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Old 29.03.2012, 14:46
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Re: Knee operation - Advice and stories

Use the services of the SportKlinik, Birshof Hospital, Munchenstein. Not sure if I am able to name individual drs, but not many Drs there!
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  #42  
Old 29.03.2012, 15:19
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Re: Knee operation - Advice and stories

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ACL Op now done with a quadricep ligament graft, onto day 5, walking well with crutches, wearing splint full time. Able to shower without it but leg feels not good when not wearing it. Had physio twice a day when in hospital, able to get a good contraction on my quads, no swelling on my knee. Used a kinetic machine for upto 7 hours a day and easily get a 80degree flexion. Physio and Dr more than happy at this stage. Able to stand on tiptoes today with the use of one crutch and no splint under careful eye of physio. Taking high dose brufen for pain with no other additions. So far so good.
Thanks for following up on this.

That makes for interesting reading, as my approach was almost the exact opposite.

However - It's important to keep in mind that in addition to the ACL replacement (Patella-Tibial) also had a CMI (collegen meniscus implant), and was advised that the recovery approach would be different and takes longer.

For me,

Kinetic machine for 20mins twice a day for 5 days
(flexion not more than 40 degrees)

Voltaren and Paracetamol were the pain killers.

Ice 3 times a day (well.... to keep it cool, not cold)

Leg is otherwise strapped straight.

Not more than 15kg weight on the leg is allowed for 4 weeks.

Physio at this stage (almost 3 weeks) still revolves around lymphatic drainage massage, and passive movement of the knee.

Walking on crutches is killing me.

...........Also no swelling (which is a good thing).
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  #43  
Old 29.03.2012, 16:07
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Re: Knee operation - Advice and stories

Have to say I cannot personally get the flexion myself without the use of the machine or the physio doing it, and was told I shouldn't. Exercises now home consist of heal slides to comfort point not pain, continue with the clenching of quads and trying to move patella, also advised to move patella around a bit with my hands! Also advised to start to stand and put weight onto affected leg when in splint and clenching quads at the same time. The main pain i have now is at the surgery point under my patella where they attach the ligament, and otherwise its the stitches that are uncomfortable but they will be out in a few days. Knee slightly more swollen now home, but I think that is because I am not using the kinetic machine anymore.
I believe at the moment so far so good! Icing it when I am sat down relaxing!
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  #44  
Old 08.04.2012, 13:46
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Re: Knee operation - Advice and stories

Update on knee stories (ACL reconstruction)! Now walking outside for short distances without splint, physio aiming for no splint during the day by next saturday (3 weeks post op), but wearing at night for probably anouther 4-6 weeks. Leg still feels like a lump of jelly, but able to clench quads (despite this my leg is shrinking in size day by day!!!), managing full extension, also 90-95 degree flexion when sitting. Muscles do feel very tight and need to do alot of massage arounf my knee and suture lines (sutures were out 4 days ago)
Two anti inflammatories per day. Small improvements, but if you compare week to week rather than day by day, changes are happening.
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  #45  
Old 12.04.2012, 13:48
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Re: Knee operation - Advice and stories

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Thanks for following up on this.

That makes for interesting reading, as my approach was almost the exact opposite.

However - It's important to keep in mind that in addition to the ACL replacement (Patella-Tibial) also had a CMI (collegen meniscus implant), and was advised that the recovery approach would be different and takes longer.

For me,

Kinetic machine for 20mins twice a day for 5 days
(flexion not more than 40 degrees)

Voltaren and Paracetamol were the pain killers.

Ice 3 times a day (well.... to keep it cool, not cold)

Leg is otherwise strapped straight.

Not more than 15kg weight on the leg is allowed for 4 weeks.

Physio at this stage (almost 3 weeks) still revolves around lymphatic drainage massage, and passive movement of the knee.

Walking on crutches is killing me.

...........Also no swelling (which is a good thing).

Your description sounds just like my own rehab after my op about 16 years ago, not just arthroscopy, an op after rupture of ACL, PCL, MCL and LCL and meniscus torn.

As a MD I knew what was waiting for me: patience, patience, patience and intensive physio. I had two very young kids at the time (15 months and 27 months, luckily grandparents took care of them for a few weeks) but imagine being off weight and on crutches with kids who can't walk yet

Anyway, all I can say is that you should follow your physio regiment "religiously" and do as much as additional physio you are allowed to do at home, not just at the physiotherapist. I purchased a Thera-Band Exercise Ball, ask for the correct size in the shop or at your physiotherapist, and used that daily to mobilise my joint, always within the limits set by the physio. Within 9 months I was at about 75% mobility range in the knee and within a year back to full motion and strength (you aim to built up your muscle strength to approx. 120% compared to the uninjured knee).

Because of fear I didn't start skiing again until I moved to Switzerland the first time about 2.5 years after the accident but it has not been problem since. In the 16 years, I have had about 4 episodes of a swollen knee when I had to reduce my physical activity.

Summarising, a good physio and patience is KEY to a good and long-term recovery. Good luck and again, loooottttss of patience.
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