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 Poster: A snowHead
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Some of you will know that I dropped out of the BASI UK Advanced Instructor Course at Hemel last Tuesday (see http://www.snowheads.com/ski-forum/viewtopic.php?t=52993&start=43) after injuring my knee.

I saw the specialist this morning and it turns out that my ACL is completely ruptured Sad and I have sustained minor damage to the MCL. Based on the X-rays, the rest of the knee seems in reasonable shape. He's ordered an MRI scan just to confirm this.

When I explained to him that I have no intention of stopping skiing Toofy Grin , he put me on the waiting list for an ACL re-construction (although he said that, at age 61, I was at the top end of the acceptable age range Shocked ). The operation was provisionally scheduled for early October. It will be a further 6 months before I can consider skiing again.

It looks as though I'll be out of action for next season Sad Sad Sad
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Obviously A snowHead isn't a real person
johnw, bummer Crying or Very sad
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Well, the person's real but it's just a made up name, see?
johnw, best of luck with the recovery.
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johnw, Bad luck. Keep the faith though, and keep the physio - it'll pass quickly if you do.
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johnw, bad luck !!
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johnw, very bad luck.
I hope the operation goes well - and that you don't wait too long for it.

I am disturbed to read about the top age limit for ACL re-construction. That problem is discussed here.
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johnw, so sorry to hear that - lousy luck.
achilles, disturbing indeed.
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After all it is free Go on u know u want to!
johnw, curse them moguls Sad

Hope your recovery is as speedy as speedy can be.
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Quote:

I am disturbed to read about the top age limit for ACL re-construction.

To be fair to the specialist concerned, he did say that his main criterion was the level of activity of the patient rather than any arbitrary age limit. He did point out though, that the success of the outcome may be affected by age. The recovery process is likely to be slower and the tendon that they use as a replacement will, itself be weakened by age.

I think my positive attitude plus the fact that he himself is a snowboarder Cool probably helped.
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johnw, It sounds like you will be back skipping down the slope in no time.
Good luck
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Bad luck - but of course its a badge of courage for any skier wink I take it you don't have a BUPA type shortcut available though you'd still want welling to go down before the op anyway. Though its been discussed at length, don't forget that deferring reconstruction is an option. I skied worse this year on a new ACL than a number of previous winters without one & had some other complications to deal with.
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And love to help out and answer questions and of course, read each other's snow reports.
fatbob wrote:
Bad luck - but of course its a badge of courage for any skier wink I take it you don't have a BUPA type shortcut available though you'd still want welling to go down before the op anyway. Though its been discussed at length, don't forget that deferring reconstruction is an option. I skied worse this year on a new ACL than a number of previous winters without one & had some other complications to deal with.
I considered going private but, given the need to recover before the op, it would only have made a few weeks difference.

How on earth did you ski without an ACL Puzzled , did you use a brace?
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johnw, Bummocks. I hope that all goes well and that we will see you at Hemel again in the future.
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 You know it makes sense.
You know it makes sense.
johnw, Sorry to hear about the injury, but all the very best for a speedy recovery

johnw wrote:
...he himself is a snowboarder...
Can you really trust this man???? Toofy Grin
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johnw, sorry to hear that Sad Good luck with the recovery.
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Poster: A snowHead
johnw wrote:
How on earth did you ski without an ACL Puzzled , did you use a brace?


Muscle strength and stability combined with impeccable technique wink.

OK maybe not so much of the latter but tried braces off and on and decided a double tubigrip was best in the end.

It seems to be just something some people can manage without while others fall over opening the fridge without one. My surgeon's theory was that I'd had as progressively deteriorating ACL through as series of rugby injuries while younger rather than one definitive "pop".

I had it done in the end primarily to forestall further cartillage injuries and buy me a chance against arthritis.
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johnw wrote:
Quote:

I am disturbed to read about the top age limit for ACL re-construction.

To be fair to the specialist concerned, he did say that his main criterion was the level of activity of the patient rather than any arbitrary age limit. He did point out though, that the success of the outcome may be affected by age. The recovery process is likely to be slower and the tendon that they use as a replacement will, itself be weakened by age.

I think my positive attitude plus the fact that he himself is a snowboarder Cool probably helped.


You trust a darksider as your surgeon? Shocked wink

Seriously, best of luck, and let us know how you get on. snowHead
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johnw, all the best with your recovery
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johnw, Sorry to hear about your ACL - hope the surgery goes well. Very Happy
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johnw, sorry to hear that.

