KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: DennisKnee on February 08, 2012, 11:30:58 AM

Title: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 08, 2012, 11:30:58 AM
Hi All,

After consultations with 3 different orthopedic surgeons, each with his own ideas on the type of surgery I require, I now have a way ahead that I’m comfortable with and am confident will offer the best solution to my knee problems. So, the journey begins…..

I look forward to keeping you updated with the progress of Dennis (my knee, so aptly named after “Dennis The Menace”).

The story….I’ll make it short for now (let me know if you’d like the “Tale of Two Cities” version): I have a full-thickness ACL tear, torn MPFL, medial meniscus tear and torn medial retinaculum. Winner!

The most recent injury to my knee was a dislocation of my left patella sustained 29 DEC 11 since which time I have only been able to regain 90 degree flexion.

Operation 1 – scheduled for 23 FEB 12 is an arthroscopy to clean up in the knee and address the medial meniscus issue, manipulate under anesthetic, tidy ACL stumps in preparation for the impending reco and get me in a CPM machine post surgery to get the bend happening.

Operation 2 – should be no sooner than 4 weeks after the first surgery is to reconstruct my ACL and MPFL. Still no decisions as to what ligaments to use. If I go with my own hamstring tendons for both reco's, then it’ll mean going into both legs – even my “good” right leg  :( That makes me nervous.

I’d be super interested to read people’s thoughts about my surgery, offer advice for rehab and just share their own experiences.

Operation 1 in two weeks……the countdown begins!
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 11, 2012, 11:38:52 AM
As the countdown continues to surgery number 1, I am wondering if there's anyone out there who's had an ACL & MPFL reconstruction done at the same time in the same knee? I'd love to have  a link to a post op diary for someone who has had this procedure so I have more of an idea about what to expect.

Cheers  :)
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 20, 2012, 07:55:03 AM
It's like counting down to Christmas but less fun.....only 3 sleeps to go until my first surgery and I'm getting nervous. The only other operation I've had was when I had my tonsils removed and that was almost 20 years ago - oh gosh, I am getting old(er)!

I've spent quite a bit of time wading through post op diaries but haven't had any luck finding anyone who has had an ACL & MPFL reco done at the same time.

So, here I am just 3 sleeps away from my arthroscopy, MUA and steroid injection. I haven't been able to improve beyond 90 degrees flexion so it's time to bust up some scar tissue and enjoy the company of a CPM for a couple of weeks. Then.....the big op (big for me at least)! The reco's  :-[

Please let me know if you can recommend any good websites or post op diaries for me and my knee, Dennis  :)
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on February 21, 2012, 01:48:21 AM
Good luck with your surgery!!

I had a scope and MUA after my MPFLr and it was easy peasy! I was stuck at 85 degrees flexion at nine weeks. I was up and walking around the next day. The only reason I needed crutches was because my knee was giving out. I didn't even take pain meds until Saturday (my MUA was on Tuesday). For some reason, the pain kicked in then. It still wasn't bad though.

You'll do great.
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 21, 2012, 06:13:02 AM
Thanks @oohheykate that's really encouraging! I'm still reading through your post op diary - it's certainly an interesting read.
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on February 22, 2012, 01:10:37 AM
I hope my post-op diary isn't scaring you too much. I tend to write a lot. Haha.
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 24, 2012, 02:48:43 AM
Home less than 24 hours after my arthroscopy and feeling surprisingly good. A great time to start my post op diary leading up to surgery number 2!
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on February 25, 2012, 02:50:08 AM
Glad you're doing well! I hope you stay that way until your next surgery. Do you have to do PT?
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 25, 2012, 09:46:15 AM
Hey Kate!

Got home yesterday just before lunch which was perfect timing as I was expecting delivery of my CPM between 1200-1300! What a god send! I'm already at 117 degrees flexion after my MUA so if I can maintain that until my next op, my surgeon should be pleased. I'm convinced I can do better though!

I saw a physiotherapist before discharging from the hospital. He gave me a crutch, compression wraps (doubled over for during the day and single for sleeping) and some shower bags to keep my bandages dry until tomorrow morning. He suggested a couple of exercises too.

Turns out the CPM and rehab exercises I've been doing loosened my bandages and they slipped down - oops. They have been removed revealing 2 little dressings and there's no bruising or swelling. Cryo cuff is almost always on between exercising and CPM sessions.

