KNEEtalk

DIARIES => Post-op diaries (50-100 posts) => Topic started by: JessJess28 on March 30, 2013, 12:45:05 AM

Title: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on March 30, 2013, 12:45:05 AM
Hi!

Just got home from my surgery. I feel ok for the moment because of the nerve block and shot of pain meds I got before I left. They said nerve block should wear off in middle of the night. I hope I will be ok.

I am in an immoblizer and have crutches.

Will try to post more tomorrow.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on March 30, 2013, 06:26:30 PM
Post-op Day 1- I'm about 24 hours post nerve block. I'm guessing more pain might set in soon? So far so good but I'm sure the worst is still to come. Thinking positive though and hoping it won't be too bad.

Slept on the couch all night so I'd be able to get meds, food & drinks.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 01, 2013, 12:39:10 AM
Post op Day 2  Was in a lot of pain when I first woke up. Once I started moving around and took my pain meds I felt a little better. Took a nap and went out to dinner with the family for Easter. I hope I don't pay for it later but I had my leg up the whole time we were there. Hoping to ditch at least one crutch by the end of the week.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 02, 2013, 02:03:22 PM
Post Op Day 3&4 Doing ok. Took my bandages off last night. I thought it would look worse than it actually did. There is some bruising. Incision doesn't look too big so hopefully once it's healed and I put some Mederma or something on it it won't look too bad. My ankle is swollen and a little blue. I think that is within the normal range from what I've read. Doesn't really hurt.

I am able to walk heal to toe with both crutches or just one (with immobilizer on). I was told I can ditch them around Day 5-7 if I feel ready. I do get winded and hot just walking around for a few minutes. Anti-nausea meds made my mouth so dry and I still feel so thirsty.

I think that is all. I'm still pretty sleepy and foggy from the meds. Trying to space them out a little more now.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 04, 2013, 02:16:31 AM
Is this thing on? Anyone out there?

Post-op Day 5 Last night/early AM had a lot of pain as well as today. Was able to take a nice 2.5 hour nap this AM after I took my pain meds. Haven't done much except ice and lay around. I'm wondering if the bone is starting to heal and that is why there is more pain today? I can still walk heal to toe with crutches but a few times today I'd rather not use my R leg at all.  Swelling and bruising is increased today. My ankle is pretty black and blue. Noticed some bruising on the back of my thigh too. Incision sites look good though, no drainage or anything.

Kids have been pretty good too. Thank god for family to help out. It will be nice to be active again and not worry about my R knee.

1st Post-op appt in the AM. Do they normally take x-rays at the first post-op appt?

Thanks for listening/reading. Any encouragement is welcome. Trying to remain positive. Today was a long, boring and painful day.

Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 05, 2013, 04:29:00 PM
Post Op Days 6&7- Had my post-op appt yesterday, went well. They said my bruising and swelling looks good in comparison to others they have seen. Had an xray done. He only put 1 screw in. Everything I've seen they use 2? I didn't ask him why, just commented that he only used 1. I can get in the pool next week if I want. I am able to bend my knee when sitting just not when weight bearing. Had a small tear in my meniscus and he said my patella was bearly in the groove, was rubbing on the outside almost bone on bone. Nervous about getting the Left knee done but if this works out well it will be nice to have stable knees for once.

Today has been rough. I didn't even want to get out of bed this AM to help get the kids ready for school. It just hurts too much especially those first few minutes on my feet.  :'( I know I've read the first two weeks are the worst so hopefully by the end of next week I'll see some improvement.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: randomlife on April 06, 2013, 04:48:53 PM
Hang in there! It sounds good that your bruising/swelling doesn't look too bad. I had an Elmslie TTT, and I remember that I had pretty terrible pain days right at a week post-op, but about day 10, I started to feel SO much better. Hopefully, you'll get that same relief soon!

Cheers,
lk
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: Mistyd on April 06, 2013, 04:52:50 PM
Glad things look like they are healing well.  Do hang in there though, it is always tough mentally and emotionally to go through surgery and the healing process.  Physically, people automatically assume that when you are on the mend and (time has passed) you should be doing well on every front.... that isn't always so - especially when frustrated, tired, scared, etc.  So hang in there!  Let a frustrated scream out, then play a game, watch a good movie, take a shower (be careful  ;)), do something that brings your spirits up.

