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DIARIES => Post-op diaries (50-100 posts) => Topic started by: WonkeyDonkey on November 10, 2011, 10:11:55 PM

Title: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 10, 2011, 10:11:55 PM
I am going in for my operation at 7.15am tomorrow morning. I feel fine about my decision to have a High Tibial Osteotomy Open Wedge to help sort out the pain in my left knee which has grade 4 OA. I will be moving the weight-bearing to the mid to lateral side of my knee. I feel fully prepared with the help of my OS, my GP, physio's, some other KG's and much of my own reading on this website. Thank you.

I will post again soon but in the meantime I need to stop eating at 2am and drinking clear fluids at 6am, looks like I will have to get up early just to have a glass of water!!

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Lottiefox on November 10, 2011, 10:37:12 PM
Wonkey, good luck! I thought this has been delayed, but this is excellent news! Good to get it all over and done with and get on that road to recovery. I've only had osteotomy on my foot but the first 48 hours were the nastiest for the bone pain, make sure you stay ahead of the pain and take what they offer! Definitely get a little fluid down in the morning before cut off time, I found it at least stopped my headache until just before I went to theatre....and my doc was delayed for about 2 hours and it was HOT in April so I was suffering...

Let us know how things go, and wishing you lots of luck for tomorrow

Lottie xx
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Vickster on November 10, 2011, 11:29:54 PM
Good luck, hope it all goes smoothly for you  :)
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Contractorarsenal on November 15, 2011, 05:01:48 PM
Hi Pat,

Hope your putting the Cryo-Cuff to good use and started doing the exercises!
Let me know when your out of hospital and I will give you a call.

All the best

Mike

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 15, 2011, 10:01:36 PM
Hi All

Thanks for your support. Mike thanks for all you help. Lottiefox, This op was a cancellation and I was phoned on Wednesday 2nd to have the pre op on 7th and op on 11th November 2011.

Friday 11th November Day 1

Got to hospital for 7.15am, went though all normal checks, saw OS and then went for op. All went well according to OS. Felt groggy from the GA and was very sleepy. Took all pain killers offered although I had had lots of local anaesthetic injected into the osteotomy site. Had large bandage covering the wound and couldn't bend my leg. Spent the evening with pulsing boots on my feet to help with blood circulation etc. Spent a bit of a restless night, waking up with the noise of the machines and fans going on the ward.

Day 2  Saturday 12//1/11

Taking pain killers. Nurses removed bandages. OS came to see me and said the operation went very well and was a text book case. Also said I was not allowed to sit in the chair and had to rest the leg out straight to help get the swelling down which could last for weeks. Physio came to get me up. Was told how to get out of bed and onto my crutches correctly. Took a small walk along the ward and as far as the toilet!and back to bed. Felt good to get up but leg throbbed after a little while.Used a cryo cuff a lot of the day to help reduce swelling. Kept up the pain killers, 8 co-dydramols and also some liquid morphine.

Day 3 Sunday 13/11/11

No physio visit today, but had to try to push the back of the knee into the bed in order to help straighten out my leg. Felt very sleepy today and kept dosing off. Used the cryo cuff overnight but took it off at about 4am. Used it again a lot of the day to help reduce the swelling also used bags of ice for 20 minutes twice today. Not a good nights sleep due to my knee feeling numb, had an extra visit from a doctor to check the numbness. All is well but apparently sometimes the nerves endings get a little numb from the movement during the op. I could not feel in between the top of my thigh and my ankle. Have been up to visit the loo and to wash but that is a far as I am allowed to walk. Spent all day icing and resting. Feeling very positive. Bruising is starting to come out on the back of the knee, it is a lovely purple colour.

Day 4 14/11/11

Again not a very good night sleep but the feeling was coming back into my leg. Was told that it would be some of the marcaine wearing off and it starts to tingle like pins and needles. This is a good sign. Spent some of the night not being able to sleep because of the tingling although it was not painful. Swelling seemed to be stretching myskin to it's limit, it feels very tight. Saw my OS' registrar again who was very happy with the progress who checked on the numbness of my leg. Then I saw the physio who took me for a walk along the corridor and had me practicing how to go up and down the stairs on my crutches. Bit scary at first but I can always use my bottom if needs be and I loose my confidence. He was very pleased and said I could go home if everyone agreed. Next I had some x-rays taken. Then I had a visit from occupational health, to check that I would be able to manage at home. Offering to help with aids and information, also that I could get the use of a wheelchair for 3 months at no cost, just needing a letter signed by my GP. Thought I might take this offer up so I can get out of the house for some fresh air. Will let you know how I get on. After this busy morning, a short sleep was in order. After lunch I saw my OS and his registrar, who was now happy with my progress and said I was not to weight bear for 4 weeks and then 2 weeks partial weight bearing after that. I will be seeing him in two weeks and 6 weeks. Finally got home in time for dinner. It's great to be home.

Day 5 15/11/11

Not a terribly good night as I got uncomfortable by about 4am. Took off the cryo cuff which had by now wamed up. All I wanted to do was lay on my side which I cannot do. So I went back to sleep for a while, on my back again! Took more pain killers early morning. Managed to get myself up, washed, and dressed in a reasonable fashion. I found a office chair on wheels helped a lot in the bathroom. My son helped me down the stairs, although this was done on my bottom and not on the crutches, my confidence just wasn't there. Have sat watching TV most of the day, although forgot how boring it could be, even with loads of channels. Been waited on hand and foot, but miss my independance. Pain levels have been good and on leaving hospital was told to ditch taking my Naproxen tablets for 3 months to help with the bone growth. One lot less to remember. Have kept up the pain killers and the leg feels fine, a little hot but have iced it a fair bit. Bruising on top of the leg is now coming out. Hopefully I will have a better nights sleep tonight and I will post again soon. Thanks for your support, especially Mike and his wife who has answered many questions for me.

WD





 
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Lottiefox on November 16, 2011, 02:28:22 PM
Hi Wonkey

Its all upwards from here. You're doing really well. Bone work is horribly painful. I bet it is lovely to be back at home. I did stairs on my bum for several days after my foot op; I just didn't have the courage to scale the whole flight on the crutches and feared I'd fall onto all the lovely bonework done on my foot! Daytime TV sucks big time. I resorted to DVDs of This Life, Cold Feet and Spooks. I think Spooks was my saviour and then I decided to make some cards...that lasted about an hour as I got fed up forgetting things I needed in the other room.....make the most of the downtime.....

Keep us posted and hope things carry on going smoothly. When do you go back for a check up?

Lottie xx
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 18, 2011, 11:27:46 AM
Hi

Lottie thanks for your support.

Day 6 16/11/11 Wed

Had a really bad nights sleep, spent most of the night uncomfortable and awake. I realised through the night that I was one dose of pain killers short, I had miscalculated the timings of taking them. Soon corrected this and have had a better day after a lie in. Managing to use the bathroom on my office chair, washing hair etc is getting easier. Can't wait to use the bath again! This is a while off yet though! Used the cryo cuff for a good deal today, trying to get the swelling down a little. Bruising is getting more colourful, behind my knee, thigh and calf it is a lovely shade of purple, my shin is starting to turn yellow. Feet have been up all day exept trips to the loo! Got a phone call for my first lot of physio on Fri 25th Nov. Felt a little tearful during evening, think it was because I was feeling tired and just wanted a good nights sleep.

Day 7 17/11/11 Thurs

Still not a good nights sleep, but I did take all the pain killers and used the cryo cuff during the night. Had a good day, kept up the exercises I was shown in hospital, but my calf muscle feels really tight and also one in the back of my thigh. These need stretching using one of my exercises and also making sure that when I walk on my crutches I put my heel down first. Not walking far, as it is only to the loo and back. Cryo cuff is still my best friend and I can feel some of the swelling has subsided a little, although more bruising has come out.

Day 8 18/11/11 Fri

Had a better night sleep, left one lot of pain killers to take at the last minute before I went to bed, had more pillows and a more sitting up right position to sleep in. Not quite so uncomfortable. Woke twice and had a lie in. Feeling very positive today. Ready to do my exercises and cryo cuff. I have lots of DVD's and daytime TV to watch, although I have lots of puzzle books, a kindle with lots of books on, a phone and my laptop to keep me occupied today! My husband is fab, and is waiting on me hand and foot, filling up the cryo cuff, making meals, checking on me when in bed, and I couldn't ask for better.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Lottiefox on November 18, 2011, 11:58:50 AM
Yay, sounding good. First few days are always the most painful. I got very tearful - think it was lack of sleep, boredom and fretting about when I'd be able to walk again. You forget that life was ever normal and feel scared it won't ever be again....... :-\   

I have the full boxed sets of House that I never got around to watching if you get really desperate!! I can strongly recommend avoiding Jeremy Kyle unless you want to slip into further depression! I got into reruns of Midsomer Murders as well (saddo) and then one day I had a really fun extravaganza of Bergerac (awesome!) and then Quincy! Yay! I was happy that day.  ::)

I am guessing you are non WB? How are you getting on with the crutch activity? You'll have super strong arms after this!

Take care

Lottie x
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: bigal177 on November 20, 2011, 03:41:37 AM
Pat i am pleased that you have had the op now ,cancellation must have been a god send ,you have been waiting so long
gkad to see that you are getting on ok as everyone has said the worse is over ,onwards and upwards
 i see OS on monday for results of arthroscopy, but  know that its grade 4 OA on medial side so looking at another HTO
When you feel up for it Mike yourself and i should meet up to compare scars lol
take care
Alan
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 22, 2011, 07:56:24 PM
Hi

Alan, Thanks for all your support, when I am up and about aand a bit more mobile, we will arrange that drink with Mike. Good luck with seeing your results, and hope you don't wait four and a half months like me! I haven't seen my own scar yet, so can't compare it just yet!!