I'm due to see my regular physiotherapist on Monday. I see her twice a week in her rooms where I generally get soft tissue therapy to loosen my quads, focus on VMO strengthening and sometimes have dry needling. She also runs clinical pilates that I attend twice each week. It's a great way to focus on alignment of my hips etc. 4 sessions a week is great and I look forward to getting back in a pool soon. I am also fortunate enough to have a spin bike at home so I'll get on that tomorrow to see if I can actually do a full revolution.

Pain wise I'm just so surprised! I've already reduced my tablets from Panadine Forte down to Panadine and am taking 1000mg SR Naproxen once a day.

I see my surgeon 07 Mar and we'll set a date for the big one!

I tried to head up to the shopping centre today and found it really exhausting. I think it's because I concentrate so hard on each and every step so I don't revert back to limping - can't let that scar tissue come back!

So far, so good  ;D
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on February 26, 2012, 01:51:53 AM
Wow! It sounds like you are doing awesome. Keep up the good work and keep your knee moving. Before you know it, you'll be having your big surgery.

And it looks like we're seeing our Orthos the same day!
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 26, 2012, 10:00:51 AM
Still haven't started a proper post op diary and my excuse is that I'm saving it for after the next op. I woke up a little stiff this morning and started my first CPM session at 97 degrees flexion, ending that 1 hour session at 114. I'm more focused on flexion at this time as I've been told by my surgeon that I need to maintain good ROM since my MUA just 3 days ago. I've just finished my third session for the day at 121!

Biggest achievement for the day was my 3 minutes on my spin bike - full revolutions for the first time since my dislocation 29 Dec - such a great feeling even if it will be short-lived  :-\

A few new exercises today have me a little worried about how little hamstring strength I have left and my thigh is so thin compared to the other side where the muscles are so well defined. I don't really want to drag out the time between surgeries but wonder if I'm rushing things by not taking the time to rebuild the muscle I've lost??

A great tip from this forum has been to use frozen water bottles to keep the water cool in my cryo cuff - so much easier than chewing through a ton of ice and trying to find space in my freezer.

My day was spent researching again as I'm trying to get a clear picture of my MPFL injury. Whilst the ACLr is extremely common and straightforward to fix, I still have so many questions regarding all the medial structural damage and the relationship between all the bits and pieces. The second surgeon I saw had me scheduled for a TTT and LR without even getting measurements etc and wasn't the least bit concerned that I only had about 80 degrees flexion at that time - twit! It has certainly encouraged me to ask a million questions. Thank goodness my current surgeon has plenty of patience.

I just want things to go well.

Kate, what are you heading back to your OS for?

The surgeon I have now
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 26, 2012, 10:10:31 AM
......is a great guy so I hope yours is just as good. Judging by the progress you've been making, seems like you got yourself a winner! Keep me posted with how your appointment goes and thanks again for the link to your post op diary  :)
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 26, 2012, 10:21:16 AM
Kate,

If I hurry up and get to the end of your diary, then I guess I'll know more about your upcoming appointment. That can be part of my mission for tomorrow...and it'll save you having to explain  :D
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on February 27, 2012, 12:58:46 AM
You really are doing phenomenal with ROM! It took me about a week to get where I was pre-MUA with ROM. Then it took me about a month (maybe, I can't remember) to get almost normal ROM. I'm actually still gaining ROM and I can finally touch my foot to my butt which I couldn't do before my MPFLr. And yes! The water bottles in the cooler is a life saver. They stay frozen longer and it's cheaper.

My knee OS is awesome! I adore him ;D I wish I would've found him sooner. I'm aiming to see him again in the beginning of April to see what the plan is for my other knee. But my appointment for March 7th is with my hip OS...as you get towards the end of my diary, you'll read about that saga.
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 27, 2012, 11:32:11 PM
It's Tuesday morning - 5th day post op - and I'm on my CPM for the first session of the day. Once again I was a little stiff this morning but Dennis is coming along nicely now. I haven't been on my spin bike for a couple of days - thought I might have been overdoing things but I'll have another go later today.

I'm really looking forward to having a swim after I've seen my OS next week. My walking has improved but I'm experiencing a little pain, almost like a pinch, when my injured leg is almost at full extension (behind me) and I push through on my toes to step forward. It almost feels like I've lost some muscle control and my knee wants to lock back too far if that makes sense.

