Question - acl revision

by Kim
(Tennessee)

Hello! I had my right acl reconstructed 17 years ago following a basketball injury. The only problem that I had with some pain with squatting which was probably from where they took a portion of patellar tendon for the graft. I have re-injured the same knee playing basketball with my oldest daughter and finally went to the doctor to have it evaluated.


Well, the same well respected dr that operated on my knee the first time diagnosed me with another acl injury which needs to be repaired. I had a second opinion with another dr in the same practice and he agrees that the acl is injured. My question is: I am able to do most daily activities without alot of pain but I always know that my knee does not feel "right". It does feel unstable if I try to stop after running (not fast) or if I try to change directions. I am 39 and have four very active daughters and I love to be active with them.

I work with them in basketball and softball and enjoy exercising. It has been approx. 5 months since injury. I waited a couple of months before going to the doctor hoping that it would just get better....but it did not. Then, I had to get pre-certified from my insurance provider since they will be using a cadaver graft for revision and this took over a month. So after all of the time I have had to wait for these reasons, my knee does not hurt as bad as when first injured. Dr's still think surgery is the best option to prevent further damage since I am active with my girls.

What do you think?

Thanks!

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Apr 30, 2009
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YEp
by: Mike

Ye the rehab was tough, did it at my college and they made u do a lot, well maybe im exaggerating but it wasnt the easiest. Anyway, i might do the surgery, but i dont know would it be smart playing competitive again, are there any sources out there that people went back to playing competitive, my college trainers tell me it is possible definitely at my age, but they havent had any follow ups with the people because they graduated, and the doctor secretary or w.e said all their young patients do fine, but she could just be lying, so i dont know any sources out there.

Apr 27, 2009
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Um.....
by: Kim

Hey Mike,

I totally understand how you feel. I was not so sure that I wanted to do the revision either. I could do most everyday activities okay so I thought "why put myself thru this again...especially at my age". Well, I talked with my dr and told him how I felt and asked him what he would do if he were me. He said that he would do the revision to prevent other damage in future. He also said that I am very busy with my four very active girls and I need to have a knee that I am confident in. So, I researched and thought very hard about it. That is how I got to this website in the first place. I knew my dr would not just tell me to so surgery b/c the money he would make since he is a great dr for a large division one college. He makes plenty enough...and my bill from him was not very high anyway. I could feel the movement in my knee which would eventually lead to more problems. So, I went ahead with surgery.

You know how your knee feels and if you can do the things you want minus playing competitive sports and be happy, then don't do it. The truth is if you can't commit to the rehab or just don't want to worry with it, then having the surgery would not help you meet your goals of playing competitive sports anyway. You remember the rehab....it is up to you. It does not mean that you are a lazy person b/c clearly you are not. You just have to have your heart in it b/c the rehab is tuff like you already know. So, just think about it and do whatever makes you happy. After all, that is what matters. Good luck!

Kim

Apr 27, 2009
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Um
by: Mike

Well, after seeing the doctor about the surgery, for some reason my opinion has changed and now im not that sure if i really want to do this. He started talking about infection and that's it's low and i already knew that, but for some reason, i started thinking about infection too much and now im kinda scared about it. It's not just that, i dont know if i really feel like doing all this rehab and going throgh the pain again, i mean i can do everything just fine, i feel better than my first acl surgery, just cant do sports competitively

Apr 17, 2009
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Good luck!
by: Kim

Mike,

You are welcome. Sounds like you have a good plan. I am still going to physical therapy because I like seeing my improvement...that helps me stay motivated. So, I totally understand why you want to get a trainer. My therapy will slow down in a few months, but I still plan on working out at the gym. I have a long road ahead of me rebuilding my muscles too.

Hope everything works out for you. Good luck!

Kim

Apr 17, 2009
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ye
by: Mike

ye i already told myself that this time no joke, I will have to hit the weights, but at least for a year straight before i play sports again hopefully competitive, but nonetheless I will have to get a good workout routine and maybe a trainer because that way idk i feel better if i have someone knowing what i need to do and progress im making, but we'll see thanks for the advice..