I'm sure it is hard with kids too... things will get easier :)  Hope you have a much better day!

God Bless,

Misty
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 07, 2013, 09:23:59 PM
Thank you MistyD and LK!

Yesterday and today seem much better. Got to sneak out for lunch while the kids were with the grandparents. Kept my leg elevated the whole time.

I think once the nasty bruising is gone I will feel better too. I have a huge bruise on the back of my thigh from the tourniquet, yuck.

Looking forward to everything getting easier this week! 
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: Mistyd on April 08, 2013, 04:13:25 PM
Good for you for taking the opportunity to get out!  Always refreshes the spirit to get out of bed and out of the claustrophobic-ness of the house (claustrophobic only because you feel chained there, lol).  Anytime you are feeling down, just think about the fact that your knee troubles should all be over now, and that this recovery is just only for a short time  ;)

Have an excellent week!

God Bless,

Misty
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 10, 2013, 12:26:23 AM
Post Op Day 11- Finally getting somewhat better when I stand up! I didn't feel those "blood rushes" the first few to 5 days but once I did, oww! The worst pain is in the AM when I haven't taken any pain meds for 8-12 hours. Pain combined with the ankle and foot swelling makes it really hard to move quickly in the AM with the kids. Thankfully my husband has been super helpful making breakfast and lunches for the kids.

I am cleared to bend my knee when sitting or swimming but I find it really hard to bend more than say 30 degrees. Are there any tips? I'm guessing the swelling hinders some bending but I know I've read that some of  you can bend close to 90 degrees or so when close to 2 weeks post-op. I don't want to rush it but if I can start working now on ROM I'm sure it will be good for me. I won't start PT until 6 weeks post-op.

Have any of you had blisters from your steri stips? OMG, I have 4 huge ones! They finally drained on their own, gross. The 4 blisters are bigger than the incision. Incision I'd say is maybe 1.5-2 inches long. Hoping to put some Mederma or something on it once the scab is gone. Seems kind of cool to me that they can move the tubercle and put a screw in it all from a tiny incision.

Can't wait for the swelling in my ankle and foot to go away. OS office told me it could be a month until it stops. I also think I'm feeling some pain from the LR, on the side and behind my knee. Not sure when that will feel better.

Things are looking good though. I think the worst is over  :)
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 12, 2013, 04:44:04 PM
Post-op Day 14 I made it 2 weeks! Woohoo! Things are getting better. I think my foot and ankle swelling is still the worst along with the nasty bruising in that area and upper thigh.  I try to ice and elevate as much as possible but I do have to run out at least one a day to help pick the kids up from school. Keeping my leg down for 1 hour in the car definitely makes it ache later. If I do too much in the kitchen making the kids dinner or getting snacks my foot swells. I try not to get up too much but those few hours while I wait for the hubby to get home is when they are most hungry  :P

I want to work on my ROM and try more exercises at home but my knee feels so tight. I'm not sure if this is from swelling or just the surgery. Not sure if I can try heat yet (anyone know?) either.

Last week I would have said never again but now that the horrible pain seems to be gone I can see getting the L knee done in another year or so. Of course I want to test this knee out once it's fully recovered. Not sure if I want to run any 1/2 marathons on it though. Might stick to Triathlons or swimming/tri relays. I'm better at swimming anyway  ;)
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 13, 2013, 02:40:01 AM
Still Post-op Day 14... had to go to a meeting this afternoon. As we got there my foot and toes went numb. Kept leg elevated but after a few hours my foot and toes were still numb. I started to worry about a blood clot so I called my OS office before they closed for the weekend. PA said it was probably just nerve damage from surgery since I didn't have any calf pain. I have since had feeling return to my foot and toes so I'm not too worried now.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: kneetrouble03 on April 13, 2013, 11:54:29 AM
Thanks Jess

Have been reading your diary with interest as I am having my surgery on 22nd (what a lovely birthday present for me! ;) )

Getting slightly worried now - what I think I am most worried about is trying to bend it after and being paranoid that it's going to dislocate again just by bending it!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: Mistyd on April 13, 2013, 04:47:44 PM
Did they give you a cpm machine to help with your ROM?  If not, and you are still at home, it might be nice to rent one (especially if insurance will pick up tab).  It will move your leg for you (which helps alleviate the guarding we tend to do when activating our own sore muscles) and give you a greater range of motion.  Using a stationary bike will help too, but I don't know what your pt schedule looks like.