For those out there who have had an MPFLr without LR or TTT/TTO procedures, has it been successful and what reasons did your OS give for not addressing a possible anatomical predisposition to patellar dislocation (if any)?? As my reading and research on the topic continues, I am increasingly concerned that my upcoming MPFLr will address the damage but not any underlying reasons for the dislocation in the first instance.

I am happy that a LR has not been recommended by my OS and satisfied with that decision however, my kneecap dislocated while I was at the gym doing a simple static lunge - nothing crazy, just a lunge, so I can't help but wonder whether or not this procedure alone will be successful. More reading!

Also, I've been reading up on a far bit of rehab protocol info to do with post arthroscopy & meniscectomy stuff, all of which mentions electrical stimulation of quads. My PT (saw her yesterday) has never used this on Dennis & Co. and I'd like to read about others' experiences. Does anyone have info on issues to do with timing of quad muscle firing or a link?

Thanks....sorry for all the questions but I'm trying to prepare for my OS appointment next week.
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on February 28, 2012, 12:54:31 AM
As you know, my MPFLr has been successful. My OS didn't do a TTT because my TG-TT offset is 20mm...borderline for fixing--it really depends on the OS you see. Mine, obviously, doesn't do the TTT unless it's more the 20mm offset, some do it at 20mm. My TG-TT offset on my right is 15mm so that one will only need an MPFLr when the time comes. My OS got all of this information from my patellar tracking study.

Has your OS measured your TG-TT offset? I don't know if you can get it off of an MRI...mine was from a CT.

I understand your concern though! I was worried that the MPFLr wasn't going to be enough either and that it wasn't addressing everything since my offset is really on the cusp of needing to be addressed. However, I trusted my OS and I'm really happy with the results.

I haven't done e-stim since my third surgery (December 2009). My PTs wanted to try it and it was part of my OS protocol but I had something going on with my skin and they didn't want to irritate it. E-stim isn't that fun...so you aren't missing out! Haha.
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on February 28, 2012, 10:10:26 AM
Oh, good one Kate - I'll be sure to ask my OS what the measurement came back as (TG-TT offset)! I know he contacted the radiologist to get that information.

It's great to finish the day at........124 and I have definitely improved by around 5 degrees on extension too so that should have me at around -5 - 124!!! 

Nothing for pain since 0930 this morning and I'm feeling pretty positive. Isn't it sad that I was reluctant to type that just in case I jinxed myself. On the other hand though, I can't afford to have any negativity floating around! I think the next one is going to be tough so I'm just trying to be as positive as I can, while I can  ;D

Between icing and CPM sessions today, my second exercise rehab session included a few new exercises that I found here on "KNEEgeeks" that I can attribute that extra 5 degrees extension to. This place has been such a valuable resource.....and outlet.

Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on March 03, 2012, 10:47:35 AM
Just checking in at 9 days post op. I've been super busy with a minimum of 5 hours rehab each day just to keep my knee flexion >90 degrees. It seemed so easy at the outset but my experience over the past few days has been a little rough. The better I seem to bend at night, the worse things are the next morning, sometimes starting all the way back at 85!

I just persevere until it's back at 124 (my best effort yet) then start from scratch the next day -it's exhausting and I'm really not looking forward to the next op.
 :-\
Karen

Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on March 04, 2012, 03:12:49 AM
Keep your head up, Karen! It'll get better. Recovery is up and down. Sometimes you'll feel like you're doing amazingly well, then next day you'll be wondering why you even had surgery in the first place. It's worth it in the end, trust me.
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on March 07, 2012, 11:20:28 AM
The date is set!

ACL & MPFL reconstruction for my knee Dennis, Tuesday 17 April. I'll see my surgeon a week before to make a final decision regarding the choice of graft but for now, I think it'll be my hamstring for the ACL and allograft for the MPFL, saving my "good leg". Initially it was looking like hamstring would be taken from both legs so I'm happier with this way ahead.

Another countdown begins!

Anyone have any opinions re autograft vs allograft?

 :)
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on March 08, 2012, 01:05:23 AM
Woohoo on having a date!

I had an allograft only because I'm hypermobile and if my own tissue was used, it would stretch out again.
Title: Re: Dennis gets a new ACL & MPFL
Post by: allyd on March 08, 2012, 01:48:48 AM
My Surgeon recommended the allograft for the MPFL as well(which is what I used). Said the only time she uses autograft is if/when a patient has personal/religious reasons for not wanting the allograft. My OS has had plenty of success w/ the allograft, doesn't feel it is inferior for the MPFLr, and you won't have a harvest site to heal. 
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on March 08, 2012, 11:21:39 AM
Well, I'll have one less harvest site to heal. Still need to decide on what to use for my ACL. It's really comforting to know that both your allograft reco's went well. It's not a popular choice down here in Oz but my surgeon, after training in Europe, thinks it's the way to go for at least the MPFL part of my surgery.

