KNEEtalk

DIARIES => Post-op diaries (50-100 posts) => Topic started by: Georgie28793 on April 20, 2015, 09:51:48 AM

Title: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on April 20, 2015, 09:51:48 AM
Hello everyone,
 
I am scheduled for surgery on Friday 24th April and wanted to start this diary to remember everything for when I have my other leg fixed and to hopefully help any one else who needs these procedures done at the same time.

The surgery itself consists of an MPFL reconstrucstion using my hamstring, a tibial tubercule transfer, a recession trochleoplasty and a supramalleolar derotational osteotomy ( at the ankle).

I have been told I will be in hospital for 4/5 days, with a plaster cast on my leg for two weeks then into a locked brace. Non weight bearing for 8 weeks, then partial for 4. Should hopefully start walking unaided at 12 weeks but I am hoping it will not take this long.

A little background about my knees - pretty average on this site, my knee caps have been dislocating since I was about 7/8 years old, once dislocated my left patella by making my bed! Dislocated them both at the same time doing a handstand at school. My unpredictable knees have really held me back - I have stopped nearly all sports which I loved, i cannot go on long walks without them seizing up, I have ridden horses my whole life and it's getting to the point where I can only sit on the horses for 15 mins before they really start hurting.

 In August 2014 my knee cap was kicked out of place and I couldn't put it back in for 50 mins until the ambulance arrived and they took me to hospital. I was diagnosed with tibial torsion, grade 4 trochlea displasia and patella alta along with miserable malalignment. I am worried about the surgery but (without sounding dramatic) I want my life back where I am able to do all the things I enjoy without worrying about my knees! And at 21 years old it seems like the best time to do it.

Any advice or knowledge on these procedures and the recovery would be greatly appreciated, I am very worried!!

I will post after my surgery to start my post op diary.


Title: Re: MPFL, TTT, derotational osteotomy + trochleoplasty at 21 years old
Post by: lucha86 on April 20, 2015, 08:28:44 PM
Hey Georgie welcome to the forums :)
I saw your post and thought wow! You have a rather lot done...........
I just want to say to you this remember no matter what you read everyone's recovery is unique and everyone progresses at different speeds............ :D
I think you can understand this as I suffered a lot of dislocation before my mpfl reconstruction with hamstring tendon.... That sometimes trying the surgery or the unknown is your best chance of gaining at least a sense of normality back as when you knee keeps dislocating you just want to live I suppose  :D
Regarding mpfl reconstruction I would say make sure you time your medications so then that way you are pain free I bought a cryocuff which is an Icing system to reduce swelling but as your having other surgeries I would speak with your surgeon before using it  :)
You might get points of frustration and rather tears which is normal for me the hardest was not having my independence for the first couple of weeks .........
Be aware also of heights of chairs etc as when you have had knee surgery I found some chairs were too low for me to sit on in the first couple of weeks ........ :)
Just remember I know it might seem scary this surgery but keep positive and think of the positive outcomes that you will get from it :) keep us posted :) I'm sure others will answer too :)
Title: Re: MPFL, TTT, derotational osteotomy + trochleoplasty at 21 years old
Post by: Georgie28793 on April 20, 2015, 09:00:03 PM
Hi Lucha,

Thank you for your kind reply! Your diary was actually one of the first I read on here!
It is rather a lot of surgery and came as quite a surprise because for years doctors were telling me I 'just had bads knees' and would 'grow out of it', so it came as quite a shock to be told I had so much wrong with my legs.
Thank you for your advise of the chairs - I hadn't thought of that! I can imagine it's the first few weeks that are the hardest - it's great to have people on this site who understand what it's like!

How is your knee now?

Georgie
Title: Re: MPFL, TTT, derotational osteotomy + trochleoplasty at 21 years old
Post by: lucha86 on April 21, 2015, 07:05:03 AM
Oh Georgie I know how you feel when I was 16 and my knee kept dislocating they put me in a cast for like 5 weeks a cast on my whole leg lol  told me it was growing pains and I would grow out of it which I didn't lol and then just dealt with it lol
When you have dislocations the damage you can cause us greater to your knee rather than having a surgery to try to fix it :)
Thank you got reading my diary :)
The knee have more surgery in the next few weeks just waiting on the nhs list now my surgeon has three plans but he wants to have a look inside before he decides what plan :) so fingers crossed and keep us posted on your surgery but remember go at a pace that your comfortable with :))
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on April 26, 2015, 10:38:40 PM
Today I am two days post op.

My surgeon decided last minute not to go through with the trochleoplasty, which (especially now the nerve block has worn off) was fine by me. This meant I was having three procedures, the MPFL reconstruction, tibial derotational osteotomy and TTT.

I went into surgery at about 9:15, was given a spinal and then general anaesthetic, all happened very quickly and the next thing I knew I was awake in the recovery room. The clock on the wall read 13:30, so about 4 hours in total. I was wheeled back to my own room, my parents turned up a bit later to see me. I felt fine after the anaesthetic, not groggy or drowsy. My surgeon came in to chat about the op and said it all went fine etc and I am due a follow up with him in two weeks time when I will get the plaster cast removed.....

The plaster cast! So heavy and itches like crazy - although I'm told this could just be a side effect of the oramorph.

I spent two days in hospital, was pretty uneventful except when the nerve block wore off and wow! It hurt. It was so sudden as well. So some advice to anyone about to have this surgery - ask as soon as you come round about pain meds!! I was blissfully unaware as I could move my legs fine and assumed that meant the block had already worn off.

Apart from that, I have felt a little woozy from all the meds, and actually quite achey and stiff all over (although I think that was from seizing up from the pain for 50 mins when the nerve block wore off and I had to wait for more pain meds to kick in) otherwise Igs been okay. My leg aches but all the while the cast is on there is little I can do. Will just have to wait and see.

I was sent home from the hospital with codeine, naproxen and oramorph, which I have been taking religiously.

