Author Topic: Ruptured Patellar Tendon Surgery  (Read 1056694 times)

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6345 on: August 02, 2017, 07:03:02 AM »
Hi Lairy75

Welcome to KneeGuru - you have found the best webpage for advice  covering all aspects of a RPT injury.

Yes, it`s a very rare and serious injury with a long rehab process - read as many previous posts on this thread - ASK questions - remember PATIENCE is required - Driving is a no for quite some time - you must have clearance from your OS, otherwise you will invalidate your insurance cover.

Where do you live?

Keep posting
JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Lairy75

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Re: Ruptured Patellar Tendon Surgery
« Reply #6346 on: August 02, 2017, 11:54:25 AM »
Thanks John.   I live in Durham.  Was hoping to get back to work once I could bend the leg enough to sit down properly.    How long is that likely to be?

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6347 on: August 02, 2017, 03:12:47 PM »
Hi Lairy75

10/12 weeks  and the ROM   Range of movement should be about 60 by then, but then starts the hard slog to reach the next milestone of 90ROM, which can be up to 4 months - in otherwords
you should be in the region of 100ROM after 4/6 months - get your good leg measured for a long term indication

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Jola

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Re: Ruptured Patellar Tendon Surgery
« Reply #6348 on: August 04, 2017, 04:40:56 PM »
Hi, I am 4 weeks post surgery for ruptured patella tendon of the right knee. Currently wearing a hinged brace set to 60 deg but I'm getting very little bend in the knee - maybe 30 degrees, it's so tight. I am still icing it regularly and I have a lot of swelling in my ankle & foot which doesn't help. Any advice greatly appreciated.

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6349 on: August 05, 2017, 02:33:28 PM »
Hi Jola

As we have stated many times - PATIENCE - The tendon has still not healed and you will be in a brace for a minimum of six weeks - having removed the brace or plastercast, you should reach a minimum of 30ROM - at 12 weeks, you will be working up to the next mile stone of 60 ROM with lots of PT and patience.

( don`t attempt to drive until you have clearance from your PT -  sleep with a cushion/pillow between your knees.    ASK questions - read some  of the previous threads on this post.

Keep posting

JohnK/ Manchester UK 
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Lairy75

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Re: Ruptured Patellar Tendon Surgery
« Reply #6350 on: August 05, 2017, 03:25:56 PM »
John,

What do you mean about measuring my good leg?
Also, has this injury occurred because my tendons are weak? Should I be working to strengthen my good leg with calf raises?

Also, I wondered if anyone else had returned to Crossfit after this injury?  It involves a lot of squats which I'm now wary of.

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6351 on: August 05, 2017, 11:28:44 PM »
Hi Lairy75

Your good leg should have a 140/150 ROM, so you should try and achieve 135 plus ROM within 12 months.

I would avoid crossfits as this would place a strain on the tendon.

Best/ JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Alkotter

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Re: Ruptured Patellar Tendon Surgery
« Reply #6352 on: August 09, 2017, 02:11:37 PM »
How's everyone doing? 6+ months post op.  Walking normalized, ROM back and doing well.  Was given clearance to begin lightly jogging.  It's like learning how to walk again but I'm embracing the challenge.  Best of luck to all.

Offline madvillain

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Re: Ruptured Patellar Tendon Surgery
« Reply #6353 on: August 15, 2017, 07:26:03 PM »
John,

What do you mean about measuring my good leg?
Also, has this injury occurred because my tendons are weak? Should I be working to strengthen my good leg with calf raises?

Also, I wondered if anyone else had returned to Crossfit after this injury?  It involves a lot of squats which I'm now wary of.

One day at a time.  Don't worry about cross fit for awhile.  I worked my ass off, had a great surgeon, and it took me about a year to get back on the squat rack and it was at about 25-50% of the weight I'd have done before.  I just did leg day this Sunday (god my legs are fucking sore, but it's DOMS sore!) and I finished my squat session with 235x5 and 235x3.   Before the injuries I'd have been finishing with 325x5 and starting with 225lbs x10

The way my surgeon explained it to me is that the tendons, especially in middle aged men, get micro tears, which usually results in pain over the top of the patella itself and tendonitus -- both things I had for at least a decade before my ruptures.  I had patella pain on and off throughout my athletic career, including low level college baseball and then through hiking in my late 20s before I had dual ruptures playing tennis.  Being 40-50lbs overweight didn't help my cause, and lose any extra weight you have as soon as you can.  I'm still about 20lbs heavier than I should be, but I'm at 185lbs now and was at 225lbs when I did the ruptures, now, boy, 34 months ago.  Time flies.

