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Author Topic: post op question...lateral meniscus removal  (Read 2113 times)

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Offline caro

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post op question...lateral meniscus removal
« on: October 27, 2004, 04:45:29 PM »
little history here first... this is for my 9 1/2 year old daughter..

she has had knee problems since age 2..her knee would lock in place when she was rough housing..later it got worse...after locking it would swell and have lots of fluid on it..went to the orthopedic doc at age 5...had mri..showed left side weakness..told to watch and come back if problems..well by age 8 it was gettin really bad..lots of pain and swelling..hurtin alot..im seein her activity level DROP big time.. so we have an another MRI..showed lateral discoid meniscus..told to watch and if pain or swellin gets worse to come back in..so we do...however after memorial day..pain and swellin is almost constant..go in.. cortisone shot to knee..swellin goes down some..but still consistent regular pain...so on Oct 5th we have arthoscopic surgery..only to find that she has completely ripped her lateral meniscus to the point that they have to remove almost 80-90%..only about 10% is left at the rear of the meniscus..they also remove lots of scar tissue from her knee cap, lots of bad tissue and part of the meniscus had flipped over and was stuck in the knee notch...soo...she does awesome by 3-4 days post op shes walking..swellin is down .. omg..she actually LOOKS like she has a knee (serioiusly her knee was soo swollen that it had no shape..doc was like all upset it was so bad.he had no clue..she NEVER once acted or described the pain as bad as it probably was!)..we go back one week post op remove stitches hes happy..however he needs to find out more about a meniscus transplant for her..we do find out that she is TOO young..as the growth plates would be comprimised and we will have to wait..

now to my problem! 3 weeks post op yesterday..we are in his office due to pain and SEVERE swelling...he says knee is FULL i mean FULL of fluid...now she has not been over doin it or doin ANY activity that she shouldnt (no runnin, jumpin, skippin, etc)...he puts her on anti-inflammatory's 3 times a day, ice 3 times a day and of course more rest (though shes already doin this).. we go back next week if its no better..he wants to asperiate it!

now my question..WHY IS SHE SWELLIN SO BAD ALREADY?? i mean do we have this to look forward to when all she does is WALK? im sick of it..shes sick of it..shes NINE and shes limited to everything she can do..

thanks for any advice!

Offline ATsoccergirl

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Re: post op question...lateral meniscus removal
« Reply #1 on: October 27, 2004, 05:18:02 PM »
Is your daughter seeing a pediatric OS or a general one?
1999 LR, 2002 ACL/PLC recon, reversal of LR, 2004 ACL revision, 2006 Car accident torn PCL and small fractures resulting in bone chips in my knee.  Torn MCL 3 times.  Wicked screws under IT band and Pes Anserine.  June 2008-Hip Arthroscopy.

Offline caro

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Re: post op question...lateral meniscus removal
« Reply #2 on: October 27, 2004, 05:36:06 PM »
right now shes seein a orthopedic/sports medicine doc...hes not a specialized pediatric doc..but sees lots of children

Offline Nettan

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Re: post op question...lateral meniscus removal
« Reply #3 on: October 27, 2004, 06:11:48 PM »
Hey !!

Just a question; have they taken any tests for RA or diseases like that ? Has she had swelling or painproblem with other joints ? It is just a thought I have when I read this.

Hugs nettan  ::)
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline caro

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Re: post op question...lateral meniscus removal
« Reply #4 on: October 27, 2004, 06:24:31 PM »
no other joint problems..just her knee..and ya know i hate it for her..cause post SURGERY shes still NO better!

Offline Nettan

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Re: post op question...lateral meniscus removal
« Reply #5 on: October 27, 2004, 10:20:41 PM »
Hey !!

Hope that she soon get some relief. I have 2 kids on my own, 10 and 15, and to see your kid suffer it's probably the worst you can do. Maybe you need a second opinion or even third cause there must be more they can do for her now right away. My suggestion is if you're not satisfied go in at the web an search for other docs. Have they looked so she doesn't have any bacteries in it ? Maybe she needs antibiotics instead.
Sending you a big hug and a hope of a speed recovery for your daughter. You can IM or mail me whenever you want if you need talking.

Hugs nettan  ::)
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline caro

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Re: post op question...lateral meniscus removal
« Reply #6 on: October 27, 2004, 11:03:10 PM »
thanks id like to talk to someone else who has knee experience...

its just hard to watch her!

Offline Heather M.

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Re: post op question...lateral meniscus removal
« Reply #7 on: October 28, 2004, 01:14:37 AM »
Caro,

Since your daughter has already had a LOT of scar tissue removed from her knee, you need to be very careful of it coming back.  There is a serious condition called arthrofibrosis--basically it is an overgrowth of scar tissue in the joint after surgery or injury.  It is very painful, and in part is marked by dramatic swelling that seems way out of proportion with the surgery/injury or the state post-op that the patient has reached.  My surgeon is a specialist with scar tissue.  Arthrofibrosis is a very rare condition--has to be at least as rare as discoid meniscus, if not more so.  Less than .05% of arthroscopy patients develop severe arthrofibrosis.  The problem with this condition is that if the rehab is not handled JUST RIGHT, the scar tissue can come back--worse than before.  This happened to me several times, with my OS just scratching his head and saying he'd never seen anything like it.  It wasn't until I went to see a specialist OS who has done a great deal of research on arthrofibrosis that I realized the rehab (plus crummy genetics) was causing my scar tissue to come back--redoubled--each time.  

I'm not saying this is what your daughter has.  But since she's already had a lot of scar tissue removed once, and since she's getting lots of swelling, it is something to watch.  The rehab for scar tissue patients is very exacting.  You can read about the basic principles in a variety of posts in the soft tissue healing problems section.  Swelling is the mother of scar tissue in those rare patients who form too much of it, so the goal is normally to reduce swelling and irritation.  This can be done by delayed weight-bearing, passive PT, delayed strength training, rigorous RICE protocol, and various physical therapy modalities that help with swelling.

Read up on arthrofibrosis/excessive scar tissue.  You may even want to print out a few articles to discuss with your doctor.  Unfortunately, many OS's never see a serious case of this in their practice.  It's been my unfortunate experience that surgeons with no experience with arthrofibrosis will deny its existence, downplay its impact, and/or say there is nothing that can be done.  If you should hear any of that, please take your daughter to see a specialist.  You can find names in the soft-tissue healing section.  If you post where you live, someone can recommend the closest specialist to you should that become necessary.

Good luck.

Heather
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell

Offline caro

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Re: post op question...lateral meniscus removal
« Reply #8 on: October 28, 2004, 02:02:16 AM »
wow heather that makes total sense...especially since this time her swellin is really wacky..like high up on her knee..and also where the surgery was..

hmm..i shall be readin!















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