I'm still trying to find some info on rehab protocols for these two procedures done at the same time but no luck as yet.

Back to work on Monday which is really going to cut into my rehab time. Still having trouble walking properly despite fantastic ROM. I'm still getting the occasional pinch and snap feeling when I bring my injured leg through from behind to ground it. It's really frustrating as I thought I'd be walking perfectly by now  >:(

Did you guys have two holes drilled in the patella and the one screw in the femur?
Title: Re: Dennis gets a new ACL & MPFL
Post by: allyd on March 08, 2012, 02:47:58 PM
Hey Karen… MPFL technique – There are few different ones out there. I had a small tunnel drilled all the way through my patella, then a short overdrill on the medial side for the graft insertion. Sutures were pulled all the way through, and fixed on both sides. As for the Femur attachment, I have no holes/screws. My OS simply wrapped it around a tendon in the area, and then brought back up to the patella, and stitched in place.   

I think the technique I had is a little less common, and have seen lots of stories with the two hole/1 screw approach.

I think you’ll be fine with the Allograft for the MPFLr – Your OS seems to be approaching from the same standpoint I had it explained to me.

Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on March 08, 2012, 11:56:09 PM
Like Allyd said, there are different techniques out there. My OS drilled a hole all the way through my patella for the graft and sutured it then screwed the other end into my femur with a biocomposite screw. Another OS I saw for my hip (he used to see me for my knee) said his technique was completely different from my OS who did the surgery.
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on March 10, 2012, 10:31:58 AM
Saw my physio 2 days ago and was told that the "pinch and snap feeling" I've been experiencing could be attributed to extremely tight quads and something to do with my ITB. Solution - stretch, massage and foam roller!

Back in the pool tomorrow for the first time in a while and the spin bike continues to go well. I've been able to add some resistance to get that muscle back!

allyd - that's quite an unusual MPFLr technique. Did you keep a post op diary? Link?

Kate - I think mine will be similar to yours but no sutures as far as I know.

Booooooo to going back to work in 2 sleeps!
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on March 10, 2012, 12:30:40 PM
Hi Karen,

Your posts are so positive.  For us that are sifting through posts in preparation they are a great confidence builder.  I know there are good and really bad days, but you make even the bad days seem not so bad.
Keep up the great work.

Love the "two sleeps."  I first heard that first from my Canadian family and adopted in when talking with my grandsons about upcoming visits.  They love it and now use it.  Makes me smile.

Best of luck on Monday.
Take care.
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: allyd on March 10, 2012, 02:24:11 PM
yes, I have a post-op diary going. Things have gone very well for me... http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=57539.0

It's a different technique, but My OS thinks it's more forgiving and avoids some pain/discomfort by not drilling into the femur.

Keep up the good work - the more you can do now, the more you'll thank yourself when you have the reconstructions. And I agree with Joval - stay positive! A good attitude really helped me get through everything with ease.
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on March 11, 2012, 12:54:00 PM
Hi Karen,
Hope all is well.  Reading your posts I see you have a CPM.  I'm to have one delivered this week for Wednesday surgery. Trying to get the house in order the next few days so I'm as ready as I can be.  Does this CPM sit on your bed, in front of a chair?
Big day for you tomorrow!  Have a good first day back at work.
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on March 12, 2012, 07:13:05 AM
Hi Jo!

I have my CPM up on the couch/sofa. I made sure it was pushed up against the arm of the sofa so it couldn't creep away. I could potentially move it to the floor now that I'm more mobile but it's just easy to have it on the sofa where I can nap and watch tv etc.

I hope I'm not luring you into a false sense of security with my posts. I've certainty had my moments but overall, I've got so much to be thankful for. Besides, I know that if I answer the door when frustration and disappointment knock, it'll just come rushing in and I refuse to let this beat me. It's tough when I've spent my life playing competitive sport - there's even a chance that my job will be affected if this doesn't go well. I'm confident that it will though  ;)

My first day back at work was tough. I spend most of my day sitting down and it makes for a stiff and cranky knee come home time. The heavy boots I'm required to wear don't really help either! Tomorrow will be better.

