ACL Class of 2017

[The Iron Horse]

IH,
What flavor of graph are you getting?

Allograph. Doc and I discussed it, and it seems to make sense with the combo of me being 52 yo and knowing that I will need a TKR sometime in the not-so-distant future.

Spent the entire day yesterday watching videos and reading research studies, and I feel pretty good about this. My only hesitation is that I wanted him to do the TKR now and get it over with. He wants to try and get me another ten years, to at least 62.

Been working out like crazy over the past several weeks prepping for the operation. Definitely feel strong and fit, with the exception that my knee occasionally buckles in a really disgusting way!

[mcski]

Based on the number of people I’ve met that aren’t happy w their TKR, put it off as long as possible. The success rate of satisfied customers seems about 50%. It’s def not anywhere near the satisfaction levels of hip replacement. I’ve met too many dissatisfied recipients and don’t want to have to make that call before totally necessary

Sounds like yours is very unstable. It’s a horrible feeling when it buckles. Did you feel improvement in stability from the exercise? Good luck!

[jerlane]

Based on the number of people I’ve met that aren’t happy w their TKR, put it off as long as possible. The success rate of satisfied customers seems about 50%. It’s def not anywhere near the satisfaction levels of hip replacement. I’ve met too many dissatisfied recipients and don’t want to have to make that call before totally necessary

That number is pretty low. Most studies are more in the 80% range. Setting realistic expectations prior to surgery is a big part of it.



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[mcski]

Purely anecdotal but I know/met around 10-12 first hand and the satisfaction is def under 80%. Mixture of lifestyles and ages. The two I know that were most active are the two most disappointed in the results as well and one of them did both to “get it over with” even though from his description his prior pain wasn’t that problematic , so he is worse off than his baseline going in. Eric Heiden being an Ortho and having both of his done at the same time gives me some reason to be optimistic

[Djongo Unchained]

IH,
What flavor of graph are you getting?

Snowshow, cool she’s the first first hand person I know of that had their quad used - unless I missed someone else checking in this thread earlier

I waited for you to adjust that.

In which case, I had my acl repaired with a chunk from the quad tendon.

Questions?

[mcski]

I had a feeling it had been said before but I was too lazy to go back and look. I think I even commented on it. I’ll reread and formulate some questions

[The Iron Horse]

Based on the number of people I’ve met that aren’t happy w their TKR, put it off as long as possible. The success rate of satisfied customers seems about 50%. It’s def not anywhere near the satisfaction levels of hip replacement. I’ve met too many dissatisfied recipients and don’t want to have to make that call before totally necessary

Sounds like yours is very unstable. It’s a horrible feeling when it buckles. Did you feel improvement in stability from the exercise? Good luck!

Interesting. I've met quite a few people this year on the slopes who were thrilled with their TKR. But, there is is surely some confirmation bias baked in! The guys who are skiing where and when I am are of course happy. The ones who aren't are home on the couch.

The bike is definitely helping, and I have gone from hobbling around to pitching batting practice last night. But it's still real unstable, and the brace is a requirement at this point (soft compression sleeve with some lateral rudders).

[The Iron Horse]

Had my strongest workout on the Kickr last night, just in time for surgery today! Sad to see that CP/FTP creep back up only to know that I'm going to be back in the basement again.

Doc told my wife it went well. ACL, meniscus, micro-fracture drilling. I didn't get to speak to him, but my wife said he made mention of a large amount of cartilage coming loose at the top of the tibia, and that perhaps down the road a MACE biopsy (? haven't researched it yet ?) might be a good idea. Hell if I'm going in for another surgery unless it's a TKR.

Nerve block was kind of useless. Fortunately I have not qualms about pain meds. Hell, after 16 years of sobriety, post-op is the only time I can get high!

Four weeks non-weightbearing. That is an eternity.

[eastcoasttreehugger]

I had exact same (quad graft acl reconstruction, bucket handle meniscus tear repair, and 2.5cm2 cartilage fragment repaired by micro fracture in the femoral condyle) and was 6w non weight bearing . lots of other restrictions and slower rehab as well but the cartilage is very sensitive.

the procedure he mentioned is MACI - they take some of your cartilage cells in the first procedure and send it to a lab to grow a new piece on a pig platform. seems to work ok but return to sport can be 1-2 years so i agree with you the goal is to deal until a PKR is in order

hope the recovery goes well

[Ørion]

Turns out I joined the club over a month ago but it took an unexpectedly slow recovery to break through my wishful thinking and for my GP to suspect it wasn't just a bad sprain.

MRI revealed the truth and apparently I have the royal flush of a tibial fracture, full ACL tear, and complex tearing of the miniscus. Doc was a bit surprised at how well I had been handling the pain, considering.

Gonna miss spring touring but at least the meat of the 23/24 season is over.

[The Iron Horse]

Turns out I joined the club over a month ago but it took an unexpectedly slow recovery to break through my wishful thinking and for my GP to suspect it wasn't just a bad sprain.

MRI revealed the truth and apparently I have the royal flush of a tibial fracture, full ACL tear, and complex tearing of the miniscus. Doc was a bit surprised at how well I had been handling the pain, considering.

Gonna miss spring touring but at least the meat of the 23/24 season is over.

Ouch! Sorry. If you choose reconstruction, hopefully you can get in asap for a possible return next spring.

[Ørion]

Ouch! Sorry. If you choose reconstruction, hopefully you can get in asap for a possible return next spring.

Doctor is advising allograft since I don't play contact sports and, after you factor that in and my age group, the success rates are virtually identical to autograft with less recovery time (according to him).

Sounds like we'll be scheduling as soon as insurance decides that knees aren't an optional joint despite me having a second spare one on my right leg.

[The Iron Horse]

Doctor is advising allograft since I don't play contact sports and, after you factor that in and my age group, the success rates are virtually identical to autograft with less recovery time (according to him).

Sounds like we'll be scheduling as soon as insurance decides that knees aren't an optional joint despite me having a second spare one on my right leg.

I'm 5 days post surgery. Allograft (52 yo), meniscus repair, micro-fracture drilling.

I've read a number of studies, and they seem to jibe with what your doc is saying.

Yeah, knees are pretty important. Don't they know that? Ha!