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Author Topic: bi-lateral patella mal-tracking  (Read 2520 times)

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Offline bettyboo612

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bi-lateral patella mal-tracking
« on: February 24, 2005, 08:32:35 PM »
 :'(
i have been suffering from knee problems for over 3 years now. At first i was diagnosed with osgood schlatters dissease, which got better for a while, but then i started to experience a different kind of knee pain. At first doctors thought that it was chondro malaycia patella.
However, i had an MRI scan in early january of this year, which showed that i have overhanging kneecaps. This has led to a confirmed diagnosis of bi-lateral patella mal-tracking .

I have had months of physio in the past and i have had more of it recently, but it just isn't working. I have also had accupuncture, herbal teas, visited a pain managment clinic, a consultant and a specialist, and i am now on the waiting list to try hydrotherapy.
However, this is unlikely to work and i have been to my GP again today for independant advice, and he thinks that the next step is surgery. I have an appointment with my specialist on tuesday, who (after discussing it during my previous appointment) is very likely to also suggest surgery.

I was wondering if anyone has had surgery for this problem, is experiencing the same thing, or just knows anything about it!
i would be very grateful for any advice or help that anyone can give me. Thanks!
P.s.  This problem is stopping me from climbing stairs easily, is preventing me from doing any sport, and only allowing me to walk short distances on flat ground. Help!!! ???
14/f/uk
lateral patella mal-tracking in both knees
18 months of physio on and off
accupuncture & herbal remedies
x-rays>MRI>taping
Awaiting another appointment with specialist
***Knees:
You can't live with 'em, you can't live without 'em!***

Offline mhsflute07

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Re: bi-lateral patella mal-tracking
« Reply #1 on: February 25, 2005, 12:02:44 AM »
Hi!

Sorry to hear of your problems. I have similar problems with maltracking, but my knees also dislocate. For me, this is all due to malalignment. To fix my knees would require a TTT/LR/MR. A TTT is a tibial tubercle transfer....the doctor cuts the bone beneath the knee cap where the patella tendon attaches and then move it medially. This helps to make the knee cap centered in the groove. A LR is a lateral release....the doctor cuts the ligaments on the outside of the knee to relieve the tilt in the kneecap (beware of this procedure alone. It will not fix maltracking by itself, only patellar tilt.) A MR is a medial reefing....the doctor tightens the inner ligaments to hold the kneecap in place. Your doctor may recommend any, all, or different procedures than these. I have not had surgery, so I really don't know anything about recovery or results.

Hope this helps! Good luck!
~Erin~
June 2, 2005 TTT/LR  R.
July 26, 2005 TTT/LR  L.
June 6, 2006 Microfracture R.
June 5, 2007 Microfracture & Screw Removal R.
March 12, 2009 Scope and ACI Biopsy R.
May 12, 2009 TTT, Trochleoplasty R.
December 15, 2009 ACI (patella) & bilateral hardware removal
December 21, 2010 LOA and LR

shadehawk

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Re: bi-lateral patella mal-tracking
« Reply #2 on: February 25, 2005, 12:09:47 AM »
Bettyboo,

Welcome to the board.  Erin has explained this well.  Sorry you are having a rough go of things right now, hopefully the OS will have some answers for you. 

Hope all goes well on Tuesday, keep us posted.

Hugs,  ;)

Shade

Offline Linds

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Re: bi-lateral patella mal-tracking
« Reply #3 on: February 25, 2005, 08:44:42 AM »
Hey Betty Boop, you could check out the Patello Femoral section of this board, as it'll have lot's of people there with Maltracking issues.  ::) WElcome to kneegeeks, hope you find some help soon.
Hugs
Linds
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline bettyboo612

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Re: bi-lateral patella mal-tracking
« Reply #4 on: February 25, 2005, 04:26:07 PM »
thanks for your advice guys! :)
It's looking like surgery is going to happen, so i'm starting to get nervous, even though it'll hopefully work! (Although i can't help wondering what if it doesn't work!)
However, i'm trying 2 stay positive!
Thanks again
14/f/uk
lateral patella mal-tracking in both knees
18 months of physio on and off
accupuncture & herbal remedies
x-rays>MRI>taping
Awaiting another appointment with specialist
***Knees:
You can't live with 'em, you can't live without 'em!***

shadehawk

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Re: bi-lateral patella mal-tracking
« Reply #5 on: February 25, 2005, 04:55:01 PM »
Bettyboo,

There is no sense of me telling you not to be nervous about surgery - it is real normal to be nervous - ask your doctor lots of questions and make sure that you feel real comfortable with the answers to your questions.  If surgery is recommended find out what type of surgery like MR or LR or TTT.   Everything should be explained to you before hand and also ask if you'll be needing bracing, crutches, cold therapy unit and what type of rehab protocol you will be looking at afterward.

This will help you to be prepared for whatever you will be facing.  Good luck to you and let us know how everything is going.

Hugs,  ;)

Shade

« Last Edit: February 25, 2005, 04:58:14 PM by Shadehawk »

Offline trackdude526

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Re: bi-lateral patella mal-tracking
« Reply #6 on: February 26, 2005, 03:19:29 PM »
hey i have had similar problems with my knees i have patella femural syndrome i also have trouble going up stairs and doing sports i myself used to be a distance runner but had to give it up cause of my knees i am also looking for some kind of surgery that the doctors can do to get me back on the track well if you have any luck let us now all i can say is that i know youll get through it with a little help that is just keep working at it they will find a cure eventually lol hope your meeting goes well

daniel