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New approach to ACL reconstruction?

 Poster: A snowHead
Poster: A snowHead
The telegraph Ski and Snowboard magazine has an interesting article this month about a new approach to ACL reconstruction using an 'internal brace' - claiming to significantly improve recovery time.
The original article doesn't seem to be available online, but it appears to be discussing this... http://www.mackayclinic.co.uk/the-internal-brace-at-a-glance/
Fortunately I'm not shopping for one at present, but interesting if tge hype is to be believed (normal caveats with medical 'innovations' apply).
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
Interesting - wonder if this would successful with a damaged reconstruction.
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
@Tubaski, I had some of the early artificial ligaments put into my right knee when all the soft tissue was damaged in an accident back in 1989. I was back teaching relatively quickly (mine was via open-knee surgery) but the first one snapped when I slipped on spilt food in school, as did the second one. The third reconstruction was also via open-knee surgery but using my own tissue (bone-tendon-bone from my patella tendon). Those less fortunate than me, i.e. those whose artificial fibre ligaments did not snap and get removed, have paid a high price for their high-tech rapid healing solutions - these include amputation in some cases. The artificial fibres broke down in the body and in particles were transported all over the place and have caused all sorts of problems.

I now treat these kinds of miracle solutions with a huge degree of scepticism until it is accepted AND practiced widely by specialists in all areas. There was the Healing Response process a few years back (Bode Miller had this and it enabled him to return to racing in the same season I think. There was a big razzamatazz article about it on the Steadman-Hawkins Clinic web site for ages, but it disappeared as the process was shown to be not quite the miracle solution it was supposed to be. LARS was another "quick fix" that was promoted heavily for a while, but has since been proven not to be quite as good as the marketing. Even doctors and knee specialists who promoted it heavily have published articles withdrawing their endorsements.
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@Samerberg Sue, shame. I was told the next time I damage my knee I would need a complete knee replacement but that I am too young for one. Hoping to hear of some good new break throughs before I wreck it again. Happy
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
@Samerberg Sue, thanks. I hope a degree of scepticism was evident in my original post. I certainly intended it as a "I read this and it sounds interesting, discuss" rather than a "hey look - miracle cure!".
I completely agree with you about not wanting to be an early adopter of stuff like that until it is proven and widespread. I would hope that they would be wise to the problems with earlier alternatives, and not make the same mistakes, but given some of the stuff you hear about parts of the healthcare industry that may well be a naive hope.
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Quote:

Those less fortunate than me, i.e. those whose artificial fibre ligaments did not snap and get removed, have paid a high price for their high-tech rapid healing solutions - these include amputation in some cases. The artificial fibres broke down in the body and in particles were transported all over the place and have caused all sorts of problems.


I am still in possession of my carbon fibre recon which took place in 1982 - I am currently waiting for a hip replacement, and have quite severe Osteoarthritis in the other hip, both knees, spine and starting to ache in the shoulders. Wonder if there is a link. The carbon fibre was 24 month recovery for me, bloody painful and only ever got approx 110 degree movement back in the joint
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
Tubaski wrote:
The telegraph Ski and Snowboard magazine has an interesting article this month about a new approach to ACL reconstruction using an 'internal brace' - claiming to significantly improve recovery time.
The original article doesn't seem to be available online, but it appears to be discussing this... http://www.mackayclinic.co.uk/the-internal-brace-at-a-glance/
Fortunately I'm not shopping for one at present, but interesting if tge hype is to be believed (normal caveats with medical 'innovations' apply).


I am due to undergo this type of operation next Tuesday....

Can report on the progress if of interest after
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
I wont comment directly on this procedure as i'm conflicted in that i advise a regenerative sport/orth company on something similar.
But..
Do bear in mind that historically results of repair have been almost universally poor.
Artificial ligaments have also almost universally had poor results.

Someone may crack the problem one day but how is not clear at present.
We really do need some improvement in techniques for managing ACL rupture.

"Healing response" disappeared because, whilst it was the latest breakthrough a few years ago, it didn't work (which wasn't very surprising)

Jonathan Bell
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You'll get to see more forums and be part of the best ski club on the net.
@Jonathan Bell, LARS has also more or less disappeared in terms of being a viable alternative graft option despite the massive marketing campaign it used to promote all the advantages of the scaffold. The high profile Australian surgeons who promoted it have since rescinded their endorsements and published articles against its use. I know some youngsters (under 16 years old at the time of the operation) who did have LARS reconstructions and they have successfully returned to quite high level sports and one actually managed to get a basketball scholarship to a top US university a couple of years or so later. But he and his father really worked hard with physios and other therapists to ensure he did not overdo things too quickly.

I think Bode Miller's need for a full ACL reconstruction a short while after his "triumphant" return to racing was the first coffin nail in the Healing Response saga, although I was surprised to see the story still promoting it as a "miracle cure" on the Steadman-Hawkins site for a couple of seasons after the event!
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Ski the Net with snowHeads
@Jonathan Bell, Thank you Jonathan, As you say, "Someone may crack the problem one day but how is not clear at present.
We really do need some improvement in techniques for managing ACL rupture." The only way for improvements to happen is to be opened minded and give it a go. Perhaps I will regret it in the future, but at least I will know, that I have tried. I had my best friend undergoing ACL reconstruction which ended up in 3 different operations with 3 different doctors and he was out of action for 3 years even though he followed rehab protocol. One other friend has never been able to walk properly after operation and now does not do any sport at all.... So in my opinion, the risk is out there regardless which operation you go for.
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snowHeads are a friendly bunch.
ksenia wrote:
@Jonathan Bell, So in my opinion, the risk is out there regardless which operation you go for.


That's very true.
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
@Samerberg Sue,

The resurgence of artificial ligaments a few years ago was a classic case of failing to learn the lessons of history..and a very large marketing budget.
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 So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
Hi Ksenia, how is your knee doing since last year? I ask as I may choose to have this treatment. I started a related thread here:

http://snowheads.com/ski-forum/viewtopic.php?p=3022951

Thanks very much.
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 You know it makes sense.
You know it makes sense.
@aclbroke, Sorry to hear about your injury.

At the date of the operation it has been decided by Dr Wilson that I do not have enough left of my ACL to undergo repair surgery and had my ACL reconstructed with hamstring draft. It has been a very long year, but I now back snowboarding so can't complain to much. Good luck to you with your knee and speedy recovery!
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
@aclbroke, Sorry to hear about your injury.

At the date of the operation it has been decided by Dr Wilson that I do not have enough left of my ACL to undergo repair surgery and had my ACL reconstructed with hamstring draft. It has been a very long year, but I now back snowboarding so can't complain to much. Good luck to you with your knee and speedy recovery!
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 Poster: A snowHead
Poster: A snowHead
Thanks @ksenia replying. Hope you have a long and successful snowboarding career. Physio is already hard work pre-op. Feels like my knee will snap or something every time I bend it but I'm assured it won't!

Something I haven't mentioned is that another reason I'm thinking about ACL repair is that maybe it will delay the onset of osteoarthritis more than ACL replacement. I keep reading articles about how 15 years after the op you get bad arthritis. Sad Maybe I should just stop reading and accept my fate. :-/
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