KNEEtalk

DIARIES => Post-op diaries (50-100 posts) => Topic started by: daffy on July 13, 2006, 11:29:33 AM

Title: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on July 13, 2006, 11:29:33 AM
Well,

Had a Medial patello femoral ligament recontruction two days ago and i just thought i would write down my experinces as this operation is not one that it done all the time, but is slowley becoming more popular for dislocating patellas!!!

Operation day - Had a general anaesthetic and injections into my spine which wernt to bad. This numbed me from the waist down so was really good for pain managment.Think my operation took about 2 hours, which isnt to bad.
The pain was not to bad for about 5 hours after, as the injection had still not worn off, but by the night time it started to get really uncomfotable, and by the next morning well i couldnt get off the bed. I was taking antibiotics, parecetemol and morphine. This did help some what!!

Ive been fitted with a full leg donjoy brace, restricted to 45 degrees movement for two weeks and then 90 degress for two weeks after that. I also have crutches but am allowed to fully weight bear which is good. Ive been told i can ditch the crutches as soon as i feel comfortable doing so.

Exercises at the moment just consist of little heel slides and contracting the qudriceps, am going to have my first physio session in two weeks, so that should be intersting.

Thats about all from me for the moment, hopefully this will give those of you who are down to have this operation a little insight as to what may be in store for you, after the first couple of days it does get easier.

If any one has got any questions, dont hesitate to get in touch would be pleased to share my experiences.

Will let you no how i progress over the next couple of days.

Daffy x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on July 13, 2006, 12:00:48 PM
Daffy,

Good Luck with your recovery.  I am having the MPFL reconstruction today so we will have to compare notes on the recovery. 

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: shade on July 13, 2006, 12:26:09 PM
Daffy and Amy,

Hope you both have speedy recoveries.

Found this article.... http://www.orthoclinic.co.za/art_mpfl.html

Good luck with your upcoming physio sessions. ~Shade

Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Amanda82032 on July 13, 2006, 04:43:36 PM
Daffy & Amy,

Good luck with your surgeries! You'll both be in my thoughts!!

Daffy : I'm having a reconstruction of all of my ligaments around my patella. I've also had a VOM advanc. When I had the VOM done, every movie of my leg seemed like I was pulling a muscle. Is that what it is like for you? Just curious. Keep up with the excercises. They are bound to get you moving sooner!!  :P

Amanda
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on July 14, 2006, 03:42:47 PM
Hiya Amanda,

Yup thats what it pretty much feels like. I have alot of discomfort on the inside where the reconstruction was done, and i do get pain in my hamstring from where the graft was taken. I sometimes get this really bad buring sensation which is pretty intense and is not to plesent, but hopefully that wont last for much longer. Just wish i could ice my knee, but ive got a huge bulky bandage and a brace on so theres no way the colds going to get through!!!

When are you having your reconstruction?, i hope it all goes well for you.

Right im going to have a lil sleep, this operation has really knocked me for six!!!, i can harldy keep my eyes open......


Daffy x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Amanda82032 on July 14, 2006, 09:17:24 PM
Daffy,

Thanks for the insight into your surgery! I just wondered if it was the same feeling. I'm sure the pain will subside soon. Plus, the pain meds must help! I would still try icing the knee though. You never know! It might go through the bandages!!

My reconstruction is on Wednesday of next week. I'm having a little more done than just the recon. Im having my patellar tendon shortened & my trochlear groove deepened.

Good luck! Keep us updated!!

Amanda
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on July 17, 2006, 09:54:09 AM
So,

Its day 6 today and not feeling to bad. My knee still has its sore moments, and a few blood rushes but i can see an improvment already which is good.
My ROM is getting better too, i can manage to get my knee to 40 degrees with only a little discomfort, so hopefully it will not be to much of a struggle for me to then progress onto 90 degrees in another week.

My main pain site in the knee, is medially where the graft was harvested to the femur, havnt felt much over the actual patella itself. Where abouts is your pain amy, same kind of place or just everywhere???

I can now walk around the house, without the aid of crutches which is good, although i still definatley need them when i go out.
I get to take the bandages and stitches out tommorrow which will be cool, just hope my knee dosnt look to much of a mess!!. Ill try and post some pictures to show you all.


Amy, how are you doing hun?, your knee still causing your lots of pain?. Keep me updated on your progress, be good to compare to see where we both are in terms of recovery.

Amanda, all i can say is WOW!!!, that is some major surgery your getting yourself there, i really hope it all goes ok for you, let us no how u get on.

Right im offski, actually getting out of the house today!!, cant wait

Daffy x x x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on July 17, 2006, 10:18:33 AM
Here has been my experience with this surgery:  A little background for people who don't know me.  I have had problems with dislocations/subluxations since I was 8 years old (i'm 23 now).  I have had several surgeries on both knees to try and fix the problem and I considered the TTT to be a success with some subluxations but no dislocations for both of my knees for 5 years on my left leg (and still continuing) and 2.5 years on my right knee.  That was until about a year and a half ago when I slipped on metal stairs and dislocated my right knee.  Since then my right knee continued to deteriorate until it was as bad if not worse than it was before the TTT.  I had a lot of trouble finding a new surgeon who would touch my knee since I moved and could not go back to my original OS.

Surgery Day:  I arrived at the hospital at about 9:45 and was taken into surgery at about 12.  I had an MPFL reconstruction using hamstring tendon and had the cartilege shaved down on my patella and trochlear groove.  The damage to the cartilage was not as bad as my OS expected which was good.  When I woke up in the recovery room I did not have much pain which was surprising but I did have a femoral nerve block.  I was released at about 5 and then went home.  All of a sudden I had very severe pain which I could not get under control until around 11 pm.  My mom thought about taking me to the ER because the pain was out of control but the thought of trying to get back down the 3 flights of stairs was pretty scary so I tried to tough it out.  Once the pain got under control it has not been too bad.  Making sure I stay on top of the pain meds and have the cryocuff on the hole time.

I am in a brace locked at full extension for the next 2 weeks until I see my OS again.  I am touch down weight bearing.  I don't start PT until after I see my OS again and he doesn't want me to start to bend my knee until that point so that the new ligament will start to scar down a little to make the graft stronger since I have very loose joints and have almost no trochlear groove.

Day2 was not too bad pain wise as I finally got the pain under control, that is until last night when the nerve block wore off and I ended up with spasms in my knee and a lot of pain that was once again out of control.  My mom called my OS office yesterday and talked to his nurse who increased the frequency of the pain meds but would not give me anything more.

