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Author Topic: Need Desperate Help!  (Read 974 times)

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Offline CourageandHope

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Need Desperate Help!
« on: September 18, 2005, 04:17:57 PM »
Hi, Im new to this board...just found it and Im thankful I ddi to!!! My name is Laura and Im 17 years old...I was in an accident on May 28/05...I shattered my left patella..it was soo bad that the OS siad he had a hard time putting it back together...I have a screw and wire in there..I started Physio on July 22 and since than Ive oly gottan 40 degrees ROM!!!!!! I cant seem to get past that...i dont understand why..I also fractured my LEFT FEMUR and I have a rod in there...Its sooo confusing..not the OS is doing a scope on October 28....I went just this past wedensday to see him..he wasnt pleased that i couldnt get more ROM so he got an XRAY taken of the patella....seems as though theres something wrong...hes concerned so he wants to take a look inside!!! Im nervous and scared...I want to bend it more...but it just wont go...i dont get it..im working really hard...i can also feel the screw under my knee and it hurts ALOT especially in the morning...could that be the problem??? I dont want to be like this forever....im still young!!! im still on crutches and doing 60-80 pounds weight-bearing...im still working on quad muscle strength..if anyone has questins, comments, or just encouragement or advice...please post
Thanks, Laura :)
Life might be hard and life might be confusing.  But the power of believing and hoping can make life seem so much simpler and easier. Laughing is important - its good for the soul and for the heart. Always smile. Have faith and be brave - soon things will get better.

Offline Nettan

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Re: Need Desperate Help!
« Reply #1 on: September 18, 2005, 04:22:29 PM »
Hey !!

Welcome here !!
There can be so that you have scar tissue built up preventing you from bending. If your doc goes in with a scope he can take this away and make ROM better for you. You can get scar tissues after injuries ans especially when there's surgery involved.  You can read more about it under "Soft tissue healing problems"
Under "Bone breaks around the knee" you find people with fractured patellas.
Maybe asking there can give you more feed back.
Good luck to you !!

HUGS NETTAN  8)
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 CourageandHope

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Re: Need Desperate Help!
« Reply #2 on: September 18, 2005, 04:29:33 PM »
Thanks soo much!!!! That is possible..I mso confused with all these terms..I didnt even know there was such thing as scar tissue build-up lol...will he take it out if there is any??
Well thanks anyways...Ill keep posting whenever i have more news!!!
xoxo
Life might be hard and life might be confusing.  But the power of believing and hoping can make life seem so much simpler and easier. Laughing is important - its good for the soul and for the heart. Always smile. Have faith and be brave - soon things will get better.

Offline Nettan

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Re: Need Desperate Help!
« Reply #3 on: September 18, 2005, 04:35:41 PM »
I'm sure he does !! GOOD LUCK !!

HUGS NETTAN  8)
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 purplestars1881

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Re: Need Desperate Help!
« Reply #4 on: September 18, 2005, 06:38:59 PM »
Laura,

Just wanted to wish you best of luck...I hope that everything works out for you! Just keep doing what they tell you to until the scope on the 28th. Have they given you any advice of things to help out until then?

Heather

Lateral Release & Torn Meniscus...August 2005

Offline CourageandHope

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Re: Need Desperate Help!
« Reply #5 on: September 18, 2005, 07:09:25 PM »
Thanks Heather!!

Actually the OS told me to get more agressive..like go into a pool or start a bike...but how am I supposed to go into a poll on crutches??!!!! I dont want to fall!!
And how can I go on a bike when I can only bend at 40??
Hes is supposed to fax my physiotherapist some instructions so i guess ill see what happens at my appointment tommorow...

thanks again! Laura :)
Life might be hard and life might be confusing.  But the power of believing and hoping can make life seem so much simpler and easier. Laughing is important - its good for the soul and for the heart. Always smile. Have faith and be brave - soon things will get better.

Offline favouritesearcher

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Re: Need Desperate Help!
« Reply #6 on: September 19, 2005, 09:32:04 AM »
Hi Laura,

I can sympathise with you.  Different fracture, similar problem.  First time on the bike I had range of motion 20-45, couldn't get the pedal to move at all, leg just stayed straight.  Went to hospital pool on two crutches ... they have rails that you can use to get down the stairs (first time is very shaky), or you can go down in a hoist.  My leg got to 70 with rehab, two sudden changes of about 15 degrees each time (adhesions breaking).

It's likely you have a scar tissue problem, I would guess that your kneecap is not moving at all, plus your scar is probably stuck down and hard to move, maybe a lot of swelling around the kneecap.  Was your leg immobilised?  The pain from the screw could be making your avoid bending your knee, but I think that most of the problem would be from scar tissue.  Scar tissue doesn't usually show up on an x-ray.

There is someone called Bikersmurf who has just started posting and I think that he/she has a fractured kneecap as well and also has ROM problems.  There are a lot of people with fractured patellas in the Bone Breaks Around the Knee section of the Bulletin Board at the moment.

After five months of rehab and with a range of 20-70/75 I had a 'scope where they cut the scar tissue adhesions and took it out of the knee.  My ROM went to 7-90 straight away (7 degrees from being straight, bent to 90, enough to lay down and sit down on a chair like a normal person) and over the next few months increased to 3-125.  Now 18 months after my accident I still have some discomfort in the knee and I am no longer able to do all the things I want to do, though at least I can walk and have almost no pain.

You might not like the idea of more surgery but it's almost certainly necessary for you to make the best recovery.  The longer your leg is unable to move, the more damage the scar tissue is able to do.

When you have the surgery, try to get a continuous passive motion CPM machine to use afterwards for as long as you want it.  It keeps the joint moving and helps stop the scar tissue from adhering to anything.  The knee will feel really stiff afterwards and the CPM machine helps with this.  Also take icing and elevating seriously, 10 mins every two hours or so.  It is important to move the patellar tendon and kneecap (if possible with your injury) so that the scar tissue doesn't stick those down, and the old scar.  I trust that your surgeon is a knee specialist.
Link to rehab routines for scar tissue: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=13317.0.
Just because you have scar tissue doesn't mean that you have the severe sort - most people just have it because of their injury, immobilisation, etc, and get better with just one or two operations.

I really wish you good luck with getting better.  I'm confident that things will improve a lot over what they're like now.

John
« Last Edit: September 20, 2005, 09:59:51 AM by favouritesearcher »
Mar 04 - Tibial spine avulsion fracture (skiing). Open surgery to fix, 1 screw.  Max passive ROM 20-75, active ROM 30-45
Aug 04 - Diag. severe arthro. Scar tissue clean up (LOA, removal of scar tissue).
Feb 05 - Discharged from surgeon's care. ROM 3-125.
Apr 05 - Discharged from physio. Same ROM















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