Ally - I read your post op diary. Thanks for the link. It was nice to read something that wasn't predominately doom and gloom.

Off to ice and rehab exercises after a long day. Ice......weeeeeeee!

Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on March 26, 2012, 09:44:11 AM
I think this is the start of my third week back at work and to be perfectly honest, my next op can't come soon enough. Getting my knee fixed and my fitness back on track is always in the back of my mind and sometimes makes it difficult to focus on the task at hand. Needless to say I'm pretty exhausted come home time each day.

This week I've dropped back to one session of physio each week as my therapist thinks that it's just a matter of getting the strength back in my leg (quads) as I've maintained really good ROM. Massage has played an important role in my recovery and is the best part of my week.

Pre op appointment still on for 10 April and I think I'm going to go with cadaver tendon for both ACL & MPFL - I keep changing my mind but that's the decision for today.

New diet kicks off tomorrow as I need to drop a few kilos before the next op - I've gained 3.6kg since my last op  :-\

Hey, I've been eating my pain lol!

Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on March 26, 2012, 07:14:36 PM
Hi Karen,

The diet made me laugh. :D  That's what I've been doing while I wait for my new date.  I actually miss using my treadmill.

It must be hard working with the discomfort.  Being older and retired does have it's benefits.

Is yours 4/17?  Maybe I can aim for around there.  Hope to hear from Rachel soon.  Hers was Saturday.

Take care!
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: ese230167 on March 26, 2012, 07:21:01 PM
I'm surprised everyone seems to gain weight after surgery....I always feel so sick with the Tramadol and codeine that I lose weight. I've lost almost 1/2 stone in 10 days. Not good as I'm tiny anyway. I tried cutting back on pain relief today to get the appetite up but now my knee is screaming at me.
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on March 26, 2012, 08:05:54 PM
Oh Bunny, ouch!  I hope you feel better soon.   I think it's the inactivity after the pain lets up some.  Plus food equals comfort, sometimes  ;)
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on March 27, 2012, 11:12:42 AM
Hi Jo! Yep, my second (and final) op is 3 weeks away. What's happening with you in terms of rescheduling your surgery?

Bunny, as soon as I'm off my pain medication after my next op, I can almost guarantee that all the weight I've lost will be back on within weeks - chocolate is my Achilles Heel and part of me is enjoying a break from training. The medication doesn't sit too well in my tummy either   :( I'd always opt for the quiet knee as opposed to the full tummy but I sure hope you can get your appetite back soon.

Jo, I haven't seen anything from Rachel since her op. I'm sure it went well. Perhaps it went so well that she's been out dancing the disco to celebrate? Probably a little ambitious at this early stage.

Ok, ok, I'm gonna have to start that diet tomorrow.....or soon thereafter. I'll try but in the meantime, I'll keep working on my limp and I really should be spending more time on my bike!


Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on March 27, 2012, 12:47:25 PM
Hi Karen,
I see a cardio Friday.  Hoping he'll get to the bottom of my fainting spells.  This floor is hard when I hit it  :(

I checked the post ops for Karen and still no sign.  You're right, she must be out dancing.

Take care.
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on April 08, 2012, 08:08:32 AM
9 sleeps until my next operation and it's time to prepare a list! My surgeon has told me that I can expect to spend 2-3 days in hospital after the procedure.

LIST:

- dry shampoo (not sure how long it'll be before the prospect of washing my hair isn't exhausting)

- collect pj pants from tailor (having left leg of 2 pairs taken up to provide easy access to Dennis)

- new books??

I can't really think of much else. That's where you guys jump in! Any suggestions?

Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on April 09, 2012, 01:49:39 AM
Love the 9 sleeps.  My Canadian cousins use that.  We borrowed it and use it with our grandsons now.  Sounds so much better than 9 days ;-)
Take care.
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on April 15, 2012, 01:25:33 AM
2 MORE SLEEPS!  :o

- dry shampoo purchased. check
- collected modified pj's. check
- bath transfer bench in place. check
- over toilet aid, height adjusted and in place. check
- rugs and mats packed away. check
- getting nervous. check

Yet to do:

- pack overnight bag for hospital
- download movies to iPad
- shave legs
- relax

Getting there......
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on April 15, 2012, 03:44:31 AM
The shower chair will help so much! I've used mine since my third surgery and it's a so much easier to shower without having to balance.
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on April 15, 2012, 11:21:40 AM
I'm borrowing for you list!