Apr 16, 2009
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My advice
by: Kim

Hey Mike,

I know you are discouraged and tired of getting hurt over and over again. It is not fun to be injured. But, you just have to fix things and work on getting better. If you think the reason you got hurt is because of muscle weakness, then start hitting the weights and get those muscles in shape. That will only help you in your recovery after your revision. Also, try to be optimistic about your recovery. Yes, it does say that recovery rate from revision is not as good as the first acl reconstruction surgery. You are young...that makes you have an excellent chance of a great recovery. You just need to make the decision that you will recover and go on to do whatever you want to. You can do it...it may take a long and tough rehab program, but it can be done. Good luck!

Kim

Apr 16, 2009
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Well
by: Mike

i was able to do one legged squats ever since i rehurt it again i tested it right away and i was able to do it that exact moment and that same night. BUt whatever, and i dont think my quad is in great shape that's y i think i got hurt, but also my hamstring weakness but nonetheless, i hope i can make a good full successful recovery cause the results i been reading about ac lrevision are not good and it scares me that I might not be able to be the same to me. It's funny to me all this because every year i seem to get hurt, i never got hurt i don't know what's happened, it's like i got a dark cloud above me.

Apr 16, 2009
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Hey
by: Kim

Mike,

I really don't think you will have any problems recovering fully since you are young and in good shape. Especially since you can do one-legged squats now...that shows that your quad is in great condition. Maybe ask your dr about a functional knee brace...that may help some when you playing competitive sports. I have a Donjoy brace now that I wear when I am going to be running around all day with my four kids. It gives me support as my muscles keep getting stronger. I will also wear it when I work with my girls in sports. I love to get out there with them and play too.

I know it is depressing to think about not doing something you enjoy, but don't get yourself down. I understand how you feel cause I get frustrated in therapy when I am not able to do something...I am a competitive person anyway...which is how I end up injured in the first place. I have played sports all of my life. So, I really do think you will recover quickly and be able to do whatever you choose. That's just what I think...but I am not your dr so you need to discuss this with him.

Good Luck,

Kim

Apr 15, 2009
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Another thing
by: Mike

When i supposedly retore it again, i was able to do full one legged squats or any squats for that matter and never had problems i tested my leg with that and other stuff and i can do it no problems, so i don't know, im sick of all this.

Apr 15, 2009
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Hey
by: Mike

I just turned 20 years old and i never used to get hurt so this is really getting frustrating. Around my 17th birthday is when it all went downhill, partially torn pcl and mcl and medial meniscus, that knee has been fine since after surgery, but then next year torn acl and medial meniscus in other knee, and no w i retore it, should I just stay away from competitive sports after my revision on my acl, I mean it was my life and I'm still young, anybody know if it's easier to recover younger or if studies are better for people who are younger, I don't want to quit competitive, but ill live for semi competitive with friends, what you guys think I should do?

Apr 14, 2009
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Stretched ACL
by: Kim

Misty,

I have forgotten to put my name in also. Thanks for letting me know. It looks like we have another thing in common with our acl graft being stretched and not torn. I had a complete ACL rupture and tore my MCL in my first injury years ago. The pop was so loud...I knew I tore something. That was one of the reasons I was so confused when dr told me it was my acl again.

I liked the idea of reinforcing my stretched acl with the allograft...oh well...it was a good idea even tho it did not work out for me. Glad it worked out in your case and is helping your recovery.

Had physical therapy today and my therapist added more weight to machines and my knee can feel it. It does not take much to make a big difference. Tried single leg squats today which were very hard for me. I can do regular squats on a Bosu ball which were hard for me at first. So, I know they will get easier the more I do them. My quad is an area that I need to work on. Just gotta keep on working...

Keep us posted. Like I have said before, it is so nice to share stories with those who understand. This website is great...


Kim




Apr 14, 2009
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It's Me
by: Misty

Kim,

I keep forgetting to put my name in when I make a comment. It was me who posted about the "double" ACL.

Misty

Apr 14, 2009
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Stretched ACL
by: Kim


To the last person who commented about stretched acl....

My doctor had talked about doing the same thing by reinforcing my stretched ACL graft with a allograft. Like you said...sorta having 2 acl's. I do think I would of had a better recovery too. But, things changed when he did the surgery due to my acl graft being badly stretched and my complication with my bone being soft.

It's nice to see someone who had a good experience with their surgery. How long has it been since your surgery if you don't mind me asking? Just curious of where you are on recovery. Thanks.