Lottie, I would be in a really bad way if I started to watch Jeremy Kyle. I find it so depressing, I need uplifting and positive programmes, to keep me going.

Day 9 -12 Sat-Tues

Scar seems to be tightening up, occasionally it feels if someone is sticking needles into one place on the scar under my knee, not even the longer scar running down my leg! Still have the dressing on from the hospital, so hoping when I see the consultant next Monday, he will take it off and the tightness will ease a little. I know that under the dressing there are lots of steri-strips, saw them in the hospital. It is hard non weight bearing on the crutches and sitting all day with my feet up. I have been told that I will be 4 weeks non weight bearing and 2 weeks partial weight bearing, by that time I will have had more long leg x-rays and seen consultant again. Parts of my leg, to the side of my knee are still numb, but if I press harder it tingles. I know this is normal, as I asked the consultant whilst in hospital.

I have kept the cryo cuff as my best friend, and the swelling has now started to go down. I have had lots of bruising covering a lot of my leg, the yellow bruising is subsiding, and some of the purple bruising on the back of the leg has gone, according to my family as I can't see this. I do have some bruising come out on my ankle, so socks are now in order to cover it up.

I have tried really hard to do my physio exercises I was given in hospital to do at home, but some I am finding really hard. I can push my leg into the bed no problem, I can flex my foot up and down, but I cannot bend my leg hardly. I have tried to bend it over a towel rolled up, sitting on the edge of the chair and tried to bend slightly, or pull my heel up to my bottom on the bed, I just can't do it. I should be able to do this, just a little bit. Waiting to see physio on Friday. I think some of the problem is the cut/scar under my kneecap as it feels too tight. Probably doesn't help by sitting with my leg up all day!

Still not sleeping through the night, I seem to wake up every couple of hours, due to getting uncomfortable. I leave one lot of pain killers until the moments before I go to bed, but this is not helping. It is not pain that is waking me up, but sleeping on your back is a new experience to me as I love sleeping on my side. Can't wait to be able to move into a more comfortable position. I find my heels are also getting some pressure on them, not pressure sores but now appreiciate the pressure machines I had on my feet whilst in hospital, a small rolled towel helps this but so does putting my foot off the matress. Would love a really good night sleep!!

Still taking 8 Co-Dydramols a day, and have worked on spacing the doses out better, and have the pain under control, can't really feel any, maybe the odd twinge. I will stay on this dose until I have spoken to my consultant.

I have asked my GP for a letter in order to get a wheel chair from the Red Cross on loan, in order to have a change of scene, maybe a walk (not for me) to get some fresh air. I will let you know how I get on. Apparently I can have one for a 3 month period without charge/donation.

Will up date more soon. Thanks for all the KG's on this site, I have made some good Knee friends who understand supportive and are so positive through everything.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Contractorarsenal on November 25, 2011, 03:25:36 PM
Hi Pat,

Hope the physio went well today.

Don't worry too much about how far you can bend your knee. You might still have a bit too much swelling to allow good movement.
Even the slightest improvement is another step in the right direction and when your able to start putting a bit of weight through your leg, you will see and feel an improvement in muscle tone and movement.

Gill and I are thinking of you.
Looking forward to catching up with you and Alan over a beer.

Mike
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 27, 2011, 01:40:47 PM
Thanks Mike for your support.

Day 13 - 17 Wed - Sun

Have had some good days, but still worried about bending the knee after the op.

Went to my first physio session at the hospital since my operation, on Friday. A bit nervous because I haven't been able to do all the exercises given to me by the physio's before I left the hospital. However, not to worry, I explained to my new physio what I had and hadn't been able to do, how I had been using the cryo cuff, and about my concerns. We started with lots of questions, then I went through some basic exercises with him. I started with a bend of 30 degrees, after some more knee bends, very gently, and other exercises, by the end of my session I managed to get to 53 degrees, although this started to hurt. I have been given more exercises to stretch out my calf muscles which are quite tight, and some more exercises to bulid up my thigh muscles. I have also told to keep using the cryo cuff day and night.

I have done these exercises for the last two days and have iced my knee each time afterwards, bending my knee still hurts and I feel that I am not bending it as far as I could because I am scared that it will hurt. A lot of the bruising has subsided a fair bit and my leg does not look quite as badly coloured as it did. I am still taking all my pain killers regularly thoughout the day. I still have numbness around the outside of my knee, not on the side I had the op, but it still tingles when pressed.

I am back at the hospital to see the OS tomorrow, hopefully he will take off the dressings and the steri strips so I may be able to bend my leg a little better as I think the dressings are a little tight. This will be the first time I will see the scars, I can feel that some are a little tight when trying to bend my knee.

Still not sleeping too well, although I am getting enough sleep I am waking every couple of hours, due to getting uncomfortable. I long for a good night sleep lying on my side!!!

I now have a letter signed by my GP to get a wheelchair, so that I can get out of the house, but have to get my husband to go and collect one from the Red Cross during the week.

Will let you know how I get on tomorrow with my OS.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: bigal177 on November 28, 2011, 09:32:40 PM
Hi Pat
glad you are getting on well ,please do not worry about how much you can bend your knee,seeing your posts has
reminded me of the trouble i had bending my knee it worried me that i could not bend as much as the other leg
seems funny now but not at the time,baby steps try no to get disheartened
 i got the results of my arthroscopy today,a week late as they lost the notes,not good ,as were the results
i have grade 4 OA on medial side and wear under the patella as well so its on to the waiting list for me
take care
regards
Alan


Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 29, 2011, 08:33:01 PM
Alan - Thanks for your support, good luck with the waiting list.

Day 17 Mon

Went to see OS today. Good News.....

I have had all the dressings taken off my wounds, and the steri strips. What a lovely feeling, although not such a lovely sight! Actually it has started healing quite well, quite impressed.

My OS had me standing up, be it on one leg and touching down with the left leg. He said that the alignment looked really good and it was healing well. He also said that I can start to put about 20% on my weight through my leg, whilst hobbling around on the crutches. Apparently this will help me bend my leg a little better.

I feel really positive and am looking forward to doing the things I haven't been able to do for a while. I know this is some way off yet. I will be seeing OS again in January - 6 weeks time.

A visit to the hospital tired me out, slept fairly well, with the usual wakings through the night.

Day 18 Tues

Good day, have done all my physio and used the cryo cuff after each session. Can now see some of the swelling and am getting used to the way my leg looks. I am looking at it with a very positive outlook and think it is the start of my new life!

Keep going with all those wonkey knees.

WD

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 30, 2011, 12:44:12 PM
Day 19 - Wed

At last I have had a good nights sleep. Felt great, although I woke once to take off cryo cuff, slept through till 8am, when my husband woke me up. My leg felt very stiff but once up on my crutches and moving it started to feel better. Still no pain, although am keeping up with the pain killers as instructed.

Having a very positive day, and have thought of a few questions I need to ask my physio on Friday when I see him. Need to write them down before I forget.

Will update after physio session on Friday.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 01, 2011, 05:38:56 PM
Day 20 - Thurs

Having a good day, my husband took me to collect a wheelchair from the Red Cross. I can have it for up to 3 months, with no charge. For information, you need to get a letter signed by your GP to be able to get one long term with no charge. Have got a leg extension on it and also normal leg rest for later on when I can bend my leg better. If I want to get a self propelling wheelchair, I need to request one so they can get one delivered to them, so far I will settle for being pushed around, as using crutches tires the arms enough. Can't wait to get out to have some fresh air.

Leg still feeling good, without pain and have done my physio exercises. Physio tomorrow.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 04, 2011, 12:46:01 PM
Day 21 Fri

Have done my physio during the day and visited the physio in the afternoon. Still can't bend it very far, but managed 56%. Went through the exercises again, and told to keep going with them. Going to try CPM next week to try to get a better bend at physio. Physio also going to phone OS to find out about weight bearing at 4 and 6 weeks. Some exercises are easier than others but I have to press on with the ones I find hard i e bending my knee.

Found that I had a stitch still in one of the wounds, so need to go to GP to have it taken out. I am still not allowed to take a bath until this stitch is taken out, so I guess it is strip washing for a bit longer. I have mastered this by using an office chair and wheeling around the bathroom on this. Also going to massage E45 cream into legs 2 - 3 times a day as the skin is drying out, and over the wound site to stop it drying out. I am still not having any pain in my leg either at the osteotomy site or the wound under my knee, but am still taking 6 - 8 Co-Dydramol a day. I still havig some bruising to my foot (on inside of ankle) and some yellow bruising around my leg. Looks a lot better that it did.

Day 22 Sat

Got 2 letters from hospital today. One is an appointment for follow up x-rays and long leg x-rays on 22nd Dec, the other is a copy of what my OS has written to my GP. This includes that I am doing extremely well, but need to work on my bending!! I can also progress to partial weight bear at 4 weeks and to build to full weight bearing by 6 weeks. This should help with my movement.