What is an over toilet aid?  I should look into a shower chair.

By the time you read this it will be one more sleep for you!
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on April 15, 2012, 02:32:40 PM
Hey Jo,

The over toilet aid is just like a chair but with a toilet seat. You simply place it over your existing toilet (in the same way your would stack chairs on top of one another) and the four legs are adjustable so you can raise it nice and high. It's great for me because my knees would normally be just a touch higher than my hips if I was sitting on my toilet at it's usual height. This way, I really only need to lean back slightly and I'm there! What's more, I can progressively lower it as my ROM improves and then eventually end up back on the actual toilet seat.

Do you have a better idea of what I mean? I didn't get a shower chair as there's a step/lip that I won't be able to get over post op so it'll be strictly bath time for me.

:) Karen
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on April 15, 2012, 03:10:53 PM
I get the picture  8) I'll be very careful finding my way down.  On the bright side I have a high rise bed.

One more sleep for you?  It must be very late where you are.  About how many hours until your surgery?  I'll be thinking good thoughts.

Take care.
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on April 16, 2012, 06:45:57 PM
Good Morning Karen,
It's Tuesday in Australia.  Good luck and I'll check in with you over the weekend.
All the best.
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on April 17, 2012, 01:20:22 AM
I hope you are doing well, Karen!
Title: Re: Dennis gets a new ACL & MPFL
Post by: Calamityrach on April 17, 2012, 11:56:59 AM
Karen,

Hope all's gone/going well for you !!!

Keep us posted

Be positive, it will hurt but gets better !!

Rachel xx
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on April 18, 2012, 03:51:53 AM
Hello there! Thanks for all the warm wishes and positive thoughts. I'm still in hospital but due out tomorrow morning. Once I'm home I'll be able to share all my stories from the past couple of days.

So far, so good. In a bit of pain but doing my best to stay on top of the meds. Got lots of photos to post when I figure out how to do it - X-rays with new screws etc.

My thoughts are with Jo today - you'll do great.

The thicker bandages are coming off soon and I'm getting put into a CPM. No brace for me and I've started on my exercises and assisted walking on this contraption with wheels. I'll get a photo.

Take care and I'll get started on a post op diary when I get home!

x Karen
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on April 19, 2012, 01:57:16 AM
Glad you're doing well so far! Can't wait to see the pictures.
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on April 20, 2012, 04:51:22 AM
It's taken a few days to find my feet (metaphorically speaking) but with one dose of Endone wearing off and another due in 90 minutes, there's a window of clarity and a chance to get up-to-speed while the world doesn't appear so....so fuzzy!

It's Friday 20 April 2012 and almost time for lunch here in Sydney, Australia. I've been home from the hospital for just over 24 hours after spending 2 nights there, recovering from my ACL and MPFL reconstructive surgery (left knee).

I was admitted to hospital at 0700 on Tuesday 17 April 2012 and was third on the list - quite a blessing when you consider that I had forgotten to bring my scans and x-rays along.

Pretty sure that's something you learn in Surgery 101: DON'T FORGET YOUR SCANS! My housemate was kind enough to brave the torrential rain and head home to grab them for me. I tried to sleep while I waited but to no avail. It was nervous, frightened and wondering if anyone would notice if I took of the blue hospital gown, white fluffy robe and little booties and just slipped through the doors to follow her.

She returned and I was eventually wheeled away, off into another 'holding area' at around 0915. This area was freezing cold and I was covered with a warmed blanket before a final visit from my surgeon, the anaesthetic nurse and then.........BLANK!

Roll this way.....an x-ray board was between my knees......eyes opened.....eyes closed....people.....BLANK!

1330 that afternoon I was up in the ward; the room that would be mine for the next couple of days. I don't remember much from Tuesday afternoon at all. My bandages were very thick and from mid thigh to ankle. They were de-bulked and my dressings changed the next day. I got some good photos but still can't figure out how to post them.  >:(

I was put in a CPM on Wednesday afternoon and all through the night. With my bandages removed and compression wraps applied, it was a good time to get stuck into the ice. I was pushing my buzzer every 2 hours to get the bag replaced. The pain wasn't too bad and I've been very conscientious about taking my tablets every 6 hours.

In the hospital I also had a couple of injections in the tummy to prevent clotting. I didn't like those injections.