Kim

Apr 14, 2009
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Stretched ACL
by: Anonymous

My MRI did not show a torn ACL either. But, I had a positive pivot shift test due to my stretched ACL - and that is why we elected to go ahead and reinforce it with a second ACL surgery. The Dr did not remove my streched ACL (it wasn't stretched very badly), but he did go in and reinforce with the new cadaver tendon. My second recovery has been much easier because I now have "2" ACLs....

I hope that made sense :)

Apr 14, 2009
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ACL revision
by: Kim

Hey Mike,

My knee gave out on me while running backwards doing basketball drills with my 9 year old daughters AAU basketball team. So, I first really did not think it was my ACL because I did not hear the loud POP I heard the first time. I just suffered for a while and thought maybe I had injured my meniscus. Finally, I went back to my original surgeon that performed my first reconstruction. He did the Lachmans test and a few other things that day. I was in TOTAL shock when he said that it was my ACL again. He then referred me to another dr in same practice to do his evaluation and schedule surgery. I might add that these are top notch drs that take care of the University in town. So, I should not doubt the diagnosis, but I was still confused. The second dr ordered an MRI just to see what was going on. Well, the MRI showed ACL intact so that was even more confusing to me. He and the other dr agreed that my old graft was so stretched that it was not functional and that MRI would not show a stretched out ACL. I had to trust drs and went ahead and scheduled my revision. Well, dr took pics of surgery and I could see where my old graft was stretched out...badly. So, that was the reason for same symptoms of torn acl.

It's your knee...you know how it feels. Also, the results from your pivot shift tests points to ACL injury. So, even tho MRI did not show a torn ACl, it still may be non-functional. I know you said that you re-injured your meniscus so that might cause similiar symptoms.... maybe go for a second opinion if you are unsure. Good luck! Let us know what you find out.

Kim

Apr 14, 2009
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Hey
by: Mike

it's funny, they said i re-tore my acl, i have no instability at all ever since it gave out on me playing soccer, but i did try and play sports and it gave out another time but still. I got the mri, and he couldn't find a tear in the acl or anything at all with the acl, but he did find a retear of the medial meniscus. I do believe him that i did tear the acl because of the pivot shift test he does on me and it "jumps" when he moves it but still, i dont know it's kind of weird, what you guys think.

Apr 10, 2009
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ACL revision
by: Kim


Kelly,

Hey...I was happy to share my story of my 2nd knee saga (cute name!). I tried to gather all the info I could before I had my surgery too..knowledge is power. I think it is a great idea to do therapy before your sugery. I know that I have seen several sites that had great pre-op exercises. You need to work on having good range of motion, good quad strength, and hamstring strength. This will help make your post-op rehab go quickly. Looking back, I wish I would of worked on those areas before I had surgey. My quad has wasted badly...it takes much more time to rebuild the muscle than lose it. My knee buckles some now because of loss of muscle. That totally scares me too...sure don't want to fall. So, I am working very hard in rehab on rebuilding my muscle. But, my therapist and doctor are optimistic that it will get better. Patience...patience....very hard for me but I am trying. I have learned that you heal slower as you get older (just had my 40th b-day...yuck!).

Glad that you have your surgery date set. It is nice to know a definite date so you can have things ready. I know that I could not drive for several weeks and that was hard... I had therapy 3x a week at first so just make sure that you have some help lined up.

Please email or post here if you have any other questions or comments. I will keep you all posted on my recovery. (Misty..keep us posted on your recovery too!!)

Kim

Apr 09, 2009
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acl revision and allergy
by: kelly

Misty,

Wow, sorry to hear about your nasty reaction after surgery...that sucks. I know itching can be horrible...almost worse than pain. You may want to ask the doctor what kind of prep solution they used to clean your knee before surgery and also if they used Ioban during surgery. A prep solution like betadine has been known to cause allergies in many people and in even more people when it was not cleaned off properly and you stick the tape to it....this could have been part of the cause of your allergy. Ioban is a saran wrap-like substance that is impregnated with iodine/betadine that they stick to your knee before they make the initial incision to help cut back on bacteria, after it has been prepped. There are many people that are allergic to that too. I work in the operating room and i have seen many people with these type of allergies. it is important for you to find out because you could have a betadine/iodine allergy (not just adhesive tape) and that is important to know for any possibly future surgeries of any kind. Most hospital use betadine/iodine solutions in different aspects of cleaning and surgery (ie-prepping the body before surgery and even placing a foley catheter). And that kind of allergy can be a precursor for a contrast dye allergy (the contrast solution they use in things like CT scans). Just an fyi...it is an important thing to know. It may have just been the adhesive tape, but if you have never had any problems wiht bandaids or tape before, it is likely the combonation of the tape/prep solution or just the prep solution (or Ioban) in itself. Be sure to try and find out and add that to your list of allergies.