Glad it wasn't a blood clot :)  Just keep telling yourself things are getting better, because they are ;) (albeit it sometimes is 2 steps forward one step back).  Have a great weekend!

God Bless,

Misty
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 13, 2013, 05:15:12 PM
Kneetrouble03- Good luck with your surgery! Don't worry now about bending your knee after surgery. I'm not sure if your Dr will give you a CPM machine (like MistyD asked about) or Rx early PT but they will help you bend when it's time. I was worried about my knee cap the first few days post-op especially the first time I could feel it under the swelling. It's kind of a weird feeling but try to relax and not over analyze every ache and pain. You'll do fine I'm sure! Keep us posted on your surgery.

MistyD- No CPM machine. I'm not sure if INS will cover one. I do have a recumbant bike and road bike with trainer for Triathlon training. I've read that some people use the bike and only pedal with the good leg and that helps ROM? I really want to get in the pool soon since my OS cleared me for that.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 13, 2013, 05:23:47 PM
Post-Op Day 15 Not much change from yesterday but OW my poor ankle. I put an ace bandage on it to support it since it hurts so bad when I walk (with immobilizer on). My hubby gave me a leg massage last night. My whole lateral side of my leg really hurts. It's like you can draw a line from my ankle up to my thigh where the pain is. Not sure if that is from the lateral release or a nerve or what. The massage was awesome though.

I have a questions for any of you that have used Bio Oil. Did you put it on your scar while it had the scab on it or did you wait until the scab fell off? I've been cleared to swim, shower etc so I can get it wet.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: randomlife on April 13, 2013, 06:43:02 PM
Hi! Sounds good that you're cleared for swimming! Hope your ankle starts to feel better soon. I had a lot of swelling down through the front of my ankle, but it cleared up and hasn't been a problem since a few weeks after surgery (last September).

I really liked using Bio Oil. I used it every time I did the cross friction massage on my scar. I didn't start to use it until all of the scabs were gone, but I don't know if it might cause any problems with the scabs or not.

Hope your recovery continues to move in a positive direction!

Cheers,
lk
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: kneetrouble03 on April 13, 2013, 07:05:30 PM
Sorry for all the questions but I have one more haha

Has anyone been giving a time frame for how many months of physio are required after the surgery??
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 13, 2013, 07:12:19 PM
Randomlife- Thanks! OS office said a month or so with the swelling so hopefully in next week or two it's better. Thanks for the info on Bio Oil too. I was thinking best to wait until the scab is gone.

Kneetrouble03- I'm not sure how long physio/PT are required after this surgery. I know it can be up to 6mos for recovery. I think I have to go by my health ins because they may only pay for so much PT. I also want to do some of the exercises at home since it will be so expensive for me to go 3x per week.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 14, 2013, 04:13:27 PM
Post-Op Day 16 Swelling is a lot better in my foot and ankle. Bruising is still gross in my foot, toes purplish-black.  Ankle still hurts really really bad. Tried wrapping it in an ace bandage yesterday, not too tight but supportive. I'm not sure if the ankle hurts so bad because maybe I'm walking funny from the immobilizer? I searched on here and found similar complaints after this surgery.

Tried to sleep with immobilizer off last night (ok'd by OS) but the medial side of my knee got some sharp pains if I slept on my side. I had medial reefing so I'm guessing it's from that. I ended up putting the immobilizer back on because I was afraid I'd hurt myself or get up without putting it back on. The other AM I had it on really loose and almost stood up like that. Oops! And with the kids I like to be able to get up quick at night if needed.

Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 16, 2013, 06:34:35 PM
Post Op Day 18- Same old stuff here. Getting easier to shower on one leg. Ankle still hurts a lot. I have had some sharp shooting knee pains here and there. If I try to bend my knee (OS said ok when sitting) it feels kind of strange after a minute or two and then I get some medial pain and it feels kind of unstable. I'm not trying to bend it very often though. Don't want to hurt anything.

Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 18, 2013, 04:25:14 PM
Post op Day 20 Not too much to report.. I forgot to tighten my immobilizer this AM when I got out of bed and stepped down. Ouch! Then I had some pains in my knee that seemed different. It seems ok now though.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: Mistyd on April 18, 2013, 04:29:30 PM
Glad your progress seems to be steady  :)  The hardest about surgery is probably the recovery. Mentally we think "it is all fixed!"  and yet, the healing has just begun, let alone the ROM, strengthening and sometimes relearning to walk correctly.

Keep up the great work!

God Bless,

Misty
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 18, 2013, 09:43:57 PM
Thanks Misty!

Just went to the playground with the kids for 45min. Getting around is so much easier now. Glad I can at least watch them play and walk around the playground now. They've been so good during this recovery so far.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 22, 2013, 06:52:35 PM
Post Op Day 24- Most of the swelling and bruising is gone. I do have some in my knee and can't really see my knee cap yet. I can't wait to see how it tracks though. I went to work Saturday for about 4 hours. I didn't really elevate my leg so by the end I had some shooting pains but it wasn't too bad. I feel confident walking around in my immobilizer now too, not as slow, lol. I've been bending my knee some so it doesn't get too tight. I can get to maybe 70-80 degrees. Don't want to push it too much before I start physical therapy. My quad and knee feel tight so I'm sure that's why I can't bend it very much. Hoping to get in the pool soon too and see if that helps loosen my leg up. Everything seems pretty good here. No real complaints.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 24, 2013, 09:45:37 PM
Post op day 26 Yesterday and today I'm noticing pain in my lower shin when I try to walk with my immobilizer. This is new to me. My immobilizer was getting too loose and I just figured out how to adjust it. Not sure if maybe that is why?

My husband has been giving me a leg massage almost every night. It feels so good and it almost seems to make my leg twitch and possibly help me fire my quad muscle. I hope it helps things heal a little quicker. My quad is getting pretty small from atrophy and I already have pretty skinny legs. I hope there is something left so I can drive in a few weeks when I go for my 6 week post-op appt. This not driving thing is not fun at all especially when one of the kids gets sick and we are stuck at home all day.

I can't wait for a good nights sleep either.

Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: kneetrouble03 on April 27, 2013, 10:48:03 AM
Hi Jess I hope you see this.

I am post op day 5 and the foot swelling and ankle swelling has started..

I see you had it too, were you given a reason for this?

How did you manage swelling?
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 27, 2013, 05:36:54 PM
Hey! So sorry you are dealing with the foot and ankle swelling too. Only cure I found was keeping it elevated and icing. If I did too much with the kids or too much cleaning, cooking etc it would swell. Take it easy!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: kneetrouble03 on April 27, 2013, 06:48:30 PM
Thanks for reply :)

It's not majorly swollen but you can see it starting to get almost purple and the toes are swelling and it gets very cold at night time.  It's not really bothering me but it makes it harder to do the movement exercises of foot to help blood circulation!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 28, 2013, 02:33:14 AM
Kneetrouble03- mine was the same way with the coloring and cold feeling. Just keep it elevated as much as possible. It will get better by 3 weeks post op.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on April 28, 2013, 02:35:41 AM
Post Op Day 29 Things are well. I went to the grocery store the other day and walked around for awhile with my 2 kids. Felt like a kid in a candy store being able to go shopping again. It had been about a month since I did the grocery shopping. My shin ached some when I got home but nothing too bad. I can't wait ot get out of this immobilizer! Less than 3 weeks. I hope I can walk once it's off and there is enough muscle left.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 01, 2013, 03:13:59 AM
Post op Day 31 Feeling good! Just wanted to note that after walking around the grocery store for 30min and then spending 2 hours at my child's school this evening I had some minor swelling and pain. I was hoping that I would avoid the swelling but I think I'm overeager right now  ;). Have a few beach parties to attend this weekend so maybe I can loosen up my leg in the water.

