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Author Topic: PRP for Patellar Instability  (Read 576 times)

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Offline frustrated101

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PRP for Patellar Instability
« on: June 13, 2018, 05:05:10 PM »
I developed patellar instability after a lateral release and the resultant worsening knee cap pain.  I definitely don't want to do another surgery after my experience.  Has anyone had PRP to the structures around the kneecap to reverse instability?  I'm thinking about trying it (out of desperation).  Perhaps get some injections along the lateral structures, then brace it for a week, then go from there.  Any thoughts are appreciated.
Thanks

Offline Vickster

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Re: PRP for Patellar Instability
« Reply #1 on: June 13, 2018, 05:09:49 PM »
I cant see how?  PRP reduces inflammation and heal inflamed tissue, not to repair cut structures?
Youd be better finding an expert PF surgeon who can advise and potentially  reconstruct the LR. Why did you have an LR in the first place? (Theres a very narrow indication for use and few cases where it can truly help)

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline frustrated101

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Re: PRP for Patellar Instability
« Reply #2 on: June 14, 2018, 01:55:15 AM »
Was having minor bilateral patella pain.  Dr offered to do both knees at once (suppose he wanted twice the money-never going to trust another doctor), in my navet, I accepted.  Feel pretty stupid, wish I would have just done one.  In hindsight, I realized that the doctor just "guessed" as to how loose my patellas should be and he definitely guessed wrong.

I was thinking that PRP injection into the lateral soft tissue, followed by immobilization would get my body to lay down some tissue in the region and tighten it up.  But, I suppose I really don't know much.
« Last Edit: June 14, 2018, 01:57:19 AM by frustrated101 »

Offline Brandon123

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Re: PRP for Patellar Instability
« Reply #3 on: June 14, 2018, 08:51:41 AM »
I agree with Vickster, I cannot see how PRP would help with instability after LR. As said above, try to get in contact with a patellofemoral expert, surgeon or physical therapist to assess your case. Perhaps you can regain patellar stability with physio therapy only.   
« Last Edit: June 14, 2018, 08:53:45 AM by Brandon123 »
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 BenAldridge0

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Re: PRP for Patellar Instability
« Reply #4 on: June 18, 2018, 06:56:55 PM »
I think the upside is that it there is no concern for side effects? It's using your own body to heal itself, so there's nothing to lose.

Offline Vickster

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Re: PRP for Patellar Instability
« Reply #5 on: June 18, 2018, 07:01:17 PM »
Some people can get quite serious inflammation after PRP. I
Had it for tennis elbow, a recognised application. Did absolutely nothing for me, as the tendon was badly damaged
« Last Edit: June 18, 2018, 07:47:48 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline frustrated101

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Re: PRP for Patellar Instability
« Reply #6 on: June 18, 2018, 09:53:32 PM »
http://matthewprovenchermd.com/prp-injections-platelet-rich-plasma-injections-platelet-rich-plasma-cost-denver-vail-aspen-co/

I found a minor blog article by a guy at steadman clinic that mentioned using PRP for patellar instability.  My knees caps are definitely loosey-goosey following the bilateral release procedure.  The surgeon had his "fellow" with him and they were either drunk or were competing on how many things they could release.  I remember being told after surgery that they even did a "medial release too".  Didn't bother me then but I'm 5 months out and have lost the ability to run, bike,  and walk down steps.  The exercise I used to do to keep the pain away (leg extension with leg weights) now causes pain.  My head is pretty messed up needless to say, I'm seeking psychiatric help tomorrow b/c definitely the lowest I've been in life.

I think I'll have him inject along the proximal patellar attachments and down the lateral side where the main release was done.  Then brace it up and use crutches for a week then do PT from there.  See if the inflammatory response from the PRP can tighten things back up.  Thanks for all the responses, this knee nightmare is horrible and you all seem to understand what I'm going through.

Offline Vickster

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Re: PRP for Patellar Instability
« Reply #7 on: June 18, 2018, 10:27:04 PM »
Id be surprised if it can tighten up surgically cut tissue (rather than
Inflamed or stretched)

Good luck though
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline frustrated101

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Re: PRP for Patellar Instability
« Reply #8 on: June 24, 2018, 02:29:25 AM »
Yes I agree with Vickster at this point.  I've spent too much money enriching these fraudsters only to find my knees in worse and worse conditions.  If it was really that good it would be covered by insurance (afterall-if insurance companies are wiling to pay 20k for a knee arthroscopy why wouldn't they pay 1000 dollars for a prp treatment).  Thank you all for the responses.
« Last Edit: June 24, 2018, 02:35:19 AM by frustrated101 »

Offline Vickster

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Re: PRP for Patellar Instability
« Reply #9 on: June 24, 2018, 10:32:44 AM »
$20k for a knee scope  :o :o :o

If you choose to pay privately in the U.K., it's the equivalent of around $7k. Of course, most people don't pay at all (except through taxes obviously)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline frustrated101

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Re: PRP for Patellar Instability
« Reply #10 on: June 24, 2018, 05:28:24 PM »
36k total for both knees.  Steadman Clinic.  Peter Millett.  I'm out 10k after insurance but worse is that I can no longer walk down stairs and am severely depressed.

Offline Vickster

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Re: PRP for Patellar Instability
« Reply #11 on: June 24, 2018, 05:48:40 PM »
And you have insurance, jeez  :o
I thought he is a respected surgeon at a world renowned facility?!
Hope you can get sorted.
« Last Edit: June 24, 2018, 05:54:09 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline frustrated101

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Re: PRP for Patellar Instability
« Reply #12 on: June 24, 2018, 05:56:13 PM »
Yes he is.  I went to the best and seemingly got the worst possible outcome.  Had I gone to someone else probably woulda been better off.  The irony is cruel.

Offline Vickster

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Re: PRP for Patellar Instability
« Reply #13 on: June 24, 2018, 05:58:20 PM »
Is he going to try to repair his failed handiwork of lateral release?

Certainly there have been individuals on the forum in the past who have had LR revision surgery
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline frustrated101

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Re: PRP for Patellar Instability
« Reply #14 on: June 24, 2018, 08:08:07 PM »
No I burned that bridge when I left him a negative review on google.  Another surgery would be a complete guess, neither kneecap is normal so the tensioning would either be too much or too little.  I know this is taboo but Im looking into euthanasia options at this point.  I'm 33 years old and move like I'm 90.
« Last Edit: June 24, 2018, 08:11:31 PM by frustrated101 »