I hope you are feeling better now and thank you so much for sharing your surgery details with me. Your advise and testimonial is a big help in preparing me for round 2 of my knee saga. Please keep in touch and let me know how things go and other things that have worked and not worked for your throughout your recovery!!

Take care,
Kelly


Apr 09, 2009
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acl revision surgery set - Misty and Kim
by: Kelly

Hey there Kim and Misty,

You guys have been so wonderful and a wealth of knowledge. Like you guys have said it is a huge comfort to hear about your trials and tribulations with surgery and to know what I may and may not have to expect. The surgery is set for June 4. I decided to try and wait and help out my hospital since they already had posted the May schedule. So I am going to have surgery the week after the schedule ends.

Kim, sorry to hear about your delays and problems with surgery, but glad to hear you are on the mend now. My doc seems to think that my surgery will only be about 2hrs max, but everything that I have read (and your own testimonies) says that a revision is usually about 4-5 hours. So we will see. I have done some research about exercises and am gonig to try and start some preop exercises to try and get my knee ready some. I have read about the femoral nerve blocks before and I am glad to hear that you had one Misty...and that you liked it. I ahve read other testimonials on the net that said the same thing and it sounds like that way to go. I know my surgery was 20+ years ago and I was only 16...but I remember the pain was almost intolerable then. And Kim, I was locked in a brace at 60degrees for 4 months....so I feel your pain (no pun intended,lol).

Please, ladies, keep up with me on your progress and the things that you think worked for you (like exercises, pain relief, etc) and the things that didn't. I am very interested considering you are both in very similar situations that I am in and really feel relieved to have found this web site (Thanks Bart!!) and to have gotten in contact with you both. Keep plugging along and keep your chin up.

Kelly

Apr 07, 2009
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More info
by: Kim

Misty,

It is nice to compare notes with someone who has had or plans to have similar surgery.

We have another thing in common...my doctor did not like the allograft that was first picked out for me too...so he had to prepare another one. So, that in addition to having a difficult time placing the graft in place was my reason for the long surgery.

I did not have any allergies to latex...that would be miserable!! I did not know exactly where all my incisions where until the physcial therapist took off my many, many, layers of bandages too. It is scary when you don't have any idea what it looks like under those bandages. I then realized why I was in so much pain...my knee was huge!! I wished that I could of had the block for pain like you did. That's a great idea.

I wanted to add that my dr has me to wear a functional acl brace now for when I am going to be standing or walking for long periods of time. My muscles are still weak which makes my knee buckle some. The brace helps me alot. My doctor also wants me to wear the brace when I play sports in the future. I don't want to do this again.

Well, just thought I would add a few more comments. It's been nice comparing notes...Hope to talk with you again.

Kim



Apr 07, 2009
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More about my surgery
by: Anonymous

Kelly and Kim,

Okay, so I left a few things out about my surgery, but since we are comparing notes here - I couldn't resist sharing.

My surgery also lasted 4 hours because the first BPTB allograft they tried to use broke...so they had to do another one during surgery. I had a catheter placed in my groin area to deliver a nerve block for several days (ask for this - HIGHLY RECOMMENDED FOR PAIN RELIEF). Seriously, it was wonderful - the nerve block was only on my knee, not my entire leg - it was great stuff!!! I pulled the catheter out myself at home when it wore off (VERY EASY).

The other bad thing that happened to me what I ended up being allergic to ther medical tape / adhesive. I didn't even know it until I went to the Dr. for my follow up appointment because I had not unwrapped my leg and looked at it at all (didn't want any germs / staph trying to sneak in. When I could feel my leg (nerve block wore off), I was about to itch to death. I looked like a burn victim instead of a surgical patient - lots of bumps and redness and it was aweful. I had trouble sleeping at night because I was itching (had to take steroids for a week). My Physical Therapy Aide told me she would just go ahead and amputate it for me it looked so bad...

Anyway, after the week from h-e-l-l, things really got better. For me, trying to get comfortable at night was the hardest part. Everything else has been good. My itchiness is gone and the scar is looking good too.