Did any of you use any type of knee brace or sleeve once you were cleared from your immobilizer? I'm thinking I might want something for support since my quad has a decent amount of atrophy. I do have one of those patella sleeves (not sure what they are called?) that I wore after a traumatic dislocation years ago.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 03, 2013, 06:10:34 PM
Post of Day 33- or should I just say 1 month now? LOL.

I have a question for anyone reading that might know the answer. Do you think it would be ok to walk 3 blocks to the park? I have walked through the grocery store a few times for about 30min with no issues, no pain, no increase in swelling. I know I should ask my Dr but it seems like a short distance. I don't want to over do it though.

Can't wait to start physical therapy in 2 weeks or so. Might go for a swim this weekend.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 04, 2013, 04:37:29 PM
I have another question if anyone is reading this. Will post in the General section too just in case.

I am cleared to stretch, bend etc when sitting. My OS won't start my physical therapy for at least another 2 weeks (6-7 weeks post op). I don't want to get too stiff. Feel like I'm in this brace all the time. Don't take it off at night because I have kids and want to be able to get out of bed quickly. I do, however, loosen my brace so I can stretch a little while I sleep.

Last night I was trying to fire my quad and bend my knee just a little. When it was only slightly bent I all the sudden got a bad, bad pain on the medial side (I had medial reefing done too). It felt like my knee cap was about to dislocate or something was going to pop. I stopped moving all together and just waited. Finally I was able to get my leg straight. It did it again so I figured that was my sign to put my immobilizer back on. I also felt kind of a crunching or crackling in there. I had crepitus before surgery but it wasn't in this area. This feels different.  I can only bend it to maybe 60-80 degrees without pain or feeling I'm doing too much . I wasn't given a CPM or anything after surgery.  Does this sound like a possible normal healing pain? I was very weird, just felt like something wasn't right even though I wasn't doing too much.

Thanks if anyone answers. My next appt is less than 2 weeks away. If it happens again I will call my OS. I feel fine this AM but haven't take my immobilizer off yet.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 08, 2013, 06:49:16 PM
Just in case anyone is reading this or references this later.... I ended up calling my OS because of the pain in the medial side of my knee. It only happens when my knee is slightly bent. It really feels like my knee cap is going to dislocate or something is ripping. OS office said it's just part of the recovery. I asked if it could be scar tissue and all they said was that if it is then the stretches I am doing will help. I see my OS next week so will ask more questions then.

A few times I've put a heating pad on my knee for a few minutes and then tried to do some stretching. I only stretch until I feel the pull, no pain other than what I mentioned. Last night while doing this I heard 3 pops so I am not sure if that was scar tissue or fluid or what. The pops didn't hurt, just surprised me.

Otherwise things are good. I can walk very well with just my immobilizer on. Hoping I can walk ok without it next week after I see my OS.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: DebbieCJ on May 08, 2013, 08:34:21 PM
Hi Jess,
I've replied to a couple of your questions in my own diary.

Just wanted to add that since I've been walking without my leg brace, I've had a couple of instances (one today) where I've thought my leg was going to give way, due to the weakness in my thigh muscles.
My surgeon has said I don't need the crutches anymore, but without the one I was using today I'd have fallen!
I'm going to keep using it for a while yet.

As for popping noises, I haven't experienced that, although my knee still has a lot of fluid in it and it causes tightness when I bend. I've been massaging the area around my knee quite hard for the last week or so, a couple of times a day to try and soften the scar tissue and other 'stuff' in the area. It does seem to help with bending exercises!

Good luck,
Debbie
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 08, 2013, 10:32:52 PM
Thanks Debbie! I appreciate you taking the time to reply to me :).

That doesn't sound fun about your leg giving way while walking. I'm going to ask if I can maybe wear a small brace or my patella support sleeve I wore years ago. I would like to have some support yet not completely immobilize my leg.

