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3rd ACL reconstruction any tips or support , what to do? is there a medical reason/explanation for this?

Question: 3rd ACL reconstruction any tips or support , what to do? is there a medical reason/explanation for this?

i have had a acl reconstruction on my right knee 7 years ago i was 18 years old this was after a netball injury, my surgeon used a petelar graft. It was strong and i played some sport, waterskied and wakeboarded it was just like new.
i snapped the graft 15 mths ago and had a 2nd recon done this was a hamstring graft done 12 mths ago.
i have recently had a accident, slipping on a wet surface and have snapped the graft again according to my dr, physio and specialist.
im deverstated!
i dont know what to do?
i have been informed i should have it reconstructed again to protect against wear on my joint and preventing long term damage and arthritis.
i have been advised to have this surgery using the petelar tendon from my left knee. As this is the srtongest option.
im concerned about Compromising my left knee,
Recovery time as both knees will be operated on, will i be able to walk and how soon and after the opperation? how long will i need to be hospitalised ect... im worried about snapping it for a 4th time, i dont know why this keeps happening is any medical cause for this ?
Has anyone had this done? any tips, support would be greatly appricated.

Answer:

Hi there

I am an Australian Kinesiologist/sports therapist

Cruciate ligaments are often compromised if the muscles supporting the knee are not functioning correctly. The quadricept muscles, for instance, run over the top of the knee, and hold the patella in its proper place. Weakness in that muscle causes the patella, and the bones of the lower leg to move out of their proper alignment.
Modern medicine treats the symptoms rather than the cause.
In your case it is the tensor fascia lata muscle which runs fron the top and front of the hip bone (Iliac crest) to the tibia, a lower legbone. When this muscle gets over tight it pulls the lower legbone out of proper alignment. This causes a misalignment in the cruciates, and they tear under stress.
The tensor fascia lata works on the same meridian energy as the large intestine, and is often compromised if you have allergies.
The most common allergen is dairy, and all related products. The reason for that is that, as adults (I assume you are an adult?) we should have stopped being breastfed, and there is no need to be wet nursed by an animal!!!!
If allergens are present, the brain activates the immune system, instead of the digestive system. This leads to immuno-deficiencies and disease.
You don't necessarily notice an allergic reaction. If you smoke tobacco you have an allergic reaction every time you light up a cancer stick without noticing it. This is called a 'hidden allergy'. It can kill you all the same, though!
Avoid simple carbs for a while (10 days) and massage the upper leg on the outside from center to the hip and knee. This will engage the spindle cells in the muscle and restore its function. Do the same with the quadriceps, from half way up the front of the upper leg to the hip and knee, and again, with the hamstrings, from center to insert and origin. Do this 10 times a day for 30-40 seconds and for 1 week at least. After that I doubt you need surgery again.

Good luck

Hans de Rycke Fr.R.C
'Bahk-Ge's retreat'
Natural and Spiritual Healing Center
[email protected]

Answer:

hi,
i have had a similar experience, torn ACL 3 times, about to receive my third reconstruction, and unexplainable really. first time i had hamstring graft, second time i had hamstring from my good leg, and a synthetic with it, the thinking behind this being that it would be ner impossible to wreck.... well, it was pretty much loose right from the beginning. my next recon will be my 3rd in a year and a half, and i really am not expecting it to work.

the reason behind most failures is actually surgical error, at a guess i would say that your tunnels have been incorrectly placed, therefore leader to an unanatomical position of your graft, and impingement which often leads to tearing as your has. you should definitely get this checked out, as if not corrected, will just cause the same thing to keep happening. allignment can also be an issue, though not often, and it would have little to do with your diet or whatever, just the way you are made up, and the angles of your bones whih can stress out the ligaments.