Will update when the cast comes off :-)

Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 01, 2015, 11:15:24 PM
Today I am a week post op. I would be interested to hear if anyone else feels far worse 1 week after the surgery than the few days after? I feel like my pain and movement is steadily getting worse.
I understand the nerve block helps originally, and I was on some serious pain meds at the hospital that I wasn't allowed to take home, but it's so de motivating to feel more and more pain throughout the day. I am not doing much due to the fact I have this huge plaster cast on, and every time I try to do a bit of walking around it feels ten times worse than it did before.
If anyone else has experienced this or has some advice, I would be grateful to hear from you!

Negativity aside, I should be getting the huge plaster cast off this time next week, and going into a locked brace with either small plaster cast of my ankle or a stabilised boot thing. Either way it will be great to go into something a bit lighter!

I wonder if having my leg straight for 2 weeks post op will affect the movement I have in my knee compared to someone who starts physio as soon as they have their surgery. I hope not. Again, if anyone has experienced this I would be interested to know.

Not really much to say until I have the cast off. My days consist of going downstairs in the morning, watching tv and heading upstairs again in the evening! Getting so bored, at least the brace will give me a bit more freedom.
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: lucha86 on May 02, 2015, 12:21:09 AM
hey georgie
remember the first two weeks of any surgery is painful for anyone, =) i had for the first two weeks shooting nerve pains, some pains you couldn't even describe because  were that strong codeine phosphate seemed to be my friend for the first two weeks which turned me into dory the fish out of finding nemo lol remember screaming down the phone to my doctor to ask for stronger painkillers lol i planned my longer walks when the painkillers had just set in so if i had any pain it wouldnt be as strong......
i dont know your area of where you live generally my neighbours were awesome as i started walking down the street and they kept shouting you can do it keep going or kept an eye on me if i go too far from the house sometimes i felt just by walking up the street by my house i felt less enclosed lol living in the house can get frustrating especially when you rely on others for the first few weeks

for me i found it was hard to start walking on it but once i got moving on it it got easier the pain management but as you have had other surgeries i can comment on those but only mpfl
remember your quadriceps top part of your leg will be weak (atrophy) it will take time to build that group of muscles to work  and fire up but keep up with the exercises your physio gives you and you will be fine......=)) keep us posted =))
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 03, 2015, 09:11:02 PM
Lucha - took my pain meds before I did anything today, and that definitely helped! Trying to stay ahead of the pain but Im not taking half as many meds now so just trying to gauge when I might need them before the real pain sets in.

So I have read a lot of the post op diaries on here for TTT and MPFL, and I seem to be having it a bit easier than some people on here!! So far the pain is bad, but manageable, and I'm just moving around fine on the crutches, can get up and down our two flights of stairs easily, all in all I'm doing pretty well. I don't know if it's because I did a lot of muscle work before hand, or that I'm in a plaster cast that is obviously offering me a lot of support, but things seem to be going well. I had a good day today, just waiting to hear back from the hospital for a date to have the plaster cast removed.

After that, the real hard work starts! I'm hoping these 2 weeks in plaster won't set me back when it comes to the physio, I can tell my quad is very weak already no matter how much I tried to strengthen it before hand.

What sort of physio did you start with for your MPFL? I'm not sure what I will be doing as I will have to be in a below knee plaster for the derotational osteotomy I had at the ankle. So most likely just bending and things I suppose.

Weirdly I am able to tense my quad with absolutely no pain, but occasionally I move and feel the sharpest acute pain in my knee where I'm assuming they performed the MPFL. But of a stupid question but do you know what's causing that sharp pain?

So far I can't feel any hardware in my leg which suprises me considering how many screws I saw on the x Ray. Not that I'm complaining!

A good day today, going to try to get a wheelchair as I haven't been out of the house in 10 days now and it's driving me mad!!

Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: lucha86 on May 03, 2015, 10:41:32 PM
i know what you mean georgie i dont know where you live but im from the Uk and there are talk shows called jeremey KYLE on television and they are enough to drive you out of the house there that bad after a week lol
I found taking the painkillers waiting for them to work did the bigger tasks first working to the smaller tasks at the end......... I think sometimes its good to get out and feel some sense of independence or normality =)

in relation to your exercises for MPFL reconstruction i was given heel raises with a towel, standing on your feet behind the back to your chair, leg raises, heel drags as in to flex the knee towards me etc, i found straight leg raises took time as lost a lot of quadricep function which is normal, it takes time so do not worry it does become in a way funny but frustrating that your telling your quad to lift your leg and your leg doesn't do it but its normal lol but i cant comment on for the TTT..... another think was alot of massaging techniques to help the knee and reduce scar tissue etc....

with the sharp pain they catch you off guard and make you jump at times? i had them they ease back after the first few backs i got told it was part of the healing process/ nerves or sometimes felt like a jolt of stabbing pain??

one thing i will say georgie is remember everyones recovery will always be unique and you will know what you can and cannot do and when your ready to do things =) know what your comfortable with and ask the physio when you see them any questions you have or extra exercises they can give you for me through the mpfl i had i found to my cost that having a physio is vital and to keep the leg moving.........=) keep us posted  georgie
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 04, 2015, 10:54:38 PM
Lucha - I am from the UK also and can't bear to watch Jeremy Kyle!!! So I agree with you there!!


I think I jinxed myself by saying I was having a good day yesterday.

Today I have been admitted to the Emergency Department Observation Unit because it is thought I have a blood clot in my calf. By now I am used to the rushing blood feeling when you stand ups, it's not nice but goes away after a few minutes. But this morning I woke up to agony, the back of my calf was so hot I could feel it radiating out of the plaster cast. Rang the out  of hours Dr, who proceeded to tell me to get to the hospital Asap and I would be seen within  the hour. I ended up waiting in A&E for about 2 hours in real pain before my mum demanded to be seen, where the receptionist told us she had accidentally marked me as minor injuries which had a waiting list of 3+ hours.... I was then seen straight away. Had to take my cast off, which was actually the worst pain I've felt since the surgery. The two nurses couldn't work out how to get the cast off and ended up pressing down on the incision sites. I went through a whole tank of 'happy gas' and oral morphine before I was cast free. First time I've seen my leg since surgery and wow! The incisions are really neat, the bruising is terrible!!! My whole ankle and heel are purple with blood and my leg is covered with yellow and purpleish bruises. To be expected I suppose. Anyway, now staying in over night as they had no one to work the ultra sound machine on the bank holiday.... So scheduled first thing in the morning. Was given blood thinning injections and a new temporary plaster cast put on as it was a whole other pain having no support around the broken bones! In a lot of pain but going to try and get some sleep and hopefully will be fine tomorrow.

