ACL Surgery (Moto Crash :p)

jmar
Posts
14154
Joined
2/11/2007
Location
Oklahoma City, OK, USA
11/15/2009 8:48pm
MPM64 wrote:
In regards to catheters...1983 at LL I crashed and compression fractured some vertebrae in my back. Got the ambulance ride to a hospital in Nashville. The...
In regards to catheters...1983 at LL I crashed and compression fractured some vertebrae in my back.

Got the ambulance ride to a hospital in Nashville.

The ER nurse asks me if I need to "empty my bladder". I said no, I'm good...Wrong answer.

Next thing I know a nurse that looks like the lady on the Aunt Jemima pancake syrup bottle comes in and sets me up with a catheter. She assures me this is the smallest tube they make and shoves it in. Pure hell going in and coming out when wide awake with no pain meds in the ER.

A word of advice to all moto brothers. If you have a suspected back injury and feel like you can always tell the ER nurse you can take a piss.

Good luck with the knee.
Got the ambulance ride to a hospital in Nashville.
That's one long ass ride with a broken back.

Even a worse trip with a tube shoved up your tallywacker.
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/15/2009 8:51pm
MPM64 wrote:
In regards to catheters...1983 at LL I crashed and compression fractured some vertebrae in my back. Got the ambulance ride to a hospital in Nashville. The...
In regards to catheters...1983 at LL I crashed and compression fractured some vertebrae in my back.

Got the ambulance ride to a hospital in Nashville.

The ER nurse asks me if I need to "empty my bladder". I said no, I'm good...Wrong answer.

Next thing I know a nurse that looks like the lady on the Aunt Jemima pancake syrup bottle comes in and sets me up with a catheter. She assures me this is the smallest tube they make and shoves it in. Pure hell going in and coming out when wide awake with no pain meds in the ER.

A word of advice to all moto brothers. If you have a suspected back injury and feel like you can always tell the ER nurse you can take a piss.

Good luck with the knee.
Haha, something tells me that catheter was a forgone conclusion, you were getting it regardless of your answer. OUCH!!
-eagle-
Posts
1610
Joined
5/9/2008
Location
ZW
11/16/2009 7:28am
What kind of braces are you going to run when you come back?
If you do customs, wait until the last possible minute to get measured.
If not the leg you are rehabbing will outgrow the mold.
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/16/2009 7:50am
I've got the OTS CTi's. I was fit for them a few months ago so I could ride before my surgery. I actually think the EVS Webs I used to have are better.

The Shop

swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/17/2009 7:18am
Finally go see Doc tomorrow for my post-op checkup.

Im really interested to see if its progressing the way it should. When Im laying down I have pretty much no pain, I can lift my leg and get maybe 8-10degrees of knee bend till it gets really tight.

The problem is when I stand. Holy shit, the knee starts to throb and gets so hard with pressure from the blood flow that it will barely bend therefore making it really hard to walk.

I cant believe the difference between being vertical and horizontal.

Sound normal or questionable?
-eagle-
Posts
1610
Joined
5/9/2008
Location
ZW
11/17/2009 7:35am
It was normal for mine because I handed him such a trainwreck.
Before he started the "scheduled surgery" he had to scope about 40% of my meniscus.

Mine felt like a hot bloody meatball for about 12 weeks.
If he has to drain, hope for a beer color opposed to blood/pink.

People blow this shit off like its nothing but you defiantly just went through a knee reconstruction. Good luck.
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/17/2009 7:57am
Thanks for the info eagle.
Did you ever have any blistering?
I have a little line of blistering along one edge of the sturry strips; I have drained it about 3 times and it is indeed beer colored, thats even how I described it to the on staff doc on the phone the other day

I definitely assumed that since this was an elective surgery that it wouldnt be as serious as it is. Dumb of me.
-eagle-
Posts
1610
Joined
5/9/2008
Location
ZW
11/17/2009 8:17am Edited Date/Time 4/17/2016 6:59pm
No blisters, I had staples that were taken out within 10 days.
My problem was a common one.
I'm by no means a doc or med expert but:
Common mistake for mx guy is to come back to early. Generally it takes the graft around 6 months to fully bond bone to bone. Varies for a 16 year old top level athelete vs a vet rider weekend warrior but you get the idea. Problem is, mobility, strength, and confidence starts to come back about 4 months out. I've seen many locals and top level guys come back and do it again because they got a little trigger happy. Preston & Tortelli to name a few.

I had a huge relapse at 3.5 months because I started doing pump track riding on my bmx bike. Started bleeding inside, swelling went nuts and was crazy hot. No beer colored drains, straight menstrual. Let your wounds fully heal. The road bike/ stationary is your #1 homey. Strength/motion/cardio with no impact on the knee.

