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ACL surgery

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crescentfresh
Posts: 60 - Karma: 24
I got surery on left acl four days ago, it hurts like hell but it's starting to get better. Has anyone ever had this surgery or know someone that has? If so, when will I be able to return to skiing, like without having to wear a brace or anything? My doc says it depends so a definite answer would be nice.
May 15 2011 9:45AM
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alexg1687
Posts: 1505 - Karma: 1,581
Take your time, but yeah ACL surgery tends to be very successful. The most conservative doctor will elect not to fix it at all (unless you really can't walk) and tell you not to ski again. FIxing it is an option for younger more active people and allows you to ski again but you have to be careful. It also depends on what they actually did. Depending on where the acl tore they can sew it down or replace it with a hamstring. Sometimes they replace it with a carbon fibre thing but that's not a good option.

As far as the recovery goes, I imagine its pretty similar to what I had (patella realignment). There'll be a lot of muscle wastage. When you start training your quads back up make sure you don't neglect your medial quads (VMO). Its very easy to get unbalanced which will cause all sorts of problems down the track.

Ideally don't run any more. Running is shocking for your knees as it is and won't really help you with anything. Cycling is much better, and so is swimming initially. There's too much impact with running...more than skiing sometimes. Keep your flexibility up when you can but once again, don't rush it. ACL surgery is very straightforward and thousands are done every day but its still fragile to start with. Good luck with the recovery.

PS: Brooke.aussie had this exact surgery recently so she'll know more than me.
May 15 2011 9:50AM
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atomic1824
Posts: 359 - Karma: 291
You will be able to ski again. No problem. I had mine fixed March 24th. Mine had been along time coming and I can already tell my knee will serve me better then it had been in the years leading up to my full rupture.

Take your rehab seriously, do the exercises and don't rush into anything before you are cleared to do it. A setback would be a bummer.

I used my patella tendon to graft my torn acl, and I had work done on both menisci. All in all my knee feels great I am 7weeks out. I have no complaints about how it feels during my day to day life, it is only in PT where they are working the extremes of my range of motion that I feel any substantial pain.

You will be amazed at how quickly your knee will feel better. Right now it hurts because there is so MUCH swelling, as that subsides their will no longer be pressure on the nerves in the area, and in general where the actual repair work happened there is not a whole lot of nerves so it is not that painful once that swelling subsides. ICE as much as they tell you.

Good luck, my doctor has adivsed me that I probably won't need a brace to ski next winter, but that I can elect to have one if I am worried about direct contact to the knee or to have the mental support. Getting through the mental conditions associated with the injury and regaining confidence in the joint is what I hear is hardest. Tons of people have had amazing success with the procedure you just had, so don't be too anxious you'll be fine.

Good luck, be well.
May 15 2011 10:54AM
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Lemuel
Posts: 14502 - Karma: 10,729
Well, if you are skiing hard you are gonna have to wear the brace for years. I had ACL surgery last March, and I had no issue sending it this year, but you absolutely have to wear a brace. It is absolutely crucial so you don't re-tear it. My mom had hers done 3 years ago and only wore the brace for 1 year, but she only skis groomers so she doesn't really need it any more. I will be wearing mine for probably 5+ more years. You don't notice it after the first few days, I can't even tell I have a brace on anymore when I ski.

PT is crucial, keep up with it and the exercises. I was at the strongest I have ever been at the end of the summer, but when I went back to school I didn't go to the gym that often and I lost alot of the strength I had built, which I am disappointed with. I still didn't have any issues skiing, I was just alot more in shape at the end of the summer and pretty much lost all that endurance by the time ski season came around.
May 15 2011 10:59AM
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3mania
Posts: 2614 - Karma: 10,380
9 months for full connection of the new ligament to the bones. I'd take it easy for the first few months, but don't neglect your rehab. Once you get to where you can work it out pretty hard, make sure you don't push it too much cause i've seen lots of ppl get so excited to get back to where they were (mostly comp. athletes) that they end up doing some kinda damage and slowing their recovery.
May 15 2011 2:25PM
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Zimmerman
Posts: 6992 - Karma: 1,021
I just had the same surgery + two meniscal tears. Take your time and work your ass off in rehab/PT/working out. 6-9 months for sports. For skiing, at least 9. It takes a year for the new ACL to fully graft, so you should year a brace for at least a year after that if you're skiing hard. Good luck and +vibes
May 15 2011 2:33PM
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technique.
Posts: 1538 - Karma: 308
getting mine done this friday. theyre using a piece of my hamstring for the new ACL. they said ill be able to ski again but will need the brace for a while. my biggest fear is not being able to get as technine. flat landings and such. nervous as FACK for the surgery though.