Day 23 Sun

Had a bit of a melt down this morning! Felt very tearful and burst into tears doing first set of physio today. My husband helped to me to bend my leg gently as I was in a bit of a state. Practiced more in order to get a better bend. Have got over it now, and I know how important the physio is, I have spent the last 18 months doing it!! I just feel that I should be able to bend the leg more than I can, and everyone else seems to thinks so too! I am perservering and doing my best.

I will be making an appointment with my GP next week, to have stitch out and sort out cutting down on my pain killers.

WD

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 07, 2011, 08:45:47 PM
Day 26 Wed

I went to see GP yesterday, The stitch I add left in was a disolvable stitch that didn't disolve properly, so this was taken out. Was told not to reduce pain killers just yet as I am having pain whilst trying to bend my knee during physio exercises, so will be keeping up the co-dydramol for a bit longer. Have been for a couple of short walks along my road, to try and strengthen my muscles, to help bend the knee and to get some fresh air. Felt quite tired afterwards but it was great to have a trip outside.

Finally allowed to get in the bath, it wasn't as hard to do as I had imagined with the use of the loyal office chair, but was quite cautious to start with. It felt great, although it was not as full and bubbly as I would normally have! I know want I want for Christmas....loads of bubble bath!! plus a knee that bends more!

Have tried to keep up with all my physio, but my knee is burning around the wound area, also a hot feeling inside, not sure what it is. Any ideas??? Hope it's not an infection, sounds like the symptons the physio told me about. Also I have really cold feet, my operated left one is worse and turns a lovely tinge of blue (when leg is down), but GP checked the pulse in both feet and ankles yesterday and said they felt fine, but to mention it to my OS, who I don't see until 9th Jan, so will have to get some thermal socks for Christmas!! Might mention it to the physio on Monday. Still have some bruising to the inside of my left ankle, not sure if all this is related. I will see how it feels tomorrow, but in the mean time will use the cryo cuff to ease the burning feeling.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 11, 2011, 02:50:17 PM
Day 30 Sun

Still taking the co-dydramols, but no pain in the op site, sometimes a little burning feeling.

My husband and I tackled the shops on Friday to do a spot of Christmas shopping. It was an experience. I have borrowed a wheelchair from the Red Cross (Thanks) so with that we went to the shops. My heart goes out to all those using wheelchairs, why do the shops stack so much stuff in gangways making it so hard to get in the shops and around the counters.  Some lady nearly tripped over the leg extension stuck out in front of the wheelchair. Why don't people look where they are going?!! Managed to do some shopping, I give a prize to HMV, where I had hardly got in the shop before a staff member offered help, shame not all the other shops do the same.

My husband thought it was all good fun, but agreed that it would have been better if he did not have someone with a dodgy leg in the chair, so he could teach some inconsiderate people a lesson in manners.

Had a good day yesterday, not sure if some swelling has gone down, but bending my leg felt a little easier. I might have imagined it though!

Today, bending does feel a little better, but the physio will let me know tomorrow, if I get further than 56 degrees bend. Have been for a walk to the post box to post some of the Christmas cards I wrote yesterday, got asked twice what I had done. I just say I have had an op. Why do people have to offer their piece of advice on subjects they know nothing about? How does an eye op relate to my osteotomy????
Leg is now back to resting position and the cryo cuff, ready for more physio later.

Sleeping the whole night is now appreciated, I only wake once to take off the cryo cuff, but then go straight back to sleep and sleep the whole night. Bliss. Leg is still stiff in the morning but I try moving it, and get it going quickly. Still have some bruising to my inside ankle, which seems to come and go, not sure whether this has something to do with physio or not having leg up all the time.

Have physio in the morning so will update how the knee is bending tomorrow.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 12, 2011, 05:26:14 PM
Day 31 Mon

Hooray!!!

Been to physio today. My leg bend was measured when I got there and was 50 degrees. I was then put on a CPM machine set at between 48 and 52 degrees. I was on the machine for 20 minutes. My leg bend was then measured again and I got to 75 degrees. I was really pleased as I had had a few problems doing my leg bending, but now feel really good that my perserverance has paid off.  I have cryo cuffed my knee since I have been home just to keep the swelling under control.

Now feeling really positive. I have a session booked for next week, and one for the week in between Christmas and New Year, both sessions will be on the CPM machine in order to get the flex better before my visit to see OS in January.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 21, 2011, 12:41:11 PM
Day 40 - Wed

During the week whilst in the bath, found yet another disolvable stitch, not disolved, pulled and out it came. So much for disolvable stitches!

Went to physio yesterday. I am so pleased!!!

He asked me what I thought my bend would be at, I said about 60-65 degrees, I actually got to 84 degrees.....pleased or what!!!!
I then spent 30 minutes on the cpm machine, and managed to get a bend of 90 degrees. All my physio and pain whilst stretching has paid off and the bending is not so painful as it has been.
The wound is healing really well and I rub in E45 cream 2-3 times a day. Physio checked my walking with my crutches and then took one away and showed me how to walk using just one crutch. I can use one crutch whilst indoors, but use two still when outside. Physio was pleased with my progress and said that I may not be using the cpm machine next week but will go on to strengthening exercises instead. I can feel the pain already!!!!

My shoulder ached by bedtime where I had been using one crutch, so maybe I will have to try and not be so clever on one crutch and take it slowly.

Been for a walk this morning after doing my physio, knee feels much better when bending and not so stiff. Last week my knee was very stiff after the cpm machine, but this week feels much better, and I feel more confident that all is going in the right direction. I have my x-rays tomorrow to see if my leg is healing ok, may try to have a look at them myself, otherwise I have to wait until Jan 9th when I see my OS again.

Will update soon

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 29, 2011, 07:05:50 PM
Day 41 – Thurs

I went to have my long leg x-rays and some other knee x-rays. All went well, and I asked to have a quick look at them as I was curious at what was inside my leg. It was not quite what I was expecting. I was expecting to see a metal plate and some screws, but they weren’t there! The radiographer asked me if I was expecting to see a plate as I must have looked puzzled, I said “yes”. She said that there was no plate. I didn’t understand. This gave my confidence a push in the wrong direction, I felt really down. But how was the opening in my leg staying open??

Over the next few days I researched the probabilities. I started by looking at the information I was given upon leaving hospital, and there was my first clue. iBalance
So the internet got a bashing, and I found what I was looking for.

iBalance HTO is an implant and has no metal plate holding the bones in place. Links below for those who are interested:-

https://www.arthrex.com/innovations/index.cfm?adid=42

http://www.orthoillustrated.com/

I have many questions for my OS in January but am much happier as I know that I will not have any plate to be taken out in the future. My confidence has now come back and I have managed to put more weight through my leg.

Day 47 - Wed

Physio today. Mentioned to my physio about my x-rays, and he said he was going to look up my iBalance details. He felt the skin around my wound and could not feel any plate. He measured the bend today, I was hoping for about 100 degrees but got to 95 degrees (100 after he had helped). I was told that 90 degrees was the goal at about 6 weeks post op. No cpm machine today and I had to walk with one crutch and then my physio took it away. Help!! It felt good to walk on my own, be it half a dozen steps!! I was then shown another four exercises, including stairs to improve the strength of my leg. Must allow longer to do my physio now! Only allowed one crutch around the house now.

During the afternoon, leg stiffened up and had some pain on knee where the exercises had used some of the muscles that hadn’t been used too much recently. Took some painkillers, which eased the worse.

Day 48 Thurs

Knee felt stiff this morning but still managed all the physio exercises including the new ones. Also went for a walk, about twice as far as I had managed before. New music on the ipod for Christmas helped. It felt good to be outside, although it was a little windy. Used the cryo cuff to help with swelling and stiffness during the afternoon.


Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: drmark on December 29, 2011, 07:26:31 PM
Could you find out from your Orthopaedic doctor what independantly conducted and peer reviewed research exists on this implant?
Thank you very much.
Happy New Year,
Mark Sanders MD FACS
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on December 31, 2011, 02:39:10 PM
Hi drmark

If you want to contact my OS through his website, he is Mr Adrian Wilson, see below:

http://www.hampshireknee.co.uk/

or email [email protected]

He has written the course on KG on osteotomy and other topics.

If not, I am more than happy to ask him your question when I see him in 10 days tme.

Happy New Year

WD

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on January 03, 2012, 09:40:27 PM
Day 53 - Tues

Been doing my physio regularly, even on Christmas day!!! I can definately see an improvement. I am now walking twice a far, a fair bit only on one crutch, although I take both crutches with me. My bend is increasing, I think and my strength is starting to built up slowly. I am a lot more mobile around the house and can actually carry things for myself from the kitchen, at last I can raid the cupboards of christmas goodies.

My confidence is not always on top form, but it is building upwards in order to attempt new exercises and physio. I cannot do one of my last lot of extra exercises, which is to step up backwards on to a step. Have tried holding on to the walls each side, holding my crutches and holding on to my husband. Just have to go back to the physio on Friday to say I can't do it. I will have to try again.

I have physio on Friday and see my OS on Monday, so have a few busy days along with home physio 3 times a day, plus trying to dodge the rain and wind to go for a walk. Missed out on this today as the weather was horrendous!!

Will update soon

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on January 06, 2012, 10:28:38 PM
Day 56 - Fri

Been to physio today. It was great I bent my knee 110 degrees on my own, I was really pleased. My physio said that I was doing really well and was ahead for this operation. We started by me saying that I had had a few bad days and I haven't been able to do last weeks step up backwards on to the step exercise. On Wednesday I had a bad day, home physio didn't go too well, during my walk I nearly fell over after my knee wobbled sideways a little which made me a bit unbalanced, during the day this happened 5 times. I used 2 crutches to balance me out a bit. The bad days could have been from reducing the pain killersover the week, walking further and walking more using just the one crutch.