The lesson here is to make sure you are not allergic to whatever they plan to use on you. And now you know....

I'm not trying to scare you, it is just nice to talk to others who have had / or are having the same type of surgery :)

Misty

Apr 07, 2009
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My ACL Revision recovery
by: Kim

Misty,

So glad to see that you are doing so well. Looks like you are on your way to a full recovery. Thanks for letting us know. Hope you continue to do well.

Kim



Kelly,

Ok Kelly...here are the answers to the questions that you asked regarding my acl revision. Misty did a great job of answering the same questions and she seems to be doing great.

Yes, I did use a patellar tendon allograft. That was the choice of my dr since I had already used my own patellar tendon for my first acl reconstruction. I was on my crutches with non weight bearing for the first 4-5 weeks. The reason for the non weight bearing status was that my bone was soft and he had make another incision on the side of my leg directly above my knee to place graft securely. My surgery lasted almost four hours because of this. This also caused me to have to wear a post op knee brace locked @ 30 degrees for 5 weeks. I did take off the brace while doing therapy. After the brace was gone, I was then able to slowly begin to put weight on leg and walk with my crutches for another 2 weeks and then one crutch for a week. So, for a grand total of 8 weeks. You will more than likely be closer to Misty's schedule than mine because of my complication with the bone. I had to be very careful that my bone healed around the new screws..I did not want to start over!!! So, don't let my time on crutches scare you...The only thing I am unsure about is your meniscus..it may cause you to be on crutches a little longer than usual. You just need to ask your dr....

Now for the amount of time that I could return to work, that is a hard one for me to answer. I am a stay at home mom to four very active girls, so I did not have to go to a job. But, I was coaching 2 girls basketball teams at that time and was on my feet alot. That was hard....it did cause pain when I stood for long periods of time. Your job sounds like you are on your feet for long periods...so that will be hard at first. You will just have to ask your dr and physical therapist and they can give you a better answer.

Looks like you had a terrible time the first go around. Since you are going to use the patellar tendon allograft, you will probably recover faster than your initial reconstruction. You will probably be off crutches sooner than I was.

My therapy was very conservative at first, but is going well now. Regaining my range of motion has been a little painful, but is getting much better. I am working hard on rebuilding my muscle and balancing exercises. This time recovery has been a little slower.. I had to learn patience...which is hard for me.

I apologize for this being sooooo long...I just wanted to answer your questions. I will email you also so.

Hope your surgery goes without the complications that I had. With any luck, your recovery will be more like Misty's which seems to be fast. I just seem to have bad luck..LOL!

Kim

Apr 07, 2009
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response to Kim
by: Misty

Kim

The comment above was from me. I don't know why it listed me as anonymous.

Misty

Apr 07, 2009
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surgery / recovery
by: Anonymous

Hey there. I had the 2nd ACL/meniscus surgery on Feb 2oth. I had an allograft (cadaver) Bone-patellar tendon -bone ACL reconstruction and removal of 60% of my medial meniscus. I was on crutchs for 4-5 weeks at 25% partial weight bearing. I am now off of crutches and taking physical therapy x2 per week. I highly recommend the cadaver tendon because it was a LOT easier than my first ACL surgery. I only wore a knee immobilizer for a few days as compared to MONTHS the first time around. I came home with a CPM and within a week I was bending to 110 degrees. I have full range of motion in my knee now and recovery is going well. I go back to the Dr. on May 5th. For now I still have squatting and twisting/pivot restrictions. The biggest problem I have is just weakness, like when I go up and down stairs. I won't say I am the most compliant with my HEP (home exercise program) or I may be doing even better. The pool has been great for recovery. I have had very little pain (didn't even have to take all the narcotics they gave me), but I have had moderate swelling. I will be more than happy to answer any questions. Thanks for checking on me.

Apr 07, 2009
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question for Misty...acl revision
by: Anonymous

Misty,

I wrote earlier to Kim regarding her acl revision story. did you end up having surgery? If not, any reasons why that you would like to discuss? I would love to talk to you some more, I am having surgery in about a month and am trying to get as much detail as I can.