i know how youre feelin. + mad vibes
May 15 2011 2:38PM
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TheHamburglar
Posts: 3895 - Karma: 3,317
I get mine done in 2 weeks and 3 days, this is pretty much how i feel. vibes to all in this thread who are/were injured
May 15 2011 2:41PM
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COskier
Posts: 1066 - Karma: 131
Nah, it doesn't take that long to return, I had acl/meniscus surgery and I was skiing park after 5 months. Just work your ass off in rehab doing the stupid small shit they make you do with elastic bands and what not. Then, when they send you to the gym, learn how to build muscle quickly from people who know what they are doing, ie a strength coach or an athlete from a sport where strength matters like a college football player/wrestler. Physical therapists are good at getting people into decent shape but suck at getting you 100% again. Also, the average trainer at your local gym probably sucks too.
May 15 2011 2:56PM
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family_vacation
Posts: 6200 - Karma: 7,840
Well, I'm happy to tell you that surgery is the best part. You don't feel anything, you don't remember anything, and you go from hanging out in a comfy bed to lying in a comfy bed eating snacks while full of painkillers. I experienced zero pain in my shoulder surgery, it was later that it got less fun.
May 15 2011 3:36PM
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crescentfresh
Posts: 60 - Karma: 24
Thanks Guys!
May 15 2011 6:05PM
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laura.jayne
Posts: 25 - Karma: 20
I got my ACL surgery in September last year. Im just starting skiing again now without a brase. You just have to take it slow and be careful trust me you will once you have been waiting so long! make sure when you get further down the track that you work on building your quads and hammy back up becuase thats whats letting me down atm. goodluck!
May 16 2011 6:30AM
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Jibberino
Posts: 2089 - Karma: 1,346
So you're choosing NS advice over your doctors? Are you fucking kidding me!
May 16 2011 6:36AM
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Jibberino
Posts: 2089 - Karma: 1,346
This thread is absolutely horrifying, a bunch of random people dispensing medical advice on the internet. Please do not listen to these people, and consult your own doctor and physio's, who know you and your particular injury. For christ's sake!
May 16 2011 6:39AM
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kirbstopper
Posts: 322 - Karma: 662
A Brace doesn't really prevent acl tears. It's more of a mental crutch. Strong hams and quads are way more important than any custom brace. At least that is what my mom says who happens to be a physiotherapist. She also pushed me very hard in rehab and I was skiing 100 % at 6 months.

That being said I still wear a custom CTI Vapor.
May 16 2011 7:25AM
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TechnoPotamus
Posts: 11626 - Karma: 3,522
*this is only my personal experience, it will be different for everyone...*

I tore both my ACL and MCL. ACL 100% through, MCL 50% through. real bad.


It took about 13 months from date of injury before I would say it was back at 100%. I continued to wear a brace on that knee when I skied for 2-3 years after the fact because it was a mental comfort thing.

Listen to your doc, listen to your physical therapist especially and do everything they tell you do even though it's painful and frustrating at times.



The best advice I can give is to keep working out your legs, i.e. weight lifting for your legs after it's back to 100%.

May 16 2011 9:07AM
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alexg1687
Posts: 1505 - Karma: 1,581
Its called reassurance. Of course she'll listen to her doctor, but hearing people who've been through it describe the reality (mostly from what's written above that she'll ski again but not too hard and probably wearing a brace) makes it a lot easier to bear. Especially in the first few days post op when you're still in a lot of pain.
May 16 2011 9:47AM
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Jibberino
Posts: 2089 - Karma: 1,346
So I assume you didn't read the OP? She's asking for a DEFINITE answer, as her doctor has told her it depends. This has then spurred this flood of pseudo medical advice, that I have then strongly urged no one to take seriously. It's all good and fine to compare experiences, but that's not only what's going on here, hence my warning.
May 16 2011 11:22AM
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Lemuel
Posts: 14502 - Karma: 10,729
Yea it is mostly mental, but your knee is still very susceptible to reinjury. I could probably ski without mine, but I have heard too many stories of people taking their brace off too early and redoing their ACL. I already started jumping on my trampoline without my brace on, which I was nervous about at first but after a minute I was at 90% confidence, I won't let anyone double bounce me.