Confidence back, I went to physio on one crutch. We then moved on to try out some of the gym equipment, the steps again(still couldn't do them without pain), moved on to the bike, the wobble board, trampette, and of course the gym wall. Managed all the exercises. I am now progressing and am going to the knee class weekly on Tuesday mornings for 6 weeks. Looking forward to it, means I am moving in the right direction.
 
Knee stiff and aching since physio, using cryo cuff to help. Also had wobble when I got up from the chair, will ask my OS about this on Monday when I see him. Will update next week.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on January 11, 2012, 09:40:41 PM
Day 61 – Wed

On Monday I had an appointment to see my OS, saw his Registrar, who is very knowledgeable about Osteotomy. He asked about knee movement, could I bend my leg, could I straighten it, I showed him both. He noticed that I had one crutch propped up against the wall, and asked if I was still using them. I said that I used one crutch outside and tried to walk without it indoors. Although he was really nice it made me feel that I wasn’t doing as well as I should be, maybe it was just me! He checked my wounds and said that they looked good. We talked about my x-rays, which showed that the bone had filled in the gap by about a third (at 6 weeks) and that it would take between 6-9 months to completely fill in according to recovery rates of the body. We also talked about the fact that I had expected to see a plate and about the iBalance implant and that it was made from polytherertherketone (PEEK). The advantage is no plate to be taken out later on. I asked lots of questions that had been on my mind, about the numbness on the side of my knee, the burning feelings inside my knee on occasions and the cold feet I have been suffering. All normal apparently. I can now go swimming, but until I am off crutches completely I cannot drive to the pool, and can’t expect my husband to drive me there as well as all the other appointments and physio. I will be seeing my OS or Registrar again in 3 months time.

Yesterday I went to my first knee class. I was there with 2 other ladies. My physio had checked out what was in my leg since my last visit, the iBalance, and shown it to his boss, who had not had anyone with this implant before.
The physio explained what was going to happen during the class, how we were going to warm up, do 10 exercises, two minutes of each one and then stretch to cool down. Sounded good!!!! I was ready to go. I used the bike, the wobble board, the stairs, resistance bands, leg press amongst other exercises. During the class I used the trampette and marched on it, but my knee wobbled about giving some pain. I tried to use the cross trainer but didn’t have enough strength to move it, I was gutted!! I am not used to not being able to do things like that. But then I cannot go up the stairs without two crutches because of a strength/confidence issue. I find I just cannot do it. I look a bit stupid even if I say it myself, trying to get up one step. As my physio reminded me, I have no banister on my stairs, so have nothing to hold on to, to help me up.
At the end of the class I had my knee bend measured and it got to 118 degrees. Yippee. Another 8 degrees in 4 days. As my physio had said would happen, my leg stiffened up and with the use of the faithful cryo cuff during the afternoon, it eased up a little. I then went for a short walk as well, and did some more physio during the evening. Slept very well.

Today I have kept up with the home physio, and been for a walk. My knee had two wobbly moments when I was out, but I think it is probably the knee moving sideways slightly, making the leg feel as if it is going to give way, but doesn’t. It probably needs more working muscles to support it better!!! I did my walk mainly on one crutch (except my 2 wobbly moments) and felt much better, as I had not taken any painkillers today and all was well. I will take two before bedtime, as I am still weaning myself off them. Hope I have a good nights sleep tonight.

WD

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on January 19, 2012, 03:29:30 PM
Hi

Day 69 – Thurs

Been to my knee physio class this week. Met a lady who was rehabbing from her 2nd Osteotomy. She was doing better than me!! We started with a warm up, did 2 minutes each of 10 exercises and then we stretched out. Whilst there I had my bend checked again and I managed to get my bend to 125 degrees on my own. I was aiming for about this amount. My walking on my own was checked, and was told that I had to stay on my one crutch. My physio said that I was not confident enough to move over. Maybe, next week. Gutted as I was hoping to move to a walking stick this week.

I have still been having wobbly moments when out walking, which I think is due to a movement to the side in the knee, (uneven paths do not help!) and me not having strong enough muscles to support it without any pain. This seems to be getting a little better as time is going on.

This week I have had a break through and can now sleep on my side – right side. It makes such a difference and a great relief to change positions. I have put a  cushion/pillow between my knees, but it was okay when I forgot it as well. I was still comfortable, but I have no metal plate to make it feel uncomfortable.
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on January 21, 2012, 01:01:36 PM
Day 70 – 10 Week Post Op Reflection

I seem to have come along way in the last 10 weeks. I started by not being able to bend my knee, put in lots of time to do physio and time on the cpm machine and I am now 10 degrees off the same bend (135 degrees ) as my good knee. The wound has healed very well, and is looking good. I have moved from struggling around on two crutches with a stiff leg to walking on my own around the house, and on one crutch when outside (also when I have done too much during the day and my knee is aching). Still struggling with stairs, but this is due to lack of strength (and maybe some confidence!!). Sleeping very well, too well in fact. Painkillers are only being taken during the evening and/or before bed so I have cut out most tablets now, and this is because I need to wean myself off them slowly so I do not get side effects. The only pain I get is when I have over done it, and when I do some of my physio, but it is not unbearable and nothing like the pain prior to the operation. It also feels great to find out that I will not have to have any metal plate taken out later on due to the wonderful technology my OS has used on my leg. I have an implant in my leg to hold it open and not any metal. I have had to explain to quite of few people about the implant as it does not appear to be very commonly used yet.

I would like to say “Thanks” to my OS for his knowledge and understanding, also to my physio for his patience and world of exercises. Best of all I would say a huge “Thanks” to my husband for his pampering and continued support, and that I will be back to enjoy walking the coastal paths before long.

I would like to finish this reflection by saying that I am glad that I have had this operation and would not hesitate to recommend it even though the recovery is a long haul but worth it.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on January 21, 2012, 09:52:02 PM
Day 71 Sat

Yesterday I had a really good day. I had an appointment with my GP, I walked there and back, also walked around the supermarket with my husband, even if I was on my crutch.
The highlight of my day was that I went swimming. Sounds sad that it was a highlight but I love swimming and haven’t been able to go for quite sometime. I managed 20 lengths front crawl of the pool, could have done more but didn’t want to over do it on the first time back! Think using the crutches have strengthened my arms. I alternated two lengths kicking with my legs with two lengths using a pull buoy. Made me feel good as I could still manage to overtake some of the other swimmers. My knee felt quite stiff to start with but by about 15 lengths it was just about bending a little on its own. I am going to ask my physio if there are any exercises I can do in the pool to help. 

Got letter today from the hospital which, is a copy of what my OS Registrar has written to my GP. It said that I am doing extremely well following my op, ROM has improved markedly, wound is well healed and some callus forming in Osteotomy site. I have been advised to avoid high impact things, particularly jumping for a year or so.

To me the future looks promising.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on February 01, 2012, 10:44:09 PM
Day 82 Wednesday

 I have been to two more knee classes since my last update, these have helped so much. I have had my physio exercises at home changed to help me strengthen my upper leg, as this is where it is the weakest. My ROM is now at 130 degrees, I am very pleased with this. I managed to walk to the Post Office this week which is a round trip of 1 ½ miles. I managed this with one crutch but leg started to feel stiff halfway home. This week I have changed from one crutch to a walking stick, I have been waiting for this for weeks, so was really pleased. My walking is improving as I have noticed that I don’t look at my feet quite so much and where I am putting my feet, I look where I am going instead. I have not had any wobbly moments when out walking for a few days now, so hoping my knee is getting stronger. I am also walking faster when out, still not a great speed. I know that when I got overtaken by a granny with a walking stick and I couldn’t even catch her up when she stopped for a moment!!

I have been swimming again and managed 24 lengths this week after walking across the pool for 6 widths to strengthen the muscles in my leg. Felt strange to start with but think it helped as my knee wasn’t quite so stiff whilst swimming. I think at one point the life guard thought I may drown as I changed from front crawl to doggy paddle which actually helped the knee loosen up considerably and helped me swim better.

I have started to do more around the house, and tried the stairs at physio this week. I look demented trying to get up them using my “getting better leg” and trying to straighten it. My physio suggested I tried going up sideways, which I found easier. I can go up one step at a time but I think I should be walking up them by now, but I got reminded that it is quite some time since I have been able to go up them up right on two legs. I used to use my hands on the stairs for months before my op, so the leg needs to be reminded just how to do this again!!! Practice, practice, practice. I will get there!!!

I am feeling much better all-round this week, and very positive about this op and the recovery. I am looking forward to my life and all those things that I haven’t been able to do for the last few years. I am looking forward to being back at work with the children I look after and being able to take them all across the common for adventures again.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: guam on February 02, 2012, 10:01:24 AM
wow!  a mile and a half.  very impressive.  good job and keep dominating that recovery.  whenever i see someone else with crutches or a cane, i feel like racing.  i know it's dumb, but i'm trying to find any humor with this pain. 
anyway, keep at it.  Good luck on your road to recovery
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on February 05, 2012, 06:29:34 PM
Hi

Thanks Guam for the encouragement, Good luck on your own recovery. Have read your post op diary and you seem to be doing very well yourself. It is so tempting to race those on crutches or sticks, it made me realise that I don't walk very fast, and even granny's can over take me! I have stopped looking at my feet and actually look where I am going now, which is an improvement in the last few weeks.

