Tag: ACL

Cyclops Lesion

**Apologies for the poor audio quality. This episode was recorded long distance and there were some technical difficulties. **

 

  • Cyclops lesion is an uncommon complication most commonly related to ACL reconstruction surgery. It will typically presents as anterior knee pain and inability to fully extend the knee. Epis
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  • Trivia question of the week @ (10:36): Where did the potato originate?
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Brief overview of the episode:

A Cyclops lesion is a rare complication following anterior cruciate ligament reconstruction (ACLr) surgery. Symptoms are hallmarked by anterior knee pain and loss of knee extension. The most likely follow up treatment for a Cyclops lesion is unfortunately another surgery to have it removed.

Other episodes you might enjoy:  

ACL Reconstruction Options: Episode 46

Patella Femoral Pain Syndrome: Episode 32

ACL Recovery: Episode 13

ACL Reconstruction Options: Episode 46

  • In this episode: We discuss the various options for ACL reconstruction.

  • Chip Review: Lorenz Crunchips – Voodoo Party (Liz Schneider)

  • Trivia question of the week: How many minutes of playtime are there during an average baseball game?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

What options do you have when you tear your ACL? Lots of them actually. Saying ACL reconstruction is more specific then repair. The tissue is gone, it has exploded even, and so you are not able to repair that in most cases.
There are two main types of graft tissue, allograft that is from something else. Usually we call this cadaver. There is also an autograft, which is from you. So another area of the body is being repurposed. Usually, patella tendon or hamstring tendon.
Djimmer is actually an expert on this. He has had a patella tendon graft on his right knee and a hamstring graft on the left knee. So a lot of first hand experaince. In addition Djimmer has had a child who has undergone ACL reconstruction. He had a hamstring graft. So you can also speak to the parental aspect of recovery.
Christiaan is also a member of this club. He is ACL deficient. So he has partial torn his ACL and chosen to not have it reconstructed.
Graft type wise. Allo is from a cadaver and traditionally you will see patella but you can see a variety and sometime you won’t know exactly where your graft is coming from.
Outside of graft type one of the most important aspects of a successful reconstruction is getting the angle right. The impact of the surgeon is much more important in recovery and function then the tissue used for the reconstruction. This is because the location of the new “ligament” has much more impact on the function of the knee then what the tissue is made of.
The selection of tissue during an autograft is important because it will immediately impact your recovery. Selecting tissue from your patella or hamstring will cause a second location that also needs to recovery. The benefit of the autograft is that the tissue is fresher, there is almost no chance of rejection and the long-term laxity is typically much lower.
In our opinion the most important aspect to keep in mind when choosing what to do for your ACL reconstruction is to pick the surgeon you feel will do the best job. Within that selection it is typically best to have the surgeon perform the procedure and graft tissue they use most often and would more then likely do best. This will give you the best chance for quicker recovery and long term function and effectiveness.

Other Episodes you might be interested in:

ACL Recovery: Episode 13

ACL Recovery: Episode 13

  • Anterior Cruciate Ligament (ACL) recovery is a long and unique process. No two individuals will have the same experience.
  • Review: Food Should Taste Good Brand Sweet Potato Tortilla – Huge thank you to Peggy for the chips
  • Trivia question of the week: What two countries border each other and 13 other countries? For extra credit name all 14 countries for both.
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A very special substitute edition here. We went all off the grid. We went totally off the grid. We where totally planning to do the taste test for dill pickle potato chips. But instead we have sweet potato tortilla chips. And we have a very special guest, Ian Bosman. Hi… Thank you. That’s classy. He has flown all the way in from Hope to tell us all about his ACL recovery and how it’s going. … yeah pretty much… Thanks. Wow! You really suck at this. He is on it today. You are probably the worst guest we have had to date. No no, no no, you are by far the worst guest we have had to date and you are only the second. So. That’s not really good competition though, if he has to compete with Dr. Mike. That’s true. I’m not a doctor, that’s unfair. Dr. Mike is crushing you.

Anyway, we are doing the Food Should Taste Good Brand Sweet Potato Tortilla chip and we are going to discuss ACL recovery. Ian is now 16 months post surgery? Probably closer to 13 months, August 1st . It is now October. So that would make it 14 months. Djimmer is something like 3 years post ACL surgery. And I am still struggling. And I am ACL deficient. Which means I don’t have an ACL. Well not a complete ACL anymore. Which proves that you really don’t need one. Yeah, my knee does hurt a lot today. I will come out and say that. If all you do is cycle and struggle with pain. Yeah, cause I am not allowed to do anything exciting. So anyway, that’s fine.

Let’s talk about ACL. ACL injuries happen incredible frequently now. There is something called the ACL project, which is pretty interesting. They track the number of ACL injuries. This year alone in the NFL they are up to 37 ACL tears. Which is classic. Which is pretty impressive. They have narrowed it down and found that there is one more ACL tear per year on artificial surfaces vs grass surfaces. Which is a pretty interesting statistic I think. Generally we are seeing them way way way more often now then we use to see them.

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