I wear a CTI as well. I was skiing at my fullest potential my first time out, I had 100% trust in my knee.
May 16 2011 2:49PM
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huge-go
Posts: 1451 - Karma: 33
Hit the rehab as hard as you can, but don't over do it as this can set you back obviously. I hit the rehab hard and at 8 months I went skiing for my first time, without a brace (also didn't wear a brace once throughout the entire rehab process). Some people might frown upon braceless skiing, but I honestly think I'm in a better spot today because of it, having never relied on some false sense of security from a piece of metal wrapped around my knee to give me the confidence to ski hard. I had quite a few hard crashes and didn't have any problems. I think people who put so much confidence in their brace are really just a danger to their own knee, because as soon as they take it off they somehow think it's more vulnerable than their good one and end up compensating, thereby putting one leg or the other in bad situations. Both my surgeon and physio told me a lot of the cases they see of people blowing out a second acl blow out their good leg, because they're compensating and end up putting their healthy leg in a risky situation that it wouldn't be in had you had confidence to utilize both legs equally. The main thing you need to focus on in rehab, which seems fairly obvious is symmetry. Getting your affected leg as strong as your other one is also important don't get me wrong, but what good is that strength if you come back and just use your affected leg as essentially a crutch.
May 16 2011 3:32PM
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TWoods
Posts: 10014 - Karma: 8,386
posted this in a thread a little bit ago:




tore my ACL 2 years ago.
Had surgery in Feb, a couple weeks after I did it. The doc strung it tight for me, so PT was a bitch, but everything was going great till about May, when we realized there may be something wrong. Turns out I had so much scar tissue that I couldn't ever physically get my ROM back, which made PT absolutely excruciating.
Had another surgery in August to get rid of the scar tissue (the graft was all good and healing well). Hit PT hard, and got done just in time for the snow to fall.


However, this fucked me because I wasn't able to get back into the gym at all. Went into the season super weak. So the first piece of advice is to get that ROM back, and get on a bike right away and ride it hard, every day. Get on a road or road-ish bike if you can, MTB can put more stress on your knee and make it painful. As soon as you are cleared, lift. Do squats and leg presses to build up your quads and muscles around your knee.

So, expect to feel a little weaker. It's not like getting back on skis after the summer, it's like rebuilding your muscle mass and then re-training new muscles to get used to skiing.


Second thing - You may find yourself with a mental block. Some people don't have this problem, but I really did.
I blew mine spinning a jump into choppy Pow. It took me half the season to get used to spinning medium sized park jumps again, the first three I did was such an adrenaline rush that I ended my day on it. It was like re-learning it, but worse... thinking about spinning got me feeling really shaky and anxious. It didn't bother me hitting rails or charging or spinning onto things, even nosebutter 3s and little 3s with bonks in the middle were fine.

I wasn't able to bring myself spin a jump into pow until this season (second since the injury) but I finished this season out skiing harder than I ever have in my life, so I feel pretty good now. I forget that anything ever happened until it's sore at the end of the day, or when I try to stand up straight because I can't straighten it all the way anymore. Scar tissue prevents me from getting back full ROM.


