aberdeen: (Braces)
Went to see the surgeon, this morning. He's happy with the progress. I have 110 degrees of bend available with the knee, and nothing mechanically stopping more (no misalignment or bits of torn meniscus getting in the way) - just pain because there's still a lot of inflammation, and that's mostly because of the meniscus tears. The MCL seems to be healing well, and he said there's some good stability, there. I could, if I so chose, do some work on a stationary bike. I guess I'll see if the one at school is working. If not, continue with what I am doing.

He's pleased enough that we scheduled surgery for the 31st (pre-op appointment on the 30th, post-op on the 1st).

We talked more specifically about the types of grafts. If I were an athlete, we would probably do the patellar graft, despite the slight risk of patellar fracture (he said he's only had it happen, once, and it was in a patient who jumped off a table 3 weeks after surgery, so he takes no blame for that), because it gives the best (tightest) results for the ACL replacement. However. It means you can't ever kneel again, pretty much. It also is a more time consuming and more invasive surgery with more pain involved and a longer recovery time. (Which fits with what the guy on the street outside the Austrian restaurant told me about his experience with patellar autograft vs his second allograft results.) It also often leads to chondromalacia, which I already have, so not really the best choice. And, as it happens, I'm not an athlete. I just need to be able to walk without my knee bending the wrong direction.

He's not a fan of allografts (tissue taken from cadavers), which is okay with me.

So what we settled on was the hamstring graft. His only hesitation is that the MCL is kinda sorta supported by the bit of tendon we'd be harvesting from. But he thinks, given that I'll be braced for the ACL that'll be plenty of support for the MCL until it's finished healing, and it's doing well, now.

Smaller incision. Less difficult procedure. Less pain. Faster post-op recovery... There we are, then.

I'm going home on Monday and will see about moving back into my house... That ought to be fun.
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aberdeen

September 2015

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