Not a great day!
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: lucha86 on May 04, 2015, 10:59:23 PM
hey georgie i also had blood thinning injections too then they thought i had a blood clot too my leg swelled to triple the size couldnt feel my foot i went from 30mg of celexane to 180mg of it per day, even my surgeon was shocked with my leg didnt say anything for 10 minutes my leg calf foot swollen blistered red and hot lol  its a rather worrying experience but they are the most important medication to take they hurt in the stomach but they are there to keep you safe luckily i got cleared with the ultrasound , i hope all goes well for you tomorrow with the ultrasound, keep positive =) your in the right place  great to hear your incisions are good keep us posted and remember if you have questions ask the doctors to give you the answers and dont let them leave until your happy =)) happy gas is the best experience lol i started speaking spanish on it rather than english  lol
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: OSVictim on May 05, 2015, 04:28:15 AM
Georgie,
So sorry to hear of your terrible day.  I thought I had a blood clot with my bad surgery in 2012 (lateral retinacular release, TTT, and arthroscopic debridement) and wound up in the emergency room 3 times in the first 2 weeks post op. My foot, ankle, and lower leg had swollen to a ridiculous size, were all bruised and purple like crazy, and so painful. I was fortunate, I did not have a blood clot. But I truly believe that those conditions were brought on because my leg was in a fixed brace, and immobilized after that surgery. With my recent MPFL, LPFL recon, and tibial / fibular derotation, I wasn't externally fixed, and so while I was in great pain and miserable, I truly believe the range of motion exercises that Doc had me doing around the clock, along with these things called vena pro cuffs that he had me purchase and use the first few weeks went a long way toward heading off potential blood clots. The swelling, while still substantial, was nowhere near as bad as it had been with the 2012 surgery.
Confirm you have a plate and hardware holding the 2 ends of your tibia together in the new position? Did they plate your fibula? How high above the ankle did they do your osteotomy on the tibia and the fibula?
I traded lots of texts with Natenix, another patient who had distal tibial and fibula osteotomies. We traded X-rays, and I noticed that his fibulas had both been cut much higher than mine. He had told me that the fibula that was cut lower hurt much worse than the one cut higher during the recovery. My fibula was cut 8 cm above the ankle, and it can tell you that pain was far worse than the tibia. Seems like the closer to the ankle = more pain and more adverse effect on the ankle and supporting structures. Once the fibula was plated, it felt a lot better - still painful, but much more support.
I hope you get some sleep and wake up to good news tomorrow. Recovery after what you have gone through is challenging enough without added complications like this. Hang in there!
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: boxerlover on May 05, 2015, 03:14:25 PM
Georgie....are you feeling any better?  That's one nasty surgery you had!  I feel for you!!!

Lucha....Dory - hahahahaha
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 05, 2015, 07:25:50 PM
Hi everyone,

I am out of hospital now, stayed over night and had the ultra sound. Luckily no sign of a clot but Was given blood thinning injection anyway as they said being in a full leg plaster cast means I'm higher risk from DVT.

The consultant and co believe the plaster cast that I was out in whilst unconscious wasn't done properly - too tight, too much padding and not enough space for my leg to swell. Therefore there was a build up of pressure in my leg with no where to go, and that's what likely caused the pain. I would guess that's whynit hurt so much when the original cast came off!

Home now topped up with more pain killers, also a new cast called a back slab? where only the back of my leg has plaster cast and then bandages across the front, so my leg can swell comfortably. Feels tonnes better already!

Lucha, glad to hear you too were clear of a blood clot, it's a big relief to know you don't have anything else wrong after a big surgery! How is your leg now?

OSVictim - in reply to your post, my tibial Osteotomy was cut literally above my ankle!!! Complete guess but from my x Ray I would say only a cm or two above my ankle, so I am going to try and forget that part of your message where you said the closer to the ankle the more painful it is! I am trying to get the x Rays sent to me and will show you when I can. I will attach a photo of the incision site and you can sort of see where it is. I did not have the fibula broken, just the plate and screws on the tibia. Feels so much better with the plaster cast back on supporting my ankle, was agony having my foot out of the cast and my ankle flopping forward!!
I should also only be in this full cast another week or so, then hopefully will start at least a little bit of physio. Do you think being able to move straight after surgery helped your recovery?

boxerlover - out of hospital now and feeling better now I am dosed up on meds and at home, thanks! I'm sure I read some comments from you somewhere on here quite recently, have you just had surgery or are about to have it soon?
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 05, 2015, 07:29:25 PM
Here are two photos of my new leg! In the first you can see the immediate difference in angle compared to my right foot, which flops to the right side! So bizarre to see my left foot sticking upwards!

I am 12 days post op now and am glad my leg has been covered up - I think the bruising looks bad now, I'm sure it would have looked a lot worse last week!

OSVictim - not a great picture but the plaster nearest my ankle covers the incison where the plate is, the plaster to the left covers the little incisions for the screws. Is that similar to your osteotomy?
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: lucha86 on May 05, 2015, 07:50:08 PM
great news you havent got a blood clot =) you can tell the difference from the photos just remember go at your own pace and remember that everyones recovery is different keep us posted georgie =)

Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: georgie2893 on May 07, 2015, 07:15:21 PM
thanks Lucha :-)

I am two weeks post op tomorrow, can't believe how quick its gone. Since my fiasco with the possible blood clot, I have been in a different sort of cast which is only plaster at the back and ankle, and just padding and wrap around the rest of my leg. Whilst this is less supportive than the full plaster, it is nice not to have to lug all the weight of a heavy plaster cast around on my bad leg.