On a positive note, I was sent flowers and biscuits and chocolates! I had my housemate take them home so I wouldn't be tempted. I've been rationed just one treat each day while I'm still quite inactive.

I see my surgeon next Thursday and my physio on the Friday. I've been restricted to the following exercises until then:

- foot pumps (x20, 3 times daily)
- quad contractions (hold for 5 secs, x20, 3 times daily)
- co-contractions (as above)
- heel slides (x20, 3 times daily)
- hamstring stretch (20 mins, 3 times daily)

My CPM was delivered today so I'll keep you posted with how that goes.

In terms of pain, my housemate has been setting her alarm every two hours (even through the night!) to change my ice, check on me and give me meds when they're due so I'm as comfortable as I can possibly be. I'm certainly not pain free but I don't expect to be.

I slept well last night (first night home) and even get rolled over if I get uncomfortable! I can't complain!  :)

I'm aiming for around 90 degrees flexion (active) before I see my surgeon next week so there's work to be done! My knee is huge but minimal bruising at this stage.

I think that's all I can remember. Feel free to ask plenty of questions and let me know if you know how I can get pictures on here (easily). Anything that requires too much concentration is likely to make my head explode a the moment.

x Karen

PS Will this thread be moved to the "Post Op Diary" section or will I need to begin a new thread there??


Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on April 20, 2012, 01:18:36 PM
3 days post op:

Final CPM session -5 extension to 67 degrees flexion. That feels pretty comfortable and I don't want to push it at this early stage. I'll aim for around 75-80 degrees tomorrow.

Exercises are going well. It's difficult to raise my leg and when I do, I feel some pain and quite a bit of pressure over my kneecap - there's >2 inch incision there and I feel the stitches pull a little.

Other than that, solid progress! I'm not in a brace and not required to wear one. I have crutches (Canadian) - the ones that go around the forearm as opposed to under the armpit. The hospital physio says the ones I'm using are designed to encourage more WB'ing. It's true, they do.

Until tomorrow.....
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on April 24, 2012, 02:24:59 AM
Hey Karen!

Glad you're doing well. How much weight are you allowed to bear or how much can you tolerate?

Seems like you are progressing very well with ROM!

If a moderator sees this, he/she will move it to the post-op diary section. No need to start a new diary. As for the pictures, you can upload them to tinypic.com and use the second code that says "IMG Code for Forums & Message Boards." Just copy and paste it into your post and they'll show up.
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on April 27, 2012, 09:44:31 PM
Hi Karen,
How goes the battle?  Where are you with your PT?  How's the pain?
I had my stitches out yesterday, so far, so good.  I woke up today and my elephant leg was gone!  I can actually slip my foot into normal shoes.  Not sure what took place while I slept last night but it was all good.  At PT today I surprised myself by completing tasks that at first sounded impossible.  I walked some without crutches. I do still have my brace.
Hope things are going smoothly for you!
Take care.
Jo  8)
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on May 02, 2012, 11:53:08 AM
2 weeks post op.......

The battle continues and I'm making slow and steady progress. I'm already bored with daytime television! My stitches were removed last Thursday at my post op appointment with my surgeon, only to have the new dressing cause some type of allergic reaction for which I am taking antihistamines and applying calamine lotion.

Physiotherapy sessions are twice each week for an hour each time: half spent bending and massaging and the other half spent in a Pilates room. It hasn't been painful so far but no doubt that will come.

I begin hydrotherapy next week so I look forward to reporting back on how that goes.

I'm still taking Endone for the pain which in turn, has me trying every trick in the book to avoid constipation (over-share?? Lol)

I'm getting around the house without the use of crutches and yesterday I took a long walk using just one so that's good news.

Had my mum stay to help take care of me, hence the reason why I haven't posted for over a week. I thought it would be a bit rude to have my head buried in a computer.

So far, so good. I have to keep reminding myself that it's a marathon and not a sprint. It helps to ease the frustration, especially when I see people at the gym, running  :(

That's all for now. Feel free to ask questions and hopefully I'll get some pictures on here soon.

x Karen
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on May 09, 2012, 12:07:20 PM
3 weeks post op........

Progress is painfully slow but "really good" according to the physio who assessed me for hydrotherapy. The allergic reaction got much worse before it got better but thankfully it has cleared up so I've been in a much better mood these past few days.

