: Almost 7 weeks. Things are starting to pick up somewhat, I have been getting into the pool.
Walking in the pool has been unexpectedly difficult. The entire left side of my body was working to stabilize and walk through a normal gait pattern from the deep abdominal muscles through the hips all the way down. The local pool has a lot of people, so the movement of other people I guess make the walking more challenging. I'm able to do more SLR's, range is about 3 inches from full flexion, continuing hip work.
Still using the cane, and the crutches at times. I *hate* the crutches, they are clumsy and awkward to use for so long. Hoping more pool work will finally allow me to toss them out and not look back.Day 40
: Almost 6 weeks. Leg muscles are coming back, my legs are beginning to look equal and the swelling is mostly gone. I can work pretty much everything - hips, glutes, hamstrings, calfs, etc. ... but the not the quads so much!
I'm still markedly limited in walking, its coming slow. Finally did SLR's today, only 5 but not much pain and with good control ... patella felt locked in solid! \o/. I am still relying on the cane, and sometimes use the crutches, I'm a little embarrased of that but I know my body and I don't want to be foolish. The limb control simply isn't there yet, so there is apprehension. Spoke with OS's office, they want me completely off crutches at 2 months. Finally getting into the pool, I'm set for tomorrow and will be there probably a few days a week for the next few weeks.Day 26
: Still on the crutches, sometimes. I'm using a cane as well, depending how I feel, and can sometimes (rarely) take some steps without anything. I'll push it a bit harder one day, and the next day I don't feel like moving much. The following day is better, and there is an improvement from the days before. So I'm happy to see there is a noticeable improvement happening. The kneecap itself I'm pretty sure feels stable. Around the rest of the knee, its still feeling a little wobbly, there was a fair amount of drilling done, so I'm not surprised. ROM is getting there, hoping to get near full flexion before week 6. I'm working the ROM for longer periods of time than before, and not really keeping track of time like I was earlier on, and not feeling so much of an ache from working on it. The reconstructions are starting to feel normal, I very rarely have a sensation like I am wearing a brace like I did before.
I think I tend to be quite a bit more cautious than most people would, I have been at home and not moving a whole lot. Fortunate to have a great employer allowing me to work from home as well.Day 15
: 1st Post-op visit today, in Canada. Turns out under the steri-strips were just ends sticking out for dissolvable sutures. Snipped the ends and that was about it, lol. I have the option to have further post-op work done in Canada, but probably will go to MI, USA if there is a need next time. Probably won't update the diary for a while, unless there is a setback. Next 4 weeks should be weaning of crutches and getting full ROM. Jump to pictures
: Swelling is coming down, and pain is going up a bit ... read moreDay 9
: Pain post-surgery has been tolerable, so I have been taking two norco's for pain only before bed, I am allowed 2 every 4-6 hours. When I tried increasing walking, I didn't have a ton of pain but my knee felt as if it was stiffening up. I thought perhaps it is a pain response although pain was bearable. Have upped the pain meds and taking more regularly, on track to take 6 total today, and the knee is responding quite a bit better. Lesson learned, I won't be skimping on the pain meds as long as I can stomach them, my movement is significantly better today. Still using the crutches. Anticipating getting the steri-strips removed and stitches out this Friday. An OS in Canada will take care of things going forward, unless I feel I need to see my OS in MI, USA. Posted some pictures
of the knee.Day 6
: ROM is progressing, at about 90, pain so far isn't too bad. I contacted OS and he suggested I could start trying to walk with a normal gait pattern, although pain might limit initially, and once I get there try to get away from the crutches. Also, it will be safer to increase activities once I get full flexion and extension. I'm hoping to get of the crutches over the next 10 days. I should be able to do stairs as well, but going to try and get close to full ROM and walking before I push it further.
Kneecap definitely feels tight. Its as if I'm wearing a brace but I'm not, this new tension will take some getting used to. Day 2
: Made it back to Mississauga. Drive back wasn't too bad at all. Next couple of weeks should be just some light PT, bike but not too full extension, and rest .. also will try to get to swimming pool when things settle down a bit. People at the hospital where phenomenal, very organized and effiicent. Day 1
: (Update) Nausea subsided , at least for now. Pain not too bad, did a bit of very slow walking w/ crutches, just WBAT, kind of dragging the leg. Leaving about 6pm, will have drive back, drive is @4 hrs. Have a sheet of PT exercise to do home, very light stuff mostly ROMDay 1
: Slept half-decent. Epidural out, nausea been holding me back from trying to walk/ weight bare. Day 0
: Update (Thanks Tom!) - surgery done, it was indeed both grafts needed and my kneecap dislocated medially under stress radiograph! Surgery took about 4 hours. Have me on CPM doing 60 - 80 degrees, I think they started it few hrs after surgery and will run all night. No pain right now, but lots of meds! Will see OS in the AM, probably head back tomorrow Day 0
: Made it in about 8:30, blood drawn and IV line in. Just waiting now for epidural, surgery should be about 11, saw Anaesthesiologist, will see OS before surgery
I'm having an MPFLr and LPFLr using allografts, performed on my left knee Feb 2nd 2012. Driving out today from Mississauga, Ontario, Canada to Taylor, MI.
Its been a long road of misdiagnosis and sham surgeries for 10+ years, including a failed lateral release.
No TTT being performed, patella alta was ruled out and TT-TG was normal.
I do have increased femoral anteversion of about 30 on the left leg, but my OS does not think it needs correction. My initial dislocation was from a direct blow to a kneecap and I had no knee pain or instability prior to it.
Will be keeping a diary here, hope it all works out!