Hwilli1647545487 Posted February 23, 2012 Report Share Posted February 23, 2012 Sucks, let me know if I can do anything Quote Link to comment Share on other sites More sharing options...
coltboostin Posted February 23, 2012 Report Share Posted February 23, 2012 I've already asked around quite a bit. I will make sure to do my homework before the actual surgery. I have a bit of time since I'm waiting until after Hawaii, so they surgery won't be until sometime in April. No miniscus tear that they can tell as of right now from them MRI and moving my knee around. Just the ACL and some minor 'bone bruise'. Not looking forward to the atrophy and being too weak to do what I want to do for months. What did you do to your knee? My dad's meniscus is GONE... he's going to need a new knee at some point. Pushing a Level 2 sprain (partial tear) for 3 months in an open league. I played in College, so Im a bit to competitive. It was hurt, I kept playing. Had a 6'3, 220 I was pushing him around all game and he obviously didn't like it. Had him boxed out on a long rebound and he cut me when I was on the way down with the ball. Knee=fucked. The meniscal repair is the worst part for me, limits all of my rehab. I know its worth it in the long run. I was sold on hamstring replacement, but switched to Patellar tendon as I do zero Manual labor at work. I think ti goes without saying, but Allograph should be a last resort. And look to the Bestfor what you should do- Tom Brady-Patellar Tendon Adrian Peeterson- Patellar Tendson Jesus Christ, I mean Geogre Saint Pierre-Patellar Tendon. the list goes on.... Quote Link to comment Share on other sites More sharing options...
DKilbourne Posted February 23, 2012 Report Share Posted February 23, 2012 Both of mine were patellar grafts. Unfortunately, I tore the one again and would have to have a cadaver replacement to fix it again. I tore it for the second time in October of 2004 and have torn cartilage since then due to that. Only advice I have is to take the rehab seriously and don't fuck off. Quote Link to comment Share on other sites More sharing options...
Trouble Maker Posted February 24, 2012 Author Report Share Posted February 24, 2012 I was sold on hamstring replacement, but switched to Patellar tendon as I do zero Manual labor at work. I think ti goes without saying, but Allograph should be a last resort. Ortho is suggesting Patella tendon from a Cadaver (I'm 30 so I think they typically do stuff from Cadavers at this age). Only advice I have is to take the rehab seriously and don't fuck off. I'm going to do whatever I need to in order to make this as good as possible given the situation. Quote Link to comment Share on other sites More sharing options...
coltboostin Posted February 24, 2012 Report Share Posted February 24, 2012 Ortho is suggesting Patella tendon from a Cadaver (I'm 30 so I think they typically do stuff from Cadavers at this age). I'm going to do whatever I need to in order to make this as good as possible given the situation. Let them take yours bro. It heals much stronger, and actually becomes living tissue with vascular regrowth on the replacement and all. Unless you do manual labor/a lot of kneeling I would recommend panatella tendon. I had unforseen complications with my blood clot, but I am happy so far with the progress. Quote Link to comment Share on other sites More sharing options...
Brandon Posted February 24, 2012 Report Share Posted February 24, 2012 Full (acute) ACL tear. What do you want to know about and ACL tear and replacement Just had my right knee's ACL replaced with an allograph of my hamstring tendon on Dec. 30th by Dr. Wilcox at the cardinal orthopedic institute. He did a great job and I have no complaints. He is in the westerville office. I weighed the options of cadaver, and really didn't like the small margins for tissue adhesion and infection chances, nothing works better in your body then your own parts! I did not however damage any of my meniscus thankfully, and we opted out of the patellar tendon, I asked and the Wilcox and his other doctor gave me some information and research that showed this was a good way. Luckily Wilcox said, " your hamstring was in excellent shape and was larger then average , so I should have no issues with it getting back in the soccer league soon." (phew, because of of the risks is the fact they can open you up and not have enough hamstring to do the job...) I am pretty much back to "normal" walking now almost 60 days later, still working on strength in my quad and balance but its going very well from what I can tell. I had a month and a half before my surgery took place, all I can say is get your leg as strong as you can and as much motion and mobility pre-surgery, it will make a world of difference in rehab and post op. I am 2 months ahead of schedule because of this (and the fact I am a nut and doing everything they ask and more, kinda like doing your homework to get a good grade, you have to put the work in, and you will want to because being this limited in mobility BLOWS). Good luck its a long road from what I can tell you where I am at currently, if you have questions about the surgery and my experience your welcome to contact me. Good luck, you need it Quote Link to comment Share on other sites More sharing options...
