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Off season (orthopedic) rebuild...


behindpropellers
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  • Baller
Sounds familiar. 3 years ago I tore mine in May. Skied all summer. In the fall I could feel it getting worse if it twisted wrong. Had surgery in January and was back biking in a month and skiing by April. Let me know if you need a referral.
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Shane,

Crutches for 2 weeks. You must have a bad tear in there. I have/had torn meniscus in my left from when I had ACL relpaced from a down hill injury. They just snipped the lingering stuff up when they were in there. I tore some in my right knee this winter playing hockey but so far it has not been a problem. Get on the bike and and puff up the muscles around the knee every other day. Leg presses also helped me.

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  • Baller
As a veteran of 4 shoulder repairs, two knee repairs and a distal biceps tendon repair, I highly recommend getting things fixed and doing the rehab the right way. The only major injury I didn't have fixed was a ruptured disk in my low back (after about 8 months I got the feeling and strength back in my right leg without surgery). Not all water ski injuries, but all took time away from sports to rehab well and then start back in at a measured pace. In the end I am probably stronger around all of the injured areas than ever because you learn what you need to do to strengthen the minor muscles around the joints and improve your flexibility. It also forces you to become a better skier to learn to put less load on yourself. I always say I hope this one is the last one, but I also keep telling my orthopedic surgeon that as long as he keeps fixing me, I keep skiing!
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  • Baller

This is somewhat off topic but I wanted some quick advice...

 

A very good friend of mine just tore her ACL, MCL, and meniscus as well as fractured her tibia, fibia, and femur playing soccer. She is young (18) so hopefully the healing process will go fairly smoothly. I know skiers are familiar with ligament injuries, how long before she will be able to run again? She was planning on playing soccer in college in the fall...

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  • Baller

wtrski3156,

Wow, she did it up right. You don't usually see that much damage unless it is from an MVA. Because of the complicated nature of what you are describing it is harder to guess when she will be able to "run". In a typical ACL/menisectomy rehab easy jogging will start at 3 months. This will progress to where running athletes will be allowed to play at 6 months if they have adequate strength and functional agility on it when compared to the uninjured leg.

 

6 months is generally considered about as early as you should return to sport, and then only done if everything has gone smoothly and the athlete looks good. I will not even guess in the situation you are describing as there are a lot of variables with the fracture types, meniscus repair vs. debridement, etc. I would assume it will be a good bit longer, but you know what happens when you assume. Good luck to her non the less.

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Alot also depends on where you get the ACL from. Patiler or hamstring can cause additional rehab just for the area that it comes from. I replaced my acl with a cadiver and skied within 3.5 months. It all felt great at 3 months out but it was probably not a smart idea on my part. The ACL is at its weakest point 3-6 months out but it alll feels great.
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What do you mean jumping isn't safe?? When I started jumping in college everyone told me it was as safe as anything else on the water! :-)

 

There is no better rush than jumping, and I will continue to do it until I can't. I feel if you have some sense it is reasonably safe, but yes I have broken multiple fins on the side curtain and went OTF once. Its all worth it when you have those "Big Ones!"

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What do you mean jumping isn't safe?? When I started jumping in college everyone told me it was as safe as anything else on the water! :-)

 

There is no better rush than jumping, and I will continue to do it until I can't. I feel if you have some sense it is reasonably safe, but yes I have broken multiple fins on the side curtain and went OTF once. Its all worth it when you have those "Big Ones!"

Yes it is fun, but when you have had as many injuries as me, it is not safe, at 40 with 3 kids to support the fun does not out weigh the unemployment and recovery time. Only going OTF once is not that big o deal (multiple crashes add up). Again, just my opinion-for me-not worth it. For shane...It may be worth it. For you..it may be worth it. When I was single and in my 20's, I jumped 2 x's a day.

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I agree 100% skidawg. Everything has a risk to reward ratio. If I had three kids, a wife, a house, and etc... to pay for/be with, then it would change the way I look at it.

