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Author Topic: Knee cap removal  (Read 1233 times)

Offline pdevil

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Knee cap removal
« on: May 31, 2006, 08:35:36 PM »
Hi everyone. I just found this site and hope you can shed some light on having a your patella removed.
My husband is 44 years old. He had a total knee replacement one year ago. 5 months ago he fractured his knee cap (not sure how). He had surgery again and they wired and pinned the fracture. Well he went to the Dr. yesterday and the the knee cap has broken completely in half! They said he has to have his knee cap removed. Has anyone had a knee replacement and then their knee cap removed? If so how are you?

Thanx in advance!
Monika

Offline Richie392

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Re: Knee cap removal
« Reply #1 on: May 31, 2006, 08:48:07 PM »
Hi!

I also broke my kneecap in half - which is best case of fracture that can happen! Most folks around here smash their kneecaps which makes it much more difficult to put them back together. But even in these cases it mostly is successful!
Removing a patella means that the knee and with this the whole leg gets very instable... loss of muscles and so on.

So please please don't let the patella remove if it is possible to repair it!!! A good working knee is a very important condition for a healthy leg and strong quad muscles - and a strong leg is a very important condition for a healthy life!

Wish you and your husband all the best!

Best regards,
Richard (from Germany, sorry for my terrible english!  ;D)

Offline pdevil

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Re: Knee cap removal
« Reply #2 on: May 31, 2006, 08:53:03 PM »
Thanx Richie, I don't think my husband has any choice but to have it removed, which stinks! I would just like to hear about anyone who has had this done after a knee replacement. I think my husband's case is rare.

Thanx
Monika

p.s. your english looks good to me!

Offline blackbeltgirl

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Re: Knee cap removal
« Reply #3 on: May 31, 2006, 09:42:18 PM »
I'd certainly get a 2nd and 3rd opinion before deciding that your husband has no choice.  That may be true, but you'd be amazed at the different options offered by different physicians.  Once you have your patella removed there is no going back.  Do some research on the best TKR revision specialist in your area, and the best PF specialist, and call to see if they can give you an emergency appt.  If you get concurring opinions it will put your mind at ease.  And if you  get options, even better.

Good luck to you both.
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Offline Heather M.

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Re: Knee cap removal
« Reply #4 on: June 01, 2006, 05:46:19 AM »
I agree 1000% with blackbeltgirl...your husband has LOTS of options!  In his current doctor's opinion, there is nothing left to do but remove the kneecap.  But another surgeon, especially one whose practice is limited to TKR's and revisions, may well have a vastly different approach.

Kneecaps are critical to proper patellar mechanics...and a TKR prosthesis relies on proper mechanics so as not to wear out prematurely.  I would never let anyone remove my kneecap unless it A) had a tumor or b) smashed into a gazillion pieces or c) had a non-union even with an external fixator and internal fixation attempts.  It's pretty common to have to resort to an external fixator if internal screws, wires, and plates don't get the job done.  This is long, tedious for the surgeon (who has to adjust the fixator at least weekly, if not more often), and a pain for the patient...but it may preserve the patellar mechanics.  I'm not a doctor, and I'm sure your husband has a unique situation...but I have one of those, too, in that I have a very rare and seldom treated problem.  The first SEVEN top OS's I saw in my city of 3 million people told me there was simply nothing to be done to help me.  My eigth surgeon consult got me walking again--without a limp.  It pays to get multiple opinions, and to make sure the opinions are from the right kind of doctor.  A specialist in the problem your husband has--a TKR with complication of patellar fracture.

Heather

PS there is a TKR section down at the bottom of the main bulletin board--you may find more info there.  Best of luck to you and your husband...things will get better once you have a plan of attack that everyone is comfortable with.  That may well be a patellectomy (removal of the patella), but you should explore all other options first.
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