Wednesday, November 4, 2015

Post ACL Surgery-The Aftermath

Post ACL Surgery-The Aftermath


For most, if not all people, a full recovery from an ACL surgery is almost impossible, that is why there are limits to what a person can do after he/she goes through ACL surgery.



Source Link: http://www.cleveland.com/tribe/index

According to AAOS(American Academy of Orthopedic Surgeons, http://www.aaos.org/news/aaosnow/nov13/cover1.asp) in their article "Impact of ACL Surgery", it is tough to slow down after an ACL tear and reconstruction, but it is important to allow the articular cartilage of the tibia and the tissue used to reconstruct your ACL to heal completely. It is not always easy to judge when those tissues are ready to handle the stress and strain of running. Pain is a good marker, but not always precise for judging tissue readiness. I had a cadaver graft for my reconstruction, so it was a given that it would take about a year to revitalize the graft tissue to the level that I could consider it a functioning part of me. Ligaments like the ACL are dynamic tissues and when stressed to the level of injury will repair and maintain length. When a ligament is not “vital,” a stretch will remain without recovering the original length, so you are stuck with a longer than intended structure and a less stable joint. 

As a result, the amount an ACL is torn, and based on the person and how their body is structured also play as factors into how well they're able to transition into playing sports/physical activity prior to ACL surgery.  Athletes such as Derrick Rose struggle to maintain a perfect ACL recovery because he plays basketball at the most elite level, so re-injury is more likely to occur therefore making his ACL more fragile.

Future Research:  Is an athlete able to return to playing sports/should return to playing sports after re-injuring an ACL?

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