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ACL Reconstruction + Meniscus Repair Surgery - Recovery Tips

3,952 Views | 9 Replies | Last: 2 yr ago by MouthBQ98
class12of
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AG
I am having ACL reconstruction and Meniscus repair surgery tomorrow morning. Any tips for anyone who has been through either of these before? Of course, I was in the best shape of my life before my injury. Been trying to keep up with a lot of "pre-hab" workouts. I already know the atrophy will be the worst part.

Anyway, any advice appreciated. (Also would appreciate prayers if you feel so led.)
MouthBQ98
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AG
Welcome to the club. I had my ACL replaced with patellar tendon harvest and lateral meniscus root stitched back on April 6.

You will be in a brace and crunches for about 6 weeks to allow your ACL to heal but mostly to allow your meniscus repair to set in without re-tearing it. That part totally sucks and gets old fast but it works.

Do all the therapy. Do it at PT, and do it at home, as much as they will let you and you can tolerate. Follow their instructions.

Progress back will be steady, if you do the therapy work and integrate what you are allowed to do in your fitness routine.

I got some bands, some lighter dumbbells, a yoga mat, and did a crap load of ab work, dumbbell exercises, and full leg work like flutter kicks and scissors that don't require knee bending at first. Even push-ups with all my weight on my good leg.

Crutches are also goo exercise but you don't want to fatigue out your only form of mobility either.

You can eat a little more the first week or two to fuel your body healing, but then back off a bit or you risk weight gain.

Your quads on the surgery side will atrophy FAST. Don't worry. The therapist will help you build them back up when your knee is ready to start adding load. I'm a little over 5 months out and my surgery leg is about 90%+ as strong as my good leg. I can run, jump rope, do box steps and jumps, and I am working on agility now. I have almost full range of motion as well. It comes back, just do what the doctors and therapist instruct religiously and do as much outside fitness as they allow. I've got my Olympic lifts back to about 75-80% of my maxes. I've recovered faster than usual, granted, but just an example that you can come back well if you follow the plan.

As for pain, there was some soreness and discomfort once the nerve blocker wore off but it was never that bad. Therapy the first few weeks while you are stretching out scar tissue can get uncomfortable to moderately painful, but never sharply so.
Absolute
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AG
What MouthBQ98 said.

Wife had this last December. The Meniscus part was a surprise find during the surgery. She was quite disappointed to go to sleep thinking she could put weight on the leg the next day and would use crutches for a little while and waking up to 6 weeks on crutches with no weight.

She found these crutches

:https://www.amazon.com/gp/product/B07P1D2K88/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1

and this little bag

https://www.amazon.com/gp/product/B006GRVIXO/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1

That made her life better while stuck with them. She would tell you they were totally worth a little more money. Also tried several other fancy crutches styles and she liked these the best.

Good Luck
class12of
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AG
Thanks for the advice! Will be hard for me. I'm not typically one to sit around. Will definitely be looking for ways to do PT at home and get a workout in
aggiederelict
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Which graft are you having? Patellar or hamstring? Cadaver or yours? This will determine how to progress your PT?

Also, look into Blood Flow Restiction (BFR) for your early stages of rehab since you can't do loaded exercises to combat the noticeable atrophy that will take place in your quads. It can make a big difference.
MouthBQ98
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AG
Yeah, I did thousands of box step ups, quad extensions, ham curls, single leg RDL, squats, etc on one of those restricted circ machines, and it worked.

Also, bikes will be your friend once you can ride one again. Stationary, then real.
class12of
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AG
Currently recovering at home! Was told the surgery went well. We used a graft of my quad. Supposed to be stronger than a hamstring and an easier recovery than a patellar tendon. I guess we will see…Feeling ok as of now!
aggiederelict
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Patellar tendon graft is good. Just be mindful that later in the rehab process some people are prone to having patellar tendonitis with more explosive movements.

Don't rush the rehab. I can't tell you how many times I have seen a patient return to sport too fast because their strength looked good but there dynamic ability was not there. There is a big difference that isn't appreciated by most.
rebag00
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AG
Make sure to keep it straight/locked in this week and next in between the bending exercises. Ice and rest. Follow the PT religiously. Good luck!
MouthBQ98
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AG
Glad to hear it went well. I'm actually about to head to my second to last PT before they discharge me as sufficiently recovered
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