Bottom line, do your PT, hit the gym hard, and you'll be fine. Everyone says that to you, but you have to really hear it, want it, and take it to heart because PT is going to start to feel like a never-ending process. Seriously, pay attention, do your at-home stretching and hit the gym hard.
May 16 2011 3:58PM
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TWoods
Posts: 10014 - Karma: 8,386
People are sharing their experiences, and she's asking for them because it's nice to know that other people have been in the same situation and been OK. I think she realizes the advice from a doctor is going to be more informed.
May 16 2011 3:59PM
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jibbpeter
Posts: 1613 - Karma: 4,083
first 2 weeks is the worst...it hurts like a motherfucker and u cant walk for shit. and u will get really tired off the crouches really fast. but when u takes ur first steps without the bloody crouches u will feel like a god :P

just make shure to keep up with the  PT and dont be lazy! i had surgery november last year, and cant waith for summerskiing in a month or so! shits like christmas :D

good luck and + vibes, because i know how hard it sucks.
May 16 2011 4:09PM
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sagaRIP
Posts: 287 - Karma: 12
I can't tell you about ACLs but I'm currently sitting in hospital after having a bone spur removed from the back of me knee. As far as surgery goes you literally do not feel a thing - I was doped up on morphine and had some hilarious dreams whilst sleeping after. Apparently I woke up 30 mins after being operated on and asked 'has it been done yet'? Sony be worried about it, there is no responsibility for you - you just turn up, sign a few forms and then get whizzed around and finally wake up. I was really nervous but now I'm not scared about surgery at all.
May 16 2011 6:04PM
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casual
Posts: 6712 - Karma: 6,748
That first paragraph is malarky. Euro doctors are actually pretty anti-brace. After your knee has healed (6-12 months...sometimes sooner depending on the nature of the injury and recon), your knee is no more likely to blow than it was before the injury—barring hereditary/genetic issues with knees/joints. Braces aren't guaranteed injury preventers, and if you PT correctly, you don't need a brace "for years". Seriously, where did you come up with that? Most docs will recommend wearing a brace for a year post-op, but beyond that, it's really up to the patient and has more to do with their own confidence/mental state than it does the injury. It's true that some people choose to wear braces indefinitely, but again, that's more a comfort/confidence issue. If you choose to wear a brace, that's great, but don't pass it off like that's a universal truth or necessity.

I think injury threads are literally the worst on NS and misinformation is off the charts.

OP: Your doctor wouldn't provide a definitive answer, but you think NS will? Really? Everyone's different...not to mention all of the variances in injury type, reconstruction methods, health/fitness, etc.
May 16 2011 6:15PM
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casual
Posts: 6712 - Karma: 6,748
I suppose you were just looking for reassurance? Sorry if I was an asshole...

The good news is that if you rehab with a vengeance, take it slow, listen to your body, and push through the timidity and fear that comes along in the wake of serious injuries, you'll be back to where you were, and probably stronger. Really, this surgery has become incredibly routine, and the prognosis is excellent—especially for young people. ACL surgery fucking sucks, the recovery process is slow and miserable, but you'll get through it, I promise.
May 16 2011 6:21PM
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Travapple.
Posts: 6787 - Karma: 88
My doctor didn't recommend i wear a brace at all. I had my surgery in february and my first day back on the snow was in october. it was a little nerveracking but i quickly regained confidence in my knee. i then skied more days than i ever had before with absolutely no problems. all without a brace.
May 17 2011 1:45AM
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C.Royce
Posts: 1031 - Karma: 187
i've torn my ACL 4 times (three in the right, one in the left). the past two times have been wearing custom knee braces. i've had issues with the grafts not taking properly. i did cadaver and patellar. nothing has worked. good luck. hope its better than what mine has been

ps i work in PT,.. i know what it takes and i train hard in the gym. that's not my issue.

May 17 2011 2:30AM
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Jibberino
Posts: 2089 - Karma: 1,346
You clearly didn't read the OP.
May 17 2011 9:44AM
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smuggs
Posts: 6561 - Karma: 1,375
-i broke my femur, the doctor said id never ski off piste again.
(really i ski stronger just no park)
-i smashed my shin into a tree and the doctor said in 1 week id be skiing again
(really it took 3 weeks)

my advice, dont listen to your doctor.
May 17 2011 11:14AM
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crescentfresh
Posts: 60 - Karma: 24
Okay, correction, since I wasn't very clear. I was hoping for some people with personal experiences to tell me when they returned to skiing. Of course I would consult my doc before returning, but as of now I don't know when that would be, since it depends on my rehab, physical therapy, etc. I just wanted an approximation of when people usually return to skiing so I know what to expect
May 17 2011 2:55PM
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Travapple.
Posts: 6787 - Karma: 88
I believe its generally a 6 month period to return to any sport. I had my surgery in late february.(fully torn ACL, partially torn MCL and meniscus)

I hit the PT hard and got was skiing by late october. Skied maybe 100 days without a brace with no problems at all.
May 17 2011 3:34PM
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TWoods
Posts: 10014 - Karma: 8,386
I skied the closing days of The Canyons, PC and Alta after 2.5 months. Don't do this, it's the dumbest thing I've ever done.