Hit up racerxvt.com; smart guys in the forum and an article on acl rehab.
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/17/2009 8:45am
Thanks for that link, lots of useful info there.
Called the doc, they are gonna see me at 3:15 today so hopefully I have some answers/solutions to the standing pain issues soon.
txmxer
Posts
9770
Joined
8/21/2006
Location
Weatherford, TX, USA
11/17/2009 8:49am
good luck.
sundios
Posts
646
Joined
4/12/2008
Location
Los Angeles, CA, USA
11/17/2009 10:10am
i had acl in march and still race the whole season, but my knee in the last race blew it out. I had surgery yesterday and now i am lying in the hospital with my acl fixed!!!! the doctor told me that i have to start the rehab on monday adn i will be riding in 5 or 6 month!!!
any advice ?!??!
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/18/2009 3:00pm Edited Date/Time 4/17/2016 7:01pm
Ok so apparently the blessing of a nerve block that lasted seven days has a downside. I wasn't about to walk around more than just getting up to go to the bathroom for fear of damaging something and not knowing it because it was still numb.


The downside of all the rest was severe edema. The Doc yesterday pressed on the side of my lower outside shin with her finger right by the bruise for about 5 seconds and when she pulled her finger off, her finger indentation remained for a good minute. It was as if she pressed into modeling clay.


So then she continues to deeply massage the bruised edema affected area and hy shit was that intense pain but then she had me turn and let my legs hang off the table and within about a minute my new knee was resting at pretty much the same position as my other knee.


So last night at home I massaged the edema affected area with my legs pointed vertically up the wall on our bed then walked around the house, up and down our stairs and such.


I fell asleep at 9pm, I was BEAT from the first action in 11 days. Sleep was sporadic due to the soreness in my knee area from all the action and massaging. When I woke up this morning almost all of my swelling was gone, it was amazing.


Throughout the day I have been working on range of motion, massaging and walking quite a bit. I am officially ready to start PT, hoping to schedule it for Monday.


Thank you to EVERYONE who offerred insight in this thread; you guys are great!
11/18/2009 5:00pm
You'll feel better once you start therapy and learn your exercises and go through some treatments. With swelling like that there are a few treatments that they do to break down the scar tissue ect. that causes swelling. Things like Ultra sound, shock and massage. Most of it feels good either during or after, so its something to look foward to.

I don't know about the term edema unless it is like calling a bruise a hemotoma, but swelling like that is normal especially around the incisions. I can leave a finger print around any of my incisions and it will stay a good while.

I am doing pretty good but I still haven't started rubbing down my incisions yet. I will start that probably Monday. I got my stitches out this past Monday but its a little early for me to start rubbing to much. Its not worth it making them bleed or hurt when they don't hurt. Honestly I don't seem to have much scar tissue this time so I'm being real conservative on the rubbing and Patella mobs.

I'm surprised you haven't started Therapy yet. I've already had 4 sessions and I've canceled twice.

My best advice is as it was before. Don't loose that Quad muscle. You get that quad muscle to pop when you flex it and you will be golden. Do your leg raises with your brace on and quad sets. 3 to 5 min at a time, 10 seconds on 10 seconds off. ( You don't need a timer but you get a better workout if you try to stick with the clock especially when you are first starting) Do them over and over until you either get tired or annoyed. I like to find me a spot on the floor in front of the TV and I have a coffee can and a towel. I do my stretches, various leg raises, range of motion for the better part of 2 or 3 hours a day. I don't beat myself to death with it, but just entertain myself with the news or a movie and I've put the work in without even knowing it. I also find that doing situps and tricept presses in between resting keeps my spirits up. The best part is that once you start your exercises, progress is almost noticeable from day to day.
Warm it up, Ice its down, rinse and repeat.



steve_o_de
Posts
64
Joined
9/8/2009
Location
Chesterfield Twp., MI, USA
11/19/2009 4:05pm
I had my right ACL replaced with one from a cadaver on July 26 of this year, also torn medial meniscus repair. I am a vet racer, raced three or so times a month during season and ran 2 miles a day at least three days a week. Make sure you push yourself as much as you can during therapy, in my case, my right leg shrunk what looked to be a third in size. It helps alot to keep ice on it as much as possible. I just started to "jog" again last week. I still have a long way to go. I think i could most likely ride now with knee braces, nothing aggressive though. Good Luck
MechEng
Posts
48
Joined
11/20/2009
Location
USA
11/20/2009 5:27am
Hey Guys,

