Question - Knee Mobility Post ACL Surgery

by Christine
(Abilene, TX)

I still cannot straighten my knee completely since ACL surgery May 7, 2008. It's at minus 8 degrees at best. Can you advise? To give you some history, I first tore my meniscus in the left knee while jogging and had surgery for that in April 2007. After about 2 months of rehab I still could not straighten my knee completely.

Then I tore my ACL (June 2007) while I was still recovering from the meniscus tear. Went back to the ortho Dr. and he wasn't convinced I tore anything (even though I insisted something was injured in my knee) so I was sent on my way to more rehab. After several more months of rehab, and only able to straighten my knee to minus 5 degrees I went to a different ortho Dr. who diagnosed me with a torn ACL. Did ACL reconstruction the following week (7 May 08) and I've been in rehab again since May 08.

I am still unable to straighten my knee completely. I've been told by a new ortho Dr. (my surgeon has since retired) that I may never straighten my knee again. That it could be scar tissue built up. Now I have hip pain, lower back pain and pain in my right leg because it bears a good portion of my weight most of the time because I cannot stand completely straight unless my weight is on my good leg.

Any advice or information you can give me is appreciated! I am desperate here. I was very active prior to the surgeries. Running, racquetball, softball, volleyball, you name it, I played it.

I am a 45-year-old woman and understand that us older folk don't heal as quickly. But I have a hard time accepting that my knee will never straighten completely again. With the medical technology out there isn't there something that can help me with this problem other than a total knee replacement?

I also have osteoarthritis in my knee which I never really had before the meniscus surgery. My workouts now consist of a recumbent bike, eliptical machines, and walking/exercising in the pool. All are great for staying in shape; however, I can't even do those with the intensity that I want to because of the constant pain in my knee and inability to straighten it completely.

Thanks

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Question - Knee Mobility Post ACL Surgery

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Aug 31, 2011
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good luck NEW
by: Anonymous

I tore my acl in June 1990 waited till nov 2008 to repair only because other issues thrusted me to repair.I also had another knee surgery the next year 12/09 my knee has continuosly declined since then to the pointI am unable to work or do any strenuous activities i since changed doctors because my first doctor decided he wanted to replace my knee.I am 38years old not ready for that. The new doctor told me knee replacement may not fix it and the problem will continue to worsen as of right now I am looking at bone spur removal surgery while they are in there they are going to look at my acl that was replaced. My current doctor feels my previous doctor wasnt fully honest. before first surgery my leg would go to 0 degrees after first surgery it went back to 5 degrees, since that surgery i got it to 7 degrees if i hang 25lb wieght from it i have a hard time believing my active live is over they never prepared my family for that. My new doctor said the first doctor may have used the wrong size acl if i cannot fix my problem i will probaly loose my big toe for I know longer have feeling in it.

Aug 21, 2011
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Bakers Cyst NEW
by: Anonymous

Could a Bakers cyst cause the knee not to straighten?

Aug 21, 2011
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Can't straighten my knee after ACL/Meniscus surgery. NEW
by: Anonymous

I tore my ACL three months ago. Just had the surgery 1 month ago. I can't straighten my knee to 0 degrees. Doc told me I wont be able to straighten my knee again. I'm not sure if this is true I'm pretty much freaking out as I had just entered my state bmx championship. I'm 19 and my life revolves around extreme sports.

Aug 21, 2011
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Jun 08, 2011
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Knee surgery NEW
by: Ms. M

WOW!!! I've read most of the previous postings and concur. I had arthroscopic surgery in early March for a meniscus tear. I also went to PT for approximately 8 weeks. I too have a bend in my knee, but I had the bend prior to surgery due to compensating for the pain. PT did help with range of motion in my knee and they also would push down and hold for several repetitions, which I agree was very painful. I returned to work in early May, which is a physically demanding job. The knee swells almost usually by the time I get to work and I'm still unable to straighten my leg. My Ortho who performed the surgery said it may take several months before I see any improvement and if none... surgery. He also thinks it’s great that I'm on it as much as possible (work) and continue my exercises. After reading many of your posts I'm very worried this is something I'm going to have to live with for the rest of my life. However, I'm going to seek a second opinion from another Ortho tomorrow. Just to see if there are differing opinions of my situation.