I was given the go-ahead to ski after 5 months by my surgeon for the sake of shooting photos at Mt. Hood, as my body heals abnormally fast. The fact that I heal so fast lead to a lot of scar tissue, which was why I had to have a second surgery in August, about a month after hood. My graft was super strong, but my knee was full of scar tissue that limited my ROM to about 15 -145, my "normal" ROM being -2 - 175

I wasn't able to ski hard again until January, almost a year later - but that was because of the second surgery, a crazy busy school schedule that didn't allow me to work out as much as I had hoped to get strong again.

The average time is between 6 months for being able to ski again, generally people won't feel comfortable skiing hard for a bit after that.

Another thing that will help is eating well. You might be feeling pretty bad not being able to do anything active, having your leg all messed up, and comfort food might sound great. However, eating a bad diet is going to make you feel shitty, possibly put on unwanted weight because you aren't moving around a ton, and most importantly it'll make you heal slower.
May 17 2011 3:56PM
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technique.
Posts: 1538 - Karma: 308
okay got the surgery today. when i woke up after i was writhing in pain. they gave me nerve block but that wore off about now and my leg is on fire. and i can only take vicodin every 4 hours. anyone else have pain this bad?
May 21 2011 1:17AM
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PartyHon
Posts: 2019 - Karma: 425
i somehow tore my ACL in my right and left knee at the same time.... i feel ya

make sure you take it easy for a good month. PT is a must.

everyone above gave some good advise as well

good luck and get better mkay!
May 21 2011 2:24AM
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PartyHon
Posts: 2019 - Karma: 425
i somehow tore my ACL in my right and left knee at the same time.... i feel ya

make sure you take it easy for a good month. PT is a must.

everyone above gave some good advise as well

good luck and get better mkay!
May 21 2011 2:24AM
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alexg1687
Posts: 1505 - Karma: 1,581
12 hours after my patella realignment I was sleeping and my quads had a massive seizure...just clenched up like nothing else. Massive spasm. Felt like my knee cap was ripped entirely off my knee. I've never woken up in so much pain before.

The next day the nurse came around to pull the drain out of my knee. 10cm tube, 3mm wide, through my skin just above my knee and wound all the way in under my knee cap. No warning. That wasn't nice...not nice at all.
May 21 2011 10:56AM
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TrixTor90
Posts: 10 - Karma: 10
first off... shit... i'm sorry, it sucks. I've done both ACL's with Menisci each time within two years of each other. A lot of how quickly it feels normal again and how soon you can get back onto skis has a lot to do with the physical therapy component. If you follow a routine set by a physical therapist, you'll feel normal a lot sooner. It's about six months till you can ski again but it usually doesn't feel normal at that point. Stick it out... it gets better.. you will feel a lot of fatigue. Mine felt their best a year out. I never wore a brace skiing... some doctors are for or against them with arguments ranging from that it helps to stabilize to it gives a false sense of security and isn't all that helpful. And work to keep them in shape in the off season too... it helps a lot. Biking strengthens them the best with the lowest impact. Good luck!
May 22 2011 10:20PM
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NWPA
Posts: 2309 - Karma: 165
To people worried about the surgery-ACL surgery isn't shit. Mine didn't hurt at all and once you get a couple pk's you'll be just fine.
May 22 2011 11:57PM
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Matteskier
Posts: 66 - Karma: 16
Anyone else who did acl-reconstruction and got problems with scar tissue after? Im 8 months post OP and need one more surgery to remove tissue thats causing pain and inflexibility. (dont know if its the right word) I hate this shit, I thought id be able to do what i want at this point.
May 23 2011 9:01AM
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TrixTor90
Posts: 10 - Karma: 10
my mom had surgery to remove scar tissue after an acl reconstruction. worked for a while but in another year or so she was experiencing pain and again and the doctors wanted to go in and remove more. after you get your surgery the best thing you can do to prevent scar tissue formation is constantly stretch and deeply massage the area (only do this once the wound has heeled because if it hasn't it can create a higher risk of infection which leads to more scar tissue). Stretching and massage help break up the scar tissue and prevent further formation. After being active on it, icing is important too. good luck.
May 23 2011 10:03AM
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natirider10
Posts: 296 - Karma: 16
yeah it sucks i just had mine done 12 days ago
May 23 2011 10:33AM
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casual
Posts: 6712 - Karma: 6,748
You must be talking about superficial scar tissue at the incision site? Docs recommend massaging and stretching the incision site to prevent rigidity, but as far as the actual recon itself and scar tissue forming in the joint/meniscus, massaging doesn't do anything. The pain your mother was experiencing, especially if it was severe enough to require a secondary surgery, has nothing to do with a lack of post-op massage, haha.
May 23 2011 5:31PM
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TrixTor90
Posts: 10 - Karma: 10


