Results 1 to 17 of 17
  1. #1
    Baby-heads.... oh joy!
    Reputation: Da-Sloth's Avatar
    Join Date
    Oct 2006
    Posts
    236

    Wife tore ACL.....

    Well, the wife tore her acl two weeks ago. Doc tells her she doesn't need it for mt biking. I wasn't at her appointment with her, but she was trying to explain the type/style of riding we do, which is aggressive trail/ all mountain. Doc still says no need for acl. I am having a hard time buying this answer. Any mtbr's here have experience in this area? As in, has anyone tore their acl, and not have surgery, and still mainatain the ability to ride as you did before. Dang, she's my weekend riding partner, we are going to be super bummed if this doesn't work out. Any advice would be appreciated.

  2. #2
    mtbr member
    Reputation: PlayAllDay's Avatar
    Join Date
    Apr 2006
    Posts
    47
    I tore it completely, had surgery, then tore it completely again and rode/raced/snowboard fine a year or so without the acl. I then had the surgery a second time and i feel a lot more stable with it. it does take around 6 months of pt. I'm sure she could ride too but it may not feel as stable and may give out if she needs to quickly put her foot down. either way she should do some phys. therapy with or without surgery to build up her muscles in that leg and she could even wear a brace for a while, such as Donjoy.

  3. #3
    mmm bacon
    Reputation: 925hell's Avatar
    Join Date
    May 2005
    Posts
    195

    Long response, sorry

    The first big question were you responsible or partly responsible for your wife's injury, if so let me say ahead of time, nice knowing you.

    I had my first surgery in 98 my second as this forum is aware in February. My injury occurred in October since I am a waiter I opted to work through the busy season, which my doctor approved, as long as I wore my knee brace. I did ride without an ACL although I did wear a knee brace for "aggressive" riding regardless my knee always felt sloppy. I was pretty good until around Jan. and then everything went bad. I was commuting daily to one of my two jobs in the hopes of strengthening my quads and hamstrings prior to my surgery. My knee eventually felt like it was going to give out at any time even if I wore my brace, painful in the morning and painful in the evening, mid-day was all right but my knee still felt loose/sloppy and painful. This was a pain that was constant and not what you want your wife to experience, truth be told I had a hard time functioning. I look at it this way I commuted about 15 to 25 miles a day, not mashing the pedals but concentrating on the pedal stroke. It wasn't half as taxing as riding DH at Deer Valley here in Utah for 6 hours or so. My surgery was inevitable and my knee would have only gotten worse if I had decided to just brace it and ignore it. Additionally the damage to my knee was much greater than anyone anticipated get an MRI I didn't. I would suggest a Cti2 over the Donjoy,I have used both and like the Cti2 because it doesn’t migrate. Hope that your wife feels better and is on the road to recovery soon. JK

  4. #4
    Baby-heads.... oh joy!
    Reputation: Da-Sloth's Avatar
    Join Date
    Oct 2006
    Posts
    236

    Thanks for the replies...

    Fortunatly, I wasn't responsible for her injury. She did go in for MRI shortly after the crash, about 25 pages worth. The base of her femur is fractured, and the doc can't even find the ACL. Doc suggested of course not ride or work it out for the time being, and to come in in mid June for the follow up. My concern is for my wifes future functionality in a day to day basis, and secondly her ability to recreat safely. We will see on her follow up, and push for the surgery. It is now a realization that this is something that will affect her for the rest of her life. I appreciate your responce'.
    By the way, what is the Donjoy? Is it a brace/device used to stabilize the knee? Thanks.

  5. #5
    Bodhisattva
    Reputation: The Squeaky Wheel's Avatar
    Join Date
    Dec 2003
    Posts
    9,629
    I recommend ACL reconstruction. It sounds as if your doc doesn't fully understand how often MTBers use the leg to dab or correct balance. She will need that ACL to stabilize herself during a fall or hard dab although the ACL plays little role in normal pedaling motion. If she were a roadie then it might be a different story. Forget about wearing a brace fulltime in lieu of reconstruction. A proper knee stabilizer brace is bulky, constricting and hot and she'll probably hate it.

    My wife had the same injury skiing in Feb: complete ACL rupture and tibia fracture. She skis, bikes & water skis and had reconstruction 2 weeks later and now we're in the rehab phase. If your Ortho continues to be somewhat nonchalant about it, then I suggest you get a 2nd opinion from someone who specializes in Ortho Sports Med.
    “Life is like riding a bicycle. To keep your balance, you must keep moving.”

    ― Albert Einstein

  6. #6
    Baby-heads.... oh joy!
    Reputation: Da-Sloth's Avatar
    Join Date
    Oct 2006
    Posts
    236
    Thats pretty much how I feel about it Squeaky, Her Ortho doesn't fully understand the differences between mtbk and road, we never road, and never will. Depending on the follow up next month, which I am going to make it a point to be present, is when we will choose to either get the second opinion of an Ortho who specializes in sports medicines, as long as we can find one within her HMO, or if the present Ortho has a change of heart, stick to him. Thanks for the reply, I was looking for what I thought was reasonable, and you all have cemented my initial feelings, thanks.

