Author Topic: HTO and Articular Cartilage Allograft  (Read 669 times)

Offline GolferJ

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Re: HTO and Articular Cartilage Allograft
« Reply #15 on: June 04, 2017, 03:10:58 PM »
Week 6 Follow Up Appointment

The good news keeps coming. Doc said my healing is coming along well. The X-ray showed a nice fuzzy strip of the bone matrix healing up. My weight bearing was upped to 40% and can go up to 10-20% per week. Truth be told, I've been bearing 50-70% since the week before this appointment. I'm almost to week 7 and I can walk pretty close to normal without crutches, shhhh don't tell my doctor I tried.   :-X

My swelling is almost gone, but is still in the joint. It is the only thing really holding my ROM back. As of my last PT appointment my extension was 0* and my flex was 110*. I was able to start doing more muscle strengthening exercises and moving away from ROM only. I've started the exercise bike, and brought my stationary bike home from my mom's place. My next appointment with the doc is 6.13, I'm hoping to dump the crutches and the stupid brace soon. Hopefully I'll be cleared to start chipping and putting before July. Frankly, being able to walk my dog would be a blessing at this point.

My weight needs to be at 180-185 to be at optimal BMI for this procedure. I'm currently at 205, down from 230 6 weeks ago. Once I'm cleared to walk I'm going back to the gym as I've been only doing resistance bands at home. They are good, but being in the gym is better than working out at home for me personally. I plan on starting yoga to help my golf flexibility. Being away from athletic activity this long has me a little stiff in the hips and back.
1996-meniscus clean up scope LK
1996-staph infection, scope to clean infection LK
2003-micro-fracture LK
2004 OATS autograft LK
2017-Cadaver allograft w/Open wedge HTO LK

Offline slightfield

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Re: HTO and Articular Cartilage Allograft
« Reply #16 on: June 05, 2017, 05:39:28 PM »
I am happy to hear about the union of the allograft/bone wedge at your last appointment! It is really interesting for me to read your posts. The surgeries we had are similar, yet the post op protocols are different. I sit reading your thoughts and think to myself, I wish I could do that. My doctor wants me completely non-weight bearing for anywhere from 6 to 8 weeks. My guess is that we are only a little over a week apart. Your week 6 was on June 4th and mine will be on June 14th. So you must have had your surgery on or around April 30th is my guess. When did you start putting weight down? I will do a toe touch if I am standing for long or put my foot down on the floor when sitting. I even get nervous about doing that. So it is very interesting for me to read our differences in recovery and yet we are similar in ROM! At my 2 week follow up my doc said I don't need to wear the brace at home, even to sleep. I only will wear it if I go out, so that has really helped my sleep. I am sorry you are still having to wear that big bulky thing!

You are coming along great! You may need to go shopping for some new clothes once you ditch the crutches completely (congrats on the weight loss, a nice bonus of major surgeries usually). 0 degrees extension is something to celebrate! I'm sure that you are happy about being able to ride the stationary bike at home. After my most recent PT appointment last Friday, my therapist, (did I mention how much I like him compared to the last one??) he had me try a full rotation on the stationary bike in the clinic. I was successful after needing a "stretch run" where I went almost all the way around but stopped just shy to feel a good stretch before allowing myself to go completely around. When my therapist (I love him, did I already say that??) saw that he released me to start the stationary bike at home too. So, I am also equally happy as I can imagine you being. I too would absolutely love to walk my dog, but for now I have to watch as my husband takes her out on nice long morning hikes. Completely sucks to see him leave with her and have to stay home and do my boring exercises. But it's worth it when we go to PT, right?  Stay positive and keep up the great work toward getting back on the green soon!! Best wishes!

Offline GolferJ

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Re: HTO and Articular Cartilage Allograft
« Reply #17 on: June 12, 2017, 12:23:33 AM »
I am happy to hear about the union of the allograft/bone wedge at your last appointment! It is really interesting for me to read your posts. The surgeries we had are similar, yet the post op protocols are different. I sit reading your thoughts and think to myself, I wish I could do that. My doctor wants me completely non-weight bearing for anywhere from 6 to 8 weeks. My guess is that we are only a little over a week apart. Your week 6 was on June 4th and mine will be on June 14th. So you must have had your surgery on or around April 30th is my guess. When did you start putting weight down? I will do a toe touch if I am standing for long or put my foot down on the floor when sitting. I even get nervous about doing that. So it is very interesting for me to read our differences in recovery and yet we are similar in ROM! At my 2 week follow up my doc said I don't need to wear the brace at home, even to sleep. I only will wear it if I go out, so that has really helped my sleep. I am sorry you are still having to wear that big bulky thing!