I know people who have had the surgery and people who declined it and went the route of custom braces. They are all still skiing but have very mixed opinions. One lady in know, who had the op, wishes she hadn't. Two guys who wear braces and have worked hard on the muscular support are happy as larry. I'm no expert but, now that you have done the damage and while you're waiting, is it worth exploring the non-op route ... with the say-so of someone qualified to have an opinion of course.
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Bode Swiller, I'd agree with that advice. My brother is a prime example of someone living life on the edge without as ACL. Since he tore it over 2 years ago now, he has continued to snowboard (scarily Shocked ) , motorcycled round Africa, & sails tornados & F18's regularly - he's in the World Championships in a couple of weeks. He further tore his cartiledge on the bad knee 3 weeks ago, coming off the F18 trapeze at speed, but had an immediate arthroscopy & bits removed. The surgeon told him that his lack of ACL probably made no difference to the latest damage, & he is now in the gym daily in preparation for the Worlds in Belgium in a couple of weeks. He's 48 (nearly 49, only dont tell him I mentioned it)

That said, I think the key is to build up the surrounding muscles - regarding whether or not you are opting for repair.
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johnw, Sorry to hear your bad news. Sad Best wishes for a prompt recovery!
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After all it is free Go on u know u want to!
Quote:

The operation was provisionally scheduled for early October. It will be a further 6 months before I can consider skiing again.
It looks as though I'll be out of action for next season


Espace Killy will be open (as usual) until the May Day weekend, Grands Montets, Chamonix will be open until a week or so later - and good old Glencoe and Cairngorm are open until late April/early May. All may not be lost for next season!!

Failing that, the European glaciers are very decent throughout May and June.

Good luck.
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johnw,

Get yourself over to kneegeeks. Loads and loads of info and support there.

I ski without an ACL but with a brace...but I'm a very sedate 'holiday' skier. I went for the non-op route because I worked hard in the gym preparing for surgery and found that I had good stability and could do pretty much all the things I needed to. I left it with my surgeon that we could always re-visit the decision should things change. 2.5 years down the line now and still doing fine.

Good luck with the rehab. whatever you decide to do.
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Why do you have to wait so long for the reconstruction? Are the surgeons fully booked untill Oct?
I also advise strenghtening leg and core muscles as much as possible now.
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BodeSwiller, genepi, snowlamb,
I opted for surgery to make sure I was on the list, but also for the following reasons:
    I am 61 years of age and already have some degenerative wear of the joint surfaces, I thought that having the ACL re-constructed would provide better protection to those surfaces and delay the need for knee replacement.

    Also because of my age, it is increasingly difficult to build and maintain muscular strength, especially since the state of my joints precludes the use of heavy weights.

    I spend most of my time teaching and training on the dry slope where a "lazy" style of skiing isn't really an option.

Having said that, I'd be happy to hear arguments to the contrary.
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And love to help out and answer questions and of course, read each other's snow reports.
johnw, Oh, dear, I hope all goes well in the finish.
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Nasty. I hope, though, that your recovery goes well.
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 You know it makes sense.
You know it makes sense.
johnw, sorry to hear of this. My ACL snappage and SUrgery is blogged somewhere on here if you are interested...

http://snowheads.com/ski-forum/viewtopic.php?t=29849&postdays=0&postorder=asc&highlight=acl&start=0

I was told I am a borderline age at 37! but it may just depend on the surgeon's quota in your area (NHS)

Remember - you can ski without an ACL (as others have proved) but you shouldn't ski with a weak ACL after the op. The graft starts ok, gets weak as it dies off, then gets strong as new as new tissue grows into the 'scaffold'. I skipped a season just to be sure (But I did go to a snowheads bash) (oh yes, I did a bit of light skiing there too)

Good Luck.
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lampbus wrote:


Remember - you can ski without an ACL (as others have proved) but you shouldn't ski with a weak ACL after the op. The graft starts ok, gets weak as it dies off, then gets strong as new as new tissue grows into the 'scaffold'. I skipped a season just to be sure (But I did go to a snowheads bash) (oh yes, I did a bit of light skiing there too)

Good Luck.


Agree with this - I got to 5.5 months before I tried (pretty gingerly) and it took another week or more skiing and some gentle falls before I got confident nothing bad would happen, of course the bad did happen later in the winter (to the other knee rolling eyes ).
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lampbus, thanks. Your blog is encouraging. snowHead
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Firstly johnw, bad luck and hopefully you will have swift recovery! AND, make it back to BASI for another course soon!

I read this the other day and then subsequently read this on PlanetSKI and thought I would just drop it in here to see what you guys make of it? www.planetski.eu/news/599
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ben.clatworthy wrote:
Firstly johnw, bad luck and hopefully you will have swift recovery! AND, make it back to BASI for another course soon!

I read this the other day and then subsequently read this on PlanetSKI and thought I would just drop it in here to see what you guys make of it? www.planetski.eu/news/599
Intereresting, although it's not clear from the article how it works Puzzled .
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The link to the original report given in the planetski article mentioned by johnw does not work. The correct link is http://www.swissinfo.ch/eng/front/New_surgery_offers_hope_for_knee_injuries.html?siteSect=105&sid=10911315&rss=true&ty=st.
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