It is now the morning of Day 3 and I have not gotten very much sleep because my pain is only controlled for the 1st hour after taking the meds and then it is back to extreme pain for the next 2 hours before I can take anything.  I always thought that I had a high pain tolerance but this is more than I can deal with.  I have never had this much pain post op from all of my other surgeries.

Daffy,

Glad  to hear that your pain is gettting better too.  I am off to PT today to meet with them and probably get a TENS machine to help with some of the pain so that I can switch back to lighter pain meds that don't knock me out as much as my current ones.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Amanda82032 on July 17, 2006, 11:12:17 PM
Daffy,

Thats awesome that you're walking around the house without crutches! You're making so much progress!! Keep up with the good work, just don't push it! Things have to heal. Pics would be great, though! I haven't seen pics from anyone who has had this surgery.

Keep us updated.

Amanda
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on July 27, 2006, 05:38:58 PM
Day 17 - Well had my first session of physio yesterday and didnt do alot really. Infact got the impression he was quite useless and didnt really no what he was doing with me really, but ill see how it goes next week i suppose and if not ill have to pay for private treatment i reckon.

Saw my surgeon today for the first time since the op, and went really well actually. So far have had a brace on at 40 degrees on for two weeks, and then increased it yesterday to 90 degrees and was told i would have to wear he brace for another two weeks. Well surgeon saw me today and said i was doing really well and that he thought i did not need to wear the brace anymore and he wants me to really work hard on getting my quad strength back and increasing my rom. Think he thought the brace was hindering my progress so thought i was best to get rid, which is fine with me as its absolutley boiling weather at the moment and this and a big bulky brace dont mix!!!! I got just over 90 degrees today, with quite a bit of discomfort by the surgoen really pushing it back, and then really straightneing my leg which also was not plesent!!!

But saying that felt better almost immedialtey walking on it, becuase some of the scar tissue had broken down. Going to keep bending and straightening to prevent any further build up.
I am on one crutch at the moment, just until i sort my walking out but he wants me off it by 48 hours, which is cool. Just hope my knee dosnt give way or anything.

I also asked about driving and he said when i can get my knee to at least 90 degrees comfortabley and i would be able to do an emergency stop then i would be able to stary driving, so thats the goal im setting myslef this week and hopefully ill reach it.

Sorry didnt manage to post pics, my camera is broken. There not alot to see any more though really. Am really impressed by how neat every thing is. I had two tiny scope lines on the outside of my knee which you cannot see at anymore. I have one 2cm line across the knee cap, about a 3cm line on the inside of my knee and about a 2 inch scar where the graft was harvested just below the knee cap.

Right well just thought id let everyone know the latest, think im doing alright really, hopefully things will keep improving.

Amy how are you doing?,Hopefully you have managed to control your pain.

Have loads of questions:
Have you started physio yet?
What are your scars like?
ROM?
Let me know how your doing. Hope your well anyway and your knees not getting you down to much.Try and stay positive.

Daffy x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on July 30, 2006, 08:28:34 PM
Daffy,

My pain is now much better and really only hurts when I do too much.  I went back to the OS on DAY 10 and had the stitches removed and was allowed to start to bend my knee but my brace is still locked in extension when I am up and walking.  I was given the ok to try and go down to 1 crutch but I have had some trouble trusting my knee enough to get rid of one of them yet.  I started PT on day 10.  It is now DAY 17 and I have about 40 degrees of motion when doing my exercises.  I have some pictures of my knee that I will try and post but I need to find the connector for my digital camera to my computer.  I only have 1 added incision as my OS opened previous scars again but I have the long incision at the bottom of the patella for the graft harvest and then an incision on the inside 2 scope holes and one small 1/2 inch scar on the outside of my leg from where the graft was achored.   I am going to try to go back to work tomorrow for the first time so we will see how that goes.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on July 30, 2006, 09:36:29 PM
Here is a link to some pictures of my knee.

http://s93.photobucket.com/albums/l71/doublea21/

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on August 04, 2006, 05:25:38 PM
Yesterday was 3 weeks post op for me and my brace was finally unlocked to 40 degrees.  I can have it unlocked when inside places but when walking around the city I am still supposed to keep the brace locked and I am still on both crutches because I have no confidence in my knee after years of problems.  I have about 60 degrees of motion when the brace is off at PT.  I am supposed to start to go down to one crutch to get more strength and confidence in my leg but haven't gotten down yet.  I will be in the brace for probably close to 3 months. 

I have been back to work for a week now and I am very tired when I get home but have not had any problems getting back.  I arragned my work schedule so that I can be sitting during most of the day for the first 2 weeks that I am back before having to do more that requires me to be on my feet for long periods of time.

Daffy, how is your recovery comming? It is interesting to see the different rehab protocols for surgery.  I know my OS was going to be very conservative with the rehab for me because of all the problems that I have had in the past with my knee. 

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on August 06, 2006, 02:27:02 PM
Hey,

Well things are starting to go quite well for me. Had a little set back with an infection in my knee which was causing me to have calf pain and cramping but that is healing up nicely now, thank god!

Im at physio twice a week, and doing lots of exercises at home for it, really trying to increase my range over 90, hopefully ill do it this week.
Ive started driving again now which is soooooo good, i can finally get out of the house and go the gym and go swimming and things. The four walls of my house were killing me, going to be a little while until i can start back at work becuase i still cant walk properly as i have trouble with straightening my leg peoperly when i walk and i work in a resteraunt.

Sounds like your doing well, feels so good to have the brace to 40 i bet!. Know what you mean about the crutches it is hard to wean yourself off them. I was just strict with myself and gave the crutches back to the hospital so i had no choice!!!
Be carefull with yours though, as you had more done than me, and sounds like your surgeon wants you to be extra carefull. It will all be worth it in the end when your all fixed.

Saw the piccies, there awesome. Yours are alot more impressve than mine i must add, i will try and post some of mine soon once i sort out how to it!

Right well im off for now, hope your ok.

Daffy x x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on August 21, 2006, 09:05:25 PM
Daffy,

I am doing much better now.  I am at 5 weeks post op and am now off of my crutches.  I have had some problems with my ROM after this surgery and after being stuck at 60 degrees for 2 weeks, massage and ultrasound has allowed me to get to 90 degrees and it is not nearly as tight and stiff as it has been.  My hamstring is also starting to wake back up which helped my walking tremendously by allowing me to bend my leg up behind me when standing.  I had a serious difference in my passive ROM and active ROM for a while but they are now about equal at around 90. 