  7. #7
    mmm bacon
    Reputation: 925hell's Avatar
    Join Date
    May 2005
    Posts
    195
    Sloth, the donjoy or CTi2 (Ossur) are knee brace manufacturers, Squeaky is right, riding in them sucks if you are going up hill, downhill on the other hand is fine. Hope alll turns out allright. Just an thought which you probably already know, start calling the docs now, the usual time to get an appointment can be up to two weeks sometimes longer, depending on the doc.

    http://amssm.org/FADquery.html (a link to the American Medical Society for Sports Medicine, with multiple links to speciality hospitals)

    The two manufacturers links for knee braces.

    http://www.isports.com/productsKnee.htm

    http://www.donjoy.com/index.asp/fuse...cts.list/cat/1

  8. #8
    Baby-heads.... oh joy!
    Reputation: Da-Sloth's Avatar
    Join Date
    Oct 2006
    Posts
    236
    925hell, thanks for the links, in particular the 1st one, I now have 22 pages of specialists in CA. I will go through them with the wife tonight filtering out who isn't within her HMO.
    Much appreciated for all your help guys, thankyou.

  9. #9
    mtbr member
    Reputation: PlayAllDay's Avatar
    Join Date
    Apr 2006
    Posts
    47

    Hope

    yah, i forgot to mention that a 2nd opinion is a great idea. i did the same before my 2nd surgery. also, they used a patella graft for the 1st (2000) which i personally don't recommend do to lots of pain afterwards. The 2nd time, a few years later, i had an achilles cadaver graft which seemed to be a lot less painful after surgery. I used a custom donjoy acl brace for a few years and it really helped a lot- didn't bother me snowboarding or biking. i stopped wearing it once i got my muscle definition back. Being a female biker, I can relate to what your wife's going through- it's definatly not a fun injury to have. And I still have pain to this day. Good luck in what you decide!

  10. #10
    mtbr member
    Reputation: BoiseBoy's Avatar
    Join Date
    Feb 2006
    Posts
    709

    Acl

    Oh, the ACL, I am a PT and just had mine repaired last week.
    The ACL is pretty crucial to stabilizing the knee, especially in deccelerating, pivoting, and changing directions, none of which we cyclists do on a regular basis unless we are crashing. That being said, many people can go on with active lifestyles without their ACL. If you are into "team" type sports, hike/run on unstable surfaces, or in our case mountain bike aggressively, you may be better off getting the ACL repaired. One of the risks of not getting it repaired, is that due to an unstable knee, you run a greater risk of injuring your menisci and cartilage of the knee with future activities.

    One thing you did not mention, was her age. In a general sense, the younger (or more active) the person, the better candidate they would be for a repair.

    The other thing that may be going on is in regards to the Femoral Fx. Sometimes with Femoral and especially with Tibial Plateau fractures, they may wait or repair these areas first before going in for the ACL. I am not sure in this particular situation as to what is going on.

    Hopefully some of this will help you at your next MD f/u
    BoiseBoy

  11. #11
    Baby-heads.... oh joy!
    Reputation: Da-Sloth's Avatar
    Join Date
    Oct 2006
    Posts
    236
    Boiseboy, thanks for the info. Wifey is in her early 40's, with no plans to slow slow down, very active, mtbiking, gym. We are now in the process of getting the referrals for Phy.Ther.,and sports med. specialist, I think we are heading in the right dir. Thanks to everyone for contributing sound advice. My wife and I appreciate it very much.

  12. #12
    mtbr member
    Reputation:
    Join Date
    Feb 2007
    Posts
    24
    Quote Originally Posted by Da-Sloth
    The base of her femur is fractured, and the doc can't even find the ACL.
    By base of femur do you mean one of the femoral condyles is fractured? If that's the case then I am sorry but thinking of the ACL at this point is like the proverbial cart in front of the horse. Perhaps that's why the ortho is not saying much about the ACL. Not wanting to take up a lot of server space if you want pm me with your concerns, I'll be happy to answer as best as I can (I am in med field)

  13. #13
    sixsixtysix
    Guest
    I know it may be late, but I can chime in on this one with alot of first hand knowledge. Sorry if its long winded....

    I am 30 and just had my 6th knee surgery on my left knee this past December 1st. I was a lifelong hockey player growing up and had a promising future in the sport. I trained 6 days a week, practiced 4 hours a day all through high school even after my first ACL tear and reconstruction at age 15. By the time I was 17 I was trying out for Junior A teams all over the Midwest and Northeast and was looking to either go on to play Juniors or fall back on several scholarship offers I had to play college hockey. In between my junior and senior year of high school I was out skateboarding and crossed the line of "risk vs reward" when I tried to do a large stair gap. I ended up sitting on my ass with my legs straight in front of me, except that my left foot was crossed over my right leg. I had totally blown out and dislocated my knee, ACL, PCL, Medial and both Meniscus. My hockey career was over instantly. I had my knee repaired and went through 9 months of very very painful physical therapy. After this i went on to college but still didn't learn my lesson.