Brandon Posted February 24, 2012 Report Share Posted February 24, 2012 Let them take yours bro. It heals much stronger, and actually becomes living tissue with vascular regrowth on the replacement and all. Unless you do manual labor/a lot of kneeling I would recommend panatella tendon. I had unforseen complications with my blood clot, but I am happy so far with the progress. Funny you mention the blood clot - I have a blood disorder factor five lyden... I clot to well in other words. I did the lubinox shots for 30 days twice a day in the sub q. after surgery then first week off the blood thinners after surgery, I got a clot right above my knee...Woke up in the middle of the night calve was swollen, hot, and hurt pretty bad due to the lack of blood flow. I chalked it up to nothing more the a cramp for the day sadly then after it wasn't recessing I went in for a Doppler and wah lah el clot right about the knee. Luckily they caught it and they were able to treat the clot (this was about 2 weeks ago now) before it dislodged and cause a PE or worse get to my brain. Still on cumidan, and will be for three months. Could be worse though. Quote Link to comment Share on other sites More sharing options...
GilbWs6 Posted February 24, 2012 Report Share Posted February 24, 2012 Any opinions about Edwards at Orthopedic Excellence (in front of the Giant Eagle at Bethel & Swamill)? Went there for my knee issues and both my parents have gone to him. A++ rating Quote Link to comment Share on other sites More sharing options...
kirks5oh Posted February 24, 2012 Report Share Posted February 24, 2012 Ortho is suggesting Patella tendon from a Cadaver (I'm 30 so I think they typically do stuff from Cadavers at this age). I'm going to do whatever I need to in order to make this as good as possible given the situation. do NOT do the cadaver tendon. allografts (cadaver tissue) have a high incidence of not healing---stretching with time, and ultimately failing. if i tore my ACL tomorrow, i would realistically think hard about getting it fixed in the first place---i don't do cutting/twisting sports. that's a completely different discussion--many people 30+ and especially 40+ can strengthen their quads to the point they don't even know the ACL is gone. the cadaver tendon is done simply for the fact that it cuts the time to do the surgery in half. the cadaver tendon is sterilized in a way that can compromise the structural integrity of the tissue---new studies are showing a very high rate of failure of cadaver-tendon ACL's. if i was going to get my acl reconstructed i would INSIST on using my hamstring tendons for the graft. don't worry, you will not notice the loss of the hamstring tendons. i would also consider bone-patellar tendon-bone. the only reason i wouldn't prefer this is that some people can have pain kneeling on that knee and a small occurrence of patellar fractures. at 30+ and being a male, in good shape, there's no reason not to use autograft (your own tissue). some surgeons will argue that they're concerned your hamstring tendons will be too small---that's bullshit. my partner trained with one of the premier sports surgeons in the country---he never uses allograft on a first-time ACL surgery. in the end, its irrelevant--whenever i do a total knee replacement on someone who's had an ACL reconstruction in the past, the ACL is completely gone nearly every time--when its there, its a wispy little string of tissue that i immediately 'knife out' in about 2 seconds. good luck. Quote Link to comment Share on other sites More sharing options...
kirks5oh Posted February 24, 2012 Report Share Posted February 24, 2012 Let them take yours bro. It heals much stronger, and actually becomes living tissue with vascular regrowth on the replacement and all. Unless you do manual labor/a lot of kneeling I would recommend panatella tendon. I had unforseen complications with my blood clot, but I am happy so far with the progress. listen to this guy (for once). everything he's commented on so far is spot-on. Quote Link to comment Share on other sites More sharing options...
kirks5oh Posted February 24, 2012 Report Share Posted February 24, 2012 Tom Brady-Patellar Tendon Adrian Peeterson- Patellar Tendson Jesus Christ, I mean Geogre Saint Pierre-Patellar Tendon. the list goes on.... take this with a grain of salt. i worked a summer at cleveland clinic, and spent the summer watching dr. john bergfeld (brown's surgeon). he's got to be at least 70+ years old now and has trained many, many sports surgeons in their last year of training before they went on to work for pro sports teams. he used patellar tendon every time, and taught that technique to ALL of those that he trained. people typically do what they've been trained on and what they can do well--not necessarily the best method---i'd be willing to bet that many of those teams' surgeons trained under him. not to say that one technique is better than the other---i would argue both have comparable outcomes triple ftw Quote Link to comment Share on other sites More sharing options...