Day 86

I have kept up my walks each day, using my walking stick, trying to go just that little bit further each day, until my leg rebels and tells me to slow down and go home to have a sit down. I can't go for my walk today as overnight it has snowed and I don't really fancy going back into hospital having slipped on the ice or snow and broken something!!! Still it does look very pretty, as in my garden no one has put even the smallest of foot prints on it. But at least I am in the warm!

My wound is about 3 1/2 inches long and is healing really well, although I have some marks around it that are still a bit red, not sore though. Knee is feeling like it belongs to me and not doing its own thing any more. Still strengthening the leg to be able to get up the stairs but it is going well and I know that it will take time. Even being on a walking stick is something I wouldn't have thought about a few weeks ago and now I only use it when out or when I am tired.

Went swimming a couple of days a go, it went really well. I started by walking six widths to get the leg moving better in the water. Then I swam 28 lengths, alternating two lengths with legs and two using a pull buoy. I didn't scare the life guards this week as I didn't do any doggy paddle! I stuck to front crawl. Amazing how using crutches helps build up the arm muscles. I have found that the knee was looser this week and actually moved the way I wanted it to do, and not just seize up and look like a wooden leg. I am going to keep up the swimming as it makes me feel good, especially overtaking others in the pool, when I am the one the recovery road.

I have my knee class on Tuesday, and an appointment with my GP on Friday, hopefully signing me back to work on a phased return. Not sure how this will work yet, but I need to get back sometime! I have been off for twelve weeks and am looking forward to getting back, never thought I would be saying this. When you are fit and well it always seems a lovely prospect of having weeks off work but in reality when you are not so good, it can get very boring.  The DVD shops are going to notice a decrease in their revenue when I go back to work!!

Good luck to all those knees out there, be careful in the snow.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on February 15, 2012, 09:22:21 PM
Day 96

I have been keeping up with my physio, been to my knee class, doing really well. Next week I will hopefully be discharged from physio with a SOS for a month in case I need to go back for any reason.

I am now signed back to work 2 hours a day, increasing gradually as and when I feel capable. I am to avoid lifting as well. I work with children, so this is not always possible but I haven’t got this far to throw it away so will do as I am told.

I do not use my walking stick around the house now, but still use it when out. It  is a bit like a comfort blanket!! I feel more confident with it in my hand.  I am now trying short trips without it, and even on my daily walk, I am trying to hold it off the ground a little more and not put so much weight on it when I do put it on the ground. My physio has encouraged me to try to do without. I still feel I have wobbly moments occasionally, but actually know that my leg is strong enough to deal with them. I stop, rebalance myself, and carry on. I do think that I walk slowly now, and am more careful putting my feet down, watching where I put them. I am back to looking where I am going and have stopped looking at my feet all the time when walking. Nobody tells you that you have to learn to walk again after this op, but I now have every sympathy for all the children I care for when they are learning to walk!!!!

Today I feel really good, I have had moments when my knee wasn’t dominating my thoughts and when I did think about it, I realised that I felt no pain at all, not even a twinge. What a great feeling. I have been on my feet longer today, and walking more and I feel that I did the right thing by having this op and would recommend it.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: seantomtom on February 16, 2012, 12:09:46 PM
Thank you so much for taking the time to record your progress through this,i am 20 days post op and still have a full leg cast on,but reading your blog has helped me understand a little better what to expect,and what not to worry about too much.Its the first time i have looked into it on the internet,i felt i need the op so no point frightening myself before it.I went on this time to see if i could find someones story not just medical mumbo
And im glad i did.it can seem a bit lonely somtimes on the recovery from this.Thanks for the lift.

Sean.
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on February 16, 2012, 01:42:42 PM
Hi seantomtom

I started my post op diary as I too found that I wanted to know what to expect, so found this website. It is full of information and experiences that can be of some help, even making up your mind whether to have an op or not. My recovery has been worth having the op for, although sometimes things did not always go right and I felt that I could have given up doing my physio, I know that you have to put on a positive attitude and keep doing your physio.  The difference is I didn't have a cast on my leg, I did not even have a brace. My OS wrote the course on here about osteotomy, although he now uses an implant instead of a metal plate on the outside of the bone.

If you have any questions, please ask, as I was lucky enough to meet up with two other KG's who have both had the op. It was good to know what to expect and how long the recovery is likely to be. Mike also has a post op diary, see below

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=56935.0;all

This may also be of interest to you.

Good luck with your recovery.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on February 21, 2012, 09:50:22 PM
Day 102

I have had a great day today!!!  I must have reached a milestone, as I have been discharged from physio. I have full ROM and can do all the exercises we have been doing in the knee class. I will try to keep up with the exercises I do at home in order to try to gain more strength in the muscles. I even managed to walk into my last physio class without my walking stick and felt really good about it.

I still have problems with the stairs but I think I just need more strength and to find a different way to tackle this. I have tried sideways, but not totally convinced by this way, and I have gone back to the way I did this in the past, by using my hands and concentrating on straightening my leg. I can get up quicker like this than by one step at a time. I think I still need time, but this will come and I do not intend to look stupid on the stairs for ever!

I am also back doing some work, although my knee tells me when I have been on my feet for too long. I just had to cook all those pancakes for the children and my family though!! (Pancake Day) It is great to be back, although I am trying to avoid lifting the children I care for. Luckily for me, I have someone who can do this for me!!

I will be seeing my OS (or his Registrar) in April, so aim to show him how I have recovered and that his skill has not been wasted. I know I still have months of recovery ahead but every small step is a step in the right direction, to me getting my life back.

Good luck to all those knees out there.

WD

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on March 09, 2012, 09:32:05 PM
Day 119 (17 weeks)

In the last couple of weeks I have increased my swimming. I actually swam 30 lengths without using my pull buoy, and exercised my legs really well. I have been for a lovely walk at a local woodland. It was great to do this as I haven’t been able to do anything like this for a good couple of years. I walked just under 2 miles over slightly uneven ground; my leg was stiff and aching by the evening and the next day. I iced it to ease the aching. The following day it was fine again. I have also been working longer each day, and over the last few weeks can feel that my knee muscles are working and improving slowly and gaining strength. I listen to my knee, and rest when need to, and ice when needed. I still use my walking stick occasionally when my leg aches after a long day or too much exercise.

I am now signed back to work full time, taking no pills, and working on strengthening my leg muscles. I even managed to take a life support (resuscitation and CPR) exam, although did not kneel on my “getting better leg”. I feel that this operation has been a success and although I know I have still some way to go to build up the muscles, I have no pain where I had had for years.

I tripped over a toy on the floor 3 days ago, tightened up my muscles to compensate and felt a pull down the side of my knee. After a while it started to ache and throb. I iced it as soon as I could as it was very hot, and then took it easy. The next day, it was stiff and aching, so tried to take it as easy as possible all day. Today I can feel the tightness in some muscles but on the whole it feels a bit better. It is easy to tense the muscles when you think you are going to trip, over balance or just walking on uneven surfaces. When I think about the natural flow of walking, it makes me realise how we all take it for granted until something happens to change it.

I went shopping today to buy myself something to signify my new life about to start.  I have a lovely new necklace to remind me of things past and things about to start with the improvement of my “getting better leg”. Oh, don’t forget the matching ear-rings too!! Not sure my husband really understood what this means to me, but I am sure other KG’s will!

Good luck and improvement to all knees

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on March 26, 2012, 09:11:25 PM
Day 136

I haven’t posted for a couple of weeks, but that doesn’t mean I haven’t done anything!!.

I have taken delivery of a lovely new bike in order to help strengthen my leg muscles. My husband took me out on it on Saturday, we rode 3.8 miles. This is a long way for someone who hasn’t ridden a bike for over 20 years. My leg was fine whilst I was riding, but it stiffened up during the evening, and was stiff the next day. Felt fine today and have been for another ride of 4.5 miles. I am just waiting to see if my leg stiffens up tonight.

I have kept up swimming as well. This has proved a positive move. My leg feels so much better having done a swim. When I started swimming they did not move very well, my leg was stiff and not bending well but now they are working together and at the same speed.

Being back at work has made me walk more, and picking up the children I care for has got the muscles working a bit better. I know I still have a long way to go just to get back to where I was a few years ago, but I am definitely heading in the right direction.  I do not think about my leg as much as when it was bad, it was a little consuming.

I have even been shopping on my own, again! I felt that I had overdone it on one occasion, but with some rest and ice, leg was fine later that day.

I will be seeing my OS in three weeks’ time, hopefully if I have some x-rays I will be able to see how well the bone is healing. He will be getting my “thanks” as so far I can see changes happening to my life, which for a while, I never thought would ever happen again. Best decision I have made was to have a HTO.

To be able to do some exercise it feels fantastic. As I even had to give up swimming, as I couldn’t get in or out of the local pool, to be going regularly again has made me feel great. 

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on April 09, 2012, 09:55:50 PM
Day 150

I have been keeping up with the cycling and swimming, and although the leg stiffens up after a bike ride, after a day or so it feels fine. Last week I went for a walk in the woods and it was lovely to be able to do this. I was careful when walking over the uneven ground but managed an hour before heading home. This week I managed to cycle 7.25 miles, seems like a long way but it was great to be out. Leg stiffened up during the evening and was stiff for a day or so and then I went out on my bike again and did 5 miles. Today leg is still a little stiff but does not hurt. I have not had to take any pain killers or meds since 1st Feb 2012, so this is a great achievement in itself.