I should have got a letter in the post for my two week consultation, which I haven't received yet, so will be ringing up my surgeons secretary tomorrow if it has not arrived. I am slightly worried for the consult. because so far I've not been able to do anything due to the cast so its been pretty easy! Im sure once the physio starts, the real hard work begins.

Pain wise I am taking the occasional 30 codeine tablet, and 500 naproxen twice daily, which is easily managing the pain. Again, i'm sure once I start physio and actually stretching and moving my leg, it will become more painful. But so far so good :-)
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: lucha86 on May 07, 2015, 08:09:51 PM
hey georgie dont worry about your consult, remember everyone has different paces of recovery, and remember to write down any questions that you need your surgeon to answer because sometimes you can forget last minute lol..... sometimes i feel sorry for the surgeons secretaries as they get a lot of problems and have to deal with the patients lol so im always nice to my surgeons one i send her a few thank you gifts for helping me now and again... i think it is a good suggestion you ring the secretary just to confirm when it is..... with physio you will start gaining your independence back bit by bit, but im sure you will be fine and it gets you out of the house and away from jeremey kyle lol
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: OSVictim on May 07, 2015, 09:47:54 PM
How much of a derotation did you have done (number of degrees)? Mine was a 20 degree derotation. Be glad you didn't have the fibula cut. Far more painful when it came to weight bearing and trying to walk once cleared, and obviously, it needed to be revisited and plated. Anyone who claims that the fibula is a non weight bearing bone and only supports 15% of the body weight has never had theirs cut just above the ankle.
My tibial osteotomy was just above the ankle too.
Your leg looks much better than mine did, I had an allergic reaction to the adhesive on the post operative silver lined bandage after the tibial osteotomy which resulted in some nasty and painful blistering which really made the area ugly. My fibula plate incision which is still healing (5 weeks today) looks better than my tibial plate incision scar (which is 6 months old). Hoping that the tibial scar heals nicer after the hardware removal.
Can't speak to being able to move the ankle immediately after surgery, as I had the fibula issue which has been a setback. But I do believe that being able to work on range of motion with regards to my knee has been helpful.
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 07, 2015, 10:01:10 PM
Lucha - too true about Jeremy Kyle, don't think I can even watch the opening credits now! Good idea about writing down questions - I meant to do that at my first consultation and forgot, then forgot all my questions!!!

OSVictim - I feel like my surgery has been a walk in the park compared to yours. I'm sorry you've had such an awful time! So your incision site it about the same as mine? My surgeon said it was called a supramalleolar Osteotomy, because it's turning the foot rather than when people have the bone cut just below the knee and the tibia itself is turned. Is that what you had? My initial rotation was 47 degrees and my surgeon said he would rotate by 25, so similar again to yours. It sounds like everything is a lot more throrough in the US, whereas in the UK it doesn't sound like the NHS is as informative. For example, I have only actually met my surgeon twice, one original consultation and second the day of my surgery (I woke up to him perched on the radiator in my room - creepy) so this two week consultation will probably be my chance to get all the exact details.
great to know someone else has had this derotation at the same site, I searched this site and couldn't find anyone who had it so close to the ankle. I have heard from a lot of people that once the hardware is removed, everything tends to feel/heal a lot better, so fingers crossed for you.
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: OSVictim on May 07, 2015, 10:58:25 PM
Yes, my tibial torsion ratio pre surgery was 41 on my right leg, but my left leg is 22, which is perfect. I'm glad I will not require my other leg being done, very grateful for that blessing.
So yes, my foot was turned inward 20 degrees by way of the surgery. What I have experienced, and Doc told me to expect, is that there is a lot of pain and readjusting of the now "twisted" tissues - and there is foot pain as your body tries to readjust as to how your weight will now be carried. Your advantage to me is that you are 21, so you will probably adapt and heal faster (I miss those days of rapid healing when I was younger). I had mine done just before my 44th birthday, so even though I've been a gym rat and athlete since I was 18, I'm not as bulletproof as I was then, apparently.
I was fortunate to be able to talk to Natenix, he had tibial and fibular osteotomies at the ankle too, on both legs, and he says those areas do not hurt now (he's a couple years post). He told me that the hardware removal made a big difference, and that it was noticeable almost immediately, so I'm praying I have a similar good experience with hardware removal. My recovery has been delayed by the setback, but my plated fibula feels better than before, and so does the ankle. So hoping that the healing and progression continue and that the pain level keeps decreasing.
Your Doc perched on the radiator was probably checking out your legs - your operated one looks way better than mine did at this point. Wishing you continued healing and speedy recovery.
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 10, 2015, 02:06:04 PM
OSVictim - I am glad for you that your other leg has the correct degree, at least you don't have to go through this ordeal with the other one, especially as you have had such a difficult time with it. I have been told I will definitely need my other leg done, but apparently my femur tips forward in my other leg as well, and this could be fixed with a closing wedge Osteotomy???? Surgeon only explained it briefly as not sure if that will be the exact plan but I am dreading it already.
Very encouraging to hear you say Natenix is pleased with his legs and is in no pain. I hope you continue to improve with the removal of the hardware, sounds like you need a bit of a apbreak from all the set backs with your recovery!

I have found my heel and ankle are really sore. Did you experience this? The surgical sites hurt obviously, but this pain in my ankle and heel is getting worse and its a really sharp pain that doesn't go regardless of how many meds I take.

My whole leg is actually very sore, my knee is really feeling the MPFL surgery now. This is now 15 days post op and I'm probably in the worst continuous pain since the op.

On the plus side I managed to rent a wheelchair so at least can get out at the house now, being stuck inside is making me go a bit crazy.
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 12, 2015, 05:27:57 PM
In a lot of pain today. Very achey rather than sharp pain, would love to be able to bend my knee right now. I am getting the full cast off tomorrow.0, not sure what cast I will be put in but anything will be better than this one!

First physio appointment on Monday. Then the real hard work starts.
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 13, 2015, 02:00:10 PM
I am cast free!!! 19 days post op and I have gone from a full leg plaster cast to nothing! Feels good to be out of the cast but leg feels very weak and vulnerable. Here are some of my X-rays and pics of my leg. Start my physio on Monday, will be interesting to see how it goes as at the moment I can't even bend my leg or tense my quad.

Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 13, 2015, 02:03:01 PM
A couple more photos
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: boxerlover on May 13, 2015, 03:03:34 PM
So happy for you!  Must feel amazing to have it off!!!  I'm a few weeks behind you so don't find out about physio until 21st. Are you nervous?  I am. Please post about how it goes!!!!
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 13, 2015, 07:02:04 PM
Thanks! It does feel great to be off, just got to be extra careful now as I've not moved my leg in 19 days, found all the little movements are suddenly very painful!

I am nervous for physio as I've had it pretty easy so far! Also sort of looking forward to it as that's when the real recovery starts I guess :-) I will let you know how I get on and what exercises I have!
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: lucha86 on May 13, 2015, 07:06:39 PM
great news georgie your out of the cast =) keep us posted how you get on =)
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 14, 2015, 05:39:54 PM
thanks Lucha, feels good to be out of the cast although hurts quite a lot more now. Is nice to be able to move my leg, even just a little bit.

I would be interested to see if your leg or anyone else's who has had these surgeries has got a weird bruise down the right side (the inside of the leg - so the right side of my left leg) of their leg? It's not like any of the bruises I have had so far. The original bruises have faded a lot now, but this one has only just started and is raised and a solid purpley colour. Not sure the photo shows it properly because of the lighting, but its freaking me out a bit!

Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: lucha86 on May 14, 2015, 06:58:53 PM
Hey Georgie I did post a few pictures on my diary have a look at the first 8 pages I did get a lot of bruising with mpfl surgery up till 3 weeks but remember you have had a lot more things done to your leg than an mpfl remember the amount of leg you had done I'm not surprised your leg is bruised but keep an eye on it and remember if your not sure get your physio to check it also and ask the gp if your not sure but they might refer you to the surgeon again....  Remember it's better to ask than not be sure :))
Title: Re: Georgie's MPFL, TTT and derotational osteotomy
Post by: Georgie28793 on May 18, 2015, 01:07:37 PM
I am now 24 days post op, and just got back from my first physio appointment. It went well, had a bit of bad news as to the length of my recovery - surgeon told me 3 months tops (which I thought was a bit optimistic at the time) but my physio has told me long term 9-12 months before I can comfortable horse ride again. This is pretty gutting but on the plus side she said I should be doing simpler things such as walking and squatting, cycling and cross trainer within the next 6-8 weeks, which is good.

Nice to at least feel like your heading in the right direction - I've done nothing for 24 days so my exercises are simply rotating my ankle from side to side and up and down, try to tense my quads (which was a humongous failure as they have wasted away!) and just to start massaging the scars to break up scar tissue.

Next week will learn a deep tissue massage and hopefully work on more movement in my knee.

Have gone back to regularly taking pain killers, but bruises a have nearly gone and the blood has stopped rushing straight down whenever I stand up. So things are looking up :-)
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on May 22, 2015, 04:48:54 PM
Been doing my physio for a few days now, seen a huge difference in my ankle movement already. I am moving my ankle up, down and side to side with virtually no pain at all, which is a bit weird when you think the bone just above my ankle has been completely sawn through!

Bending my knee is a lot more unpredictable. I seem to have good hours where the knee feels nice and mobile (in a good way!) and then it can just be so stiff and I have to pretty much bend it using my hands. Still have hardly any quad or calf muscles but hoping that will change in the next few weeks.

Weirdest feeling is at the front of my knee where the patella tendon connects to the tibia - feels like a massive bubble under my skin that will pop if I bend my knee too far. Guessing this is just the TTO but its a pretty unpleasant feeling.
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: lucha86 on May 24, 2015, 10:58:28 PM
hey georgie its nice to hear you have more movement =)you will find once your physio starts working the quad vmo more then you find it a lot better , deep tissue massages are key aspects in the knee recovery to stop build up of scar tissue and to soften the knee and it can help with the rehabilitation ..........
keep us posted georgie glad to hear your doing well..........  ;D
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on May 25, 2015, 12:33:35 PM
Thanks Lucha, feels good to actually be able to see an improvement now :-)

I have been off pain meds during the day for a while now, just taking the occasional paracetamol, but for the last week or so I haven't been able to sleep well at all. The inside of my knee hurts so much at night time, more than it's ever hurt since surgery! I seem to have no problems at all during the day, just as night time when I'm trying to sleep. Really starting to get me down and no amount of pain killers before bed seem to help.

I don't think I'm over doing the physio because a) it's just simple exercises and b) it doesn't hurt at all during the day or when I'm doing the physio. It's a real sharp pain that wakes me up.

I've tried sleeping in different positions, but doesn't seem to help. Any advice would be greatly appreciated!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: lucha86 on May 25, 2015, 08:24:38 PM
Georgie I can only comment in an mpfl procedure but not the others you have had sharp pains jumping ones I got told was the nerves healing with the sleep on an mpfl I found my knee in between a pillow for the first few weeks was best i tended to take abit more medication before I went to bed to have a good night sleep
But you have had a lot more surgery it takes a few sleeps to work out what is comfortable I also iced my knee before bed to try to stop the swelling or basically to freeze the knee and have no pain or to elevate it I hope you get a good sleep if not ask the physio for some ideas :))
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on May 30, 2015, 02:59:49 PM
Lucha, I spoke to the physio, she said it's probably the mpfl healing over night and sleeping on my side is slightly twisting the muscles which cause the sharp pain. So have invested in a big pillow and have been taking a 'reserve' of pain meds from early evening onwards, and it seems to be working okay, touch wood!!

I was 5 weeks post op yesterday, and can honestly say it's now no where near as bad as I thought it would be. I don't want to jinx anything! But the pain from the derotation Osteotomy is minimal - sometimes doesn't even feel like anything happened there. The TTO site is only sore now I've been trying to massage the scar tissue. The mpfl has and still is my biggest issue - the incision on the inside of my knee is not healing too well and is causing the majority of the pain, but I guess they have given me a brand new ligament and drilled into the side of my knee, so not surprised there although it would be lovely if it had improved as much as my other procedures!

