Medical experts chime in...

#26
#26
Outdors21 said:
I work with a high end ($$$, not necessarily talent) surgeon who almost exclusively does allografts. The difference has been amazing. I worked with two surgeons previously who mostly did autografts and the joint strength/motion schedule is 1-2 months faster with the allograft. Our PT raves about the differences he sees one year post surgery (I don't see the patients after the 8 month mark, usually).
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We have one current HS student right now with an allograft, taken from the anterior tib. tendon, and she's doing very well. Does your ortho MD use tibialis ant. much? I've seen research using more often than not Achilles allografts simply because of the inherent strength of that tendon alone. Our docs around here primarily use hamstring autografts; the biggest limitation I have to that is having to wait 6-7 weeks before I can aggressively strengthen hamstrings. It's like a double edged sword with activity restriction.
 
#27
#27
mcashawn0304 said:
surgery was last december, i was fully cleared in april.
i think part of what helped me was being a pt student i know the importance of proper rehab
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Were/are you a competitive athlete as well? I can see letting a patient go that early IF and ONLY IF they are 100% compliant with HEP (most aren't, as you'll soon learn :)) and have regular follow-ups with the MD. Still, it's very rare.
 
#28
#28
supersmo18 said:
Were/are you a competitive athlete as well? I can see letting a patient go that early IF and ONLY IF they are 100% compliant with HEP (most aren't, as you'll soon learn :)) and have regular follow-ups with the MD. Still, it's very rare.
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very active recreational athlete, but not competitive. haha and i was dang near 100% compliant with HEP, and because of that, i got knee stability back earlier than others ive seen, and i think that made all the difference.
 
#29
#29
Outdors21 said:
Four months?? Really? The earliest we've EVER cleared a patient 100% is 5 months...so a full month earlier blows my mind.
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I have seen 4 months a few time, but it's rare.

There was a Lady Vol back in the late 90's who tore hers early in the season and returned in the Final 4.

IMO, it is out of the question for a football player.
 
#30
#30
supersmo18 said:
We have one current HS student right now with an allograft, taken from the anterior tib. tendon, and she's doing very well. Does your ortho MD use tibialis ant. much? I've seen research using more often than not Achilles allografts simply because of the inherent strength of that tendon alone. Our docs around here primarily use hamstring autografts; the biggest limitation I have to that is having to wait 6-7 weeks before I can aggressively strengthen hamstrings. It's like a double edged sword with activity restriction.
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I have never been involved in a patient with a tibialis ant. graft. For younger patients (under 35) and/or very active patients (runners, bikers, athletes, etc) he typically uses the achilles graft. For everyone else, he still uses the patellar tendon. We've had 2 major complications with the achilles graft in the 14 months I've worked for this surgeon...once was a re-tear (extremely unusual from what I've seen in literature) and one was an infection. No idea what happened on that one, but it was a scary incident for me as a practitioner. Patellar tendons have about a 90% success rate for us it seems...meaning no complications at all, even minor ones (pain when doing certain activities, etc)
 
#31
#31
I got cleared from PT a couple days over 5 months on my last ACL. I still wasn't confident on it for a while but I was out
 
#32
#32
utvolpj said:
I got cleared from PT a couple days over 5 months on my last ACL. I still wasn't confident on it for a while but I was out
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With anyone who does any athletics, recreational or competitive, I think this is the biggest concern once you're 100% cleared. There's always that mental aspect that you have to get over. That's where working with an athletic trainer can do wonders for getting someone back into full activity (or a PT/ATC if you're lucky enough to have one in high-school, although rare in public schools).
 
#33
#33
mcashawn0304 said:
surgery was last december, i was fully cleared in april.
i think part of what helped me was being a pt student i know the importance of proper rehab
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Where are you in PT school? Just wondering if you're around the southeast being a Vol fan :)
 
#34
#34
The only way Bray plays again this season (bowl aside) is if he has mutant healing powers; or if the doctors laced his bones with adamantium when they did the surgery.

Unless he's a superhero, then he won't be back by the UK game.

I'm not a medical expert, but I did stay at a Holiday Inn Express last night.
 
#35
#35
preacherwebb said:
The only way Bray plays again this season (bowl aside) is if he has mutant healing powers; or if the doctors laced his bones with adamantium when they did the surgery.

Unless he's a superhero, then he won't be back by the UK game.

I'm not a medical expert, but I did stay at a Holiday Inn Express last night.
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If he isn't back for Vandy/UK...there IS NO bowl lol.
 