    When I was 20 I was once again skateboarding and while not as severe, I tweeked my knee again and managed to tear more of the medial meniscus along with a partial tear of my ACL. Again I went in and had a scope to clean up the cartilage and to suture up the ACL. Recovery from this was pretty quick, and I was back to doing my day to day routine in 6 weeks with minor therapy.

    Between then and now I have had 2 more "clean up" scopes because of tearing of the meniscus that caused clicking and locking of my knee. These really were minor maintenance surgeries and never really hindered me in what I do. It was after these surgeries that I got into mountain biking as a way to strengthen my knee, which of course started to fuel my adrenaline craving and got me into downhill and freeriding.

    Last November I was out riding solo and had a very very stupid 0 speed crash where I went OTB and my foot got tangled up in the frame as the bike was coming over the top of me. This was the final straw for my knee and once I again I tore my ACL and this time managed to shear off the remaining meniscus off the bone and pushed it all into the knee joint causing my knee to lock at a 30 degree bend.

    So December first I had a double meniscusoscopy and a clean up of the ruptured acl. The plan was to get my range of motion back after the first surgery and then go back in and replace the ACL using the hamstring graft from my other leg since both my patella and hamstring have been harvested before on my bad leg. Unfortunately 4 days after the first surgery I got a DVT clot in my leg and now have to wait at least 1 year before I can have my ACL done.

    That being said, I was back on the bike 12 weeks post op and havnt looked back since even though I am ACL deficient. I was religious about going to therapy 3 days a week for the first 16 weeks, and now am in the gym 3 days a week with no excuses. I have been working on rebuilding the muscles in my leg to compensate for the lack of a ACL by making my hamstrings as strong as possible. It has helped the stability greatly and everything that my leg can't do is made up for by my Donjoy brace.

    I wear my brace everyday just like another piece of clothing and am very mindful of my knee when I ride, but I not only can ride, I can ride DH and freeride. I havn't gotten back into doing big drops and probably won't, but I can take the average 3-4 footers with no problems. So riding without an ACL can be done, it just has to be done mindfully, the best option is to get it repaired though, as long as the doc is willing to do it.

    Good luck to you and your wife, just remember that an ACL is not the end of a active lifestyle, its just the collateral damage of one

  14. #14
    mtbr member
    Reputation:
    Join Date
    Sep 2005
    Posts
    118
    Jeepers SixSixtySix theres like two Minisci and 5 major ligiments in the knee (including the pattelar) and you've wrecked nearly all of them! You must be a maniac
    Roll on replacement knees, they've perfected the hip (which is a simpler joint to be sure) but a decent knee joint can't be more than 10yrs away you would think..

  15. #15
    sixsixtysix
    Guest
    Quote Originally Posted by Nostromo
    Jeepers SixSixtySix theres like two Minisci and 5 major ligiments in the knee (including the pattelar) and you've wrecked nearly all of them! You must be a maniac
    Roll on replacement knees, they've perfected the hip (which is a simpler joint to be sure) but a decent knee joint can't be more than 10yrs away you would think..
    Lol, yeah... I am down both meniscus and my acl as of right now. I am just happy that my knee still has full range of motion and that I can still walk

  16. #16
    mtbr member
    Reputation: Jase810's Avatar
    Join Date
    Sep 2006
    Posts
    146
    You can check out this site. Lots of informationg about knee injuries

    http://www.kneeguru.co.uk/KNEEtalk/index.php
    "Live, Live, Live!. Life is a banquet but most poor suckers are starving to death!!!"

  17. #17
    mtbr member
    Reputation: ryguy79's Avatar
    Join Date
    Apr 2007
    Posts
    969
    I tore both ACLs skiing when I was young and stupid about 10 years ago. I declined surgery. It was stupid. You know, because you're invincible at 18...and it might have helped if my parents and the ortho surgeon had pushed it more.

    Anyway, I've been riding ever since and my knees have never bothered me riding. I don't wear my knee braces on my bike either, but I do wear them while skiing, which I also haven't given up. I do regret not having surgery because I have to be extremely careful. I stick to XC riding and keep my skis on the snow for the most part.

    I'd planned on going back to a different doc after college...life happens...moved across the country...lost my health insurance...yeah life sucks sometimes. My knees are probably totally jacked. Oh well. I'll just keep on keepin on. I'll have health insurance again in September (marriage is good for so many things) and I'd like to get them checked out again.
    Last edited by ryguy79; 05-25-2007 at 10:12 PM.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •