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Re: ACL surgery?

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My favorite to ask abut knee surgery is Ray North at SportsMed Oregon . He no longer does surgery only consults and is moderately conservative. He taught knee surgery at OHSU for years and keeps very current on what works and what doesn't. His son in law is a DC and Ray will talk to you on the phone for as long as you're willing to listen. If your patient chooses surgery Ray will recommend a couple of Ortho's that he thinks are best at that particular surgery.Lonnie DC> To: oregondcs > Date: Thu, 19 Apr 2012 22:27:44 +0000> Subject: ACL surgery?> > Hi all,> > I have a patient that partially tore his ACL and suffered a Segund fracture of his tibia. He is inquiring about surgery options. The first question is, any opinions on cadaver tissue or ones own tissue for the repair? His concerns are healing time and future injury if he should use his own tissue. Any pros or cons? The next thought is whether he should have the surgery at all. Are there any opinions/thoughts on a partial ACL tear and just letting the tissue heal on it's own and not have the surgery.> > Crampton, DC> > > > ------------------------------------> > All posts must adhere to OregonDCs rules located on homepage at: http://groups.yahoo.com/group/oregondcs/> Tell a colleague about OregonDCs! (must be licensed Oregon DC)

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Centeno & Schultz clinic in Colorado are doing stem cell injections into damaged knees with good results. Go to regenexx.com Bob W. Pfeiffer, D.C., D.A.B.C.O.Lee Pfeiffer, R.N., B.S.46 N.E. Mt. Hebron Dr. (no USPS mail)P.O. Box 606 Pendleton, OR 97801drbob@...leernbs@... All people smile in the same language From: oregondcs [mailto:oregondcs ] On Behalf Of CramptonSent: Thursday, April 19, 2012 3:28 PMTo: oregondcs Subject: ACL surgery? Hi all,I have a patient that partially tore his ACL and suffered a Segund fracture of his tibia. He is inquiring about surgery options. The first question is, any opinions on cadaver tissue or ones own tissue for the repair? His concerns are healing time and future injury if he should use his own tissue. Any pros or cons? The next thought is whether he should have the surgery at all. Are there any opinions/thoughts on a partial ACL tear and just letting the tissue heal on it's own and not have the surgery. Crampton, DC

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I concur with Bob keep the, what Centeno is doing is amazing. Ann Goldeen

From: Bob Pfeiffer

Sent: Thursday, April 19, 2012 3:49 PM

To: ' Crampton' ; oregondcs

Subject: RE: ACL surgery?

Centeno & Schultz clinic in Colorado are doing stem cell injections into damaged knees with good results. Go to

regenexx.com

Bob

W. Pfeiffer, D.C., D.A.B.C.O.

Lee Pfeiffer, R.N., B.S.

46 N.E. Mt. Hebron Dr. (no USPS mail)

P.O. Box 606

Pendleton, OR 97801

drbob@...

leernbs@...

All people smile in the same language

From: oregondcs [mailto:oregondcs ] On Behalf Of CramptonSent: Thursday, April 19, 2012 3:28 PMTo: oregondcs Subject: ACL surgery?

Hi all,I have a patient that partially tore his ACL and suffered a Segund fracture of his tibia. He is inquiring about surgery options. The first question is, any opinions on cadaver tissue or ones own tissue for the repair? His concerns are healing time and future injury if he should use his own tissue. Any pros or cons? The next thought is whether he should have the surgery at all. Are there any opinions/thoughts on a partial ACL tear and just letting the tissue heal on it's own and not have the surgery. Crampton, DC

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I am currently nursing a partial ACL injury back to full strength with conservative measures with promising results.  I have used ART, Yoga, Proteolytic Enzymes,  and strengthening exercises for over 8 months now.  I can now walk 6 miles with no problem and have started some running with only mild soreness.

  I have studied the issue and it appears that many folks can make full recovery from these things without the knife if they are motivated and a little lucky/blessed.  Others will make only a partial recovery and still others may need the surgery to recover anywhere near their old knee strength.

My 2 cents +, Schneider DCPDX

 

Hi all,

I have a patient that partially tore his ACL and suffered a Segund fracture of his tibia. He is inquiring about surgery options. The first question is, any opinions on cadaver tissue or ones own tissue for the repair? His concerns are healing time and future injury if he should use his own tissue. Any pros or cons? The next thought is whether he should have the surgery at all. Are there any opinions/thoughts on a partial ACL tear and just letting the tissue heal on it's own and not have the surgery.