I'm 3 months post - op (left ACL via same knee patella graft) and things are pretty good, managed to maintain good strength in the quads and its saved me big time! Swizcore, in your down time don't forget to 'tense' the quad regularly a couple of sets a day makes a differenceWink

Its getting time to think about knee braces, i've heard alot of good things about the new Donjoy Defiance 3, super slim, lightweight, comfortable, strong with a good strapping setup. What do you guy's think??
steve_o_de
Posts
64
Joined
9/8/2009
Location
Chesterfield Twp., MI, USA
11/20/2009 6:13am
I won't ride without knee braces now. 661 and EVS both have new ones out this year that are reasonable in price. Since they are both new, it most likely would be tough to get a product review yet or here from other riders on them? Anyone tried either yet?
-eagle-
Posts
1610
Joined
5/9/2008
Location
ZW
11/20/2009 7:14am
Another good one for early states of motion:
Back flat on the floor or bed, knees at a 90.
Push a folded towel up and down the wall with your foot.
bchristy613
Posts
29
Joined
11/8/2009
Location
Shelby, OH, USA
11/21/2009 2:01pm
Yesterday marked the 7 day mark after my surgery. I used the crutches for 3 days the surgery (11-13) and started walking without them 3 days later. I cant say I had too much pain really, except for in the mornings when I would get up and all the blood would flow down to the knees. My left (acl repair) side is 0-123 degrees and my right (donor) is 0-133. It never felt so good to get the stitches out on thursday and be able to take a shower lol.. sponge baths suck... If everything keeps going the way it is I should be back and riding in 3 months or so.
11/21/2009 2:12pm
Good luck moto dude !
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/24/2009 11:48am
Sorry to those who put palm to forehead everytime this thread shows up again but I want to keep it all together instead of creating extraneous threads.

I saw my ortho that did my surgery today and the words he used were, "I have never seen this before".
Not very cool.

He was referring to what appears to be severe burns all around my knee. He sent me to get blood work done right away to test for infection and peeled all of the blistered skin off and dressed it as if it were a 3rd degree burn with burn cream, vaseline coated cloth, gauze and a wrap. I am to come see him next week. He gave me his pager # in the event it gets worse before I see him.

I am on Augmentin prescribed by my normal doc as she felt it was infected when I saw her on sunday.

Ortho doc says I can start PT as planned and he was really impressed with my range of motion and how the new ACL is working.

The only apparent problem right now is whatever the hell this skin issue is.
Im wondering if it is infection or possibly an allergic reaction to something...?
I have no surface feeling on the "burn" areas so he's thinking if after time that is still an issue I may need skin grafts.

Lucky me, unique, rare delicate flower has stumped two ortho docs.
WhipMeister
Posts
5285
Joined
8/15/2006
Location
Big D, TX, USA
11/24/2009 1:47pm
I don't want to alarm you, but be uber-careful with that. My brother nearly lost his leg after a bout of osteomyelitis following surgery. It presented with a poison-ivy-like rash that they scratched their heads over until it was almost too late. It was an ugly two years after that. The good news is he's ok now. But it was really not good for a while. Keep after them until it goes away.
steve_o_de
Posts
64
Joined
9/8/2009
Location
Chesterfield Twp., MI, USA
11/24/2009 1:49pm
I had an infection on the skin post surgery, at one of the places they drilled a hole for a pin. It was fairly bad, but not as bad as yours sounds. Went through two Augmenten scripts to get rid of it though, it ended up looking like a large zit. It did take about 2 1/2 to 3 weeks to clear up though. Good luck
yzrider09
Posts
10
Joined
11/30/2009
Location
Tulsa, OK, USA
11/30/2009 5:25pm
I joined up to comment on this thread. I had Dr. Mark on thumpertalk repair my acl 4 weeks ago tomorrow, and I'm doing pretty well. Been walking since day 1 and was never on crutches or used a brace. I won't act like an internet bad@$$ and say the pain wasn't bad because it was and it still aches a lot. So far my strength in the knee is good though and I should be riding again two months from now. I'll tell you though that my leg looked a lot worse than you guys that had full arthroscopic surgery done. My whole thigh was bruised on into my calf. I'll link to a pic.
http://i236.photobucket.com/albums/ff177/mx400/knee%20surgery/IMG_0489…
-eagle-
Posts
1610
Joined
5/9/2008
Location
ZW
11/30/2009 6:15pm
Walking since day one, never on crutches or a brace. Thats incredible.
Similar bruising for me because I used the hamstring graft. You incision looks tiny.
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/30/2009 7:05pm Edited Date/Time 4/17/2016 7:13pm
I wasn't gonna revive this thread with another update but since it has been, here goes.