i believe he said scar tissue.. there's a lot more scar tissue that can form other than superficially, it can occur on the muscular level as well. i agree that massaging for purposes of loosening the cartilage or scar tissue forming around the meniscus wouldn't do much good in breaking up in the formation of the scar tissue. but he also said nothing about meniscus surgery. different people can be a lot more susceptible to keloid formation as well which, as he described in his post, seems to be where the problem is.
May 23 2011 11:52PM
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TWoods
Posts: 10014 - Karma: 8,386
That's the problem I had. my first surgery was mid feb, second was end of august. they removed a piece of scar tissue from inside my joint the size of a marble, and a bunch of tissue around my knee cap. it helped a lot, but put me back in PT, and eventually ended up with more. I'm a lot better off than I was (and you will be too), but it does suck.

It does mean that you are healthy and your body heals fast, which is always good. Just no fun when you are trying to be active.
May 25 2011 4:20AM
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Matteskier
Posts: 66 - Karma: 16
Alright that sounds exactly as how my doctor described it! No its really frustrating when your knee feels strong and stable but you always have that hurting and strange feeling.  I got some hope back that I will be back in the slopes for next season! =)

Thanks to all.
May 25 2011 3:54PM
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powday
Posts: 3055 - Karma: 326
Tore my ACL partially last May after falling on a jump. It got swollen as fuck and sore for about a month...I Iced the shit out of it and didn't go skiing anymore since the season was ending....I was able to let it heal pretty good and I was riding my mountain bike and staying fairly active all summer. Then a few weeks ago I was leaving a concert downtown and stepped off a curb wrong and my leg buckled. I immediately knew my ACL was finally torn in half. Went to the doc and had to get the surgery done a week ago.

So far I'm a week out and I feel pretty good. Pain has been managed by a shit ton of ICE. Ibuprofen and the occasional pain killa before bed. I'll be in a brace for 4 weeks but I'm off the crutches around the house and walking slowly. Still lots of swelling and soreness in my calf area, while I work on bending and fully locking my knee. Start rehab next week. 3 times a week for a few months...I'm gonna be going hard trying to heal this bitch and hit the gym to get my quads and surrounding muscles back. I hope to be skiing groomers and mild terrain/filming in 6 months which will be the start of spring skiing. Won't go hard again until a full year out.

I put two photos together to give you guys an idea of what the hamstring graft looks like. On the left shows my fully torn ACL (pretty much not even there) and the right photo shows my new hamstring graft ACL pulled into place.

Click for larger image

Aug 26 2011 4:53PM
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a_pla5tic_bag
Posts: 9217 - Karma: 5,399
^ now that is fucking awesome. my brother and I wanted them to record the footage from the surgery so I could see what it looked like.
Aug 26 2011 5:13PM
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powday
Posts: 3055 - Karma: 326
I have the footage from the surgery inside my knee...its pretty cool watching them drill holes thru my tibia and femur and feed the hamstring graft into place...I'll upload it soon
Aug 26 2011 5:39PM
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