2009 - 05:28 PM

#10

I tore my acl when I was 17 and went to a DR. seabold and bramhall out of college station, texas. they took my patella tendon and created a graph. They ran it through my knee as an acl bolted it; one bolt on top one bolt on bottom and I have never had a problem

  • Nerofmx

Posted 08 December 2009 - 06:20 PM

#11

I think I really just want to have the ACL done. I have some meniscus left in there, it's just the old stuff is ripped out again. I talked to my doctor about just cutting the ripped stuff off when he does the surgery, instead of stitching it back on. That doesn't seem to be as big of a deal as the ACL. I just want that done right this time, and by that I mean the ACL. I've talked to numerous people who have lost part of their meniscus and they have said it's not really that bad. My mom lost hers when she was 20, and now she had some gel stuff injected in place of it, and she is doing absolutely fine with that. But you can't just inject a new ACL. I also absolutely cannot deal with 1-2 months off of my feet. There is just no way financially I can do that. at all. I know with just the ACL your supposed to be able to walk out of surgery on your own. Although I am planning to relax by a pool in Arizona for the 3 weeks following though. That's all planned out and paid for. :)

It's now a toss up between the hamstring and patella graft. I've been talking to alot of guys including Bilko, who just tore his at the Xgames right after he won, and he had the hamstring graft and he said it's working very well for him. Another top rider told me he was loving it too. I did talk to one close friend who does flat track and she had the patella done. I don't think she had it done by a good doctor though, so this is why i'm still undecided.

My other problem is going to be that my doctor has very little experience with any other surgery besides the allograft, and I think he is undecided about doing a different surgery on me, which is fine... but at this point, I am going to try and find a different doctor to perform the surgery. Having Dr. Mark do it is only a medical insurance call away...

Still so stressful...

  • DrMark

Posted 08 December 2009 - 06:47 PM

#12

Nero, your ability to pick ACLRs is about as good as my ability to pick winners at the horse track.

You should give this job to a real pro. It don't attempt freestyle MX, why should you be an ACL surgeon?

Here is my take fresh from the peer reviewed literature:

--------------------------------------------------------------------------------

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This just came out as the prinicpal article in this month's American Journal of Sports Medicine. It is a metaanalysis, which is the conglomeration of multiple studies. It compares the auto. patella tendon vs. hamstring repair and shows the superiority of the patella tendon reconstructions. One would think that all the "Sports Star" docs would take notice, but don't count on it.

Here is the abstract:

http://ajs.sagepub.c...2/2470.abstract

  • Nerofmx

Posted 08 December 2009 - 10:17 PM

#13

After reading that, and thank you by the way, I shall go with that. Now is the time to go talk to my doctor to see what he feels about it. I will see if he even wants to do it mostly.

I have a few pre-op questions for you sir. What is the recovery process on this option of surgery. I know the Cadaver was 1 year before it would even come back to life, I have read a few different articles on these other surgeries but nothing went over the average layout of recovery.

  • DrMark

Posted 09 December 2009 - 03:58 AM

#14

We use the opposite patella tendon for extreme athletes. They SAFELY return to riding/racing at three months.

http://www.youtube.c...r/sandersclinic


Do not try to get you doctor to do something he (or worse she) isn't comfortable with. Its the formula for catastrophe.

  • Little Jeff

Posted 09 December 2009 - 08:56 PM

#15

Nerofmx said:

Not sure if anyone remembers a big thread about me and not allowing enough recovery time this time last year. But. I'll make a long story short. --- [For some reason my shift --> enter is not working so it might be a little messy. --- So This time last year I was scheduled for ACL surgery, and didn't really talk it over with anyone or research anything before I got it. It ended up being the cadaver ACL surgery, which Dr. Mark does not endorse in any way, I thought it would be fine, but no. 3 months later I was practicing flips into the pit WITH my CTI braces on, and sure enough, I tore my ACL again. I have video of the actual jump but I don't feel like posting it right now as it will make this more of a mess. --- --- --- --- So I'm on here again cause I absolutely cannot deal with no ACL for very much longer. I have barely any Meniscus in there so my knee pops out 3-5 times a day and the bones grind and it's just painful, Aleve just does not work. ha. Anyways. It's time for another surgery, and I'm making sure I do it right this time. As a freestyle rider and me wanting to try and do shows by the summer time next year I am going to need the quickest recovery time with the best possible surgery. I need to get a few choices with pro's and con's to each. .......I'm going to try and stay in Phoenix, AZ for the initial recovery :thumbsup: haha.

My question is, what in the world were you doing on your bike riding just after 3 months with that type of surgery?
Little Jeff

  • Nerofmx

Posted 09 December 2009 - 10:14 PM

#16

Little Jeff said:

My question is, what in the world were you doing on your bike riding just after 3 months with that type of surgery?
Little Jeff

Ah. Ignorance and resent towards the cadaver surgery mostly. At a 33% failure rate I just didn't want to stay off the bike any longer for an ACL repair that was not going to hold in the end anyways.

  • stetro03

Posted 10 December 2009 - 02:17 PM

#17

And FYI, you dont want to be laying by a pool after surgery. From my two ACL replacement experiences, you need to be up working that leg back into shape if you want to be riding by summer 2010, IMO.

  • Little Jeff

Posted 10 December 2009 - 06:18 PM

#18

stetro03 said:

And FYI, you dont want to be laying by a pool after surgery. From my two ACL replacement experiences, you need to be up working that leg back into shape if you want to be riding by summer 2010, IMO.

What he said.
Little Jeff

  • Nerofmx

Posted 10 December 2009 - 06:31 PM

#19

I won't exactly be laying by the pool, it was just a reference towards it being 15 degrees and snowing up here in new york, and me having no ambition to even get up and do pre-op excercises.

  • vtmoto

Posted 11 December 2009 - 08:05 AM

#20

Little Jeff said:

My question is, what in the world were you doing on your bike riding just after 3 months with that type of surgery?
Little Jeff

What would Travis Pastrana do?


But in all seriousness, definitely listen to Dr Mark and others and put in the work on prehab and rehab... I can tell you from experience that it is worth it.

Good luck Nero



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