Since tearing my ACL and damaging my meniscus and knowing that I would need surgery, I have been reading as much as possible about what to expect, as I’ve never had surgery. So… I had my surgery yesterday and I thought I would post what happened to help others in the same boat… My accident happened 3 months ago. While riding on a windy day, a gust of wind grabbed me mid-air in a jump. I instinctively stuck my left leg out to balance and then landed with it straight out. Me and the bike kept going, but my foot hit the ground hard and twisted at the knee. I never fell off the bike, but I immediately knew my knee was a wreck. Long story short – x-rays and MRI confirmed a non-displaced tibial plateau fracture, completely torn ACL and damaged medial meniscus. 6-9 week of non-weight bearing to let the bone heal, then I spent a month pre-habbing including daily sessions on the stationary bike. I had full extension and flexion, no pain (a little discomfort) and walking normally with a slight limp. I wanted to see Dr. Mark, but couldn’t swing it. I met with two local orthos, and chose the one who only does patellar ligament same side ACL reconstructions (plus his other ortho procedures). He seemed to have solid aggressive protocols and made me comfortable with my decision. The day before surgery they delivered to my home a CMP machine and a neat auto cooling unit that uses glycol and water, is very quite and automatically administers the coolant and compression to the knee and shin, plus compression to the foot. Finally, day of surgery (yesterday, 10am). Was easy; they shaved my entire leg (!), and they administered a femoral nerve block. I was then wheeled into the OR and woke up in recovery – don’t remember a thing, which was great. I was hooked up to a CPM, which was set at 0-60 degrees to start, and the cooling unit. Other than the nerve block, no other pain meds were given (yet). Surgery took a total of about 2.5 hours. Recovery was easy vs. what I read from others. No pain, no nausea, no sore throat – just a little thirsty. After about an hour in recovery I was wheeled into my semi-private room for my overnight stay. Tough to get any sleep though, as you have to stay on your back with the CPM, plus they check your vitals every 3 hours. Again, no pain, and I could move my toes and foot and slowly started to move my quads and other leg muscles. As the nerve block began to wear off very slowly, I could increase muscle movement and some muscles started some twitching. In my IV was anti-inflammatory and anti-nausea meds. At about 8am, they gave me 2 Percocets and removed my monitoring devices. CPM was increased to 0-70 degrees, with no pain or problems. By 10am I was taken off the IV, and CPM was increased to 80 degrees. At 11am, physio came by to put on my post-surgery brace, to only be used for a week or so when walking to help stabilize the knee. As I swung my legs down from the bed, I was worried about the pain and throbbing others have reported – but nothing! No pain. I got up on the crutches easily and could weight bear; I walked (with crutches for stability) around the ward. I was discharged shortly thereafter. I’m at home now with the cooler and CPM set at 0-90 degrees with no issues. Plan is to do the home PT exercises and use the CPM for the week (staying in bed most of the time) and the cooler for 2 weeks. I have my first PT in 3 days, and I’ll post a follow up soon. Sorry for the long post, but I hope it’ll help others who are about the get their ACL done and allay their fears or anxiety. For me, so far, it’s been easy with very minimal pain yet great results, and I hope that’ll continue… And the plan is back to racing by October!