Thanks for the massaging tip. I've been trying to use just a little heat at night, massage and stretch. My husband has been awesome and will massage it some too. Going swimming this weekend as well so hopefully that will help loosen my knee up too.

I'm not sure why my osteotomy site is still puffy. It feels totally numb so that's good for now.

Thanks again!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 10, 2013, 06:47:38 PM
6 WEEKS TODAY!!! WOOHOOO!

I am so bored... cannot wait to drive. Getting nervous about starting physical therapy. I've read some scary things on some posts about having to work through the pain or having the PT push on your knee to help break up scar tissue. Luckily the place I used to go to doesn't make you work through the pain. I talked to a friend from my running group that just finished her therapy there and couldn't bend to 90 degrees when she started. She's now running in 5 min intervals.

Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 15, 2013, 03:32:48 PM
Getting excited for my appt tomorrow. Hoping I am cleared from this immobilizer finally! I can almost get to 90 degrees now just from stretching at home. Haven't had any formal therapy yet. That horrible ripping feeling in my knee is getting better so I really wonder if that was just scar tissue and maybe I worked through it by stretching. I think I will be able to walk ok without my immobilizer but I will be worried about my knee giving out since I don't have much muscle left in my quad. I can fire my quad and do a straight leg lift so hoping those are good signs. Can't wait to be active again!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: DebbieCJ on May 15, 2013, 04:25:23 PM
Good luck for tomorrow!
I know it's really exciting to be moving on to the next stage of recovery - be sure to take it easy and follow the physio protocol, it's easy to do too much then suffer for it the next day. 😟
I resorted to painkillers yesterday, knee was really painful for no discernible reason. Didn't do my full set of exercises and it seems much better today, so back to the bike this evening!

Keep us posted.

Best wishes,
Debbie
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 16, 2013, 06:13:34 PM
I'm freeeeeeeeee! So excited! I can walk, drive etc now. He tested my ROM and asked me do a straight leg lift (which I did just fine). I am just about to 90 degrees now. I haven't had any physical therapy at all just stretched on my own at home. I will start therapy soon though and keep up with my home exercises. I can walk ok without my immobilizer. I have one of those patella support sleeves and he said that is a good transitional brace/support if I need it. He also said I might need the immobilizer for another week when out and about. Will try not to wear it in the house though so I can build my muscle back up.

I got a copy of my OP Report and it stated that I have a Grade III Lesion on my patella. I'm guessing that is not good? I know I have very little cartilage left under my knee cap ever since my traumatic dislocation 4 years ago.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: adriennemarie on May 17, 2013, 02:39:37 PM
Good for you!  Happy to hear you are getting back to normal. It's nice to know there's a light at the end of the tunnel!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 17, 2013, 10:03:35 PM
Thanks Adrienne! My knee is still kind of stiff but I've been driving and grocery shopping today with no immobilizer. It feels like the more I do it helps loosen my leg and knee up. I will finally start physical therapy next week. Hope it's not too bad since I've been doing a lot of stretching at home.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 20, 2013, 01:21:04 AM
approx 7 weeks post-op. Loving my new freedom, lol. I can drive which is great. So glad I stretched a lot during my recovery and tried to work through some of the stiffness. I'm sure if I didn't then I wouldn't be able to drive right now.

I've noticed my leg sweats a lot at night. Anyone else have this? I'm thinking it's a sign of healing? I also have a lot more pain at night and first thing in the morning from not wearing my immobilizer and probably doing too much during the day. I was wearing a patella support sleeve but I'm going to look at buying an adjustable one that isn't so tight and compressive.