 

For now I will continue to be young dumb and full of....., single and with no house payment.

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  • Baller

10 months post op as of today. I was cleared to ski a month ago (although I started just skiing some easy 28's before that). Supposed to slowly ramp it up over the next 3 months. Ran my first 35 last week after some coaching by Wim. Feels good to be back on the water, but our season is winding down.

 

How are you coming along?

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  • Baller
Had the knee surgery last friday. Walked out of the hospital and have never needed crutches. After meeting with the physical therapist on Monday, I was in the gym starting on Wednesday. They're letting me do anything with the exception of running, weighted squats, and weighted lunges for the next 4-6 weeks.
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  • Baller

Dude, she's got a lot more than ligament injuries going on there...she's also got two fractures on one side of her knee joint and one fracture on the other. Without more detail difficult to predict, but this can be a very serious injury that ends an athletic career in running-based sports. Best predictions are from her orthopedic surgeon, not a bunch of skiers (even we medicine heads).

 

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Hmm...sorry all, for some reason saw new posts, checked the thread and ended up on page 2 and didn't notice the dates and that the post was current on p. 3...not page 2. Was in response to a post from wtrski3156 that is quite old. Oops...disregard...except for the fact that whomever he referenced would indeed appear to have a big time injury.
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labrum repair is more involved then cuff repair. Im a PT and see atleast 1/2 a dozen new shoulders a week. There is a specific protocol you need to follow, and your MD should be advising the PT when rehab starts as to when to initiate resisted ex, vs passive ex and stretching. Part of the bicep attaches onto the labrum, so be careful with pulling/lifitng for 3-4 mos. Let it heal and avoid abduction + External rotation combined movements
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  • Baller
OB, my knee was the exact same thing. The originally thought it was a torn meniscus. But when they got in there, they found Articular Cartilage lesions on the bone ends and behind the knee cap. Shaved them down and microfractured the bone in those spots. The one good thing is that if you choose to have the surgery, there's no repair being done to any muscle, tendon or ligament. Your recovery will be much faster. Essentially, it's the amount of time for the incisions to heal.
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@ShaneH,

 

Got the same than you, but just had a lesion in one side and not under the cartilage. Was not a fast recovery, though...

 

What I was told by the surgeon (my brother...) is that not operating in my case was like leaving a broken tile in the floor or wall without smoothing the borders and filling with cement. Eventually, all tiles would break and come out... However, the cement (fibrocartillage from the micro fracture) is not as resistent as the rest and there are no guarantees of it lasting for the long term.

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  • Baller

Just thought I would give an update:

 

1 Year after surgery now. I have full ROM and hvae not had any instability issues since my surgery. I skied all summer, starting in the beginning of July. Once I stopped skiing the muscle started to go away very fast so its now back at the gym. 100% glad I got it fixed. Now I wonder how long my right shoulder will hold out!

 

Tim

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  • Baller

Well it,s come down to surgery, after months with the Physio it,s time to bite the bullet, looks like Microfracture on the left knee, anybody know of any waterskiers that have had this done, the recovery time, and was it successful ?

May end up having to ski on one leg, How do those guy,s do that ? must have muscle on muscles !

Any comments appreciated

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Stevie, See above. Both myself and RAL had it done. Depending on where the damaged cartilage is, your doctor may have you on crutches for 4+ weeks. Mine allowed me to walk on mine, just no running, squats or lunges. I'm two weeks in and my range of motion is better an d the pain is less when walking up the stairs.
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  • Baller

@Stevie Boy, how large is the damaged cartilage area? Is it in a weight bearing area?

 

2 lessons I learned

 

1) More is less. Go to a sports PT, but DO NOT do more than what you are told. Your muscles will be weak and you will be forcing joints and tendons.

