<p>Hey there! I tore my ACL playing tennis this past May, and I had the surgery the first week of July. I was also given the whole crutches, brace, no sports speech, and it was the hardest thing I ever had to listen to. I'm a 16-yr-old girl, so I think I can help you out here. </p>
<p>For my ACL reconstruction, I used a hamstring graft. Here's the reasoning: it is much less painful, there is a much, much nicer-looking scar left afterwards, it is a good graft choice for females, and it is a good graft choice for tennis players. Granted, you don't play tennis, but the other reasons seem pretty valid. The downside is that there is a chance of developing patella tendonitis. This happened to me, but with proper care from my physical therapists, it subsided surprisingly quickly. </p>
<p>Patella grafts can also be used, and are probably more common...they are always used for boys, but they tend to be much more painful. It leaves a big vertical scar down the middle of your knee. My scar from the hamstring graft consists of two small "hole-like" scars (from the holes they drill in the tibia and femur) and lower down, a two-inch, slanted dash (from where they bring the hamstring around). You want to make sure that your surgeon is skilled so that, on top of giving you the strongest new ACL possible, the scar is thin and neat. I don't know much about cadaver grafts except that it is possible for the body to reject them (this happened to someone I know who then had re-do the surgery).</p>
<p>As for the pain and other surgery aftermath...well, waking up in the hospital was interesting...I felt really strange emotionally and starting crying when I woke up. I was in significant pain, but my throat actually hurt as much--if not more than--my knee because of the breathing tube used during surgery. I of course had an IV hooked up to my hand (not my arm), and the bruise left on my hand stayed there for weeks and was quite painful, too. I got a lot of painkillers through my IV...I was on oxycodone, which is supposed to be the least nausea-inducing. After a little while, I got to eat a muffin and drink apple juice. And then, they had me walk to the bathroom!!!!! They want to get you back on your feet asap, so the really push you, but the nurse helped, of course. After walking, I got nauseous, so I lied down and they put anti-nausea medication in my IV and I fell asleep. I was in very high spirits this whole time, very happy that the surgery had gone successfully and that my knee pain had mostly subsided from the medication. My surgery was at 12:30ish, and at 5, we headed home. </p>
<p>Once at home, I was able to eat some more toast and lied down in bed. I was, of course, very diligent about taking the oxycodone every 4 hours, and I think motrin/tylenol, as well. However, the numbing medication they give at the hospital wears off late into the night, and the pain is severe. Your knee will feel stiff, and it hurts to move it at all. You can hardly move your leg either, because the brace is very heavy and your quad muscles completely give out. Luckily, there is this huge ice machine that you can get, which you wrap around the inside of your brace. You plug it in, and it pumps ice around your entire knee. I have never loved any machine more sincerely. It was a complete life-saver! During the first few nights, the pain can be very difficult. Throughout the entire time, I was very buoyant because they whole surgery experience was sooooo much easier than I had anticipated, and the pain so much less severe that I had feared. I don't want to give you the wrong impression, though. The pain was unbearable at times, and I cried and held my mom's hand through the night, and wanted to pull out my hair. But this only happened one or two nights...and I also had this weird "nerve pain" that stemmed from nerve damage during my surgery, and this hurt more than the normal knee pain. I should also mention the fatigue--your body is working so hard to heal, that it is difficult to maintain any type of energy level. I would fall asleep after merely walking to the kitchen and back to bed. (You are, by the way, supposed to try and walk as much as you can). This fatigue lasted for months, but of course it got less and less severe. About a month after surgery, one trip to the local pet store completely wiped me out. About 6 weeks after, I went to visit a nearby college and practically cried of tiredness and weakness on the car ride home. After about 3 months, my energy level was back to normal. You also lose a lot of weight because you're burning so many calories healing.</p>
<p>Two days after surgery, physical therapy started. I have to go now, but if you pm me, I can give you the run down on pt....from my first appt. to my first time out on the tennis court (last friday!!). If you aren't sick of listening to me talk already, I do have a lot of insight into the process and can give good advice. Before I go, I do want to suggest that you go to pre-op physical therapy appts. They are helpful. Use a surgeon you feel comfortable with too. This will make pre- and post-op appts much easier. Well, the surgery was a longggg road, and it certainly killed my summer in many respects, but it has also made me a stronger person who doesn't take physical abilities for granted! I wish you the best of luck, and once again, it would be my pleasure to answer any questions you have. </p>
<p>Adelaide</p>