Mojoe Posted February 24, 2012 Report Share Posted February 24, 2012 Jesse, I hated reading and catching up on this. Sorry to here the news. Get better and we can hit the slopes next season. Am I to assume you'll be out for the rally? Quote Link to comment Share on other sites More sharing options...
Trouble Maker Posted February 24, 2012 Author Report Share Posted February 24, 2012 Jesse, I hated reading and catching up on this. Sorry to here the news. Get better and we can hit the slopes next season. Am I to assume you'll be out for the rally? Yes, probably. I will be 2 months out from surgery and if there is any running, lots of walking, it sounds like I likely won't be able to do it. On top of that I'm sure this will eat up most of my remaining vaca/sick time. I had a tri the weekend before the rally that I'm 100% not going to be able to do. Quote Link to comment Share on other sites More sharing options...
Trouble Maker Posted February 24, 2012 Author Report Share Posted February 24, 2012 Everybody, thanks for the opinions and experiences. I've been hearing a lot of 'don't even get it replaced because it will just fail anyways and your muscles will compensate for it over time' and 'don't get an alloagraft'. I will likely go get a second opinion and discuss all options with both doctors to be sure I'm going the right route. The doctor seemed to be convinced that without my ACL, I will necessarily be comprised for my other tendons/meniscus at some point, just as a mater of the human body in general. I didn't get the impression that it had anything to do with my particular physiology or injury. Quote Link to comment Share on other sites More sharing options...
coltboostin Posted February 24, 2012 Report Share Posted February 24, 2012 listen to this guy (for once). everything he's commented on so far is spot-on. DANG MAN. Thanks I guess?:dumb: take this with a grain of salt. i worked a summer at cleveland clinic, and spent the summer watching dr. john bergfeld (brown's surgeon). he's got to be at least 70+ years old now and has trained many, many sports surgeons in their last year of training before they went on to work for pro sports teams. he used patellar tendon every time, and taught that technique to ALL of those that he trained. people typically do what they've been trained on and what they can do well--not necessarily the best method---i'd be willing to bet that many of those teams' surgeons trained under him. not to say that one technique is better than the other---i would argue both have comparable outcomes triple ftw I agree. All doctors are going to want to do the replacement they are most comfortable with. The first guy I went to was dead set on Patellar, did not want to do anything else. At the time, I was convinced hamstring was the way to go, so I got a second opinion. I delt with the Sports Medicine director at UH,and he suggested Patellar, gave his reasons why, and followed it up with he would feel comfortable doing whatever I wanted with the replacement. I ended up using him, and following his suggesting. Quote Link to comment Share on other sites More sharing options...
coltboostin Posted February 24, 2012 Report Share Posted February 24, 2012 Everybody, thanks for the opinions and experiences. I've been hearing a lot of 'don't even get it replaced because it will just fail anyways and your muscles will compensate for it over time' and 'don't get an alloagraft'. I will likely go get a second opinion and discuss all options with both doctors to be sure I'm going the right route. People who say you can compensate for a full tear over time with muscle strength dont do anything more than get off their couch and make it to the fridge. In that case, yes you dont need it. If you are at all active, get it replaced. Quote Link to comment Share on other sites More sharing options...
kirks5oh Posted February 24, 2012 Report Share Posted February 24, 2012 DANG MAN. Thanks I guess?:dumb: . just giving you a hard time. everything you've said so far is great advice Quote Link to comment Share on other sites More sharing options...
coltboostin Posted February 24, 2012 Report Share Posted February 24, 2012 just giving you a hard time. everything you've said so far is great advice :masturboy: Quote Link to comment Share on other sites More sharing options...
