KNEEtalk

The SPECIALIST'S OFFICE => Bone breaks around the knee => Topic started by: brokekneeme on September 11, 2019, 10:15:07 PM

Title: Open Patella Fracture (Displaced Comminution) ORIF- Stuck at 30 Degrees
Post by: brokekneeme on September 11, 2019, 10:15:07 PM
Not the 1% I dreamed of being a part of but here I am. I'm a 31 year old active and healthy male. On July 26, 2019, after a night of drinking after a concert, came to on the bottom of concrete stairwell with knee bleeding. Took ambulance to ER and was found to have 1 left rib fracture, closed left ulna fracture, and open left patella fracture. You could see bone in my gashed left knee. Underwent emergency surgery (ORIF) where 4 patella fragments reassembled with 8 screws, wire, and mesh plate. They said procedure went well with excellent articular reduction and stable fixation ROM 0-30.

Pausing here to say this is the most irresponsible accident I caused from drinking. I was alone at the accident and hospital with no one knowing I was undergoing surgery as they took my phone away. This will forever be a consequence I need to learn from and improve my life for the better moving forward.

After procedure, I stayed in hospital for 4 days. Once discharged, it was agreed I temporarily go back home to parents as I needed assistance as my left leg and arm were immobile. Discharge notes were 1st week postop, WBAT in hinged knee brace locked in extension all times. 2nd week postop, WBAT in hinged knee brace locked in extension, OK to unlock with PT for ROM 0-30 while NWB, and sleep in brace. Starting at week 6, OK to increase ROM 30 degrees per week until full ROM.


Concerns/Questions:

Thanks for the vent and hope to update soon with improvements!
Title: Re: Open Patella Fracture (Displaced Comminution) ORIF- Stuck at 30 Degrees
Post by: Pamela339 on November 15, 2019, 04:22:24 PM
Hi BrokenKneeMe,
This is my first post here, so thanks for inspiring me to dive in. How's the bending now? If it's better, how many degrees progress did you aim for a week?
In short I broke my knee in two pieces on 10/9, had ORIF surgery (yeah, that's probably not the right language) on 10/15, and after my second post op 11/4 I started PT. It's brutal, but I can't bend past 30 degrees yet. 6 times a day on my own I bend my knee, then bend it over rolled towels. Every couple of days I add another folded towel to the pile. My PT comes to the house twice a week, though next week we'll start three times a week. Also, I do 7 exercises twice a day, 10x2 sets. My quad is finally starting to fire.
The goal is to have me at 60 degrees by my next post op which is 11/25. PT is very aggressive, but I have no context as to what the norm is. There doesn't seem to be one.
I hope you're doing better. Glad you posted.