May 12, 2011
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something stuck inside my knee NEW
by: Anonymous

hi there , i am mohamed from egypt 25 years old , i make ACL surgery in my right knee from one month but i feel that there is something moving inside my knee and sometimes this thing stuck inside my knee so what is this thing please i need your advise

Apr 09, 2011
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Hey what's with all the 45 year old ladies getting ACLs? NEW
by: Tina

Hi,
I am 4 weeks post op of ACL repair surgery. I injured my MCL and ACL last summer doing martial arts. I am going to PT and don't use crutches since the first 10 days. I also do the exercises at home a few times a day. I will return to work in a few days and am a little nervous to be on my feet all day (teacher).
I hope everyone heals and everyone is in my prayers for a speedy recovery. My ROM is 130 and only use the immobilizer when I'm out of the house. I started PT after the 4th day post op and my PT thinks maybe why I was able to progress so quickly.

Apr 09, 2011
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Dec 09, 2010
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both knees are locked/3 different opions NEW
by: LindaB

I had meniscus surgery on both knees during 1997 and 1998. Both times I tripped over or was tripped by my dogs and tore the meniscus. I did ALL of the pt. Gradually, after a very good recovery my left knee started to slowly refuse to straighten. Eventually the knee was very bent and my Or guy did another surgery, put me way under and tried to straighten it. That didn't work at all and he told me that I would need a total knee replacement eventually (to relieve pain of severe osteoarthritis) and that he would be able to straighten it then. Now my right leg has started doing the same thing. My kids call me a hobbit and that's kind of what I walk like. I have reached the point where my knees dictate my life style. I have severe pain in both knees, referred pain in both calves and hip and back pain. I can't walk any distance to speak of (a mall is a nightmare!), can't walk my dogs, do gardening, I can't even pick my grandkids up and carry them around. I've seen 3 different docs in my area and gotten 3 completly different opinions. One says 2 knee replacements and lot of pt will fix it, one says they don't know why this stricture happens or how to fix it, one says knee replacement will relieve the pain but not the ability to straighten. I was really hoping someone out there had a fix for this but it sounds like you are all having ongoing problems. I live in rural so. OR and am thinking I need to go somewhere where they specialize in knees before I commit to the surgery option. If any of you have new info, please post it. I'm seriously depressed about this right now.

Nov 29, 2010
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11 months after ACL recon and still unable to straighten knee NEW
by: Lisa

I had ACL recon with meniscus repair about 11 months ago now and I am stilll unable to straighten my knee. I suffer from lower back pain, hip pain and my right leg aches due to compensating for my left. I'm a nursing student so placements are very difficult having to be on my feet for many hours. Next month I'm going in for arthroscopy to see whats going on, my surgeon states the possibility of scar tissue formation. I also suffer from pain on the medial side of my knee which is apprantely suggestive of scar tissue. He is also going to manually manipulate my knee while I'm under in an attempt to break any adhersions. I am desperately hoping to get my knee back on track so I can go back to sports and be able to stay on track with my career.

Oct 26, 2010
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MY GOD I Am YOU Christine NEW
by: Cheryl H

EXACT same story as Christine except prior to ACL rupture I had back surgery and a hip graft for a broken neck (4 years prior to knee blow out). After losing all my weight I "thought" i was back in shape, what an idiot, and blew out my acl in 15 minutes of hard court volleyball. I had a manual manipulation and scar tissue removal apx 12 months post op, and now am at apx -8 degrees. I bowl now and am about 50 pounds overweight, as I cannot work out like I used to. Sometimes when bowling, I have EXCRUCIATING pain in my left hip....same leg as acl injury. I am also 45 and too young to be in this type of pain. I hate pain pills and chop my Oxycodone into quarters to take. I rarely take them. Is there a solution to this? Is this back pain radiating down into my hip?? It feels like my hip. I dont want to go see my back surgeon as he is one of the top in the world and he will be mad that I gained so much weight. BUT its hard to keep weight off when you are not mobile anymore help

Oct 26, 2010
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Jun 12, 2010
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partial knee surgery NEW
by: Lynnette

I had partial knee surgery October 2009.
for me it was the worst decision of my life.
I have been in constant pain ever since.
I cannot straighten my knee.
the surgeon told me he would change the quality of life. My life has been hell.
I was a fit 58 year old I loved ballroom tap jass dance I cannot do any of them.
I really believe I would have been better off having physio to strengthen my knee.
My knee was locking and given way
I was not in the pain I am in now.
I am going to Hospital for laparoscopy and the surgeon is going to try manupulation I am scared in case it will not work.
If anybody is thinking of knee surgery see a physio first they maybe able to help you without the surgery.