 

2) Watch the other leg. 6 months after the surgery, I got patellar tendinitis in the other knee (most likely for forcing it....) and that is truly a PITA. Very difficult to recover

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  • Baller
One thing I'm realizing is that I was favoring the hurt knee for a long time. The PT, who works for my surgeon and works very closely with him, asked me to tighten my quad and knee cap. I found that I couldn't. He's got me doing exercises so my body can relearn to fire the muscles that I had quit using. Just simple things while sitting at my desk every 15 minutes to tighten my quad and pull my knee cap tight. A week ago I had to think about it and concentrate to be able to hold it tightened for even 5 seconds. Now I can hold it for 30 seconds, and I don't have to think as much. One thing I'm noticing is that my gate while walking is becoming much more symmetrical as I'm learning to control those muscles around my knee again.
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  • Baller

Thanks Guy,s not sure of the area, just yet, I,m ok going upstairs, it,s coming down or standing in a skiing position, it,s basically where the knee begins to take the load, I have done lots of gym work to streghern the quads and also stretch them to take away the tension on the patella, my physio was hoping that the conservative approach would do the trick, alas it,s not worked out, had the cartilage operated on twice before, the consensous is that its to thin in the area I have discomfort, I must go up and down about 1200 steps a day at work which doesn,t help.

I see the Top Man on Monday to discuss a plan of action, just thinking that I am probably going to kiss goodbye to 2012 season.

Shane I know they do not build muscle but I think that you might find an EMS machine useful for activating those muscle that have forgotten what they are there for, as always discuss with your physician first.

Wish you guy,s a speedy recovery.

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  • Baller
OB - distal clavicle excision. Great surgery. Creates space in the joint without affecting joint stability. I was skiing within 7 days both times. Since it doesn't affect stability, the doctor basically told me I could do whatever I could tolerate painwise. It hurt to ski that soon, but didn't affect the long-term recovery. Get it done.
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  • Baller

Hi Guy,s, here,s some "GOOD" advice for any waterskier with a knee problem, "DO NOT" go and see any old orthopedic surgeon, I recently learnt that previous surgery was not of the best quality, as my "KNEE" Specialist and I mean only "KNEE" pointed out, anybody can cut material away thats easy, but there,s a requirement to understand the impact and stress created in other areas, not just within the knee but also on the hips, because of previous surgery and lack of understanding by the surgeon, I,m heading for a knee replacement, but he feels that when he gets in there, if the rest of the knee is reasonable, he can carry out a number of procedures in different areas, to rescue my knee and maybe give me 10 or 15 years of waterskiing, that will take me to about 72 yrs old, then it will be a knee replacement. Please Please let the rest of the knee be reasonable shape.

Surgery is on the 9th December, 4 days after my first consultation, with him, which is pretty good going, fed up with the discomfort, I am very anxious, waterskiing is the one thing that gets me through, I dont want to just drive the boat.

 

 

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  • Baller

OB, this is like the classic joke adapted to skiing

 

Patient: "Will I be able to ski again and run into deep 39 off after the surgery"?

Doc: "Yes, you should be able to do it."

Patient: "Good, because I have not run into deep 39 off ever before..."

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Well here we are then, my left kne was shot to bits but the surgeon decided to give it a go, gave me pictures of before ,during and after, truly amazing surgery, my bones were pitted and just shredding the back of my pattella, so he remove cartillage debris, polished the bones to make them smooth again, re-profiled my pattella, and proceeded with microfracture, the only thing he was unhappy with was that he found a tear in my meniscus (THIRD TIME), the only problem I am having at the moment is that starting to show possible, bruised or torn meniscus in the right knee, due to weight bearing on that leg only at the moment, have to wait and see, now on the road to recovery now hope that the microfracture takes, above 45yrs old success rate declines, thats what I read anyway, might be a load of rubbish.

Must Stay Positive ! It,s gonna be Alright !

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  • Baller

I had my knee done twice both from hockey. Skiing did not bother it until I was done for the day. The recovery time was 3 weeks longer the 2nd time around. Make sure you take the rehab seriously, it will help you in the long run.

 

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