You are coming along great! You may need to go shopping for some new clothes once you ditch the crutches completely (congrats on the weight loss, a nice bonus of major surgeries usually). 0 degrees extension is something to celebrate! I'm sure that you are happy about being able to ride the stationary bike at home. After my most recent PT appointment last Friday, my therapist, (did I mention how much I like him compared to the last one??) he had me try a full rotation on the stationary bike in the clinic. I was successful after needing a "stretch run" where I went almost all the way around but stopped just shy to feel a good stretch before allowing myself to go completely around. When my therapist (I love him, did I already say that??) saw that he released me to start the stationary bike at home too. So, I am also equally happy as I can imagine you being. I too would absolutely love to walk my dog, but for now I have to watch as my husband takes her out on nice long morning hikes. Completely sucks to see him leave with her and have to stay home and do my boring exercises. But it's worth it when we go to PT, right?  Stay positive and keep up the great work toward getting back on the green soon!! Best wishes!

I've read lots of other people's diaries and other surgeons' protocols. I've found that the post op timeline from weeks 4-10 can vary. I started putting some weight down after 4-5 weeks. I have my 8 week follow up on Tuesday. I'll update my doc orders then. Hopefully it gives you another point of reference in your recovery. My extension is odd. I got it down to zero one day, but then it will sneak up to 4*. Currently riding the stationary bike with no resistance for 10 minutes a day. I'm still feeling a bit tight in the patella.
1996-meniscus clean up scope LK
1996-staph infection, scope to clean infection LK
2003-micro-fracture LK
2004 OATS autograft LK
2017-Cadaver allograft w/Open wedge HTO LK

Offline slightfield

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Re: HTO and Articular Cartilage Allograft
« Reply #18 on: June 14, 2017, 03:41:13 PM »
Hi GolferJ,

How did your 8 week follow up go yesterday? I had my 6 week follow up yesterday. The OS said I can be weight bearing as tolerated. It was very nice to hear. I started walking immediately down the hallway at the clinic right after the OS left the room. Does your OS spend much time with you when you go in for your follow up? My OS came in, looked at the xray and said "everything looks good". Not like I am wanting to hear news of doom and gloom, but perhaps a bit more would have been nice. Maybe I am unrealistic in my expectations, but explaining the xray would have been a good start! Looking forward to hearing what's new with you!

Offline GolferJ

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Re: HTO and Articular Cartilage Allograft
« Reply #19 on: June 18, 2017, 01:08:20 AM »
Hi slightfield,

Here are my follow up notes. But yeah, I don't get more info than "it's going good" myself. I think the docs do this purposely so you don't get too far ahead of yourself.

8 weeks

Doc shot more X-rays, at this point the bone healing is still on track. He expects it to be pretty well healed at the 3 month point. My PT will be more focused on muscle strengthening vs the past couple of weeks which was ROM balanced with strengthening. My last two sessions have been great with my stationary bike moving up to 20 minutes. He gave me the green light to ween myself off of crutches, which I have been trying to do the last couple weeks. He told me his approach weeks 0-8 tend to be very conservative. Now the training wheels are finally off. Today I walked my dog crutchless for a half hour in the morning and the night with no pain or swelling. Next week I'll be going back to the gym for the first time in two months.

I'll try to post again when I have a breakthrough on muscle strengthening. As of now my quad and hamstring are still pretty small. Hopefully this helps anyone going through the early stages of this process.
1996-meniscus clean up scope LK
1996-staph infection, scope to clean infection LK
2003-micro-fracture LK
2004 OATS autograft LK
2017-Cadaver allograft w/Open wedge HTO LK

Offline slightfield

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Re: HTO and Articular Cartilage Allograft
« Reply #20 on: June 18, 2017, 02:11:38 PM »
Great to hear all the progress! Must be nice to finally get out and walk your dog, too! How did the weaning off crutches go? Are you taking small shorter steps or limping at all? 

My doc said weight bearing as tolerated. My PT said walking using one crutch. It is so nice to finally put weight on it and i find myself taking short steps without the one crutch at times. Do you ever have pain? If so, when and where? 

Good luck!

Offline GolferJ

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Re: HTO and Articular Cartilage Allograft
« Reply #21 on: June 24, 2017, 10:07:12 PM »
Great to hear all the progress! Must be nice to finally get out and walk your dog, too! How did the weaning off crutches go? Are you taking small shorter steps or limping at all? 

My doc said weight bearing as tolerated. My PT said walking using one crutch. It is so nice to finally put weight on it and i find myself taking short steps without the one crutch at times. Do you ever have pain? If so, when and where? 

Good luck!

I haven't really experienced much pain. I would say that at times below the lower lateral knee compartment can have a dull pain sensation. I think it's from the last little bit of swelling that has to flush out of the joint. So far I've not dealt with any shooting pain. My walks are slow and I'm typically still wearing the brace just to be safe. Once I get passed this week I think I'll start working away from the brace altogether.
1996-meniscus clean up scope LK
1996-staph infection, scope to clean infection LK
2003-micro-fracture LK
2004 OATS autograft LK
2017-Cadaver allograft w/Open wedge HTO LK

 

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