I still have swelling in my knee. Not sure when that will go away but my OS didn't say anything about it or seem concerned so I'm not worried about it. Definitely icing my shin and knee at night, feels so good.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on May 21, 2013, 09:21:02 PM
having a crappy day pain wise. Ugh. I think walking around and driving with no immobilizer is catching up to me. Was supposed to go to PT today but one of my kids was sick. Guess I need to take it easy a little more.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: adriennemarie on May 22, 2013, 12:05:03 AM
Hope you feel better soon!  Your knee is probably not on the same page as your mind with what you're ready to do!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: DebbieCJ on May 23, 2013, 04:16:29 PM
Hi Jess,
Sorry you're having bad days - hopefully it's getting better?
I've been much the same, one day good, the next bad but overall moving in the right direction. Have noticed my exercising is easier since I was told to reduce it right down.
I'm now trying to lose the last crutch, but still feel safer with it!
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on June 01, 2013, 08:09:18 PM
Thanks!

Adriennemarie- I think you are right! My brain is saying "go go go you are free!" but my knee/leg is not ready to go that fast. How are you doing?

DebbieCJ- Yeah just depends on the day. I felt great at therapy on Wed. They stretched me out and I did a lot of stuff. Next 2 days I was sore and stiff. Not painful sore just good muscle sore. It has been stormy and humid here so yesterday I was really stiff and just sat around with a heating pad on my leg and knee. I want to try going on a slow walk or using my bike on the trainer and doing 1/2 revolutions or something. I hope you can lose your crutch soon! I know your recovery is different from mine bc of the cartilage. Hope you are doing ok!.

I'm doing ok, as posted above I have good days and bad. The stiffness is frustrating bc I want to do more.  Maybe I need to get in the pool more or take a nice slow walk or try to bike. Not sure I can do a full revolution yet since my ROM is still under 100 (I think). I know it's not a race but I'm impatient so this is a new lesson for me to learn. Almost like having my little ones and learning to be patient with them ;).

I think I mentioned earlier I am only going to physical therapy 1x a week. My INS copay is insane and my surgeon thought I was doing pretty well at my 6 week post op visit. I got handouts on home exercises so I do those everyday. I fire my quad all the time. My therapist also said that just taking care of my kids should help bc I am constantly on my feet. Sometimes I can't even ice (or heat) until they are in bed or at least eating, lol.

Question for anyone reading- anything you find that helps with the stiffness? Heat? Swimming? Trying to bike or do 1/2 revolutions? At least I can drive and get around so not too many complaints. I do have pain here and there. I think my muscles near my knee cap are spazzing or contracting? Then my knee cap hurts pretty bad. Waking up in the middle of the night or first thing in the AM kind of sucks pain & stiffness wise.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: DebbieCJ on June 02, 2013, 06:22:10 PM
Hi Jess,
I'm having a physio session every 2 weeks, not because of cost (insurance will pay for 6 months worth, regardless of frequency) but my physio has given me a list of exercises to do at home and doesn't need to see me any more often. Maybe once the 12 week post op mark has passed and the exercises get more strenuous, she'll want me there once a week?

A heat pack helps a little with the stiffness, but to honest, anything I do for any length of time seems to make it feel stiff. I fing moving little and often, and changing position frequently when sitting or lying down helps, although this can be tricky at night so stiffness in the morning is common.

Debbie
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on June 06, 2013, 07:42:03 PM
I'm finally up to about 110 degrees ROM! I'm 9 weeks post op right now. I wasn't sure how much progress I was making but I am making a decent amount I think so I am happy with that!

2 weeks ago they only had me do 1/2 revs on the bike but yesterday I was able to bike normally. It felt good, little tight, but I felt loose afterwards.

Swelling is improving but is still noticeable especially to my physical therapist. I do have pain and stiffness here and there, more so in the morning and at night. Hoping to start walking a mile or two a few times a week and swim.
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on June 14, 2013, 04:56:07 PM
Hello! I am 11 weeks post-op today! Doing ok, still have some pain (maybe it's more my arthritis from grade 3 lesion?), some swelling and stiffness. Doing well in physical therapy. I am only going 1x per week bc it is so expensive. I try to do home exercises when I am not too busy with the kids. Going to start biking on my trainer at home too.

