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  1. #1
    Join Date
    Jan 2020
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    98

    ACL reconstruction

    Hi all,

    When I next check this I'll be coming round from an ACL reconstruction.

    I'm sure many of you have been through this, any tips??

    One day we'll ski again!



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  2. #2
    Join Date
    Dec 2007
    Location
    base of the Bush
    Posts
    12,170
    First tip would be to post in Gimp Central.
    www.apriliaforum.com

    "If the road You followed brought you to this,of what use was the road"?

    "I have no idea what I am talking about but would be happy to share my biased opinions as fact on the matter. "
    Ottime

  3. #3
    Join Date
    Oct 2004
    Location
    50 miles E of Paradise
    Posts
    9,292
    Actually the first step is to read the fucking stickies
    Like this one
    https://www.tetongravity.com/forums/...HE-RIGHT-PLACE
    Check Out Ullr's Mobile Avalanche Safety Tools for iOS and Android
    www.ullrlabs.com

  4. #4
    Join Date
    Dec 2007
    Location
    monument
    Posts
    5,621
    Agreed with the above.
    And don't get behind on your pain meds when your nerve block wears off.
    In search of the elusive artic powder weasel ...

  5. #5
    Join Date
    Jan 2020
    Posts
    98
    I had not found the Gimp section yet...

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  6. #6
    Join Date
    Dec 2011
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    PNW
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    4,511
    Quote Originally Posted by pfluffenmeister View Post
    Agreed with the above.
    And don't get behind on your pain meds when your nerve block wears off.
    I hate oxycodone and went easy the day of, the next morning was hell...truth^^^

  7. #7
    Join Date
    Oct 2010
    Posts
    760
    Gimp Central!
    But seriously, good luck. Go easy with meds if you have an addictive personality. Seen it put some people thru the wringer personally and its not fun.
    Crush the rehab and you'll be good to go. Most people I know ended up in better shape, healthier eaters and loved getting back into things they hadn't done in ages.

  8. #8
    Join Date
    Dec 2007
    Location
    monument
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    5,621
    Regarding meds and addiction, I agree; stop using as soon as you can.
    But post-op my cutter told me start them as soon as you can start to feel your foot, and them set an alarm (mine was every 4 hours) so you don't get behind the pain.

    And then kick them to the curb ( and crush your rehab, I did funny walks up and down my driveway forever).
    You'll be good, I skied (lightly) 6 months to the day after surgery.
    In search of the elusive artic powder weasel ...

  9. #9
    Join Date
    Jan 2020
    Posts
    98
    Thanks guys, had a good read of the gimp central during my sleepless night.

    First experience with Oxy, i dont think they're spoiling me with them (insert Swiss German joke here).

    Edit - just had the drains out - man that makes a difference!!

    Edit edit - managed to convince them to stop giving me the Oxy and just have an ice pack instead - very proud of myself...

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    Last edited by ddraver; 04-28-2020 at 08:04 AM.

  10. #10
    Join Date
    Jul 2014
    Posts
    122
    Good luck with your rehab. Work hard, and be patient. It takes time. Even for the pros. Some people get there faster, but for most it takes a year or two after surgery to return to the level where you were before your injury.


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  11. #11
    Join Date
    Dec 2010
    Location
    西 雅 圖
    Posts
    3,471
    Good call on quitting the oxy if you can handle it; I went 4 days on them and had a shitty time getting the flow going. Not sure what the equivalent in SUI is, but the DonJoy Iceman I used (recirculating icewater machine) was a big help for swelling.

    Find a PT who understands what you want to achieve, and do what they say without fail - sometimes it's hard to believe them, "Really? Do that on one leg?" My guy is a skier and cyclist, and also knew when to back off for a few days. Like the others say, it takes a while, and your knee has its own timetable. Be patient, I overdid it a few times and set myself back each time.

    My recovery went something like this: easy biking on smooth pavement @ 3.5 months, commuting ~100 miles per week at 5 months, skiing at 7 months (only on smooth groomers, turned DIN's down by 1), easy touring at 9 months. I'm currently at 11.5 months and pretty much doing everything, starting up on a hill/bumpy descents on the MTB and landing/bumps on skis still hurt. Estimate my strength in the repaired leg is at about 93%.

    I would say that the advice I got from other veterans is pretty much on the mark so far - "You'll do everything OK the first year back, but you won't feel 100% - second season you won't even think about it" - hoping the last part holds true.

  12. #12
    Join Date
    Jan 2020
    Posts
    98
    I'm resigned to next season being focused on walking up rather than on hitting epic cliffs and straight lining Bec's.

    Thinking of selling the big ass pow skis that did it and picking up some skimo race ones over summer...

    Greg - think I've been lucky as it was a pull apart rather than a smash together so there is relatively little other damage but I will take onboard what you say and take it steady. 3 laps round the clinic on crutches already! Whoop, that's going on Strava!

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  13. #13
    Join Date
    Dec 2010
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    西 雅 圖
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    Quote Originally Posted by ddraver View Post
    Greg - think I've been lucky as it was a pull apart rather than a smash together so there is relatively little other damage but I will take onboard what you say and take it steady.
    Good call again. I tried to ski on it twice more (yes, once should have been enough) after blowing the ACL, subsequently tearing the MCL and damaging the meniscus on both sides. 1,000 gram boot and 1050 gram ski combination has been working well for me this spring; lighter is a little sketchy even with two good knees.

  14. #14
    Join Date
    Jan 2020
    Posts
    98
    yeah, i was walking and skinning before the Op (bit of a big guy so I have chunky thighs, which seemed to help) and skiing down very carefully so let's see!