Anyways, enough about me. 

What you want to be doing at 4-6 weeks are heel slides, iso sets (just try and flex your quad muscle and hold it for 10 seconds, do this 3-5 times a day for a couple minutes) and then straight leg raises (side and front) WITH the straps as soon as you can do so without sharp, acute pain.  If you are unsure, don't do them.  I believe I was at about 3 weeks when I started them but I was super aggressive and I'm not sure that's the best route for everybody.

Also, situps!  Situps will help, you'll feel your quad helping you and you can work it safely and avoid some of the muscle atrophy.

At about 6 weeks you might find the rowing machine helpful to gain ROM,  and then as soon as you can, try the exercise bike.  It will be hard but it will help our ROM a lot.

Be patient.  You still have a TON of scar tissue and nerve damage at week 4.  You might consider buying a "gua sha" scraping tool and watching some of the videos online of scraping after patella tendon repair.  Basically you just want to try and scrape around your scar in a downward motion for a few minutes every day.  It will help break up the scar tissue and help ROM.

It's a long road of recovery but you'll start seeing good progress soon, the key is around week 12 you'll stall, and progress won't be so linear anymore.  Just keep pushing.  This was around the time I started doing light hiking around town and I remember vividly crying after a completed a short 2 mile loop trail, as it was something, frankly, I thought I might never be able to do.

Of course now I've long returned to full activity and in many ways I'm as fit and athletic as I've been since college, which is great, but I still have some moments, mostly going down steep ass mountains, where I can feel the tendons just aren't quite what they were.

But in everyday life, if you work hard and are patient, you should return to 100% function within 18 months.  Practice makes perfect, especially on stairs.  And Heel Slides.  My god, do as many heel slides as you can.  Keep your toes pointed at your belly button.  Watch youtube videos of recoveries, theres' some good ones out there.

Heck, even go through my post history I posted a ton of rehab protocol stuff back a couple years ago and my recovery, (not so humble brag) has been pretty damn good.

Offline Lairy75

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Re: Ruptured Patellar Tendon Surgery
« Reply #6354 on: August 16, 2017, 01:44:18 PM »
Thanks Madvillain

Well done on your recovery man. 

It's really great to get an idea of some of the exercises I can start getting on with.   It blows my mind that this is going to take 18 months to recover from but I'm trying to stay positive. And patient.   My first target is to get enough ROM so that I can sit in the front passenger seat of car.  😀

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6355 on: August 18, 2017, 07:33:17 AM »
Hi Lairy75

Your PT will measure your good leg.

Don`t drive until you receive clearance from your OS.

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Primetime_21

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Re: Ruptured Patellar Tendon Surgery
« Reply #6356 on: August 18, 2017, 03:59:57 PM »
Currently at 15 weeks post op. I am at around 120 degrees ROM. moving fine, with no pain or limp. My quad is still very weak, so an athletic knee brace when I'm out and about. My os and pt have been pretty cautious with my rehab as I guess my damage was pretty severe. but all in all everything is moving pretty smoothly. the main thing for me was making sure to consistently perform stretches and exercises recommended to you by your PT. I also own a recumbent bike, which helped a lot. I still have a decent amount of scar tissue which seems to lead to some occasional crackling in my knee (nothing that hurts), but I have been told by numerous people that will likely subside as I regain quad strength. For all those going through the grind, stay positive and keep working at it!

Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6357 on: August 20, 2017, 11:39:40 PM »
hey everyone....i have now got back on my road bike and started biking roughly 6 miles to the gym and 6 miles back 3x a day. I keep a fairly intense pace because city traffic in los angeles does not care about injury or not ahahaha.

Lairy it's a tough road but everyone is making progress...you will too. My brace was taken off by my PT at the very first session and I am so grateful that she was aggressive with that. I'm almost 7 months now and i bike and walk around but have not made it to a jog yet. I will be there soon shortly.

Positive vibes to everyone here!!

 

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