First Tracks
Knee Canada
When my wife collected me at the hospital,
the look on her face went from incredulous to
amusement. I was still groggy from a general
anaesthetic after having my right knee scoped
when she asked what had been learned about
my anterior cruciate ligament (ACL).
“Dr. Deakon said it grew back,” I replied.
(Which brought on the look of disbelief.)
I then added, “And he was wearing sailing
boots—bright, yellow Henri Lloyds.” (Which
brought on the smile one gives to a child who’s
sleep-talking—or the funny drunk guy.)
Over a period of about four weeks last
spring, Harkley, Ski Canada’s ad-man in
Whistler, Pemberton actually, had all the
irritating torn and dangly bits of his knee’s
meniscus removed by a man who knows a
lot of skiers, J. P. McConkey MD. Leslie Woit,
our U.K.-based humour, poise and etiquette
editor returned home to have her knee
surgically “washed” again by another skier-knee
specialist, Dr. John McCall in Collingwood.
(“I’m not queasy after a general anaesthetic,”
reported Leslie when I queried her on the
procedure. “I love it—I can’t get enough!”)
Ski Canada Test Editor (ret.) Paul Cunnius went
the full monty and had Banff knee-guy, Dr.
Greg Buchko, replace his ACL with one from a
cadaver. (I’ve wondered about the donor’s past
since Paul’s girlfriend told me he’s much better
on the dance floor now.)
Dr. Mark Heard (who trained under Dr.
Deakon incidentally) covers the Greater Banff
Metro Area including Golden, B.C. where
technical Editor Martin Olson and his case of
Lakota tablets reside. Marty jumped the gun
on the rest of us at the magazine last autumn
and had Heard do his knee. It occurred to me
that Ski Canada editors and contributors have
different problems, and work-related injuries,
than those at say Chatelaine or Cottage Life.
“It’s an epidemic,” described Dr. Tim Deakon
in reference to all the serious knee injuries
seen in our sport. The Oakville, Ontario-based
orthopaedic surgeon fi gures he’s operated
on more than 120 members of his former
Collingwood ski club, Georgian Peaks—which
has about 1,600 members. Having experienced
his own knee problems, Deakon is now an avid
cross-country skier. One bright light is the
overall trend of serious knee strain going down,
in part, because the length of unnatural levers
we strap to our feet—skis—is decreasing.
Long-time Ski Canada contributor Monica
Andreeff has one or two personal anecdotes
about serious knee strain—counting
endoscopic procedures (normally day surgery
performed through tubes in a knee pumped
full of saline solution), she’s had 12 surgeries
in fact. Like Jaime Sommers (well, not much
like her but I couldn’t resist the ’70s TV
analogy), the rebuilt bionica-Monica skis the
entire mountain, and well beyond, at speeds
no slower than when her ligaments were
all in original condition, but now with two
exoskeleton knee braces. Monica wrote our
story that begins on page 92 this issue on
the skier’s most vulnerable joint. And if you
can get past her strong personal anecdote,
you’ll fi nd all sorts of useful and entertaining
information, including how you can ski and
what you can do to lessen the chances of
knee injury.
I feel somewhat vindicated after my
own experience, not just because I’d been
told earlier my ACL was fi ne, but, more
importantly, what I learned later at my postop
appointment after the anaesthetic had
long worn off. Dr. Deakon does wear brightyellow
sailing boots in the OR (“it gets pretty
wet and messy in there”), and in an even
more bizarre epiphany, especially for my wife
who’s had much more serious reconstructive
knee surgery by Deakon years ago, it turned
out my ACL did grow back—sort of.
Evidently in rare cases, if blood rather than
other fl uids surrounds the two torn ends of
the ligament, and your joint is kept relatively
inactive, scar tissue can form on both ends and
indeed fuse the two torn bits together. “It can
be almost as strong as a replacement ACL after
reconstructive surgery,” Deakon told me.
So after the little camera in a surgical tube
examined my ACL and the dangling bits of
torn medial collateral and lateral collateral
ligaments (other soft tissues that also give a
knee its stability) were snipped off via another
little tube, my knee has gone very quickly from
painful to pain-free. With a brace under my ski
trou next season, I can get out of (at least for
now) the months of physio that Twinkle-toes
Cunnius endured all this summer with his ACL
replacement.
Now, my left knee…