kirks5oh Posted February 24, 2012 Report Share Posted February 24, 2012 Everybody, thanks for the opinions and experiences. I've been hearing a lot of 'don't even get it replaced because it will just fail anyways and your muscles will compensate for it over time' and 'don't get an alloagraft'. I will likely go get a second opinion and discuss all options with both doctors to be sure I'm going the right route. The doctor seemed to be convinced that without my ACL, I will necessarily be comprised for my other tendons/meniscus at some point, just as a mater of the human body in general. I didn't get the impression that it had anything to do with my particular physiology or injury. yes, without an ACL, you are at more risk for tearing the meniscus. 95% of meniscal tears in those over 25 are irreparable--we simply trim them out so that they don't tear further. people aged 30-45 are a 'gray area' as far as acl tears, imo. by that time, most people are no longer in COMPETITIVE cutting sports (soccer, football, tennis, competitive skiing, etc). after vigorous therapy, many can get by just fine without the ACL. anyone below 30, most likely, should get the surgery. anyone 30-45 who is (realistically) participating in true cutting-type sports should probably get the surgery. if there's a meniscus tear, you'd need a knee scope at the very least to take care of that. over the age 45, you're going to need to really convince me that you need the surgery, as the downsides of surgery (stiffness, significant scarring, and making future procedures more difficult) can outweigh the minimal benefits in those patients. i'd recommend a second opinion. you have plenty of time, this is a big decision and a fairly large surgery/recovery. i'd recommend seeing steensen/westerheide/or martin. and i would definitely steer clear of the allograft. many surgeons resort to this because its much easier, and they're being lazy (to put it bluntly). Quote Link to comment Share on other sites More sharing options...
Trouble Maker Posted February 24, 2012 Author Report Share Posted February 24, 2012 i'd recommend a second opinion. you have plenty of time, this is a big decision and a fairly large surgery/recovery. i'd recommend seeing steensen/westerheide/or martin. and i would definitely steer clear of the allograft. many surgeons resort to this because its much easier, and they're being lazy (to put it bluntly). I already had an appointment with Steensen on Monday. After getting many different opinions here and elsewhere, mostly negative about an allograft, I will go to him for a second opinion. I don't competitively ski, bike or run, but I do ski and bike fairly aggressively. Being on the low end of that age group and considering how active I am, I'm thinking that surgery is the right route to go. Quote Link to comment Share on other sites More sharing options...
DKilbourne Posted February 24, 2012 Report Share Posted February 24, 2012 I already had an appointment with Steensen on Monday. After getting many different opinions here and elsewhere, mostly negative about an allograft, I will go to him for a second opinion. I don't competitively ski, bike or run, but I do ski and bike fairly aggressively. Being on the low end of that age group and considering how active I am, I'm thinking that surgery is the right route to go. You ski fairly often. That in itself is reason enough if you want to continue to do that without worrying about other tears. They can also get you a brace to help stabilize it while you are skiing. Quote Link to comment Share on other sites More sharing options...
coltboostin Posted February 24, 2012 Report Share Posted February 24, 2012 yes, without an ACL, you are at more risk for tearing the meniscus. 95% of meniscal tears in those over 25 are irreparable--we simply trim them out so that they don't tear further. Yes, I was lucky mine was in a reparable area, but Fuuuu this recovery! I don't competitively ski, bike or run, but I do ski and bike fairly aggressively. Being on the low end of that age group and considering how active I am, I'm thinking that surgery is the right route to go. Skiing is about the worst thing you can do for knee health as it is. You have your leg strapped to a long stick (independently of the other leg) going down a hill at high speed Literally one wrong move and you will blow your shit out. I have been on the slops when I guy came down wrong and his foot was pointing towards his ass. I am sure he blew out about every ligament of value in his knee. I for one, will never ski again-snow board maybe, but not ski. Quote Link to comment Share on other sites More sharing options...
kirks5oh Posted February 24, 2012 Report Share Posted February 24, 2012 I already had an appointment with Steensen on Monday. After getting many different opinions here and elsewhere, mostly negative about an allograft, I will go to him for a second opinion. I don't competitively ski, bike or run, but I do ski and bike fairly aggressively. Being on the low end of that age group and considering how active I am, I'm thinking that surgery is the right route to go. sounds good. with your age and activity level, the surgery is most likely going to be the way to go Quote Link to comment Share on other sites More sharing options...
Trouble Maker Posted February 24, 2012 Author Report Share Posted February 24, 2012 sounds good. with your age and activity level, the surgery is most likely going to be the way to go Kirk, I'm glad you think my plan of action is advisable! Quote Link to comment Share on other sites More sharing options...
Trouble Maker Posted February 24, 2012 Author Report Share Posted February 24, 2012 ...let me know if I can do anything Wait on me hand and foot. Get one of those little kid hiking carriers, and carry me around so I can still go hiking. :fa: Quote Link to comment Share on other sites More sharing options...
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