I have a week to go before I see my OS again, and am positive things are going well. My only real concern is getting up the stairs, I still look worse than a ninety year old. I use my walking stick to get up and down, mainly when I have been exercising and the leg is aching or stiff. My stick is to be found at the bottom of the stairs during the day. On odd occasions I get up really well and then struggle like mad on other occasions. I am going to see if I can get some more intense physio to help with the stairs. My knee just does not want to straighten the last little bit sometimes, I think it probably just a strength issue.

I really feel like my life is becoming my own again and that my knee is not controlling it!!!

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on April 16, 2012, 09:39:40 PM

Day 157

I have been for my 5 month post op check up at the hospital today. I saw my OS’ Registrar, who was very thorough. He asked questions like “How was I getting on?” “Did I feel that the operation had been a success?” “Was I getting any pain?” etc.
I explained how I am pleased to have had the op and that I was not getting any significant pain, except for going up and down the stairs. We talked about this in more detail. He then looked my scar and said it had healed very well. He then went on to examine my knee, the range of movements and also where I was getting pain using the stairs. He moved my leg into various positions, and then did the same with my good leg. He compared one leg to the other. It would appear that I have a slightly lax acl in my left leg “my getting better leg”. He has referred me for a MRI scan to see what is going on. I will be going back for another review and the results of the scan. He also got the physio to see me whilst I was there. We talked about the operation, pain, exercise etc. She examined my knee and leg as well. I now have a new exercise to add to my day, and am going to start later. I need to improve the strength in my muscles and around my knee.

I have just been for a bike ride, and went 5.1 miles. It doesn’t sound far, but I also did the same yesterday. So far my knee feels a little stiff, but it felt like that after being pulled around at the hospital and climbing the steps from the car park to the clinic this morning. Why are there so many steps at the hospital?? When that is what I am having problems with!!

I went swimming a couple of days ago, and managed to up the distance I swam. It feels good to be doing the things I love, that had been put on hold due to knee problems. It feels like I am slowly getting my life back.

When I look back at the last five months, I cannot believe how far I have come, from not being able to get up and down the stairs on crutches, hang on I still can’t get up and down the stairs very well. No change there then!!! I have lost the crutches, been through tears and upset when things didn’t go quite right, through happy times and smiles when things went well, and now I feel like the long journey is well under way and that I am nearer the end than the beginning. I am feeling really positive today and know that I have to look forward and not backwards, keeping up the exercises and being positive.

Keep going with all those knees

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on April 29, 2012, 06:14:18 PM
Day 168 (24 weeks)

I have kept up the swimming and cycling, I feel like I am getting better. I can actually cycle 8 miles now, funny it's my bottom that hurts not my knee!!  I swam legs only for the first time a couple of days ago. They actually feel like they have more strength in them although I thought I went a little slow! I am going to do this more build up some more muscles. I still have odd days when I can feel that I have over done it, a rest and it feels better. I have not resorted to any pain killers or pills.

I have had letters from the hospital coming through the letterbox, seems like every day, although it has only been three letters. One appointment for two months, one for my HTO anniversary, and the MRI scan appointment. Followed by a phone call from the hospital checking I was attending my MRI scan. I got 5 days’ notice but had actually already called them to confirm it. My diary is getting busy.

I have tried to do the exercise the physio at the hospital gave me. I am struggling with it. However, I decided to see a physio privately to try and get a little extra help. I am seeing the physio I saw at the hospital and the knee classes. Think this should make a difference as he knows the history, my recovery and exactly what is in my knee, without having to explain it all over again to someone new. He has given me some slightly easier exercises to help build up the strength to be able to get up the stairs. I have been able to do these exercises and also to do a few more of the hospital exercise. I will be seeing him again in the week. I have also tried to leave the walking stick upstairs, so I put more effort into getting up and down the stairs without it. I can feel a slight difference in the leg by doing this, although I still have problems with straightening it that last little bit weight bearing.

I am having my MRI scan tomorrow, so hope all goes well. I am having an injection to enhance to scan images. Oh no!!, yet another flight of steps to get up to the MRI building from the car park. I have another appointment in six weeks to review the scan and to see if the stairs situation is getting any better. Hope the scan does not show anything major, and that with exercise I can get up the stairs. I must fight the urge to bend my knee when in the scanner, and actually get some good scans. The sand bags should sort this out!!!!

Thanks to Mike and Alan (kneegeeks) for your suppport and it wwas great to see you both again. Good luck Alan for your pending second HTO.

Happy knees to you all

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on May 07, 2012, 08:20:52 PM
Day 178 (4 days off 6 months)

I received yet another letter from the hospital, a copy of what my OS has written to my GP. “She has some mild ACL laxity (grade 2 with firm end point), no pivot shift, but she does open up medially on valgus stress in 20* of flexion opening up to approximately 10* on this side compared with 5* on the normal side” “requested an MRI to look at the integrity of her MCL and ACL”
I have now had my MRI scan, I did not need the injection which was good news and this will be reviewed at my appointment in June.

Have seen the physio again, I showed my letter to him, and with that we have changed some of the exercises I was doing. I need to strengthen my MCL and ACL, so I am doing some of my old exercises standing on one leg and some new ones. Wow, it can hurt but I can feel a slight difference already. Maybe one day I will get up those stairs without looking like I need to hold on so tight. The first few days of the new exercises my leg ached all day.

I have been swimming and cycling this week. I have increased the number of lengths swimming. I swam legs only again to help strengthen the muscles, but also to help relax the bend in my knee. I feel more comfortable swimming now, leg is doing what it should be! I have also stepped up the distance I am cycling, I can now manage to make 10 miles quite comfortably, and my knee has not ached afterwards. Saturday was a great day, no pain at all. However, Sunday’s ride was not such a pleasure as I fell off!! I stopped at a road junction and the side of the road was on a slant downhill. I put my “getting better leg” down to stop, it went too far downhill, buckled and I tried to correct it by getting off the saddle and put my other leg down, and before I knew it I was lying in the road, complete with my bike! I have a lovely bruise on my leg and a bit of a bump and cut on the top of my knee. My pride was hurt!!!! But my husband was worried that I had hurt my knee. Leg is stiff, bruised and a little sore, but now I know what not to do!!!! Last night, I iced it and rested it, and today it feels a little better.

I have struggled with my exercises today, due to the stiff leg and injury!! I will start afresh tomorrow and hope things go better.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: pennstatexc on May 17, 2012, 01:43:41 PM
Hey WD,

How is everything going post 6 months with you recovery and progress?!

Joel
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on May 20, 2012, 09:58:05 PM
Joel - Recovery is going really well, I am pleased with the op, and no pain is great!

Day 191 (6 months and 1 week)

Have been to see the physio since my bike accident, he checked my knee out completely. I have not done any lasting damage, but will take a couple of weeks to settle back down. The bruising has nearly faded away and the cut is now healed. Whilst I was at physio, we altered a couple of my exercises in order to take into account my stiff knee from the little injury. I have been able to do these exercises easier and have managed to continue with my cycling and swimming. I can now swim more lengths and cycle further than at any time since my op. Today I cycled nearly 12 miles and went up a hill that I thought would never stop. My husband was very good and encouraged me to keep going and I managed to get to the top, stop and have a well-earned drink! My knee stiffened up once back home so I have iced my knee and now it feels fine.

I feel that my recovery is going well, as today I even managed to walk up the stairs nearly normally. Coming down the stairs is getting better as well, although I cannot come down properly one foot, one stair. I have to still touch my good leg on the stair before continuing down with my “getting better leg”. I can feel more strength in my leg, but the knee is still bending inwards when I put the weight through it on the stairs. I think I still need to build up the muscles loads more.

Six months down the line, I am still glad I have had this operation and if had to make the decision again, I would do the same thing.  The main thing I would say is to have faith in your OS, keep the pain under control and do your physio. It is a long haul recovery but I no longer have the medial pain that I had prior to the op and my knee is not the consuming item it used to be. You realise that it hasn’t been hurting or aching so it is great to be able to forget it sometimes.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on May 27, 2012, 09:24:12 PM
Day 198

Have continued to do my exercises, and saw my physio a few days ago. He assessed my knee and to my relief we went through the exercises and how I had managed them. I had met all the targets we set and then we tried the stairs. I showed him how this had improved and I can now just about manage to get up okay (when I am not tired), and coming down my knee still moves inwards, although not quite as much as it did. He could see a marked improvement, so we have changed two of my exercises to make them slightly harder, talked about doing some exercises in the pool when I go and to continue to get the MCL moving and strengthened. I am not seeing him again for three weeks, once I have been to the hospital again and have the results of my MRI scan.

I asked about how I was doing in comparison to other HTO patients he had seen, I was told that I was in the top % for recovery and for the fact that I can bend my leg the same as my good leg. This was put down to the fact that I have the iBalance implant and do not have a metal plate on my bone. I am the only person so far he has seen with this implant. I was also told that I still need to give my knee more time to heal, but am doing really well. I feel some days that I should be doing better, but understand that it is a long haul recovery and it cannot be hurried. Having said that I am getting some of my life back and that is the important part.

I went shopping yesterday, on my own, I walked round fine but carrying the shopping made my leg ache. The longest shopping trip I have had for a while and my knee started to ache. I iced it and it felt ok again. I still ice my knee when I have a busy day, or have been standing for long periods of time. I went on two long bike rides, rested for one day and then went on another slightly longer ride, my knee told me I had done too much. I did not ice it until the next day when I got pains in the knee after a walk. However after icing twice the pain had gone and it felt fine again.