Hope you are doing well and that you are all healed from your infection.  I have been back to work for a few weeks but it is now finally starting to feel normal because I am moving around withtout thinking about the proper way to wallk all of the time.  I am still in the ROM brace and will be for a while still most likely.  It is now set at 90 although I have a very hard time getting it to the stop on the brace.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on August 24, 2006, 03:23:00 PM
Hey Amy,

Glad to hear doing so well, and are clearly on the road to recovery!!. Im just over six weeks post op and doing ok.
The strangest thing happened to my knee, on the scar on the inside of my knee a little stitch appeared, and this then just came out, which i thought was a bit strange but didnt really think to much of it. But then on the stitch over my patella i noticed a little bit of wire appear, this was around 5 weeks post op, and i kept being able to see more and more of it, until finally i thought ill just pull it and see what happens, and the stitch came out. It was weird as it had a surgical knot in, and then a long piece of wire underneath. Im not really sure where they appeared from as my scars were not stitched up. These must have been why my scar was not healing well though as now there out my scar is finally looking good. Ill have to mention it to the surgeon when i next see him i think, just to make sure there not supposed to still be in there?

I am down the gym around four times a week at the moment, and cardio wise i normally do 45 mins on the bike, 15 on the rower. Then im using the leg press machine to build my quads back up, im currently pushing 80kg on  the one leg. Im also doing squats with a Swiss ball, and steps ups on the Reebok box. My knee starting to feel more stable now, and like you do not have to concentrate on walking anymore. However, i still cant walk around for long as my leg just gets so tired, do you still get this?

My range of movement is at 130 degrees flexion, massage has helped a lot. How much longer do you have to have the brace on you reckon?

Hope you continue to do well anyway, let me no how your progressing.

D x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on August 28, 2006, 10:23:10 PM
Hello there...
I am new to this whole thing and am so glad that you all share your experiences.
I had reconstruction on August 9 and really have to say that my OS downplayed it quite drastically. He said that I would be back to work full time and ready to go to a convention 6 hours away within 10 days. I am now 19 days post-op and still in quite excruciating pain. I just returned to work. I am still swollen and bruised and it hurts to keep my knee in any sort of position for too long.
I saw my OS this morning and was able to bend my knee to 45. He said that I should be hitting almost 90 by now, but just don't see how. If I have not hit 90 by Sept 12, I have to go back in to the OR and he will do it all for me, breaking up the scar tissue, but putting me back out of work for another week.  :-[
Amy, I am sorry for all your knee problems, but thank you for posting that your ROM was only around 40 on day 17 as well, I do feel normal.  I hope things have continued to get better.
Daffy, I am glad to hear that you are back to the gym pretty quickly. My leg has gone to jelly and it is driving me crazy not to get to the gym right now! I feel like I do 10000 quad sets a day, but am not having luck. I am also glad you are doing well.
I find it the hardest to trust my knee and the strength. I am down to one crutch now, very slowly walking, but I keep stubbing my foot on the ground (because I can't lift it far enough) and it feels like it is dislocating. We all know how much fun that feeling it, I'm sure.
Now that you are a few more weeks from surgery, does it get easier? I just feel like crying and screaming and yelling, which I know won't make it better, but I push through PT three times a week and ice like crazy. Thanks for just letting me talk!!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on August 28, 2006, 11:01:21 PM
I just went to the OS today and at 6 weeks had the brace taken away from me.  I now just have a sleave to wear because I still have a lot of swelling.  My OS was not pleased by my lack of ROM but just wants me to keep at it for a while longer because it is slowly improving.  I am now just over 6 weeks post op.  While at PT I can get close to 90 but it has stalled a little there, I could only get it to 85 at the OS today.  I think it was because my knee was tired and stiff after a busy day at work and the weather here has been really bad making it even stiffer because of the swelling.  My OS did demonstrate that my knee is tracking much better than before surgery and that he can't dislocate it.  He did this with me freaking out because he was playing with my knee cap and I am not a big fan.  I now have until the end of october to really work on building up my leg and working on ROM before going back to see my OS.

Melissa,
I know the feeling of the OS downplaying how painful this surgery was.  I had tremendous pain for the first 2 weeks.  I have struggled a lot with ROM so don't worry about oly getting to 40 it will get better.  I hope that you can avoid having them do a MUA on your leg.  My OS doesn't do that he would scope my knee again if it got to that but he is hopeful it will turn around and I will get past the block.  It took me 5 weeks to get off crutches for just what you are talking about, I could not walk while bending my leg enough to get my foot through without hip hiking or stubbing my toe on the ground.  So I took a long time to get off of the crutches.  I had a lot of muscle wastage and so now I have to trust my leg that it is not going to collapse which is very hard.  Good luck with your recovery.  Let me know if you have any questions.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on August 30, 2006, 05:09:23 PM
Hi!
Thanks for the reply post, Amy. Keep trying with your ROM, it will keep increasing. You sound frustrated, naturally, anyone would be when your progress stalls. You also sound very determined, which is great. I know the feeling of freaking out when anyone goes near your knee-- but it must have felt good that it stayed in place when he did move it!! A good girlfriend of my had a (successful)Fulkersons almost 10 years ago and she is still touchy when anything goes anywhere near her...I am sure we all will be like that for a long while.

After a long day at work on Monday,I ended up in such excruciating pain at PT (I felt like my knee was dislocated) that I actually cried and yelled for the first time! My poor PT, she didn't want to touch me!! :'( My leg had begun to swell worse and get little white spots and bruises...they said it looks like it had displaced a bit and I should either go home and relax or go to the ER....after the other issuse I have had post-op (Pulmonary Embolism scare in my lung which turned out to be a slipped disc in my back) that was the last thing I wanted to do. I stayed home from work on Tuesday becuase I couldn't walk (thank God my employer is VERY understanding- thus far) and just worked on heating it and stretching it to 45 for awhile and then icing it like crazy! I do feel better today.
I just can't belive how "beat up" this while process has made me feel. 3 weeks post-op, as of today, and I have reverted back to using my immobilizer and walking with 2 crutches. My OS said I should start walking without the immobilizer but I feel like he isn't paying attention to how I feel and how frustrated I really am. >:( He seems to act like everyone is the same and should heal at the same pace. I feel like a hypocondriac, even though I know I am not. He is a great doctor, but come on already! I just don't feel safe enough walking without my brace and crutches, I have almost fallen on more than one occassion.
Today at work seems to be going more smoothly--- my thigh muscles are screaming for some attention and my office just isn't conducive to giving them what they need. I guess I will just keep trying!!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on September 01, 2006, 01:23:47 AM
I am getting frustrated with the pace of my rehab but I am determined to get my leg back to being fully functional.  I have no trust in my knee staying in place since I had this surgery after a failed TTT.  It was nice to see it not easily move to the outside like my other knee still does.  I have a feeling that the aprehension when people "play" with my kneecap will be around for a long time.  I hope that you knee is feeling better today and you will eventually get more confidence in your knee as you get more strenght in it.  I know for me it took a long time before I could walk with the brace but without my crutches because it felt like it was going to collapse.  I have a lot of confidence issues with my knee and I think that it is all made worse by the fact that I was still recovering from a fairly severe dislocation that happened only 2 weeks before my surgery and my quads shut down after that so it was hard to get confidence in my leg again.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on September 01, 2006, 02:31:09 PM
It is good that you are working through the frustration and have a strong long term goal in mind. Attitude is so much in recovery.
Hope you are feeling well today.
 When did you have your TTT?