    A very cute physio has to teach me to do steps today!

  15. #15
    Join Date
    Jan 2020
    Posts
    98
    Consultant today was talking about skiing 6 months to 1 year after Op if I bought a 2500CHF brace...

    I haven't seen anyone else mention that level of brace. Is this more for pro's desperate to get back as soon as possible?

    (That's a whole new touring set up!!)

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  16. #16
    Join Date
    Oct 2009
    Posts
    403
    Quote Originally Posted by ddraver View Post
    Consultant today was talking about skiing 6 months to 1 year after Op if I bought a 2500CHF brace...

    I haven't seen anyone else mention that level of brace. Is this more for pro's desperate to get back as soon as possible?

    (That's a whole new touring set up!!)

    Sent from my Pixel 3a using Tapatalk
    Possibly. I just used the one they gave me in the hospital. Certainly helped from a psychological perspective. With a good op result and disciplined rehab there’s no reason you shouldn’t be skiing by start of next season. I had my op on 1st May 2018 and skinned up Mt Gele at the end of November. You’re welcome to the brace if you need one.

  17. #17
    Join Date
    Mar 2008
    Location
    northern BC
    Posts
    20,130
    I talked at length to a ski bud about knee braces, I didnt even realize he had knee probs or wore a brace but he has had knee issues for decades but skis well, teaches skiing & tours.

    He has 4 knee braces of various price & quality, sez he is probably going to drive 13hrs to Calgary to get a custom made brace which is gona cost twice what the 2500CHF will cost and he sez its all about the fit, putting the brace on and the brace staying put

    I'm still waiting to hear from the surgeon NO idea when they will get back to doing surgery and i'm classed as not urgent, at least it doesnt hurt my knee brace buddy said if yer not hurting you are really lucky !
    Lee Lau - xxx-er is the laziest Asian canuck I know

  18. #18
    Join Date
    Dec 2011
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    PNW
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    Quote Originally Posted by ddraver View Post
    Consultant today was talking about skiing 6 months to 1 year after Op if I bought a 2500CHF brace...

    I haven't seen anyone else mention that level of brace. Is this more for pro's desperate to get back as soon as possible?

    (That's a whole new touring set up!!)

    Sent from my Pixel 3a using Tapatalk
    My Ortho, a sports and shoulder/knee specialist doesn't recommend braces for skiing much anymore. If your knee is strong and you rehab properly, he didn't see much benefit. Skied about 15 times since my surgery this season with no brace. Landing about 2-3 foot drops with no pain and full control. Bumpy chattery conditions cause a little discomfort. 1 year surgery anniversary is May 3rd

  19. #19
    Join Date
    Jan 2020
    Posts
    98
    Yeah, that sounds more in line with what others are saying.

    Next Winter will be an easy one (if it happens), By spring, I'll be able to be more adventourous.

    Sounds acceptable under the circumstances. I suspect braces may be in my future but not while I'm still young (ahem)

    Xxx-er, from what I've heard if you do it properly - snap it completely - there's not a lot of pain as there's nothing else to snap... I was lucky too, I had a month at least being able to get out and about a bit.

    Thanks Everyone.
    Last edited by ddraver; 05-01-2020 at 05:22 AM.

  20. #20
    Join Date
    Dec 2011
    Location
    PNW
    Posts
    4,511
    I heard 2 pops, complete tear. Only pain was from bone bruising. I got up and skied 6 more runs, then 3 days later at BBI19 I made about 10 runs on chair 2...BIG mistake.

  21. #21
    Join Date
    Jan 2020
    Posts
    98
    Wow, sugar!

    I felt the pop but couldn't hear anything due to the clatter of ice and rocks that were hidden under the snow (and caused the fall. Bob - opening Cathedral Couloir, just below the little wind lip). Got up and 'skied' down but only with a lot of side slipping and traversing.

    By the bottom my knee was a bit sore but both my calve muscles were screaming for 2 days!

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  22. #22
    Join Date
    Mar 2008
    Location
    northern BC
    Posts
    20,130
    After the big pop I skied out on the run, easy right turn was ok, did an easy left, no support at all so went down instantly, the GF seen it from behind and thot oh shit .

    so i slid it out on one ski to the bar, I haven't tried skiing and i really can't see any skiing being a good idea

    A little biking is OK

    the good news is that BC is 3 weeks ahead of Canada on Covid, the cases have peaked and we are on the DH side SO maybe they can open up surgeries I can get some !
    Lee Lau - xxx-er is the laziest Asian canuck I know

  23. #23
    Join Date
    Dec 2010
    Location
    西 雅 圖
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    Quote Originally Posted by k2skier112 View Post
    My Ortho, a sports and shoulder/knee specialist doesn't recommend braces for skiing much anymore. If your knee is strong and you rehab properly, he didn't see much benefit. Skied about 15 times since my surgery this season with no brace. Landing about 2-3 foot drops with no pain and full control. Bumpy chattery conditions cause a little discomfort. 1 year surgery anniversary is May 3rd
    My surgeon and PT were both in the same camp. Said if I applied myself to PT I should have a pretty good idea if I can ski and how hard to push it; brace is mostly for psychological support rather than physical. Congrats on your 1 year anniversary, mine is next week. Started skiing December 30th 2019, 29 days on snow so far doing pretty much everything (but bumps and chattery ice are not ideal). Touring has been good, the warmup before every run helps.

    On the other hand, a friend who has the same doc has had repeated problems with more or less the same surgery going on 20 months and the surgeon ordered a fancy custom brace for him recently . . .

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