Doctor insights on:
Acl Reconstruction And Meniscus Repair Recovery
Because an acl (anterior cruciate ligament) cannot heal itself on its own, an acl is "reconstructed" by placing a graft tendon substitute (from your own or donor cadaver tendon) placed into tunnels made in the original acl position, and fixed in place with screws, buttons, or other fixation device. The body then replaces the cells and structure of the graft over 6-8 months, ...Read more
Good options: Acl reconstruction at your age is a good option if you have knee instability. Only a small percentage of patients (copers) do well without surgery. Micro fracture at the same setting to address small cartilage defects is fine, but an oats procedure maybe better, where. Cartilage plugs are harvested from another area of the knee and implanted to the affected area. Check with your surgeon about it. ...Read moreSee 2 more doctor answers
Very successful: Anterior cruciate ligament reconstruction surgery has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting and delayed rehabilitation, to the current early rehabilitation program which in made the result better. ...Read more
What is the normal timetable for recovery from ACL reconstruction and meniscus repair using pateller tendon?
What is the recovery time for ACL reconstruction using hamstring, plus MCL repair plus lateral meniscus repair plus impact fracture of tibial plateau?
Difficult to say: You describe a fairly significant knee operation and set of injuries. It's hard to say without examining you and reviewing your studies. Your orthopedic surgeon is in the best position to answer this question. It's safe to say that your recovery will last for several months with a lot of physical therapy. ...Read moreSee 2 more doctor answers
8-9 months: An acl revision is seldom as simple as a first time acl reconstruction, so rehab would often be a bit more guarded. However, given good graft fixation, and a well-performed procedure, the expected recovery should be the same. Expect 6-12 weeks for return to daily activities and 8-9 months ideally before return to cutting sports. ...Read moreSee 2 more doctor answers
6-12 mos: Acl: generally speaking. 12 wks for straight line jogging, 6 mos for pivoting activity. 12 mos for full recovery. Maybe a bit longer if allograft used. Meniscus: most meniscal surgeries are a meniscectomy rather than a repair. Meniscectomy recovery is about 1-2 months depending upon other factors. Meniscal healing after a repair is not a guarantee. It takes 6-12 months for full healing. ...Read more
How long after ACL reconstruction (patellar autograft) with medial meniscus repair and lateral meniscectomy can one start taking anti-inflammatories?
Average 1-2 hours: Average operative time for acl recon. Without additional procedures will be 1-2 hours currently. Just 15-20 years ago, this same surgery averaged 3-4 hours. Add 30 minutes for each meniscus repaired. ...Read more
Just an estimate: While hard to be specific without knowing more of the details, from the list you are asking about, the acl is likely the limiting factor. The healing and therapy after an acl reconstruction is 6-9 months. The meniscus and mcl will heal during this time, but the acl usually takes the longest. ...Read more
Follow surg's plan: Ur surgeon has the answer 2 ur specific situation . Follow his/her protocol 4 recovery recommendations. ...Read more
Acl/pcl healing: If an acl and PCL tear these ligaments do not typically heal; this is due in part to the synovial environment in which these ligaments reside as well as the demand that is exacted on these ligaments. Whether one is symptomatic with these injuries is in large part measured by the degree of activity in which a patient participates in and the number of hours one is actively engaged. ...Read moreSee 2 more doctor answers
In due time...: I have my patients wear a brace until 6-9 weeks postop. While many patients are able to put partial weight on the leg w/ the aid of crutches, it is not unusual for them to feel weakness/ pain @ 4 wks that prevent them from fully walking on their own. You should discuss specifics with your physical therapist/ surgeon as each protocol varies slightly. ...Read more
Had an mpfl reconstruction now need ACL hamstring reconstruction are there major risks with the ACL recon due to hypermobility and previous MPFL recon?
On thing is if Ur-: -own tissue is 2 B used, it is of poor quality due 2 Ur general condition of hyper-mobility means Ur tissue will also B effected since it will also become hype-mobile meaning it will stretch. Best option is cadaver bone-tendon-bone allograft. It will not stretch like Ur own will. Also I would B tested 4 Marfan's. There R 3 grades of this malady. 1= people who R short in stature with Ur symptoms. ...Read more
Depends.: Allograft tendons can be as strong or stronger then autograft tendons, depending on what you are comparing. Patella tendon autografts are "gold standard" but hamstring tendons are quickly being recognized as being just as good. One downfall to allografts is that it takes longer for your body to "ligamentize" the graft, however there are benefits to allografts as well. ...Read moreSee 1 more doctor answer
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