Physio wise in doing well. At my first session I had to manually bend my leg and could just about manage 40 degrees. Second session was on the 27th and I was bending my knee without using my hands to easily over 80 degrees. As I am not in any locked brace I have been told to not push too much more as not supposed to go over 90 degrees until my leg is xrayed on the 10th June to check the bones have knitted back together. So I am happy with physio for now. Hardest part again is the mpfl restricting my movement.

So all in all I'm 5 weeks post op, hardly need painkillers to manage day time pain, just taking them to sleep easier. My leg still gets very swollen around my ankle and knee, sometimes goes a bit purple. Also have numbish toes but have been instructed to do a deep tissue massage every night which should increase blood flow and sort both of those problems out.

Can't really complain, just bored and want to be off the crutches, although I can't see that happening for a while yet as I am still touch weight bearing until the 10th. I think I have been very lucky in my recovery so far, touch wood!!!!!!!!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on June 02, 2015, 06:12:34 PM
every time i write on here how I have improved I seem to get worse. After the initial plaster cast I haven't had any support or brace, which is lovely after having such a big cast, but is also a bit annoying in that it makes it a lot easier to push myself too far.

I am back on regular pain killers as I've had some days where the pain has been very bad and others where it hasn't been bad at all, so just trying to keep a routine of a few pain killers a day. Just sticking with naproxen and omeprazole twice daily.

I am easily hitting 90 degrees with the knee bend now, but have been given physio to stand up and try and bend my knee backwards, using gravity as a resistance. I can barely lift my leg off the ground. Its very frustrating when you think you're doing well and then have a set back, however I know a lot of people on here have had worse recoveries so am just trying to focus on the improvements. Still having a lot of sharp pain in the knee and around my ankle, but just keep remembering I have had my bone cut in two places and 8 screws in my leg. So its bound to ache for a while.

I am 6 weeks post op on friday - still not weight bearing, just allowed to use my toes on the ground for balance. I am looking forward to at least being partial weight bearing as it will make it easier to get around.

I will need my right leg done in the next year or so, with potentially a femoral derotation too. For that reason I am intending on writing in this diary every few days/weeks as my recovery goes on, I'm sure it will be useful when it comes round to my right leg and I will have forgotten how boring and slow the recovery is!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: lucha86 on June 02, 2015, 11:02:31 PM
hey georgie remember we have our good days and bad days and sometimes when you look back at your diary its rather amusing to see how much you have come through........
remember everyones recovery is different and go at the pace that is correct for you remember by writing a diary you are helping others understand what to expect who are having the surgery........
sometimes i suppose we give in to painkiller and sometimes when you have big surgeries like you have sometimes it can help....... but your doing great...........=)
keep us posted georgie, hope your not getting bored of jeremy kyle lol ...............
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on June 10, 2015, 11:17:31 PM
I saw my OS today for my 6 week check up/x-Ray, and it went well. The last week of so my ankle and shin have been so swollen and sore, to the point that I was getting quite worried. I could wrap my hand around my lower leg and it would leave a hand print dent in my skin for at least 10 minutes, and the pain was very bad. So saw the surgeon today and mentioned it to him. I was relieved to hear that it's all normal and just where I have started to actually use my leg and ankle more in physio and every day actions that it's swollen etc. the sharp pain in my ankle was where they had to move some tendons aside to put the plate in at the derotation site (gross) but at least that explains it all. Feeling a lot more confident.
The x Ray showed that whilst my TTO has healed nicely, there is only minimal bone growth around the derotation osteotomy, which means I can't fully weight bear yet. However my quads are still so non-existent that I couldn't fully weight bear even if I wanted to. But a bit of a bum to hear it hasn't healed as fast as they would like - I have been signed off work for another 8 weeks!!!!!
Have started some online courses just to keep my brain going in my break for uni, and they are keeping me occupied nicely so would recommend one to anyone who's getting bored sat at home unable to go out!
I did go for a trip out with my family today but find after an hour of solid walking/shopping on crutches my arms had just given up and my leg was very sore. So will try to build up to longer walks now.
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: lucha86 on June 11, 2015, 09:51:44 PM
your doing well georgie just remember do what you can do and know when to stop and remember you have had a rather complex amount os surgeries so feel proud of what you have achieved, my leg did the same after mpfl a physio pressed her hand into my leg and the skin didnt pull back...... well i suppose at least you have online courses to keep you entertained rather than jeremy kyle keep us posted i go in for surgery on july 30th to get my knee sorted again lol so if i dont reply it will be a while =)
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on June 11, 2015, 11:15:33 PM
What are you having done to your knee this time Lucha? Thanks for your support and I know I've been very fortunate with my recovery when I speak to people like you who are still having difficulties! I hope your knee is fixed for good this time!!!
As for Jeremy Kyle I can only watch the first 5 mins!!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: lucha86 on June 12, 2015, 07:15:43 AM
My mpfl is going to be redone again with an artifical ligament quadriceps tightening clean out of knee and if my kneecap breaks during the surgery he will need to stitch that back together not much really lol I know Jeremy  kyle just gets rather ridiculous 
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on June 25, 2015, 08:50:03 PM
Yesterday I was officially 2 months post op! I am 9 weeks post op tomorrow, and (touch wood because I seem to jinx it every time I write on here) I'm feeling really good! Really starting to see the end of my recovery in sight now. I am not due back at work until August 10th and am still on both crutches but I am half weight bearing and will be going full weight bearing on July 3rd. Am bending my knee to 110 degrees and able to 'walk' with my crutches whereas before I was sort of hobbling along.
Hardly using pain killers now - only issue is that I am having some irritation with the hardware. Not pain but can feel the plate and screws under my skin which is irritating when I wear boots or tight socks around my ankle. Not sure how it will feel when I ride a horse again and have to wear might tighter shoes, but will sort that out when it happens.
Am getting v bored now and actually looking forward to going back to work! My physio has stepped up - I am allowed on the static bike on the lowest resistance for 1 min at a time - hardly seems worth it! But have started physio with resistance bands and hopefully will start the harder stuff once I'm fully weight bearing. I am feeling positive and already looking forward to going back under the knife to get this plate removed from my leg!!!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on August 04, 2015, 11:23:08 PM
I am nearly 15 weeks post op now and am in a bit of an annoying situation. Whilst my leg now feels we'll nough to walk without crutches, I am still on the crutches due to my inability to straight leg raise - I am lagging by about 2 degrees apparently. Frustrating but seeing physio tomorrow so fingers crossed I will officially be off crutches then.

