Thursday, March 25, 2010

ACL Surgery Lesson- My knee got screwed

Enquiring minds want to know. Literally tens of people are sitting on the edge of their computer chairs to finally learn what is an ACL and how is it fixed. Thus starts the lesson.

The ACL is a blood carrying ligament that attaches to the back of the femur to the front of the tibia. This ligament keeps the tibia from sliding right into the knee cap during activity.

Skiing is brutal on the ACL because often you fall backwards in a rock hard ski boot half way up your tibia and said boot is mechanically clamped onto a monster lever called a ski. You don't have to be a genius at physics to realize that if that lever and the solidly attached ski boot decide to move forward while the full weight of your awkward and out of control body falls backwards, that ACL becomes 100% taut and crying in pain. Usually the ski boot will release from the large ski and relieve the pain being applied to the ACL. When the ski boot doesn't release you've got serious trouble. That's why ski racers have knees like jello. Ask Lindsey how her knees are doing. When the ACL tears, all the blood it carries spills out into the tissue. That's how doctor's know if you ripped the ACL if you have a soft mellon sized knee.

So to fix the snapped ACL, the doctors resort to fairly crude methods - drills, screws and staples - stuff that would get any common Home Depot addict frosty. Philips or standard? Makita? The doctor takes a harvested strain of the hamstring and literally screw the reconstructed ACL to the front of the tibia and back of the femur. The hamstring grows back in time so no loss there. No wonder I'm in so much pain. My knee has been screwed. From what I understand the hamstring is a strong piece of molasses and it can handle a ton of abuse. So the knee is totally fixed after surgery. The internal healing and the swelling is the only thing keeping me from surfing. There must be a faster way to rehab. If all these overweight people can lose 150 lbs in 4 hours, I should be able to get this knee back in action in a week. Right?

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