I had my first hydro session this morning and it was fabulous! Best my knee has felt in months walking out of there. It was so good that I took myself off to the shops for a full body massage and a marathon clothes shopping expedition. I should have stayed at home after hydro. My knee is in a cryo cuff, angry, sore and swollen. What a twit I am! Did get some fabulous outfits for winter though  ;)

Pain meds have been cut right back and I only take something as required now as opposed to set timings. I'm still using one crutch but plan to get rid of that one before next post! Fingers crossed.

I need an early night after my big day shopping.

x Karen
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on May 09, 2012, 03:40:08 PM
Hi Karen,
You go girl!  Massage and shopping spree!  Love hearing that.  Your hydrotherapy sounds wonderful also  :D  Sometimes the pain is worth the treat you give yourself.  Keep up the great work.
Take care
SOFLA Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: JintsLady on May 10, 2012, 06:55:12 PM
Hi Karen!

I agree, Hydrotherapy sounds so wonderful, I wish they did it at my PT. 

Sounds like you deserved the shopping and massage!  Sorry you suffered for it though, a good shopping spree might be worth a little swelling.  At least you have the cryo cuff!  Love that darn thing!

I have my fingers and toes crossed for you!

BTW - your friend was right, the second surgery really has been easier. 

Take care and be well,

Jo (SI)
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on May 16, 2012, 12:01:44 PM
4 weeks post op......

Feels like I was really starting to move in the right direction only to take 5 steps forward and 7 steps back - you do the math!

From last week's hydrotherapy session to massage...to shopping.....to a Clinical Pilates session......to a session with my physio.....the pain and swelling spiraled out of control to the point where I ended up in the ER on Sunday and as a consequence, was kept in hospital until yesterday evening.

The main concern was that even at this late stage, I might have had a post op infection but my bloods came back okay. The diagnosis - post op swelling as a result of possibly overdoing things??

I'll certainly be reviewing my rehab protocols with my physio tomorrow. Needless to say I'm feeling pretty down, frustrated and even a little angry.

Back at hydro this morning. I've lost almost 60 degrees ROM and am temporarily back on 2 crutches just to be safe. It's a temporary setback and the only way is up!

Just gotta keep on keepin on  ;)
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on May 16, 2012, 07:10:32 PM
Hi Karen,

I am so sorry about your setback.  I hope by the time you read this you are feeling better.  Thank goodness it's not an infection.  Overwork you can adjust a lot easier.

My PT told me today to trust myself, trust what my body tells me. If I'm told to do something by him or the doctor that I feel I'm not ready for let them know.

Take good care of yourself!
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: oohheykate on May 17, 2012, 01:01:00 AM
Karen,

So sorry you ended up in the ER. I feel like I jinxed you. This is about the time I ended up in the ER after my MPFLr. Glad it wasn't an infection. You'll regain that ROM in no time!
Title: Re: Dennis gets a new ACL & MPFL
Post by: JintsLady on May 19, 2012, 11:06:48 PM
Karen,
So sorry to hear about the ER visit.  Hope by this time you're doing alot better.  Overdoing it is one of my biggest concerns.  My OS and PT keep reminding me not to overdo it, they know how I am.  I am going to take a lesson from this and make sure I listen to my body like Jo says and only do what i'm comfortable with. 

Good Luck, I hope this is only a very small setback for you and you're back up and going already.

Jo
xx
Title: Re: Dennis gets a new ACL & MPFL
Post by: joval on May 22, 2012, 08:16:36 PM
Hi Karen,
Sending good thoughts your way.  Hope you are doing well.
LHP
Jo
Title: Re: Dennis gets a new ACL & MPFL
Post by: DennisKnee on October 12, 2012, 11:13:27 AM
Friday 12 October 12 and almost 6 months post op and a long time since my last visit here. I was starting to think that I was perhaps spending too much time reflecting, dwelling....reading...instead of just "doing".

The scars continue to fade, as do the setbacks and Dennis gets stronger every day. Running still presents a challenge and it might be another month or two before I can really make some solid progress in that department. Time in the pool has proven to be one of the best forms of exercise for my recovery and I have come to enjoy the mindlessness of swimming lap after lap...after lap.

I hope my old friends here are doing well and have all but moved on from here and moved ahead with their recoveries.

If there's anyone out there who needs some support or words of advice with ACL and MPFL reconstructions, I'm in a better place to be objective....or at least a little more objective than when I was in an Endone-induced stupor.

Take care all and....look after those knees!

After all, we're all aware of just how important they are!

 :) Karen