However, my leg doesn't feel stable when it's bent with any weight on. I've realised I'm walking with my knee locked and not bending it, when I try and bend it with weight on I get intense pain across my patella tendon and my know knee aches, as well as my leg feeling generally unstable.

Annoying because my physio doesn't seem to be doing much except telling me to cut down on my exercises one week and then giving me different exercises the next..... Also can't bend my leg very far back without my knee feeling like it's going to snap.

It's frustrating because on one hand i can't wait to get rid of the crutches and on the other I desperately want to see any sign of improvement before I get rid of them.

Would love to hear some positive feedback from anyone who's had a similar experience. Have to bear in mind that it's technically still early days for such a big operation - but I'm ready to go back to work and just get on with my life, and it's difficult when I can't even walk up stairs.

Trying to stay positive but getting really fed up with the lack of improvement and the pain I have when doing my physio. Have gone right back to simple tensing my quads and sliding my foot up and down to bend my knee. Feels like I should be doing a lot more 15 weeks in!!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: esm87 on August 05, 2015, 12:43:13 PM
Hey Georgie

Have you tried Hydrotherapy? It's much easier to move in the water and I asked if I could go swimming when I was at a certain stage of my recovery and it was encouraged. Unfortunately the Physio that I was seeing after my operation didn't offer this but it can be useful to go to a pool and try and bend your knees and do simple exercises and see how you get on?

Emma
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: lucha86 on August 05, 2015, 05:46:41 PM
I agree with Emma on this hydrotherapy might be a good option as it is non weight bearing and it might help you  as well and it I'll work every muscule group  remember your quadricep the top of your leg will be weak so you might feel shaky from it but remember you have had a big operation and everyone's progress is different ask your physio for more exercises to do and explain how you feel to them ....
My physios help me when my leg doesn't react the way it should keep us posted chin up things will get better :))
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on August 10, 2015, 11:45:14 AM
No I haven't tried hydrotherapy but what a good idea!! I'm not sure how far along in my recovery I'll have to be before I can - at the moment I have only just come off the crutches so still quite shaky walking. I will ask at my next physio appointment.
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: esm87 on August 28, 2015, 11:25:05 AM
Hi Georgie

I think I was allowed to go into the pool at about 8 weeks after my operation? So i'd definitely ask and find out! Hope you're doing well.

Emma
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Leena20 on August 31, 2015, 08:31:07 PM
Hi. I'm having a femoral derotation later this month and am slightly terrified about it - might need it derotated at my ankle too but think my surgeon wants to take on one thing at a time. Getting your bone cut through sounds a bit insane but I'm in so much achy pain all the time. I'm 25 and living with my parents so was just wondering how long realistically it might take to get back to work? Last time I had a double knee op the surgeon said 3 weeks but everything that could go wrong did go wrong and it ended up being 5 months!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on September 07, 2015, 08:11:45 PM
Hi there Leena,

Sorry for the late reply, haven't been on this site as much recently.

I haven't had a femoral derotation yet - I needed the surpramalleolar derotation on my left leg and need a femoral derotation on my right, so I can't give you any advice on that one, but I will try and give you an overview of what I've had done!

I had a few other procedures done at the same time, and honestly, the derotation was the easiest one to manage! I'm now nearly 5 months post op and apart from a bit of swelling occasionally, I honestly wouldn't be able to tell anything had happened (although obviously its straighter now!).

I was only actually in a plaster cast for about 3 weeks? Which seems ridiculous but like I said I had a few other procedures on my knee and I needed to start moving my knee which I couldn't do in the cast. At first I was SO tentative about putting my foot down, and I was actually non weight bearing for about 6 weeks - not sure if this was because of my knee ops but I'm surprised your surgeon has said three weeks?! Unless he is expecting you to work on your crutches? I have only actually gone back to work 2 weeks ago so I can understand your frustration with it actually being 5 months. I too was told I would be up and walking at 8 weeksÖ.. liesÖÖ.

I have had quite a few issues with my knee itself, so I can't give you a clear idea of the derotation itself due to those set backs. However, it was honestly the easiest part and if you stay on the pain meds Im sure you'll be fine! I had a plate put in the stabilise it and its been fine. I will need the plate removed at some point, but its been a relatively simple recovery so far - just waiting for the bone to grow.

Sorry I can't give you a better answer - its difficult because its my knee thats causing the problem. If it were just for my ankle I probably would have been back at work ages ago! What do you do for work? If its an office based job and you can get around easily on crutches I'd say you probably go back after three weeks - but I still had a lot of pain then and would have found it hard to concentrate.

Hope this helps, if you have any more questions feel free to ask. Good luck with your procedure!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on October 27, 2015, 11:01:14 PM
just an update on my progress for a) incase anyone is reading this and b) to remind myself of the slow journey when the time comes to have the same surgeries done on my right leg!

on the 24th it was exactly six months since my op. It has definitely been a struggle that I was not prepared for, both physically and mentally! When it comes to having my right leg done I will definitely try to build more quad muscles prior to surgery and also prepare myself mentally for a long old recovery - instead of being disappointed at my lack of progress 12 weeks in.

As for the recovery itself, I have recently (as in 3 weeks ago) got a new physio and she is brilliant. I have had three sessions of ultra sound with her focusing on the MPFL scar site due to some scar tissue that is affecting my ROM. Tomorrow I am seeing the surgeon to see if its worth having a manipulation under anaesthetic to break up the remaining scar tissue - fingers crossed it will be okay to just continue with physio and ultra sound and I won't need the MUA.