My surgery turned out to be quite the atypical ordeal.

I ended up with a reaction to the novocaine "cocktail" which ultimately burned my skin tissue around my knee to the point where there is one area which will likely require a skin graft.


This is what my knee looked like a week ago:








I have been on an antibiotic for a little over a week now and we have been treating the skin as a severe burn and over the past 4 days it has really started coming around. Pretty much all the discolored (dying) tissue around the knee is peeling off now with new skin underneath but that black area of necrotic tissue is likely dead and will need to be debreeded and grafted.


I am actually going to get published in a medical publication since they have no record of this reaction by a patient before. Lucky me eh!


There were multiple shortcomings, clerical as well as an error made by the physician assistant at the office I went through which many have told me would be a damn solid court case but I don't know if I want to go that route yet. My actual surgeon didn't do anything wrong, he's been awesome about staying on top of this.
11/30/2009 7:37pm
Well I see the bruising subsided. Nah I'm just kidding. I don't know what to say to that. I know you was worried about a few things going into surgery but none of us could have predicted this. I hope it goes well and continues to heal well like you said it has over the last week. I know nothing about infections or burns so I'm not your guy there. I could imagine there is big concern over keeping the reaction burn from getting infected.

As far as bringing this thread back, keep it up. We got your back man. I for one would like to know how you are doing. Post some updated pics when it starts to heal. I bet there will be huge progress in looks over the next week or two.

No doubt this will limit your recovery theropy and exercises for a bit. Just don't get discouraged with that. It will all come back it just might be a little more slow of a process. Like I said this is my 5th time at this so I'm sure if you have questions myself or someone else on here could surely give you some insight on what is going on with the recovery part if you have questions. Sorry it isn't going as smoothly as hoped.
sundios
Posts
646
Joined
4/12/2008
Location
Los Angeles, CA, USA
11/30/2009 7:37pm
swizcore wrote:
I wasn't gonna revive this thread with another update but since it has been, here goes. My surgery turned out to be quite the atypical ordeal...
I wasn't gonna revive this thread with another update but since it has been, here goes.


My surgery turned out to be quite the atypical ordeal.

I ended up with a reaction to the novocaine "cocktail" which ultimately burned my skin tissue around my knee to the point where there is one area which will likely require a skin graft.


This is what my knee looked like a week ago:








I have been on an antibiotic for a little over a week now and we have been treating the skin as a severe burn and over the past 4 days it has really started coming around. Pretty much all the discolored (dying) tissue around the knee is peeling off now with new skin underneath but that black area of necrotic tissue is likely dead and will need to be debreeded and grafted.


I am actually going to get published in a medical publication since they have no record of this reaction by a patient before. Lucky me eh!


There were multiple shortcomings, clerical as well as an error made by the physician assistant at the office I went through which many have told me would be a damn solid court case but I don't know if I want to go that route yet. My actual surgeon didn't do anything wrong, he's been awesome about staying on top of this.
when did you got surgery?


I am in my 2 week (14 days) and still cant walk. i have a lot of pain and cant get my leg straigth in 180 degrees
11/30/2009 7:41pm
What are you able to do with that as far as theropy and exercise? Are you even able to wear your Post Op brace? Can you put weight on your leg and do your leg lifts ect. I'm just wondering if you are able to work at progressing from your procedure while you have this burn going on. Range of motion is probably very limited to skin pull isn't it?
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/30/2009 7:41pm
My surgery was 24 days ago.
I never really had pain from my ACL other than tightness when I first started moving it.
My only pain has been the affected skin tissue.
I actually have GREAT range of motion and start PT tomorrow.
Right now my only pain is my protective wrap moving against the fresh new skin which is very sensitive.
Thanks flickit, it feels good to kind of have this journal of the whole process.
swizcore
Posts
4235
Joined
4/1/2008
Location
Fenton, MI, USA
11/30/2009 7:44pm
What are you able to do with that as far as theropy and exercise? Are you even able to wear your Post Op brace? Can you...
What are you able to do with that as far as theropy and exercise? Are you even able to wear your Post Op brace? Can you put weight on your leg and do your leg lifts ect. I'm just wondering if you are able to work at progressing from your procedure while you have this burn going on. Range of motion is probably very limited to skin pull isn't it?
I never had a brace, just crutches.
Believe it or not, I walk completely normal with no limp, I dont have strength yet obviously but my ROM is great.
I should add that I do still get pain when standing still from the inflammation but as long as Im walking I dont have that pain. The skin does get a little uncomfortable with the "pull" but its coated in neosporin under the wrap so that helps.

Post a reply to: ACL Surgery (Moto Crash :p)

The Latest