I have PT today and have set my goal to 70 flexion-- I was at 54 when I went on Wednesday, and I'm not leaving until I get it!

T-G-I-F and a long weekend here! Plenty of time to work on my wall slides, SLL's, quad sets and my SQA's....so I can go and kick butt next week.

Take care!!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on September 02, 2006, 04:19:33 PM
Hiya melissa,

How many weeks post op are you now?. Im going to be 8 weeks post op next Tuesday, cant believe it was that long ago that i had the op. Just to let you no it does get easier!!!!  Ive found ive just had to be quite aggressive with the rehab, and have done a lot of massage to try and help with the ROM. I notice a massive improvement once ive given it a good massage!!!

Sounds like your doing all the right things though, and im sure youll start noticing big improvements soon. I went to see my surgeon this week, and he was pleased with me so i now dont have to go and see him for another six months, and hopefully ill be absolutely fine by then. He also said i can try running in two weeks, so am excited about that....

Keep up with the rehab, and stay positive. If you have any questions, feel free to get in touch.


Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on September 04, 2006, 01:59:42 AM
Daffy,

I glad to hear that you are progressing well and that you are well on your way to putting this behind you.  I agree with you that massage really helps and I can also see big differences in my knees ability after I massage it.  Keep working hard on your rehab and I'm sure that you will be running in no time.  That for me is still very far off but I did start swimming again and it has helped to relieve some of the stiffness in my knee.

Melissa,

Good luck on reaching your goal and I hope that you can get to 90 by the 12 like you OS wants.  You do need to keep setting goals to push yourself in your rehab.  I have tried and have had to become more realistic with the pace of my rehab and adjust my goals accordingly.  I feel that I am doing alright as long as I keep seeing the slow steady progress.  I had a TTT with VMO advancement on my right knee in 2002.  While my knee was never great it was functional for almost 3 years.  I was never able to go back to sports but I could walk around without too much pain and I could do most of what I wanted without having to wear a brace which was a victory for me.  I then fell and badly dislocated my knee again and it sent it spriraling back to where it was worse than before any of my surgeries because not only was my knee constantly subluxed but it would also fully dislocate when just walking.  That is what prompted me to go back and have this surgery done.  This is the 4th surgery that I have had on my right knee combined with all of the trauma that this knee has gone through is why I believe my knee is taking so long to recover despite me working very hard on my rehab. 


Good luck to both of you on reaching your goals.
Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on September 05, 2006, 03:33:38 PM
Hello,

I am 3 1/2 weeks post-op now, will be 4 in a few days. I gained 65 rom at therapy on Friday, not as much as I would like, but I am glad you have all commented on being realistic about your therapy goals. I pushed myself over the long weekend and really feel like I got somewhere, hopefully my PT says the same thing on Wednesday! I do sometimes feel like I do so well over the weekend and then, come Monday, I forget everything and go back to where I was at work. I am SO incredibly apprehensive, and just can't get over the fear of re-injuring myself. I get excited and get ahead of myself, then I stumble and catch myself. I took my first real step lastnight with my brace, but my boyfriend (after much convincing) is going to stay home tonight and help me work on actually walking, bending my knee as I come through. I think once my thigh muscles wake up again and remember how to work (I am SO SO close to a straight leg raise) it will become much easier-- I hope. Hopefully within the next week or 2 I will be able to drive again, it is making me crazy!!!

Thanks for the updates. You both sound like you are on the right track and encourage me to get there too!
Daffy, you will have to keep us posted on how running is coming along. You will get there sooner than you think it sounds!!
Amy, thanks for the encouragment!! Hopefully this time it is the charm for you, I don't envy! Keep us posted.

Talk to you soon!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on September 06, 2006, 04:57:44 PM
Ok....just want to say that I am VERY "owwchie" today. I really pushed myself lastnight and had my leg bent SO far and today I regret it. I can't even sit at my desk without squirming...AND I have PT today! Argh!

Just needed to complain!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on September 07, 2006, 01:29:59 AM
Melissa,

I understand your feeling and this is the place to vent.  I have had a lot of pain in the past 2 days because I really pushed my self hard st PT on tuesday (and my PT used it as an opportunity to torture me).  But it paid off I finally got over the hump where my ROM was stuck at around 90 for a week and I got it to around 100 and got my leg around on the exercise bike.  I paid for it that night but luckily it didn;t get too stiff afterwards which I have been fighting.  It was just a little sore last night.  Luckily I don't go back to PT until Friday so I can let it rest and spread out the exercises over a long time so I don't stress it out.  Good luck with your goals but don't over do it too much so that it is hard to continue the next day.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on September 07, 2006, 02:24:56 PM
Thanks Amy, glad to know someone else knows how I feel (not that I am happy that you are sore, don't mistake). Good job pushing to your 100 degrees....just keep pushing yourself, you will be there before you know it!
I finally did a straight leg raise yesterday and a hamstring pull (got it to 50 degreed without any help, and 70 degrees with the strap!). I am finally starting to feel comfortable walking without the brace, just the crutches, and starting to move a bit quicker.
I went home after and did some more and took a Percocet with dinner to stop the aching (something I haven't taken since like week 2) and boy did I get sick. Unfortunatley, I am not feeling much better this morning and my back is out of whack again making it hard to do anything--- can I have one thing at a time, please?!?! haha  :-[
I am living on Excedring and Pepto Bismol right now at work so I can just make it through the day!!
I am going to start the fight with my insurance here soon I have a feeling, I only have 6 visits left for PT and am nowhere near ready to be done, so my OS has to call and request more, hopefully it goes through.  Good luck to you too Amy. Sometimes insurance (no matter how good) is a pain!
Good luck at PT tomorrow!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on September 08, 2006, 02:29:52 PM
Hello to both of you!!

Looks like were all starting to see results now, and wont be long im sure before were all back to normal, fingers crossed!!

I made a break through today, not sure if its too early or not but its just felt ready. I jogged on the tredmill!!!!!, i couldnt believe it it felt fine. Leg is still a bit weak but i didnt have any pain in my actual knee so was chuffed......