Spent a lot of time at therapy this week. Got to bike for 10min and did great. Still have some endurance in me too :). Felt good to work up a sweat again. I think just running my kids around all the time is helping my recovery as well. Can't really sit that long w/o having to get up and help them with something. I am around 115 degrees in my ROM now. Was sick last week so didn't do much between PT sessions. I think I have a way to go to get both legs equal in ROM. I see some muscle growth in my quad, VMO area and medial side of knee. Had some tight feeling medial pain last night. Thinking it was from my PT stretching my leg a little too far this week. I'm sure he probably did that to push me a bit past my safe zone. I also had medial reefing done so maybe that area is still settling down.

Cannot wait for this hump like swelling from knee cap to osteotomy site to go down. Sometimes you can push the fluid around, ha ha. Most of my stiffness and pain is first thing in the AM or later in the day if I do too much. I try to use a heating pad in the AM if I have time, helps me loosen up.

Would love to at least walk or run intervals in a 5K this Fall if OS gives the go ahead. Going to start walking a few miles a few times a week hopefully starting tomorrow. Feeling pretty good overall :).
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on July 05, 2013, 03:39:45 PM
14 weeks Post Op- Doing pretty well. Got to 130 degrees Flexion this week. I've been trying to work really, really hard to get my ROM back these last few weeks. I was feeling frustrated and stuck. I can leg press a decent amount of weight with just my R leg. I have also been biking 20-30min on my bike on a trainer in my house a few times a week as well as doing home PT exercises. I see my OS next week. My L leg goes to about 140 but my PT says 130 is fantastic. I can feel how uneven my legs are so I really want to try to get to 140 if possible. I know my OS wants my legs even too.

That's about it! Feeling good and even contemplating getting my L knee done now. I can totally see the difference and how bad my L knee is in comparison to my realigned R knee. I do want to make sure I have enough time between surgeries and enough strength. Anyone reading this have a TTT/TTO on both knees? How far apart were your surgeries? Any advice?
Title: Re: Fulkerson Osteotomy, Medial Reefing and Lateral Release
Post by: JessJess28 on August 30, 2013, 10:42:40 PM
Wow, it's been almost 2 mos since I've posted on here!

Hit my 5 month post-op mark the other day. Doing pretty good. Have full ROM back (maybe even better than I had it 5 yrs ago after my traumatic dislocation & scope). Still going to physical therapy but just working on my quad strength. Lifting about 90lbs on 1 legged leg press. I'm not sure what a lot is but 90lbs starts to make my L quad burn once I get to my 3rd and 4th sets. Hopefully that means my R quad is getting close in strength now. I can also take stairs w/o a lot of pain, it's amazing! I've had to carry my littlest one up and downstairs while she's been asleep too. After awhile it starts to hurt though.

Started fast walking since I'm not cleared to run yet. I want to build up my endurance so I can run again once OS says ok. Walked 3.5 miles earlier this week (2 the week prior). I wasn't too sore or anything the next morning. I was running 2-5 miles up until surgery so I think I still have some endurance left in me. I want to run a race or two this Fall, even if it's just a fun run or something with my kids and I alternate between walking and jogging.

I've decided I'm ready to go for the same surgery on my L knee. OS said whenever I am ready he can fix it up too. He said it's probably just as bad as my R, probably has Grade III damage to the cartilage as well. I can tell how much it grinds when I do some of my PT exercises. It hurts a lot more now that it's compensated so much for my R knee, especially over all these years. I want the L done sooner than later so recovery is still fresh in my mind and maybe I can get my ROM back easier this time. I should be able to drive after a few weeks vs 6-7 weeks when I had my R knee done. It also might help my R quad get stronger since it will have to compensate for my L. I also want my R screw taken out. I do too much housework and squatting and kneeling down for my kids so I might as well have him take the R screw out at the same time as the L TTO.

Has anyone had their screw(s) taken out of one leg at the same time as their TTO/TTT on the opposite leg? I'm not too worried and I figure the first week I'll just be laying around taking meds and sleeping anyway so any pain in my R leg shouldn't phase me compared to the L ;).

So far so good. I think a good part of this recovery is just having a good attitude and trying to remember to take it 1 day at a time. The other part is hard work at Physical therapy and trying not to get frustrated if you have to take a step back.

That's about it! (if anyone actually reads this, ha ha).