Crampton, DC

-- Schneider DC PDX

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I suffered completely ruptured ACL's (bilat) along with bucket

handle and transverse meniscus tears racing motorcycles back in the

80's and had 3 arthroscopic cleanups by Roy Rusch, MD. He trimmed up

the menicsi (which subsequently regrew - don't let 'em kid you that

they don't) and he urged me to get along without the ACL's by

keeping my knees strong. I have never regretted not having the

rebuilds. My main therapy was kicking a footbag a couple of hours a

day - great proprioceptive input exercise. I went on to compete at a

higher level than before the injuries, but did wear a CTi brace on

the worst knee when riding. I have zero knee problems now at 56

(even though I'm not quite as sveldt as I used to be) and really

appreciate Dr. Rusch's advice from back then, he could made a whole

lot more money off me if he had wanted to.....

Rod , DC

 

I am currently nursing a partial ACL injury back to full

strength with conservative measures with promising

results.  I have used ART, Yoga, Proteolytic Enzymes,  and

strengthening exercises for over 8 months now.  I can now

walk 6 miles with no problem and have started some running

with only mild soreness.

  I have studied the issue and it appears that many folks

can make full recovery from these things without the knife

if they are motivated and a little lucky/blessed.  Others

will make only a partial recovery and still others may

need the surgery to recover anywhere near their old knee

strength.

My 2 cents +,

Schneider DC

PDX

On Thu, Apr 19, 2012 at 3:27 PM,

Crampton

wrote:

 

Hi all,

I have a patient that partially tore his ACL

and suffered a Segund fracture of his tibia.

He is inquiring about surgery options. The

first question is, any opinions on cadaver

tissue or ones own tissue for the repair? His

concerns are healing time and future injury if

he should use his own tissue. Any pros or

cons? The next thought is whether he should

have the surgery at all. Are there any

opinions/thoughts on a partial ACL tear and

just letting the tissue heal on it's own and

not have the surgery.

Crampton, DC

--

Schneider DC

PDX

No virus

found in this message.

Checked by AVG - www.avg.com

Version: 2012.0.2127 / Virus Database: 2411/4946 - Release Date:

04/19/12

Attachment: vcard [not shown]

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I can't speak to the fracture but I ruptured my ACL (basketball) approx 10 years ago. The knee was originally injured in 1981 (basketball!) and at that time I had arthroscopy. I opted to not have ACL surgery and I have done well, continued to play bball. I must admit that the last year I have had more knee pain, mainly with kneeling which is probably meniscal irritation. I have not been good at conditioning of late. I guess my moral is no surgery is a good option but diligence to appropriate conditioning is imperative! And I do use a ACL brace when playing ball (which I haven't done much of lately!) Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724To: oregondcs From: dr.michaelcrampton@...Date: Thu, 19 Apr 2012 22:27:44 +0000Subject: ACL surgery?

Hi all,

I have a patient that partially tore his ACL and suffered a Segund fracture of his tibia. He is inquiring about surgery options. The first question is, any opinions on cadaver tissue or ones own tissue for the repair? His concerns are healing time and future injury if he should use his own tissue. Any pros or cons? The next thought is whether he should have the surgery at all. Are there any opinions/thoughts on a partial ACL tear and just letting the tissue heal on it's own and not have the surgery.

Crampton, DC

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,

I would ask what is your patient expecting? Are they a high level athlete? Weekend warrior? Or are they sedentary? How old is this patient?

You can get away with rehab for an ACL, but it just depends on what he is trying to get out of it.

PCL is a whole other story...

Matt Terreri, DC, CCSP

Subject: ACL surgery?To: oregondcs Date: Thursday, April 19, 2012, 3:27 PM

Hi all,I have a patient that partially tore his ACL and suffered a Segund fracture of his tibia. He is inquiring about surgery options. The first question is, any opinions on cadaver tissue or ones own tissue for the repair? His concerns are healing time and future injury if he should use his own tissue. Any pros or cons? The next thought is whether he should have the surgery at all. Are there any opinions/thoughts on a partial ACL tear and just letting the tissue heal on it's own and not have the surgery. Crampton, DC

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