I am also there to discuss getting the hardware removed from my leg - the plate and screws from my derotation osteotomy and one massive screw from the TTO which at the moment protrudes out of my knee about 1.5 cm!! Really hope I can get that one out definitely.

As for my gait and ROM I have found that after going back to work and being on my feet all day, it suddenly got better after about 2.5/3 weeks. I was suddenly able to walk with weight on my bent knee, stairs were suddenly a lot easier and I found after stretching my quad out 5 times a day that the ROM has increased and my whole leg just feels a lot more 'together'. Really positive as for a while I seemed to have plateaued with the recovery but a lot more promising now.

I have been riding again and my new straight leg and working knee feel better than ever riding-wise. (bit sore afterwards but just keep applying ice/heat)

Have found using these knee 'sock' things that have little compartments which you can put heat patches in have really helped keep my knee from stiffening up after riding or after being on my feet all day at work. Would definitely recommend to anyone suffering from sore MPFL site further down the recovery process.

I am off travelling May 2016 so I am hoping that by early next year my left leg saga will be finished and I can look forward to getting my right leg done on my return!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Lioness_20 on October 20, 2019, 04:22:55 AM
Hi Do you still come online on the website. I am exactly your age and have the same surgeon as you. I had a trochleoplasty and MPFL recon and was wondering how you are now? I am currently 2 and a half months pre op. Hope to hear back from you :)
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on October 26, 2019, 04:36:13 PM
Hi Do you still come online on the website. I am exactly your age and have the same surgeon as you. I had a trochleoplasty and MPFL recon and was wondering how you are now? I am currently 2 and a half months pre op. Hope to hear back from you :)

Hi!
I just got this notification in my junk mail - how are you doing? Itís funny you messaged here because I actually had my whole other leg done on the 26th July so am just a few weeks further along than you.
My left leg is (touch wood) PERFECT!!! I think youíll be just fine - my left leg is so good that when I dislocated my right kneecap I was adamant to have Mr Chissell again. I just had MPFL recon, TTT, derotational osteotomy at the ankle as well as micro fracture done to promote ďfakeĒ cartilage growth. I needed an arthroscopy to clean out my knee as I also had a 50p size chunk of cartilage come loose. Iím just 13 weeks post op and walking around without crutches, just started back at the gym. How are you finding things after the trochleoplasty? Nice to hear from you!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Lioness_20 on October 30, 2019, 03:14:55 AM
This is so strange. I had my operation the same day as you? Was it at frimley park. I think I saw you on the same ward as me. But when I woke up you wasnít on the same bay any more. Think I saw you on your pre op too? I had to go back on the 4th of this month to have a manipulation  my physio was so bad, they gave me no appointments for around 5 weeks! But other that that itís been really good. I was weight baring from day one although barely. Came off crutches after 6 weeks. Itís such a long recovery though and wasnít really ready for how mentally draining it is. I go back on the 5th of December too see where to go next as I also need the other knee doing too. Wow it seems like you have had an awful lot of work done to your knees and ankle sounds really painful too. Although for me the mpfl recon stuff has seemed to be the longest part for healing. Hope to hear back from you soon.
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Georgie28793 on October 30, 2019, 06:51:08 PM

Hahahha no way!!!!!!! Oh my gosh thatís so funny, were you the only other young girl in there on the very end?! That means you saw me bawling my eyes out then hahaha Mr Chissells registrar came around to see me before the anaesthetist and told me I wouldnít be having a general like last time and that iíd Be sedated and I absolutely freaked out hahahah wow thatís so strange!!! I remember you. I was moved to another room because I had to stay in for 3 days.
Thatís so mental. How is the mpfl feeling? Mine definitely hurts too, in fact iíd say that was the worst part of my surgery long term as Iím still feeling it.
Wow your physio sounds dreadful! Is that also at Frimley? How are you doing now? I know what you mean about being mentally draining - it gets to a point where you just want to be back to normal. But honestly my left leg is so so so good now that I willingly had my other one done knowing how successful the first op was. Do you need the same procedures done in your other leg? How is everything with the trochleoplasty? That sounds like a crazy surgery!!
How did the manipulation go? My physio said I might need one early on but luckily I havenít because I read up on them and they sound awful! Iíll see if I can privately message you with my email address.
So weird!!!
Title: Re: Georgie's MPFL Reconstruction, TTO and Tibial Derotational Osteotomy
Post by: Lioness_20 on November 01, 2019, 11:21:56 PM
Yeah I was in the very first bed as you walked in the bay. I didnít see you cry though. I saw MR Chissell before and he also said about the whole being sedated part. I was told before that it would be general but when I got there  and they said Iím having a spinal block and sedation. I was super scared I thought I was going to be able to feel it! But it was fine I didnít feel a thing a was fast asleep so wouldnít have been able to tell the difference between sedation and general anaesthesia. Hated having the spinal block though it was horrible. Thatís a shame you got moved I was also in for 3 days would have been nice to have someone to talk to the same age as the ladies were in there 60s but they were lovely.
The MPFL part is getting there slowly. It still hurts to press where the incisions are, does yours?
Im from Maidstone, Kent so my physio is in Maidstone. They are saying they will be discharging me in 3 weeks , itís mad Iím not even running or twisting or going up and down the stairs comfortably yet.
Do you do any sports? If so was you able to get back to it? I play Sunday league football and dying to get back on the pitch but it seems so far away until I can (if I ever can).
I have to have exactly all the same procedures on my left knee too, I Have damaged my cartilage in my left knee so not sure if I will have a little extra done on it? I see Mr Chissell again on the 5th December so will find out when this will be happening. Did you have to wait 2 years or did you choose to wait that long between each op? Are you all finished with surgery on your knees or do you still need more?
I was told by so many surgeons how big the trochleoplasty op is but honestly it was absolutely fine so not to worried about having it done again. Thatís why I had to come to Frimely as Mr Chissell is one of a handful of surgeons in the UK that can do it.
The manipulation went fine and am finally bending my knee so much better. I can nearly bend it all the way back to my bum, where as before it was only 45 degrees.
How are you getting on, sorry for the essay just so many questions and so shocked that out of everyone I could have spoke to I found your blog just so strange hahah.