Kelly
somesugar5@cox.net

Apr 07, 2009
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acl revision surgery
by: Kelly

Kim,

I am in the process of setting up revision surgery myself. I had a full ACL tear and meniscal tears repaired 20 years ago and now the ACL and meniscus is torn again. I am 36 and I debated about not having surgery (which my doctor seemed to kind of push), but I am still active and the more I have read up on the side effects of not having an ACL, it is imperative that I have the surgery.

I had a few questions for you...did you end up using the allograft patellar tendon? How long were you on crutches? How long before you could return to work and what kind of work do you do (in other words, do you stand or have to walk around a lot). I am actually an RN in the operating room (but we usually don't do ACL surgeries, they do those in the same day surgery center)...and I am on my feet for long periods of time.

My doctor is going to use a cadaver tendon too and hopefully that will help with the lack of knee cap pain (that i have read a lot of people have with patellar tendon use) and quicker recovery. I would love to hear more from you and ask some direct questions. Back when I had my original surgery I was locked in a brace at 60degrees for 4 months and PT was HELL! So this should be a blessing. My direct email is somesugar5@cox.net I would really appreciate it if you would write back.

Kelly

Feb 12, 2009
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Glad I could help
by: Kim

Misty,

I am so glad that reading my post helped you. Sometimes it is just nice to know that someone else understands how you feel. I am now 8 weeks post op and doing well. Like I said earlier, my rehab is somewhat slower than first time around due to some complications. But, I am getting better.

I wish you luck in your upcoming surgery. Please feel free to ask me any questions...I would love to help you any way I can.

Kim

Feb 12, 2009
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I'm having the same surgery
by: Misty

I'm really glad to read this. I had ACL and meniscus surgery 6 years ago. I am getting ready to have a revision on Feb 20th because I have reinjured myself. Just like you stated, my leg just doesn't feel "right" - so my physical therapist and Dr. thinks I should use an allograft (cadavar tendon) for the surgery. Reading your post has helped me see what to expect. Thanks!

Jan 07, 2009
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Had the acl revision
by: KIM

Oops! I forgot enter my name in the above post. My name is Kim. Sorry for the confusion!!

Jan 07, 2009
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Had the acl revision
by: Anonymous

Hello all. Well I am 3 weeks post op and doing okay. The doctors were right with diagnosis of my acl graft being stretched. I should of never doubted the docs because they are the physicians for a major college and have a great reputation....I guess I was just in denial. Anyway, he took pics during surgery and showed me where my acl should be and I could plainly see that it was totally stretched and non-fuctional. So, I am glad that I had surgery b/c knee would of only gotten worse. He did find a few other problems while he was in there and the main one being that my bone was a little soft which caused some problems with fixing the allograft in place. So, I had a few extra incisions in order to put the graft in place securely.

Like I said earlier, I am doing okay but I can tell it is different than the first time around. For one, I am older. Also, I am in a brace this time to protect the graft and because of the soft bone issue. Therapy is going slower this time but doc said that it needed to be to protect graft. I agree b/c I don't want to do this again. I seem to be in more pain this time too but doc explained that revision if a more complicated surgery than original. So, I am glad it is over and know that I am getting better. Progress may be a little slower this time, but I am not in a hurry. I just want to get better.

So, I am glad that I had the surgery but one needs to realize that revision is more complicated than the first one. I am trying to be optimistic and not to get frustrated. I have a very supportive doctor and physical therapist which makes me feel alot better. Hopefully my story will help someone in the same situation as I was in. I did have a hard time in my decision on to have the surgery, but now I am glad that it is over and I am getting better. Thanks!

Nov 19, 2008
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Thanks!
by: Kim

Thanks Bart for your quick response. My doctors are going to use the patellar tendon allograft so my recovery will be a little easier. It is nice to see that you agree with them on their decision to do the surgery and their choice of graft. My graft has been ordered so my surgery will be soon. I will be glad to get surgery over and begin the therapy. I am ready to have confidence in my knee again! So, thanks again for response. I hope to post again because maybe my story might help someone else in a similiar situation.

Nov 19, 2008
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ACL revision
by: Bart - SII

I would agree with your doctors - to be as active as you want to be, and to prolong the life of your knee, an ACL reconstruction would be a good idea. I would look into an patellar tendon allograft as this would provide the best recovery (least pain, quickest return of motion) and would be adequate for the activities you are wanting to get back to.

The recovery process takes time (as I am sure you know) but a stable knee to enjoy the things you love to do will be worth it.

Bart

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