My knee still feels quite tight, its hard to explain, not sure if either of you two experience this?. I mentioned it to my surgeon, and he said this was one of his concerns, as a few people have gone back to him asking for the surgery to be undun as it feels to tight. Im hoping i wont have to do this.

Knee also feels a bit sore still where he harvested the graft from my gracillis, this seems to be the worst of the pain i get now, hopefully friction work will help this. Amy, melissa how is your graft site, does it still cause you discomfort or is it just me???

Hope your both well anyway, just thought id tell you the latest.

Daffy x x

Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on September 10, 2006, 11:44:26 PM
Daffy congrats on being able to run on the treadmill.  I conqured stairs the other day.  Going down used to be very painful so I always went down with only my good leg doing the work, one step at a time.  I haven't even attempted to go down stairs normally since my surgery because I am so used to going slowly, but there was a small fire at work and we had to evacuate and so I wanted to get out of the building as quickly as I could and so I just did stairs normally without thinking about it.  I still have some problems and protect it too much but the adrenaline that day made me forget about my knee. 

I do know what you are saying about the tightness.  I have gotten about 100 degrees ROM easily now, but when I am up and walking my knee is very stiff when trying to use it in normal activities.  Don't know if that is the same as you are talking about but that is what I have been struggling with.  I am hoping that it slowly will loosen up so that it will feel more normal with time. 

I don't have pain at the graft site except when I am doing exercises to strenghten my hamstring, if my foot is in a certain position I can feel where the two ends must have been because it is 2 pinpoints that are painful.  Now, most of my pain is in the femur where the graft is secured as well as when working on my ROM I have to push through the stretch where the graft is which is the hardest thing for me. 

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: icouldgoforanap on September 17, 2006, 08:01:45 PM
Hi! I had an MPFL repair the first week of July after I dislocated/broke my knee cap. Rehab is going slow and steady - still on crutches and in a DonJoy brace. I have almost full ROM, but my quads haven't really come back. Been doing estim everyday at home or at the PT, and have had pain over the MPFL repair or fracture site when I do strengthening exercises. Anyway, good luck to all of you!

Alicia
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on September 25, 2006, 03:45:37 PM
Hello all..
Daffy, congrats on running on the treadmill! That is a big step in the right direction...I bet it felt nice!

I haven't been on here in a few weeks, as I was admitted to the hospital on Sept. 8. The discovered a pulmonary embolism (blood clot) in my R lung which was VERY painful, and it had actually started to collapse my lung. Scary. The doctor at the ER said that it possibly could have killed me if I waited another day or two. I was in the hospital for 6 days, given lots of painkillers and blood thinners and was watched "like a hawk". I was out of work for 2 weeks, and finally am feeling better. Still some pain in my chest and back, but it is because my lung is still swollen to protect itself, as it will be for a bit. I have to have blood drawn each week now, as well as a CT Scan every two weeks to check for breakthrough bleeding in my head (lets hope that doesn't happen). I am on Coumadin for 6-8 months to ensure that no more clots form, so it will be a bit of a lifestyle change for awhile, but nothing major. The doctor said that it was a combination of the surgery and the birth control that I was on that probably caused it. He said that I should recover well becuase I am young and healthy.

I finally reached 90 ROM on Friday, which is frustrating becuase I was starting to move along nicely before that. I saw my OS this morning and he is pleased now with the results and said I am actually starting to do really well. I am still walking with crutches, but I am walking, putting weight on the leg to get used to the feeling. Amy, I am glad to hear that you were able to get down the steps-- that is my next feat, I hope.

Alicia, I understand what you say when you mentioned that your leg feels "tight." My OS said it is normal and should start to loosen up with time. As far as the knee/graft site, it just plain hurts, I won't lie. I also asked him about that and he said it is normal, and will hurt for awhile, as it is a major surgery. I take Tylenol as needed, and my Percocet at night when it hurts the most.

Does anyone else find that their knee is the "tightest" in the morning when you wake up??? What do you do to help that?
I am afraid to sleep with my knee bent at all and I think that this has something to do with it!

Good luck all.
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on September 26, 2006, 09:43:25 PM
Do any of you ever get the feeling like your knee is going to "pop" out since your surgery???
I am 6 weeks post-op tomorrow and I know I am healing, but it feels so odd to me. Maybe becuase my knee/muscles aren't totally stable yet....
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on September 26, 2006, 11:32:02 PM
Melissa,

What a scary few weeks that you have had.  Glad that you got everything checked out in time so that now you can be on your way to recovery now.  Congrats on getting to 90 degrees.  My knee is definately stiffest in the morning which I blame on sleeping wiht it straight all night (go to used to sleeping in an immobilizer before surgery).  My knee also gets really stiff when sitting with it bent in one position for too long, and it becomes tight and painful to straighten it.  This is a problem with my classes and seminars where I have to sit in an auditorium for 2-3 hours straight.  Keep working on walking.  You have had a tough couple of weeks and so I'm sure that you are not where you would have wanted to be but your OS seems pleased with your progress.

I have had the feeling that it is going to pop out.  I have actually had a few suluxations in the past week and my patella is once again sitting on the outside edge of the trochlear groove.  All of this my PT assures me is because my VMO is very weak and not always firing with the rest of my quad muscles.  My PT also has talked to my OS and no one seems concerned but given my history I am a little uncertain. 

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on September 27, 2006, 02:33:05 PM

My knee also gets really stiff when I am sitting with it bent for too long. It does hurt to straighten it out, but I guess we just have to work through it. When I saw my OS the other day, he said that his experience is people who can straighten their leg completley after surgery will regain full ROM. Also, great job getting down the stairs...sorry to hear about the fire though.

Back to work now. PT Today....I am going to push myself hard so hopefully I can start walking without crutches soon. It's driving me CRAZY!!!

Have a nice day!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 03, 2006, 03:47:45 PM
Daffy and Amy (and everyone else who reads this)....

Hope you are having a "good knee" day today!!
I have started waking up a half hour earlier in the morning and putting the heating pad on my knee to warm it up and it makes things so much easier....just a small insight.

Take care.
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on October 03, 2006, 10:45:43 PM
I have found that heal helps to loosen the leg up too.  I only get up early to put heat on my knee when I have PT early in the morning since my knee is very stiff in the morning.  I always want to show my PT how well I have done over the week on my own but my leg doesn't like to cooperate that early in the morning.  I got my  knee to 125 today.  Very happy since that is where my PT and OS said they would be happy if I achieved that as a final ROM but the way the it feels now I am confident that I will get more and my PT felt that way too today.  My knee is definately starting to feel a little looser and is definately getting stronger.  I can even start to see all of my leg muscles again.  I over did it over the weekend and was up on my feet a lot and it swelled up a lot but with some ice and rest it has settled down a little again.  I still have a lot of swelling by my patella tendon/fat pad area and a little by the new ligament.  My PT doesn't know why the swelling around the tendon won't go down but said the swelling over the tendon is normal.  Just another question to add to the list for when I go back to the OS at the end of the month.

