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06-29-2008, 11:39 AM #1Registered User
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- Jun 2008
How long before I can walk without crutches?
Just had ACL Reconstructive surgery with Patellar Autograft (my own tendon, same knee: http://www.youtube.com/watch?v=q96M0jRqn7k ).
Quick question, just wanna know estimated time before I can walk aroud without the use of crutches. I had the surgery on the 19th, it is currently the 29th. Also, what do I have to make sure I am able to do before I can walk without crutches.
06-29-2008, 11:48 AM #2
That is a tough question. Biologically to walk normally without crutches you need to have a knee that is only moderately tender and not so swollen that you can get about 100 degrees of flexion and near full extension. You also need good control of the quad muscle.
I have seen a range from walking under you own power out of the hospital, to three-four months. It depends on the condition of the knee before the surgery (prehab), the techniques used by the surgeon (and those include far more than graft choice) and the rehab you have been subjected to.
What did you doctor tell you to do?drmark
Mark Sanders, MD FACS
Certified by the American Board of Orthopaedic Surgery, Subspecialty Certificate in Orthopaedic Sports Medicine
Fellow of the American Academy of Orthopaedic Surgeons
Fellow of the American College of Surgeons
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06-29-2008, 11:51 AM #3Originally Posted by GimpyKnee
06-29-2008, 12:00 PM #4
This is what you should be doing, following the doc's orders regardless of what anyone might tell you different about their own experience.
My doc gave the ok to walk as soon as I thought I could, which for me was @ day 5. Getting full extention is paramount for getting the proper gait back w/o limping.Move upside and let the man go through...
06-29-2008, 12:10 PM #5
Agree. Was just sharing with Gimpy what my experience has been, but not trying to imply that's what he should be doing. Of course his case is different than anyone else's and he should listen to what his doc says 1st and foremost.
06-29-2008, 12:26 PM #6Registered User
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- Jun 2008
Doctor said I can put as much weight on my knee as long as the pain is tolerable.I dont have 100 degree flexion (Im at about 45 degrees currently today) but my extention is full. Im fine, i just wanna be on my feet more or less within the next 10 days. Just wanted to know if that was realistic or not. SkiBrain, ur the shit bro, we're in this together haha. Thanks doctor mark Ill keep that in my and work a little on stregnthening those areas. U guys are all awesome!
06-29-2008, 06:02 PM #7
generally you need about 90 deg of knee flexion and full extension to walk without a limp. Whe you can get to 90 deg + FLX, full extension and can produce a good quad contraction is when you should be getting rid of the sticks. In the mean time you should already be putting some wt. on it advancing ~25% every 3-4 days until you are full wt bearing.
But if you can walk without a significant lmimp then I would stay with them in partial wt. bearing until you have 90+ flx full EXT and decent quad control.
06-29-2008, 07:24 PM #8
Consider yourself lucky to get the okay sooner to walk without crutches! The first dr I went to said 2-4 weeks on crutches (after which I said, unacceptable!) and the dr who will do my surgery (TOMORROW AAAAH!!!) said 2 weeks. It makes me a bit uncomfortable to think of how Vinman and others have said its much better to get off the crutches much sooner, as I know that with Kaiser as my insurance and the fact that I'm moving to South America in October, I'm kinda outta choices. I'm trying not to think that a more conservative protocol means less confidence in his work...I'm sure it's just a different school of thought...right?
06-30-2008, 07:36 PM #9
It's definitely different for everyone. I'm about 2.5 weeks out and am getting more and more mobile w/o crutches. 95% of the time I still use a crutch and can't wait 'til the swelling/soreness goes down and I can start walking with greater frequency.
07-07-2008, 07:48 PM #10Registered User
- Join Date
- Jun 2008
- Bellingham, WA
i'm almost two weeks post op (allograft) and i've been walking around since about 4 days after surgery. i reached full extension and 70 degrees flexion two days after surgery, as the doctor recommended. just hang in there.
07-07-2008, 09:47 PM #11
I was walking at 3 days post op with 130degrees flexion. Then again I went for surgery 2 weeks after tearing it and my legs were VERY strong.
It depends on how your knee is, how strong and how much flexion you can get.
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