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Author Topic: I have Grade 4 arthritis and need a Fulkerson osteotomy  (Read 322 times)

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Offline rednik80

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I have Grade 4 arthritis and need a Fulkerson osteotomy
« on: February 11, 2018, 07:23:30 PM »
Hello everyone,
                       I am a 37-year-old male who's had problems with my right knee for 24 years after a meniscus tear. I've since had four arthroscopy procedures to repair my knee but it's now got to the point where I have Stage 4 arthritis and paltellofemoral pain. I had one cortisone injection last year which helped a little bit but have been told I can't have another one and that the best course of action will be to have a Fulkerson osteotomy and arthroscopy as I'm too young for a knee replacement.
 
 I'm finding it very difficult to use my leg properly as expected and my kneecap tends to slide to one side when I'm relaxed in bed. My right leg is also about 3/4" shorter than my left leg which puts more pressure on my knee and hips.  I also have mild cerebral palsy in my right side which can't help my condition.

My questions are as follows:

1 - will I be causing more lasting damage by not having the procedure and will I be more at risk in suffering a dislocation;

2 - will a Fulkerson osteotomy realign the kneecap and should this relieve my knee pain. I've googled the procedure but it seems that most people need something else doing as well.


Sorry for the long post and I realise I should talk to my consultant but I won't be able to see him for a long time and I'd like to get some more information.

Thank you in advance,
                                 Karl
 
« Last Edit: February 11, 2018, 07:30:36 PM by rednik80 »

Offline Brandon123

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Re: I have Grade 4 arthritis and need a Fulkerson osteotomy
« Reply #1 on: February 16, 2018, 08:57:38 AM »
Hi Karl,

I think these are rather difficult questions that you need to thoroughly discuss with your OS. Also, before considering any surgery, you probably should get a second opinion from another doctor. Unfortunately, it is not rare that opinions differ even among "knee experts" regarding which surgical route to take.

When will you be seeing your OS?
RK sharp pain while running, diagnosis chondromalacia patellae 6/09
RK arthroscopic chondroplasty 9/09
RK rehab, recovery, 90% normal, started running again -> back to square one 5/15
RK diagnosis patellofemoral arthritis + LK diagnosis chondromalacia patellae 8/15 -> conservative treatment

Offline rednik80

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Re: I have Grade 4 arthritis and need a Fulkerson osteotomy
« Reply #2 on: February 16, 2018, 10:19:16 AM »
Thank you for responding. I had seen another doctor before who said a similar thing and Iíve now had a few more X-Rays and I plan on discussing it further when Iím next seen. I realise Iíll eventually need a TKR but this is something that will help in the meantime but, as you say, I really need to discuss this on my next appointment.

Thank you
Karl

Offline Brandon123

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Re: I have Grade 4 arthritis and need a Fulkerson osteotomy
« Reply #3 on: February 17, 2018, 09:32:22 AM »
Well if two specialists have said basically the same they are probably on to something. I think you must now just wait until your upcoming appointment and then discuss your options thoroughly with the doc. Fulkerson osteotomy, from what I've understood, isn't for everybody, and it is important that you are a good candidate. But if you are, it can buy you some time before you possibly need a TKR in the future.

Good luck!
RK sharp pain while running, diagnosis chondromalacia patellae 6/09
RK arthroscopic chondroplasty 9/09
RK rehab, recovery, 90% normal, started running again -> back to square one 5/15
RK diagnosis patellofemoral arthritis + LK diagnosis chondromalacia patellae 8/15 -> conservative treatment















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