#37
#37
Hey, if you PT's know anyone around Tallahassee/PCB area, find a way to contact me please or let me know how to contact you/them. The FSU team docs and other surgeons want to use my post op therapy machines, but I have a flaky rep that won't follow up with them.
I need help down there. Just someone dependable that wants to work as a 1099, part time, and make extra income. A PT may want to do it themselves, have their wife do it, or may know someone interested.
Sorry for the tangent.
 
#39
#39
pl3 said:
Hey, if you PT's know anyone around Tallahassee/PCB area, find a way to contact me please or let me know how to contact you/them. The FSU team docs and other surgeons want to use my post op therapy machines, but I have a flaky rep that won't follow up with them.
I need help down there. Just someone dependable that wants to work as a 1099, part time, and make extra income. A PT may want to do it themselves, have their wife do it, or may know someone interested.
Sorry for the tangent.
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I'd help you out if I could. I tend to avoid FL unless on vacation. :) What machines are you marketing? Sounds like you may need to dump the rep.
 
#40
#40
Outdors21 said:
Orthopedic PA here. I assist on 4-5 of these a week and am in charge of the week in/week out rehab along with a PT. 6 months is medically healed. Just like a fracture is healed way before the strength is back.
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I'm a PT and our Ortho's protocol is usually 3 months straight line running and 6 months lateral/cutting movements. Granted we treat HS athletes and w/e warriors.
 
#41
#41
VolsFan05 said:
I'm a PT and our Ortho's protocol is usually 3 months straight line running and 6 months lateral/cutting movements. Granted we treat HS athletes and w/e warriors.
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LOL I've had terrible compliance with w/e warriors. :) They just wanna get back into doing what they do, a.s.a.p, rehab-be-damned. At least that's my experience with a lot of them!
 
#42
#42
VolsFan05 said:
I'm a PT and our Ortho's protocol is usually 3 months straight line running and 6 months lateral/cutting movements. Granted we treat HS athletes and w/e warriors.
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I was saying this, essentially...just didn't make it clear. Medically cleared is being able to do most everything.
 
#43
#43
supersmo18 said:
LOL I've had terrible compliance with w/e warriors. :) They just wanna get back into doing what they do, a.s.a.p, rehab-be-damned. At least that's my experience with a lot of them!
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Had a ACL pt. playing pick up basketball 6 weeks post-op. He couldn't figure out why his knee was swelling.....
 
#45
#45
supersmo18 said:
I'd help you out if I could. I tend to avoid FL unless on vacation. :) What machines are you marketing? Sounds like you may need to dump the rep.
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My company distributes iceless systems. They are great. Patients just push a button and can use cold/heat/compression and they have dvt treatment modalities. Temperature controlled to not go below 43 or above 105, so the risk of skin or nerve burn is negligible. Showed them to surgeons in Tallahassee while working with new rep and they loved them. Called other surgeons on the cell from the office. Had never seen them before. No ice=compliance=reduced recovery time=less pain meds=back to normal faster.

And yes, the rep is a fool for his lack of follow up. People never cease to amaze me.
 
#47
#47
pl3 said:
My company distributes iceless systems. They are great. Patients just push a button and can use cold/heat/compression and they have dvt treatment modalities. Temperature controlled to not go below 43 or above 105, so the risk of skin or nerve burn is negligible. Showed them to surgeons in Tallahassee while working with new rep and they loved them. Called other surgeons on the cell from the office. Had never seen them before. No ice=compliance=reduced recovery time=less pain meds=back to normal faster.

And yes, the rep is a fool for his lack of follow up. People never cease to amaze me.
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I'm not a PT, but that sounds like an awesome way to go.
 
#48
#48
pl3 said:
My company distributes iceless systems. They are great. Patients just push a button and can use cold/heat/compression and they have dvt treatment modalities. Temperature controlled to not go below 43 or above 105, so the risk of skin or nerve burn is negligible. Showed them to surgeons in Tallahassee while working with new rep and they loved them. Called other surgeons on the cell from the office. Had never seen them before. No ice=compliance=reduced recovery time=less pain meds=back to normal faster.

And yes, the rep is a fool for his lack of follow up. People never cease to amaze me.
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I used an iceless cold compression system several years ago called "GameReady." Have u heard of it? It worked well back then but I'm sure there are better/more advanced options out there now
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#49
#49
supersmo18 said:
I used an iceless cold compression system several years ago called "GameReady." Have u heard of it? It worked well back then but I'm sure there are better/more advanced options out there now
Posted via VolNation Mobile
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GR isn't iceless. You have to replace ice/water every use. We have run them out of town everywhere we go.
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#50
#50
I tore all three. They tried to fix the Meniscus, but it didn't work, and I had to have half of it removed a year later because of constant swelling (stupid plastic things) and now my ACL is fine(hamstring graft), but my knee grinds like all get out on certain exercises.
 
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