Hope you are having a good knee day too. 

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 04, 2006, 01:59:17 PM
Hi Ladies,
Question....

What made you start walking again?
I have started to take baby steps with my immobilizer and no crutches but my knee feels like it is going to give out.
They have me doing stuff at PT to help, but I am too "iffy." Any advice?

Thanks!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 04, 2006, 01:59:48 PM
And Amy,
Good job on the 125!!  :D
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on October 10, 2006, 03:25:43 PM
Just thought id say a big hello to everyone.......

How is everyone doing?
Amy good to see that your making good progress, you'll knee will be fine in no time!!

Hows your walking coming along Melissa? I just got rid of the crutches and made myself walk, and had to really concentrate to make sure i went heel toe and didnt alter my gait.But that seemed to work for me. It just takes time realy for your leg to get strong and for you to feel confident in it.

Latest with me is, just over three months post op now and doing reasonably well. Have started to do running outside now, and am allowed to do agility work which is cool, and hopefully will be able to go flat out sprinting in about two weeks time if all goes well. My quad is still a little weaker than my other but it is improving.
I can now push 95kg single leg on the leg press, so am pleased with that. Hopefully going to start doing free weight squats soon.

Am still having soreness and stiffness with my hamstring, so still have to have soft tissue massage on it. And like you melissa my knee still gets sore and stiff if im sitting with it bent for a long time. I'm hoping this is going to go soon, although it seems to be lasting a long time with me.

Right well im off for now, Hope your all ok

D x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 10, 2006, 09:30:22 PM
A big hello back!  :)

Glad to hear things are coming along well!!! It's nice to look forward to the next step....for you, sprinting. How cool.... ;D

I am well, thank you. Started walking without the crutches at home and some at work. It feels good to let go of the crutches and just go--  they feel like extensions of my arms, haha. Like you said, Daffy, walking heal to toe...its tough sometimes, when you don't think about it. It will come with time, right?? 
I have reached 92 rom at therapy, but have been there for about a week...not saying Im stuck, but I fell like it. My PT did say that once I can comfortably hit 90, it is easier to break past it because I guess you have more strength and push at that point. I guess I wait and see...I am going to be breaking the bank here though because my insurance won't cover anymore visits after tomorrow....argh!

Keep up the good work...keep us posted on how the weight lifting and sprinting comes!!!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on October 11, 2006, 12:05:47 AM
Daffy looks like you are doing well.  I can only hope that I get to that point although as every day goes by I am loosing confidence that my knee will return to normal.  I only hit 125 degrees that one day and since then it is between 115 and 120 and it seems to be harder to get it to that point.  Although a lot of the stiffness is out of my knee and I can use the 115 fully.  I can now sit with my leg bend without it being sore and developing a sharp pain in my leg.  My PT noticed today that my patella is sitting very low in comparison to the other knee and he thinks that that may be why I am having so much trouble with my ROM progressing despite the decrease in stiffness.  I go back to the OS in 2 weeks so I will see what he says about it.

Melissa, congrats on getting past 90.  For me 90-115 was the easiest ROM for me to gain and then it stalled again.  Hopefully, it will be easier for you and your ROM will continue to improve.  Keep working on walking, it does get easier.  For me I finally do not have to consciencely think about walking heel to toe and actually bending my knee when I walk as opposed to peg leg like I used to walk.

Hope everyone keeps improving.
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on October 11, 2006, 12:13:55 AM
I am also going broke now with PT.  I still go 2 times a week to try and get my knee functional again even though insurance stopped paying.  Luckily according to my salary, I qualify for financial assistance from the hospital so that I can afford to go without beconming completely poor. 
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Helen_ uk on October 12, 2006, 11:31:53 AM
hi been reading your posts with interest.
I am due to have a graft with leeds keiogh tendon to reconstruct my extensor mechanism which is a morph of allograft leeds keiogh and other failed grafts from hamstrings etc.I still sublux and dislocate
I dont have knee caps thye were abnormally small and were remove 20 years ago.
This is salvage sugery and will build on what weaves he has already done. I have basket weave effect extensor mechansim which is restrictive in movement but only way to stop me dislocating it is a real pain in more ways than one very dibilitating and very soul destroying.
hope you both continue to make progress
Hugs H xxx
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 12, 2006, 02:26:55 PM
Helen,
So sorry to hear about all the problems you have had. Hopefully this surgery will help...and be the last.
You sound so strong, and that is inspiring to the rest of us who haven't had problems such as yours.

Best of luck.  Keep us posted!!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 16, 2006, 05:27:29 PM
Just wanted to post my news for the day...

IM WALKING WITHOUT CRUTCHES....only took 8 weeks! It feels weird, but I like it!!   ;D ;D

Hope everyone is having a good day today, even though it is Monday.
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on October 26, 2006, 02:57:17 AM
Melissa,

Congrats on getting off crutches, it must be a big relief to be seeing the progress.  My ROM has stalled at about 120-125 although I managed to get it to 135 last week in PT but have not been able to since.  I went back to my OS for my 14 week check up and overall he was pleased with my knee.  I have a slight case of patella baja but he thinks that that is contributing to my kneecap actually being stable so he is fine with leaving it for the time being and just being monitored closely for any problems.  I decided that I can live with the limited ROM since I rarely bent my leg past 90 before the surgery because of pain.  The strenght in my leg is returning but there is still a big difference between my legs.  I blame most of it on the 3 months that I spent going up and down stairs with one leg which bulked up my good leg more that it was before this surgery.  Overall, my leg is doing much better.  I have been doing more and more and my leg is handling it much better than before surgery.  I can now do most of what I did before surgery without pain which is why I put myself through this surgery and recovery.

Hope everyone else is having a good knee day.  Helena, I hope that you knee is doing better and that you can find a solution to help your knee.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 30, 2006, 07:56:35 PM
Hi All!!!
Big weekend for me, this one was. Went to the mall for the first time since my surgery for a movie on Friday night. Have been very nervous to be around THAT many people in such a big mall (Carousel Mall in Syracuse, NY USA)  Had a bit of an embarrasment when I tried to get on the escalator and realized I was actually nervous. I kind of stopped at the bottom, jamming up everyone behind me, while my boyfriend (who didn't realize that I stopped) kept going on up. He turned about about 3/4 of the way up and tried to come back down to get me. Everyone behind me was saying "you can do it, you can do it." Haha  I felt like a little kid. After that, we took the elevator!! 
Saturday, I went all by myself for a much needed haircut, and treated myself to a new sweater and braclet. Love 'em!! Really can't believe how much I have to stop and think about basic things that people without "problems" take for granted--like an escalator!