if you surgeon finds his tunnel positioning to be correct, then my next guess would be some underlying injury causing additional instability to the joint, and tearing the graft. most often causing the graft to fail would be PLC rupture (postero-lateral corner) a group of muscles and ligaments at the back, outside part of the knee, also playing a vital role in knee stability. this is notoriously hard to diagnose, however, and is often missed, but is also quite often the cause of recurrent graft failure. if not the PLC could instability coe from elsewhere? other ligaments MCL/LCL/PCL? did/do you have meniscal tears, or ay meniscus removed. however, i tend to lean toward the graft positioning, for the simple reason that your surgeon has been in your knee alot, and will most likely have sen any injury such as these... could also just be hypermobility causing the stability problems if any but you would also probably know about that.

get an MRI done if possible, and have a thorough examination by a surgeon, as if you do have a problem, if not corrected, this will most likely fail again.

as for your other questions, i too was concerned about using tendons from my good knee for my bad one, it seemed like i would have two crappy knees, and it was a lot more painful and harder to recover from having two knees that were in a lot of pain, i admit, but generally the same recovery as the others, just take it slower. Also, i still have issues with my good knee with hamstring strength and tear my hamstrings quite a bit, where i did not used to before they were harvested, but i trust my surgeon, and that was his choice of graft, would have been great if it had worked!! my next graft will be my Quadriceps tendon, alongside another synthetic (LARS)

each time my surgeon has changed the procedure slightly to make things different according to his theory of why this keeps failing, but he is as confused as me. the first recon was normal, though i had badly torn menisci, and had microfracture done too, the second time he put in the synthetic ligament, and he performed a notchplasty incase he felt the ligament was being impinged upon by a small notch, this time he will be doign the sythetic again, a different graft (not that he has a choice, he took all my hamstring before :P)placing the tunnel slightly differently, though he thinks it is perfect for a normal knee, i am very hypermobile, and he thinks this may make a difference, and he will be keeping me locked in a brace for a few weeks, as mine fail early on. rehab will also be slower, like it was last time. i have more menicus tears, and cartialge damage, which will alo be repaired/trimmed. i like that he makes changes and comes up with ideas each time, but i still have very little faith in this surgery now, i guess that is understandable for us, but i also know that there is little else i can do other than living with it, which i just ca;t do due to the instability and pain i have!

please, feel free to ask me any questions, there arent too many people like us who've had his three times! hope i have helped you a bit with some suggestions, and please, get those things checked out, they will need correcting if there is any one of them, or this will just keep happening.

Answer:

I am about to turn 20 years old and I have torn my acl 3 times already; all within the last 14 months... I am devestated. The first time a hamstring graft was used and I rehabbed for about 5 months before I felt like I was strong enough to go snowboarding (terrible idea). I tore it again along with my medial meniscus and promptly got my second surgery in which a cadaver was used. This time around, the swelling wasn't too bad and I was able to get back on my feet fairly quickly. The locked brace for the meniscal damage was very tough though. Major muscle atrophy and I made very slow progress for the first 2-3 months. I was fitted for an acl brace which allowed my to play basketball and more or less get back to the activites I love (besides snowboarding and skateboarding).

I was very good about wearing it but neglected to put it on for a game of basketball in my backyard. I came down funny from a rebound but didn't think much of it until later that night my knee felt loose again. I knew right away that I had done it again and now I am dealing with emotions and regret that I have never before experienced. As most of you probably know, getting seen by a doctor, getting an mri, and then getting a surgery scheduled can be a very long and stressful process. I am a college student and am trying to stay focused on my school work but am now consumed with the fear of another surgery and a long recovery. Going home is out of the question because all of my tuition is already paid and I need to finish the term out. I am hoping to get another surgery done this winter break but I still have many unanswered questions; Is the procedure going to be the same (assuming its the same injury) or will there be more extensive work that needs to be done? What excercises can I do in the meantime to maintain muscle integrity? What other resources are there for emotional help? Who else has had a similar experience that could possibly give me advice?

I am trying to stay as positive as possible but I feel like this is a never ending process and I really need some consolence. Any help would be greatly appreciated.

Thanks,
Alex