May 19, 2010
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Surg #3 NEW
by: Fala

Like many of you I have difficulty with full extension after ACL reconstruction. I also cannot bend my knee past 90 degrees. Had the ACL repaired in Nov '09 (Age: 40). After several months of PT I was losing ground. OS went back in to clean out scar tissue and manipulate in Mar '10. It was going well - bending to 120 degrees and full extension - when again I started to lose ground. I just received a 3rd opinion from a well regarded OS in NYC (affiliated with Hospital for Special Surgery) and he says i need 1-2 more surgeries. He didn't like the placement of my graft. Says it appears too vertical. So first surgery to again clean out scar tissue. Will monitor for a couple of months and if i don't make any progress he wants to do a revision of the graft. This knee has cost me a lot of money and I am tired. I hope this works.

Apr 30, 2010
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contionoued on NEW
by: cnazrio

Also i noticed subconsciously i was not allowing myself to straighting my leg no matter how much pressure i put on my knee while doing the TOWEL excercise. But with the DUMBELL EXCERCISE the muscles i use to fight my extension slowly began to tire out due to the weight of the dumbell and my knee begans to decend . I usually hold it for a minute then i stand up and with my heel on the floor and i try to stand as straight as possible. i then squat slowly and try and go as low as my knee allows me. Usually with extension i get a decrease in my bending so i try and work them both together. I repeat the excercise numerous times till i feel i have a good extension. I have been increasing the weight of the dumbell and now am able to straighten my knee out everytime i do the excercise. I lift weights everyday and usually after my DUMBELL EXCERCISE i go for a jog or do some lower body excercises.. Strengthening Your thighs will help you extend your leg because we lose not only our muscle but our muscle memory of our quads(thighs) after surgery i have really started to notice an improvment.. Like alot of ppl i was always standing on my good leg but this is one thing you must constantly work on "standing errect on both legs, even if your knee doesnt extend fully. I dont allow myself to stand on one leg anymore and forse myself to stand straight as soon as i notice im standing on one leg i correct myself. wheni walk i extend my leg as far as i can heel down and rolling from hell to toes putting pressure against the floor( is the best way i can explain it) and trying to extend. when standing straight no matter what im doing im always trying to extend "Practice makes perfect" While im drinking, talking, working im always trying to stand straight and keep a even amount of pressure on both legs. i am not a certified doctor or physical therapist although i am studying to become a P.T.. This is whats working for me and i hope it works for you... remeber start off with little weight you will know your own limits. Good luck Reply back to this and let me know how it works for you. Seeing that i am going into Physical therapy i pondered about keeping this excercise for my own Plan for my future clients but i know the frustration of not having extension so i hope i can help.. sorry for the misspelling..

Apr 30, 2010
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Getting better NEW
by: Cnazario

While playing football i tore all the ligaments in my knee causing me to get full knee reconstruction. i went thru p.t for 7 months and i was able to get my leg to fully extend a couple times but the next day my knee would be under unbearable pain. its been 4 years and still i am not able to fully extend it. While in physical therapy my therapist would have me sit on a bench and using a towel i would put the middle of it over my knee cap and crab the sides pushing down towards the floor and then try flexing my thigh.. Im sure most of the ppl here have also done this exercise. although it would help i noticed my knee would still stay stiff and i would tire real quickly from pushing down on the towel.. i have since discovered a new form of this exercise that has helped me improve my extension. For now will call it the DUMBELL EXERCISE, for this exercise you need a towel and to start off a light dumbell. i fold the towel a few time to form a cushion between my leg and the dumbell i place it above my knee cap (not on top of the knee cap) i then place the dumbell on the towel ( the handle of the dumbell should be on the towel)the weight of the dumbell is going to began to forse your knee towards the bench. For support i place my hands under the sides of the dumbell(For a better visual, My hands are under the Circles of the dumbell in which the number that signifizes the amount of weight of the dumbell is usually marked) my hands are what controls how much weight im allowing on my knee. Dont just start of by flopping it down onto your leg. Slowly start allowing the wieght to apply pressure to your knee.. now you knee is slowly becoming straighter the more i allow the weight to apply pressure .. as my knee is becoming straighter i am also trying to push the back of my knee into the bench keeping my foot relaxed. like the first excercise there is going to be a little bit of pain. the reason i find this excercise usefull is because unlike the Towel excercise the dumbell is doing all the work and i can focus on straightening my leg.

Apr 29, 2010
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can't straighten leg after ACL NEW
by: Shelly

I have read so many stories like mine! I am 42, I have had multiple knee surgeries, the most recent was June 2009 for ALC recontruction (2nd ACL reconstruction in same knee!). 10 months later and I struggle daily. After sitting for no more than 5 minutes I have to hold on to furniture when I get up until my knee "warms up"...limping badly! I cannot get my knee to straighten out at all...it is always bent a little bit. I admit, I stopped my PT after going for 5 weeks due to my financial issues, but I TRIED to do exercises at home. I am scared to go back to ortho MD for fear of being scolded on the PT thing and I am afraid he will say the dreaded "surgery" word. After reading these other posts, I am afraid it will never straighten again......I welcome any advice. Feel free to email me with any suggestions, exercises, advice etc....swtpe68@hotmail.com
Thanks for reading!

Mar 28, 2010
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Meniscus Tear, Meniscectomy NEW
by: Anonymous

I'm posting my surgery recovery here as there is a dearth of information about what to expect after surgery for a meniscectomy.

I'm a 49-year-old female who runs between 25-30 miles per week, and also surfs, cycles and does step aerobics. Over the last several months I had increased aching in the back of my knee with a sense that it was becoming unstable and overextended. A slip and fall on a wet boardwalk resulted in a sharp pain and an inability to bear much weight on my leg, especially when coming down steps.

After one week of RICE therapy, I consulted a sports physician who took x-rays and ordered an MRI. The diagnosis was a lateral meniscus tear that was ineligible for repair (not in the red zone) and osteoarthritis. After discussion options and my desire to return to a high level of activity I opted for surgery.

Mar 17, 2010
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Unable to straighten knee or walk NEW
by: Gayle Lakeland, FL

I shattered my patella in 2004. The ortho removed the bottom half because he said the pieces were too small to put back together. After that ordeal, I was able to walk (with a cane) but my knee did not entirely straighten. Since that time, I had a arthro meniscus r epair, total knee replacement, and pt many many times for the last five 1/2 years. Now my leg is so bent I can only walk with a walker around the house and use a wheelchair everywhere else. A new ortho says I need a knee revision and it has only been 9 months. I am only 57 now and was 52 when I shattered my knee. I have been through **** and still can't walk right. If anyone has any suggestions, please e-mail me at GR8Gayle@tampabay.rr.com.

Jan 09, 2010
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can't straighten my knee after surgery NEW
by: Anonymous

I had orthoscopic surgery in October 2009 to repair a torn miniscus and also repair a cartlidge in the back of me knee that was hanging down and he also took care of arthritis while he was in there. I have been receiving physical therapy twice a week land and water. I am know only doing land and the therapist gets on stool and pushes down on my knee trying to straighten it, This is so painful, I cry. The doctor was me to be put under now so he can manipulate the knee but I will still have to have therapy. I have done all the exercise reaquested at home as well, please email me if this has happened to you. I could use the support. wvuscout@aol.com

Dec 04, 2009
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post total knee replacement NEW
by: Anonymous

Thank you for your suggestions. I have been going thru intense pt and have increased the strength in my leg however I am still having alot of pain and unable to straighten it. I am also having a numbing sensation down the outer aspect of my leg down to my ankle.I am waiting for appt for second oppinion. keep me in your prayers please.

Dec 03, 2009
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post-op acl recovery NEW
by: Anonymous

dear 45 yr. old woman ,
Going through rehab now due to acl replacement.
My ortho told me he didnt like how the range of motion only allowed me to extend my leg forward 90deg. ( no further) this was concerning him.
1 month after surgery he then issued me a leg extensioner , he told me ( after 4 wks of more
therapy and using the extensioner) if my leg wasnt fully extended by then, he would probably be considering surgery again to remove all scar tissue that had formed preventing me to straighten or bending my knee backward to its fullest. IM just wandering if you have to much scar tissue build-up in your knee and maybe getting another opinion on the possibility of removing scar tissue? I do know what your going thru , i hope this advise was helpful at all. good luck in the future hope the best for you and god bless !

Sep 19, 2009
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can't straighten after a total knee NEW
by: donna

I had a total knee in may 09 and now am unable to straighten my knee. I do PT 2 times a week and my therapist doesn't understand why the joint is so tight and my ortho doc just says it's perfect. I am still in a great deal of pain after standing or sitiing for periods over 20 minutes. I have been using a device they call an extensionator but my degree of straightening is no better now thsn it was when i first stated PT in June. My therapist literally pulls my leg by the ankle while her assistant pushes my leg to the mat( extremely painful and brings tears to my eyes). they put their full body weight on my leg and still I have had no improvement. I have 125 degree flexion I just can' straighten it.

Sep 19, 2009
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Meniscus Surgery, locked knee can't straigten it NEW
by: Shelly

Hi there,

In July 2009 I got up off the couch to go out shopping and felt an incredible pain in my knee that took my breath away. I couldn't bare any weight on my right leg and my knee was in a locked position. I stayed off my leg and got into the Ortho Surgeon and had immediate surgery...this was eleven days after it locking. I'm now on week nine and still can't straighten the knee, it varies between -10 to -15 degrees. I've had in house physio and now I'm going out to physio...just having to get someone to drive for it's my right leg and I still can't do the gas to brake thing.

My doctor has requested that I get some imobilizing brace which goes on three times a day for 30 minutes each time. There are tension rods which force my knee straight...I can't bear weight during this process...and it is really expensive 800 dollars a month, possibly four months of use, as well as physio.

Has anyone heard of this contraption and/or used it with any success. Please let me know.

Thanks

Jun 22, 2009
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continued NEW
by: Dee

I am an athletic, 49 year old woman who previously was in excellent shape. I realize that perhaps I was not aggressive enough in my own PT but honestly, it hurts like crazy to try to straighten it and there feels like something is in the way to keep me from straightening it. I can bend my knee fine but the knee itself has a bump on the inner knee where my patella looks off kilter and not adjacent to where it should lie. Compared to my left leg and knee, it looks uneven. My right upper leg is smaller then my left, losing muscle tone and I have a hard time bearing weight. I am a nurse waiting to take my nursing refresher course so I can go back to work and I and cannot even be on my feet for longer hours now or stand for long periods of time. I cannot walk without a slight limp either. I am depressed about it and don't know which way to turn now. I wonder if this doesn't pan out if I should seek an attorneys advice? Some of your point of views would be nice. Thanks!

Jun 22, 2009
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Same here NEW
by: Dee

I had Medial Meniscus surgery and orthoscopic surgery done in 2004 on my right knee. During ortho surgery he ruled out my ACL due to it was not stretched too much so he left it alone. I had a total tear and my meniscus was re-sewed and my ortho doc told me that I needed to be very careful when playing soccer ( how I injured it in the first place) and that perhaps tennis & skiing was out of the question. My knee recovered fine at that time but I gave up playing sports - I stuck to running and working out at the gym on the ileptical and walked/ran. No more ice skating, tennis, soccer or other twisting type sports. In July of 2008 I was cleaning the pool outdoors when my right knee gave out and slipped out of joint. The same ortho doc confirmed I had a re tearing of my right medial meniscus and my ACL was also torn. I opted for surgery because I could not stand my knee popping out of place all the time including swelling and pain. I had surgery October 7, 2008 with a medial meniscus repair on the right leg and a right hamstring graft to repair the ACL as well. Surgery was successful and he sent me home with the usual ice, immobility and pain med etc. I was walking with a limp a week later, no crutches and when I went into the doc for follow up he sent me home telling me to try walking normal and straighten my leg when I do walk. He did not even give me a script for PT at that time. My 2nd follow up visit 4 weeks later I still had a swollen knee and limping, again he told me to try and walk and straighten it out without a limp. Of course it was early still and so I tried, no way could I do that though. he also insructed me that I had a bone fragment he saw on my x-ray and also a screw was not properly fit into the knee, perhaps the screw was too far into the bone he said. He said he was hoping it would resolve on its own. He issued me a script for PT 2 times a week for 4 weeks then back in his office. I lost my medical insurance and could not afford PT, I was undergoing a divorce and my ex cut my insurance off. I had no job and limited money in savings. I then went to the gym at the community center 3-4 times a week and walked and did light weights, I also used the bike and this seem to help allot. I just couldn't afford PT, sorry. I did my best but now I am unable to straighten my knee all the way like the other knee/leg. It is causing me some back and hip pain and I even tried yoga and this helped somewhat but the knee just won't budge. It is locked. I wrote my doc a letter explaining that perhaps he could help me due to not having insurance and take a look. perhaps the knee fragment he left in my knee or the screw was impeding the straightening of my knee. It is now 8 months later and I'm still waiting for him to call me. It has been a week since I mailed it and no call so far.
continued below