Amy, sorry to hear that you are stuck, but at least your OS is happy...thats a great sign. Maybe in time, your knee will loosen up and slowly you will regain ROM. Like you said, at least you have more range than before your surgery!!
I am around 105 now, and am making slow progress, but still getting there.  I too saw my OS for my 10 week check up and he is happy-- actually said that my L knee (fixed one) is in better shape than my R one and he could help me with that sometime down the road-- I am never doing this again...haha

In the last few days, my knee has been "popping" a little bit. Feels like it is sliding...not bad at all, but it's certainley not good. If it isn't better when I go back, I am planning to say something to him....did anyone else have this problem??

Have a nice day!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: jocepick on October 31, 2006, 03:53:33 AM
HI...I disclocated my right patella 3 weeks ago and had MPFL reconstruction and the joint cleaned out 2 weeks ago.  I have read a lot of posts and everyone speaks about gettig to 40 and then 90 degrees by week 3.  I have been in brace locked at 0 for 3 weeks and will not see the OS for another 2 weeks.  My PT bends it a bit but not much.  I'm worried my leg will get so stiff it will not bend 100%.  Has anyone had that problem?  Has anyone needed to wear a full extension brace for 4 weeks post op?  How long does it take to regain full ROM?


Thanks,

Joce
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on October 31, 2006, 02:10:16 PM
Melissa,

Congrats on getting out and about.  I understand the apprehension about escalators.  I was nervous the first time I tried getting on it but I was more nervous about getting off than getting on.  I am confident that I will get a little more ROM as it is still progressing, although very slowly.  I got to 133 today in PT.  The strength is really starting to come back in my leg but there is still a big difference between the two.  I am in denial about the shape of my other leg and am going to continue that way until it is impossible not to, which is like what I did with my right leg. 
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on October 31, 2006, 02:22:01 PM
Joce,

Sorry to hear about your dislocation and that you are now recovering from this surgery.  I was in a locked brace for 10 days and then I was allowed to bend my leg for PT but the brace was locked for when I was up and walking around for 4 weeks and then the brace was unlocked when walking for another 2 weeks before i got rid of the brace.  I have had some trouble regaining my ROM after this surgery but both my OS and I blame the fact that I rarely bent my leg past 90 for almost 2 years before I had this surgery and so I have been fighting muscle memory.  I think that as long as you work hard at your rehab you should get back the majority of your ROM.  From what I have seen, some people regain back faster than others.  As long as you are moving it in PT i wouldn't worry too much about flexion yet, but focus on getting full extension as that will help with the ability to walk without a limp.

Good luck with your recovery.  Feel free to ask any questions.

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on October 31, 2006, 03:35:32 PM
Joyce,
So sorry to hear about your problems.
You ROM will come back gradually. Both Amy and I have fought with ROM some since this surgery, and yes, it is nerveracking to worry about stiffness. You are still early out of the gate yet, from your surgery. As long as your PT is starting to bend it some, don't worry too much. I was nwb and locked straight for 2 weeks post-op and the first time I had to really bend it, I was crazy nervous, but I promise, it is okay. When you keep your knee straight, the scar tissue will start to buid up under your knee, which makes it a little more difficult to bend because you have to break it up, it can be a little more painful sometimes. But just work hard...you can do it!!

My OS has said his experience is that people who regain full extension (to 0) can regain full flexion, some just easier than others. It took me awhile to realize that I am not eveyone else, and I can't compare myself as such.
Someone on this website also told me not to get myself in a tizzy comparing myself to the amazing 3 month recoveries, haha, so I am going to say the same thing to you.
Trust in your OS and your PT and most importantly, yourself. You can do it!!
Good luck. Keep us up to date on your progress.
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on November 11, 2006, 01:34:50 AM
Hi All

In the past week I have had some drastic improvements.  I am now only 5 degrees short of full ROM.  It is still stiff at the end point but I have lost all of the stiffness that I have been fighting with in the -4 to 140 range.  Since both my PT and OS said I would be lucky to get 130 back I am really happy with the ROM that I have and am now reenergized to get back my full ROM which I had basically given up on.   I have also had big improvements in my strength and I can now see my quad muscles which I haven;t been able to do for a few years.  I am now just over 16 weeks post op and have been officially released from PT as long as I promise to continue to work on strength and ROM.  I was swimming the other day and I did a flip turn with out thinking which scared me at first becasue it is really not good for the knees but I did not have any problems.  I can now do almost everything I did before the op without pain.  I still have some trouble going down stairs but it is gettting better.  I think a lot of the stairs is a mental block since falling down stairs was what caused me to dislocated my knee to send it back into the dislocation cycle so I am always nervous going down them. 

Hope everyone is having a good knee day. 

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on November 13, 2006, 02:45:08 PM
HOORAY!!!!!!   ;D
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: mubs on November 13, 2006, 02:53:45 PM
Hi Amy,

Congratulations on your recovery!!

I am 11 days post op and will only be starting PT later this week.  Right now full ROM and quads that you can actually see seem a long, long way away!

Mubs
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on November 13, 2006, 03:45:18 PM
It seems a long way away, but when you start making progress, it gives greater drive to keep going! Good luck, mubs!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on November 13, 2006, 06:31:25 PM
I am now at 120 ROM, 12 weeks post op. Moving slowly, but still moving.  :P
My swelling has gone down considerably, and my gait is pretty much back to normal...I limp when I get tired and try to do too much(like you said a few weeks ago Amy) and that is also when my swelling comes back. I still have quite a bit of pain sometimes, so much so that my PT mentioned my possibly RSD, so I just have to fight through it a little bit more...as long as it goes away with time.
In the last week or so, I have started to notice a quite audible "crack" when I straighten to full extension and try to re-bend my knee (it happens right about 45). It doesn't necessarily hurt, but it definitley doesn't feel good either.  This never happened before my surgery, and my PT thinks that I may have a tendon gliding over my patella, causing it to catch--- grrrrreeeaaaat.  I see my OS tomorrow and intend to bring it up!
Amy, I hear you on the stairs thing....I have gotten used to going up the stairs, but down is another story. It is painful....but I think that goes away with time.