Keep positive

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on June 12, 2012, 08:44:50 PM
Day 214 – 7 months

Have been busy doing my exercises, even managed to cycle 13 miles and also taking a week’s holiday in wet Wales!! since my last post. I did two walks each of about 3 miles. The second walk was along the coastal path for about 1 ½ miles and then turned round and walked back, totalling 3 miles. Some of the walk was up and down, and my knee felt every lump and bump especially coming downhill! I iced my knee after both walks, and felt quite good, maybe with a little ache but nothing too much.

Since I have been back, my knee has felt a little stiff and aching. Today has been the worst day for pain for a very long time. I stopped taking pain killers back in January, but today I actually felt I could do with taking one or two. Every time I walk and put weight through my knee, I get a pain down the medial side. Luckily I had an appointment with my OS today, and mentioned it to him. He asked why I had had my latest MRI scan, and I explained about not being able to get up and down the stairs very well. I was told that there was some slight damage to my meniscus, and we discussed the options. They are: leave it and see how it goes, another arthroscopy to trim it and sort it out, or possible PRP injections, (which I need to investigate). I will be seeing him again in Nov/Dec, when we will discuss the options again and see how I am getting on. I mentioned that the exercise that the physio linked to the clinic gave me, I couldn't do!! Also, that I have a private physio of my own. He said the waiting list for the arthroscopy is 9 months, and asked if I wanted to go on the list today, or to wait. I decided to wait as I felt I had been getting on fine (except today) and improvements were being made. I can ring his secretary if I change my mind. He asked if he could take some pictures of my knee - straight and bent and the gait, which he did and then a video of me walking up and down the corridor, for a presentation he was doing!!
I felt a little down when I came out of his clinic because I was hoping for the all clear from my MRI scan, however once I got home and had explained it all to my husband, he put it all into perspective for me and I felt a bit better.  I am now going to investigate PRP Injections.

I am seeing my physio on Thursday, so will discuss the results with him. I will keep on with his exercises, cycling, swimming, and hopefully see improvements, so I do not need any further treatment. I hope I am not wishful thinking.

Hope all those knees out there are getting better.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Rothera on June 12, 2012, 09:14:01 PM
Wonky Donkey how do I PM you. We share the same surgeon and I was in clinic today! Might have passed you.
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on June 12, 2012, 10:41:02 PM
Hi Rothera

Click on the mail sign (white envelope sign)next to my details and you can then mail me.

Look forward to hearing from you
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on June 16, 2012, 08:03:50 PM
Day 218

The knee pain continued for a couple more days, and had calmed down slightly by the time I saw the physio. I explained how it was feeling and what I had been doing. We also discussed the MRI results and what my OS had said. I am to continue with all the exercises I had been doing, as these are all geared towards building up my muscles and strength on the medial side of my knee. This will stabilise my knee when going up and down the stairs. He also used the ultrasound on my knee to help with the pain.
The day after, I felt good; the knee ached a little but no pain!! Hooray!! I went for a bike ride, doing only 8.8 miles. Thought I would make sure that it wasn’t the biking that caused the pain. I have been fine since.

Today, I have been for the longest walk that I have been on for a good couple of years and walked 4.5 miles. My leg started to ache by about 3.5 – 4 miles and I knew I had walked a long way by the time I got back to the car. No pain so far, so hopefully that was a small hiccup in my recovery. I am going back out on my bike tomorrow, all being well.

Good luck to all knees

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: pennstatexc on June 17, 2012, 02:22:52 PM
WD,

Glad to hear you are feeling better after you had some pain a couple days back.  I would definitely pay attention to that meniscus, especially if you have a tear.  My meniscus issue began as a slight tear, then over time due to my activity levels, it ended up as a complete tear leading to a potential meniscus transplantation ahead for me.  If you meniscus is torn, it is not functioning properly, so the articular cartilage ends up taking more load therefore causing greater wear and tear.  There was a point where my slight meniscus tear felt really good when I worked out and was not an issue, but over the course of a year it ended up getting worse.  I would highly consider surgery to remove the torn area of your meniscus as that will resolve some of your pain symptoms and prevent something greater!  This is just my advice from personal experience but take it how you want!

Joel
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on August 13, 2012, 10:43:34 PM
9 Months Post Op – Day 280

I am now 9 months post op. I feel very positive and relieved at having had my HTO back in November 2011. I have come a long way since that day. However I do have so much of my life back, the really good parts, like being able to do more activities. I am cycling now to keep up the strength and movement in my knees. I have been discharged from the physio for the second time, however my file is being left open just in case I need any further help. I have plenty of exercises from my physio, and how to develop them further when I feel comfortable with them.

I can manage to get up and down the stairs now without clinging on, although I still find it hard on downhill slopes and uneven areas. I know I have a tear in my meniscus, and get pains from this. I recognise the pain as I did a similar injury over 3 years ago. I had a partial menisectomy in March 2011, after doing physio for months and now it looks like I may be heading for this again. I do not have the pains/aches from the HTO or my OA anymore, and feel that this was the right decision for me.

I went away a few weeks ago, and went into the sea, great for numbing the knee after walking to the beach, with the cold, but found it hard to have the waves banging into my leg. May be I just needed more confidence or maybe warmer sea!!

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: silverghost on August 14, 2012, 09:55:28 AM
Hi WD

Glad to hear your getting on well with your HTO.. apart from occasional pains!!

Just interested im about 2and a half months now and am interested to hear if/when you were able to drive again?  Also I know I've had a few more procedures on top but are you into any other sports and do you think you would be able to go back to any now?  I used to play golf and just wondered how and when i'll be looking at returning..

What sort of bend have you got in your knee now.. my os is looking at full bend after 3 months!!ive only got about 110 at the moment.

Im a bit concerned that they told you it would be a 9month wait for an arthroscopy if your still on their books i would think they would get you in quickly as your still a statistic on their hospital records...  Do you think your gonna look at getting the metal removed at 1 year? it could be the metal that is causing the pain and agitation?

cheers for your advice

SG
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on August 14, 2012, 02:23:20 PM
Hi silverghost

The occasional pains are from the meniscal tear and thankfully not the HTO. I think I started to drive again at about 3 months, I drove home about 5 miles with my husband next to me. It felt strange as if the leg was not strong enough but I sat slightly closer to the steering wheel than normal to compensate. I swim and cycle as my main sports now, however I increased my walking even when on crutches and a walking stick, and slowly ditched all and walk fine without any aids.  I can cycle 14 miles without any effects, and consider I had not cycled for 20 odd years, for me than was an achievement. You will be able to return to golf, but may have to start with a few holes and not do the whole course!

Don't worry too much about your bend, as I struggled to begin with and now I have a bend of 130/135 which matches my good leg. Keep up the exercises and that will help. It took me about 10 weeks to get my bend to 135.

I am not too worried about the 9 month waiting time for the arthroscopy as, I see the OS in Nov/Dec and we will be discussing the arthroscopy or PRP injections, so no decision has been made, as I did not want to contemplate another op when I had had 2 in 8 months. I do not need to have a second op to have a metal plate out, as I do not have one. I had an iBalance implant put in my osteotomy site, and as this is not metal this does not have to be taken out. Below are the websites if you want to see what I have in my leg.

https://www.arthrex.com/innovations/index.cfm?adid=42

http://www.orthoillustrated.com/

Keep positive and do your physio!!!

WD

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: silverghost on August 14, 2012, 02:43:46 PM
Thanks WD

Trying to stay positive but have good days then bad days where can't do anything.  Although i am off crutches now after 10 weeks so guess thats a good thing, (they are a pain in the ####)

good to hear how much cycling you are doing i haven't ridden for bowt 20 years either so should be fun!!

take care thanks for the advice

SG
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: fiona_mc2002 on September 13, 2012, 02:31:01 PM
WD,

Thanks so much for taking the time to write this diary, just spent my lunch hour reading it! I was hoping to be driving and back to work within 3 months though, maybe I have to lower my expectations a wee bit!
But it's good to hear that you don't regret the surgery. Hope the knee continues to keep well


Fiona
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: silverghost on September 14, 2012, 09:17:12 AM
Hi fiona

Just stay positive about the op, it's hard at times and feels like everything's going wrong. some days you will feel like you have gone backwards a few steps but in the long run you will be better than before!

I got confirmation to drive yesterday at 3 months and if i had a normal sit down desk job i might have been able to return, as it is im out of work (was in manual work) and am taking the time to give myself the rehab i have been advised to do!

Good luck

SG
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 06, 2012, 10:29:09 PM
One Year Post Op – Day 360

I have had a couple of setbacks over the last couple of months. It started with some pain, and then an urgent visit to my physio, some ultrasound to try to relieve the pain. No cycling for this week. Another visit to the physio a week later, to be told my knee was getting worse rather than better. A phone call to the hospital and I had an appointment in two weeks. My OS checked the knee out and I have been put onto a Knee Fellow’s waiting list for an arthroscopy to hurry things along. I have seen my OS once a month for the last 2 months and will see him again in another month in the pre assessment clinic before my op. I have a tear and also an extruding anterior horn in my medial meniscus. Nothing to do with my HTO, thankfully. I have resorted to taking some pain killers recently, but only take them when I really need to, not nearly as many as I was taking before my HTO. I have learnt to recognise the signs when they are needed.

