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Bob's ACL WWWBoard

Re: what do you guys think ??

Posted By: nipun
Date: Wednesday, 12 March 2008, at 1:18 a.m.

In Response To: Re: what do you guys think ?? (JamesOr)

> True, but I've heard that typically happens within 4 months
> post-op which is why you can't push as hard in early rehab
> as you would with the auto-patellar. I think a stretch
> occurance after this point would have more to do with
> quality of the hamstring graft, and could happen anytime.
> A good example, a teenager is saw in rehab re-tore his
> hamstring graft two weeks after being released for soccer
> at 6 months post-op. But he had no meat on his legs to
> begin with, so the graft must have been scrawny. He went
> back to the same surgeon who then gave him an allo.

I also had ACL reconstruction exactly 3 weeks ago using the hamstring. I'm 30 years old. My OS does both hamstring and patella and he recommended hamstring for me and told me that on the day of the surgery if I wanted to change my mind and do patella he will have no problem with that. He told me that the way he makes his recommendation is such that for younger patients such as kids who are ~10-25 years old he recommends patella so that the pain/recovery is a bit difficult and hence they will really take his advise and not return to sports until after 6 months (due to the pain after surgery and slightly longer time that it takes to regain ROM). For slightly older patients like myself who are ~25-35 he recommends hamstring because eventhough the pain is less and that you can regain ROM generally earlier than if patella was used, the older more mature patients listen to the doctors advise anyway and not return to sports in less than 6 months.

I'm not saying his methods/advice is right or wrong but would like to get some feedback on the way he makes these recommendations. If you need more information about the OS he can be found here: http://www.dallasorthocenter.com/montgomery.html

After 3 weeks, I have regained most of my ROM except being able to do a full squat. Still working on that. Pain has subsided for the most part compared to what I went through during the first 3 days after the surgery.

I have started going back to the gym and riding the bike and would like to move to the elliptical machine soon and maybe a stairmaster after that. However, I'm concerned about not pushing it too much. Will I be safe as long as I stick to machines where your feet never leaves the ground? (ex: stationary bike, elliptical, stairmaster). How fast would be considered too fast during this early period of recovery?

Thanks!!

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