Keep your heads up, everyone.  Have a great day.
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on November 16, 2006, 04:37:37 PM
Hiya girls,

How are you all, hope your knees are all behaving and that your all on the road to full recovery!. I just thought i would give another little update with me. Im just over 18 weeks post op now and all in all things are going quite well i think. I am now running at about 70% of my max still got to be carefull of the hamstring as its still a bit weak. Im now back at rugby training, am so pleased by this. Im running and changing directions and the knee feels fine. Still having physio and she said i can start doing contact again in two weeks, which means me getting tackled and me tackling other people so im hoping my knee will be strong enough for this. Im aiming to be back playing after christmas so not long now!!!

Im still working hard on my strengthening work, and also doing lots of proprioception work which i feel has really helped me with my stability and overall awareness of my knee, as for a while i felt like it wasnt really connected!.lol

Anyway ill leave it for now, i hope your all coming on well with recovery.

Keep us posted!!

D x 
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on November 16, 2006, 06:27:42 PM
Congrats Daffy!

Keep up the hard work....you will be back a full strength in no time! :-)
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on November 20, 2006, 04:00:00 PM
Ok....I did it. I fell. Did a darn good job too.
I was coming out of PT this morning around 8:15 and slipped on some wet leaves. Went right down on my op knee....straight onto the kneecap, heel to my butt. I just sat there for a minute, totally in shock. Then came the tears, yeah tears. It started swelling up immediatley so I called my OS and he saw me immediatley. They took X-Rays and Thank Goodness, I didn't break anything, but he said that I would have most likely disloacted it and un-done my surgery had I falled about a 1/4 inch to my right.
It is more swollen now than it was when I first had surgery. I can't believe it. And....man, does it hurt!!!
He wants me out of work (not an option this week) and taking it easy. I guess I will start up the pain meds and ice like crazy!!  This will set me back about a month with my PT he said, so its like starting over....oy!
Take care.
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on November 20, 2006, 04:53:04 PM
Aw Melissa your poor thing, sounds really painful!!. Thank god you didnt land that 1/4 inch to your right!. Try to stay positive though, the surgery didnt undue, so your knee must be pretty stable. Keep icing it religiously, try to put a tubi grip on it or some kind of compression bandage as this it even more effective than ice for keeping swelling down in the early stages, and keep your pain meds topped up!

Really hope this isnt a major set back for you, and im sure you'll be making huge improvements in physiotherapy again in no time.

Daffy x x
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on November 20, 2006, 05:00:59 PM
Thanks bunches Daffy! :-D
 It was more the scare than anything I think...that fear that we all know so well.  The doctor said not to baby it, just keep going because bending it and walking normal will help the swelling to go down quicker. Also, I will try the compression. Thanks for the suggestion!

Take care!
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: mubs on December 05, 2006, 10:42:45 AM
melissa,

sorry to hear about your fall.  that is one of my biggest fears!

pls let us know how you're doing now that a couple of weeks have gone by.  have you managed to control the swelling and pain?

mubs
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on December 05, 2006, 02:03:09 PM
Melissa

Sorry to hear about your fall.  Hope that things are improving and that you are able to get back to your rehab.  I am doing really well now.  Most of the time I forget that I had surgery which is good although it does mean I sometimes try to do things I am not quite ready to do and then I still get a litlle sore.  My leg is still pretty weak and I am really trying to work on strength now.

Mubs,  Hope you are improving. 

Amy
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on December 05, 2006, 03:10:50 PM
Hi all...
Thanks for the thoughts! I am doing better in the 2 weeks since I took my little spill. I still have major brusing all the way down my leg and around my knee (most likely from the blood thinner I am on since my blood clot) and some swelling, but it has gotten better. I am back to 136 ROM and going up and down stairs pretty much like normal. I saw my OS last Friday and he seems pleased, and not concerned about any further damage to the knee. I will see him in 8 weeks and at that time, if I am still doing well, he will release me from PT and allow me to go back to the gym (which I can't wait for).
For now, I will continue with PT 3 times a week and doing some things at home. My quads are just *starting* to come back, but have a long way to go. I am at 16 weeks this Saturday, and finally am starting to feel normal again, whatever that may be.
The snow has started flying here in Syracuse, NY, so I am being extra extra careful not to fall again....

Amy, so glad to hear you are finally doing really well!! Hopefully this sugery will be the charm for you....
Mubs and Daffy, how are you both doing?

Melissa
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: daffy on December 08, 2006, 01:49:41 PM
Glad to hear your doing well, and the fall didnt set you back to much. Bet your excited about the gym, the first time feels so good!!! Just keep working hard in physio so you have a nice strong leg for when your doing gym work.

Im doing ok, still got a -39% defecit in my hamstring when i got tested last week, but its not stopping me from rugby training or anything, just got to be carefull i dont go full out sprinting, and ill carry on with my strengthening work.
I still get a little sharp pain medially when i do certain things, i think thats because the graft is tight so i better get used to it really.

Hope everyone is doing well, and hopefully this will be the end of our knee worries!!! :D
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: Melissa1 on December 08, 2006, 04:42:34 PM
...yes....the end...."knock on wood"    ;D
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: mubs on December 09, 2006, 01:03:32 PM
hi all,

glad everyone is doing well.  i am now 5 wks post op and doing ok.  am at 110 degrees ROM and really working on strengthening.  saw my PT yesterday and she's given me some gym excercises.  should've gone to the gym today but i was quite naughty last night.  went to office christmas party and then went out clubbing and actually DANCED!!!  great night but woke up really hung over this morning and my knee is really stiff and swollen.  so i am now icing and elevating instead of hitting the gym.  nobody but myself to blame.

definitely going to the gym tomorrow tho.  off to cape town on monday for my brother's graduation.  have to make sure i keep up with my ROM and strengthening in between eating loads of yummy seafood and touring wine farms (still don't understand why they're not called vinyards like tehy are everywhere else).

have a great w/end everyone

mubs xx
Title: Re: An insight into the medial patello femoral ligament reconstruction!!
Post by: doublea21 on January 14, 2007, 12:04:47 AM
I am just about 6 months post op now.  I just had a strength test done and now have only a 6% deficit in my hamstring and a 25% deficit in my quads so I've still got a lot of work that needs to be done.  I have very little pain and swelling in my knee now.  It still get tired when I over do it but I attribute that to the lack of strength.  I have never regained my full ROM and don't think that I will, but both my OS and PT said that I could gain ROM up to about 1 year so maybe I'll get a little more back.  I now have between 140-145 so it is fully functional and I never really realize that I am lacking the remaining 20 degrees, but I never try to squat because I do still have some problems with my other knee too.

Hope everyone else is progressing nicely and having good knee days.

Amy