Jun 15, 2009
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UNABL E TO STRAIGHTEN KNEE NEW
by: dwight

I have swelling in both legs caused by edema. I am scheduled to see a vascular surgeon for the swelling, howver the other problem I have is same as other posts / unable to straighten right knee. Ortho dr wants to do surgery thinks there is ligament damage interferring with full joint movement. I have concern about surgery re scar tissue and making problem worse. I have pain walking from inability to fully extend leg. Stiffness and pain go away while moving but pain occurs after sitting for any time, then getting up and down.

Jun 08, 2009
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Cannot straighten knee and am worried NEW
by: Jadycat

I too have had a patella ACl reconstruction, this was beginning of February 2009
(4 months ago)
My knee has full bend without pain, but I cannot straighten it.
It does not hurt trying to straighten it, just it will not straighten.
my physio has said it might be because my leg alignments are not straight, my hip, thigh and knee might be out and facing one direction, while my lower leg is out and facing the other direction. I hope that by manipulation I can straighten the leg so that everything fits back to normal (yet it hasn't so far after 6 weeks physio) but I too am worried this is actually due to arthritis or scar tissue build up, I am scared I may have to have another operation.

Mar 25, 2009
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Post ACL problems NEW
by: Anonymous

I have had a acl reconstruction using my patella graft, its been nine months and i am still having pain and tendorness in my knee and i cant completely straighten my knee, This is causing me to put all my wight on my good leg the right one and this is casusing hip and back pain, could someone please tell me why this is so and how can i fic it, the graft is fine. i am only 24 so i want to fix it before i get to old.
Thank you

Jan 08, 2009
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similar problem NEW
by: donna

I fell down some stairs at work and hit my lt knee on the metal lip of the step. It was bruised and swollen and very painful. I too have arthriris in both knees but it never limited my activities before the accident.My ortho doc did arthroscopic surgery on oct 9 2008.He said I damaged the cartilage to the bone and he drilled 2 holes in my knee with hopes of growing new cartilage.I have been through pt for about 2 months and I can't completely straighten my leg out plus I am still having a great deal of edema at my knee after short periods of weight bearing.I too am having a great deal of pain in my low back and hip from my gait being altered. My doc said that the mobility I have may be as good as it gets but I am not willing to accept it.I too am 45 years old, a nurse and very active. someone has to have a different outlook .

Aug 18, 2008
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How aggressive has your therapist been? NEW
by: Bart - SII

I won't say that it is impossible for you to regain your motion, but it is going to be an uphill battle. The fact that it has been so long since you have been able to straighten it out makes a huge difference in the ability to regain that motion.

You have probably developed scar tissue around the joint, as your physician said, which then limits the sliding of the bones inside the knee joint.

There are treatment options though - aggressive joint mobilizations can sometimes disrupt the scar tissue and adhesions within the joint - however, these are usually fairly painful when performed, and many therapists shy away from them. Also, making sure they are being performed correctly is important to prevent further damage to the knee.

Surgery to go in and clean out the scar tissue and try to restore motion is another option - this can sometimes work, however, it also has the risk of more scar formation because of the new surgery.

Another option is a manipulation under anesthesia - basically you are put under and then your doctor forces your knee straight, breaking up the adhesions and scar tissue - again, there is the risk of developing new scar tissue, so you have to be very diligent to maintain your new motion.

I would discuss all of these options with your therapist and doctor and see which ones are viable. It will likely depend on their philosophies and how they feel about these options with your knee 3 months out from ACL reconstruction.

Bart

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