I had my yearly check-up for the HTO yesterday and all seems to be well, bone healing nicely and all ROM okay. I completed a Research Programme questionnaire and had a check-up with the physio linked to the HTO patients, my ROM is the same on both legs. Passed with flying colours. Then I saw my OS, discussed the pain I am having and he suggested a steroid injection with local anaesthetic, so I moved to the treatment room. Injection wasn’t too bad, but the walk back to the car park, down two flights of steps was a laugh. You should have seen my walk, as I couldn’t straighten my leg properly and now I really appreciate the hand rails on the walls. It feels a bit better today, mainly because I can now straighten my leg again properly, but it hurts where the needle went in. The steroid should start to work in about five days, so here’s to pain relief.

I have a date for my arthroscopy to clean out my knee again as 21st December 2012, so not long to wait, although if the injection works wonders then I can defer it for 3 months but will have to have it done at some point in the not too distant future. Looks like my husband will be cooking Christmas dinner again this year!

To those contemplating the HTO as an option, from my own experiences, I would recommend it but you must realise that the recovery is long and hard. Things will not always go the way you plan and emotions will be up and down. Physio is a must and home exercises need to be done. I now appreciate my legs more than ever and would not do anything to hurt them intentionally.

Thanks to all the KG’s who have helped along the way, and have kept me going when I needed some support. It made me realise that I wasn’t alone in knee problems. Thanks to my husband who has waited on me, worried over me and put things into perspective when needed, and to my two children who have regularly filled up my cryo cuff without moaning about it.
 
Good luck to all who have read my post op diary and hope you are all on the mend.

WD
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Code girl on May 27, 2013, 02:36:07 PM
Hi thanks foe your comment on my diary ...could you tell me how long in your opinion I will be off work for as I have a job where I am on my feet but am able to hav a stick or crutch to help me while working ..I am now 11 days post op from my high tibia open wedge ostetomy and microfracture ..I also have a tear in my meniscus but my surgeon has chosen not to remove ..I think he is hoping with physio this will get better as removing would cause more of a complication
Many thanks
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 11, 2013, 02:17:03 PM
2 Years On 11/11/13

Looking back over the last two years, has it all been worth it? Like most people, I thought after each operation I would have had a miracle cure!! Well, I have had another arthroscopy (Dec 2012) to take away more meniscus, loads more physio, sports massages, acupuncture, electro-acupuncture and exercises. This year I have also been given a Ossur Unloader One knee brace, which rubs on the back of my knee and causes problems.
I still seem to spend a fair amount of time going from one appointment to another. I have two more appointments at the hospital in the next six weeks, one day I look forward to maybe only going once a year or less!
Can I do more now? Only because I make myself, not because it is less painful. I do not take so many pills but do use co-dydramol tablets and ibuprofen gel on occasions. I have learnt how to deal with the pain better, and how to adjust my life around it.
I still have good days and bad, but try positive thinking and doing something I enjoy to take my mind off knees. I know I will never run again, or even jump around, but I can swim, walk, cycle and do some fitness classes.
Although my leg is beautifully aligned now, I am going to try every avenue open to me to get as much relief as possible from my OA before I eventually have to have a knee replacement.
Maybe one day a miracle will happen!!

Thanks to all the KneeGeeks who have helped along the way, the friends I have made through knees!! and to my family who have supported me.
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Lee Tipton on November 11, 2013, 04:21:32 PM
DEAR WONKEY DONKEY,

THANK YOU FOR YOUR HONESTY!!!!  I cannot tell you how much I appreciate it.  I am scheduled for a right Distal Femoral Osteotomy tomorrow at 5 PM!!  I am scared out of my wits - but I am in enough pain that I am going to do this.  My right ankle is very painful and now my hip is starting to hurt as well.  So I really have no choice but to start the straightening process. 

But I have many fears.  I had a medial menisectomy when I was 19 - that was 40 years ago.  I imagine that this femor has been taking this sharp turn to the left for a number of years now.  So I probably have had no weight on the outside of my right knee for at least 10 if not 20 years.  I am so afraid of a dislocation of this knee when I start putting weight on it.  But even if it takes wearing a brace the rest of my life - I will probably forego the knee replacement if at all possible.

I want to wish you well and much continued fortitude.  Those knee replacements are not for everyone.  I know people that tell me - just go do it.  No thank you.  Not if I can keep from it.

I will add you to my prayers.
Lee Tipton
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: cardifflandlord on November 17, 2013, 09:40:05 PM
Hey all, really interesting read.

I'm going in for my first HTO on Thursday the 21st Nov and i'm very nervous. Any tips or help greatly received.

Hope all is well with you all who have had the op.

Jools
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: UK86 on July 31, 2015, 03:51:58 PM
2 Years On 11/11/13


I still seem to spend a fair amount of time going from one appointment to another. I have two more appointments at the hospital in the next six weeks, one day I look forward to maybe only going once a year or less!
Can I do more now? Only because I make myself, not because it is less painful. I do not take so many pills but do use co-dydramol tablets and ibuprofen gel on occasions. I have learnt how to deal with the pain better, and how to adjust my life around it.
I still have good days and bad, but try positive thinking and doing something I enjoy to take my mind off knees. I know I will never run again, or even jump around, but I can swim, walk, cycle and do some fitness classes.

Hi, I know this has been a long time since your surgery now but I am wondering how you are getting on?

This post ^ above ^  seems to suggest some reservations about the surgery and how it is not a cure for the chronic pain.  Do you feel at this stage, approaching 4 years on, that the surgery was worth it?

Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: sc87 on September 29, 2017, 08:08:42 PM
To Wonkey Donkey.

Thank you so much for making this diary.  I read it everyday, over and over.

I am currently 16 days post op - tibial osteotomy.  I can't believe how emotional it has made me feel. I feel like crying most days.  I was so nervous about the op that I didn't really think about after the operation and how difficult it would be getting around with a straight leg brace on.

I am really worried that I am behind on my knee bend, it feels so tight when I try to bend it that I feel like it's going to burst.  It's so hard mentally trying to accept that the knee is now working after having a dodgy knee for so long and not using it for months.  Due to the inactivity, I have lost so much muscle, especially in my quad. Has anyone got any ideas how I can build this back up?  I cannot physically move it without assistance.  I have tried so hard.

I am petrified of going in the car as I have to trust someone else to hold my leg up high when getting in.  I haven't really left my house properly since having it done. 

Is anyone else finding that their leg twitches on it's own?

Thanks for all of your stories, they are keeping me going.



Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: UK86 on September 29, 2017, 09:11:29 PM
To Wonkey Donkey.

Thank you so much for making this diary.  I read it everyday, over and over.

I am currently 16 days post op - tibial osteotomy.  I can't believe how emotional it has made me feel. I feel like crying most days.  I was so nervous about the op that I didn't really think about after the operation and how difficult it would be getting around with a straight leg brace on.

I am really worried that I am behind on my knee bend, it feels so tight when I try to bend it that I feel like it's going to burst.  It's so hard mentally trying to accept that the knee is now working after having a dodgy knee for so long and not using it for months.  Due to the inactivity, I have lost so much muscle, especially in my quad. Has anyone got any ideas how I can build this back up?  I cannot physically move it without assistance.  I have tried so hard.

I am petrified of going in the car as I have to trust someone else to hold my leg up high when getting in.  I haven't really left my house properly since having it done. 

Is anyone else finding that their leg twitches on it's own?

Thanks for all of your stories, they are keeping me going.
Hi,
Osteotomy is a big surgery and 16 days post op is very in the recovery process. 

The emotions are normal, so try to just go with them rather than fight it too much.  Total muscle shut down (I also relied on someone to swing my leg into the car for me! but movement & control will come back), twitching and wastage is something I also experienced.  It will take time, patience and dedication to build the leg back up to its full potential.  Hopefully you are getting advice on exercises and so on from your physiotherapist? At 16 days I would say the goal is to try and keep the muscles activated and to regularly bend your knee to encourage good range of movement. 

I am approaching 2 years post op from a HTO & lateral release.   I still have tightness which restricts ROM (not severely so) and to be honest even now I have not regained muscle bulk or strength equal to my other leg.  My knee is better than before but sports or a really physically demanding job would still be out of the question. Day to day pain is less, but it took a long time to get there. 





Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: Crewinhelis88 on August 31, 2018, 06:48:29 AM
WD,

Have you or anyone in here had ankle issues after your HTO? I am 7 weeks post op and I don’t have full movement of my ankle anymore and I swear it hurts more than my surgery spot and my knee lol. I just started walking at 35% body weight and my ankle is killing me. Just want to see if it’s common.

-Chris
Title: Re: WonkeyDonkey's High Tibial Osteotomy - Open Wedge Diary 11/11/11
Post by: WonkeyDonkey on November 21, 2018, 01:34:19 PM
Chris - I did not have any pain or problems with my ankle after the op. You may find that it is the partial weight bearing that is upsetting it. Make sure you are walking correctly on it.

A quick up date, I am 7 years on and now my right leg is in need of an osteotomy which is being done on the 7th December 2018, so 2 weeks away. I will start a new diary for the right one, as I have a new hospital and a new surgeon. I will be able to compare my recovery by reading my own post op diary!! This time I will be having a titanium plate put in which I am told will probably be removed after about a year. My left leg has been taking much of the load for the last year and is starting to not feel so good, so this will be looked at again once I have recovered from the osteotomy.

Keep all those knees moving :-)