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Author Topic: Pictures of the Fulkerson produdure?  (Read 3261 times)

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Hop skip n jump

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Pictures of the Fulkerson produdure?
« on: January 24, 2006, 04:43:16 PM »
Does anyone know where I can find pictures fo the Fulkerson procedure?
I would like to be able to see where the bone will be cut, what the pins/screws look like and scaring etc..

Thanks




Offline Leentje

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Re: Pictures of the Fulkerson produdure?
« Reply #1 on: January 24, 2006, 05:21:37 PM »
My knee as it is now post-Fulkerson (3 years ago) on the inside and the outside. Hope this helps a little!


1 week post-op

1 week post-op

1 week post-op

5 months post-op

2years post-op

3 years post-op

Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline hopalongcasualty

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Re: Pictures of the Fulkerson produdure?
« Reply #2 on: January 24, 2006, 07:04:10 PM »
Neat
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Offline Mandy

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Re: Pictures of the Fulkerson produdure?
« Reply #3 on: January 24, 2006, 09:39:09 PM »
here's what i have after two TTTs..



~Mandy

all other surgery pics:  http://pg.photos.yahoo.com/ph/knockdownhockeychick87/my_photos
21 yrs old
12/04: plica removal (RK)
2/05: debridement, LR/TTT (RK)
6/05: debridement, LR/TTT (LK)
10/05: scar tissue removal/debridement (LK)
3/06: screw removal (both knees), debridement on TTT site (LK)
5/08: debridement, HTO, Maquet procedure (LK)

Hop skip n jump

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Re: Pictures of the Fulkerson produdure?
« Reply #4 on: January 25, 2006, 08:43:43 AM »
Hi Helena,

Wow, thanks so much, great pictures and you have a good pair of pins on you (and in you) tee hee. That really helps, you can't even see your scar anymore! I'm sure my consultant said my cut would be a horizontal line under my knee cap? Perhaps I'm wrong! My notes are presentely travelling from one hospaital to another so the great NHS are unable to tell me the exact procedure as they are in transit!!!!! Although in saying that I am almost positive it's the Fulkerston because of his explanation of the bone being broken and moved centrally? I must say I'm absolutely crapping myself!!!   ???

Mandy - Thanks for that hon, you scar is ickle! I love the captions to your pictures. But lets really get down to it. The pic of you sat on the floor, is that a cat basket I see??? Do you have a puddy tat?

Both of you thankyou so much.
« Last Edit: January 25, 2006, 07:24:40 PM by Hop skip n jump »

Offline hopalongcasualty

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Re: Pictures of the Fulkerson produdure?
« Reply #5 on: January 25, 2006, 05:52:05 PM »
Hop skip n jump,

There are several different TTTs out there.  The Fulkerson is one of the more current procedures, it appears to have better results than a Hauser, or Maquet alone.  I had a Hauser then a Maquet to essentially end up with what is done in the Fulkerson.  which moves the Tibial Tuberocity laterally and forward (because they cut the bone at an angle and essentially slide it up hill and then screw it in place)

Hauser is basically moving it to the side, Maquet is moving it forward. 

I need to post pictures of my knee I have a 15 inch incision, 3 port scars 3 small hole punctures, a Large Lump on the tibia from the Maquet and a series of "fish mouth" incisions on the medial side of the proximal tibia to let the skin strech enough to accomodate the Maquet. 

On the left knee I only have scope port scars "for now". 

Of Course since I am a guy it is not so bad and kind of "gross-cool"  :P.
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Offline hopalongcasualty

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Re: Pictures of the Fulkerson produdure?
« Reply #6 on: January 25, 2006, 05:55:36 PM »
Oh yeah,

If you ever get the hardware out, try to keep it.  I have the Screw removed from the Hauser and a plain Film showing it in my leg.  Really cool for the scrap book  ;D

Oh God I AM a Knee Nerd!  ::)
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Hop skip n jump

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Re: Pictures of the Fulkerson produdure?
« Reply #7 on: January 26, 2006, 09:13:12 AM »
Hopalong, yes you are a knee geek, ;D but hey so am I! Thanks for the advice. You've certainly been throught it huh! I'm not bothered about the scars, they are war wounds after all!  Question? What are the screws made out of? I'm allergic to medical adhesives like steri strips opsite and certain meds, am a little concerned about a reaction to the metal? Do they do an allergy test 1st?

Hi Cat
What a great set of piccys, love the flower toes! I must get my toes painted also! Have plenty of time to think of a funky design!
Your scar seems to have healed very well, it's really thin now in comparrison as to what it was initially.Is leg waxing a good idea? Or would it be hell when it grows back? What is your range of movement like now? Are you new and shiny?

Offline hopalongcasualty

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Re: Pictures of the Fulkerson produdure?
« Reply #8 on: January 26, 2006, 09:05:52 PM »
Hop skip n jump,

Stainless Steel is what my hardware was.  Normally a hypoallergenic metal.  I have heard of titanium used in implants as well, this should also be a hypoallergenic metal, just the screws would be 10x more expensive.  High grade titanium is more corrosion resistant and lighter than stainless.

If you cannot use steristrips, talk to the doc about this, they may have to use stainless steel staples.  They hold good, but itch worse than stiches and leave nasty little scars, makes the scar look more like a centipede, but as you said "they are war wounds after all!"


CAT

Hey gal, I noticed on the plain films that your screws don't protrude through the back of the tibia at all.  How lucky for you.  When I had the screw in mine, the tip protruded out the back about 2 mm and I could feel irritation in the musclesof the calf.  That went awaty after the screw was removed. 
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Offline cat

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Re: Pictures of the Fulkerson produdure?
« Reply #9 on: January 26, 2006, 10:38:52 PM »
Hop skip n jump,
I don't know about being all new and shiny.... sure would be nice though. ;D My scar was a bit better looking before I had the screws removed. It got wider the second time it got opened. Glad you liked the pics and can't wait to see what toe design you choose- though sometimes you are not allowed the pretty toes in surgery.
My ROM is almost normal and I don't have as much lateral pain anymore. I miss being able to run, jump, and squat but am learning to be greatful for what I can do. ;D
BTW, my screws are titanium and yes, I kept them! (geek :o)

Hopalongcasualty,
that sounds painful. Did you just have the one screw?

 ;D cat  ;D
"Miserable malalignment"
 Lateral release, medial reefing, VMO advancement, and TTT-  3/2/04
Screw removal- 5/24/05
Cortisone injection to pes anserine- 7/27/05
Femoral derotation osteotomy, TTT revision- 10/18/07

Offline hopalongcasualty

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Re: Pictures of the Fulkerson produdure?
« Reply #10 on: January 26, 2006, 11:51:00 PM »
Heah, I only had one since I had the "Modified" Hauser Manuver back in 86.  The bone plug is much smaller than on the Fulkerson, they only move the tibial tubercle laterally and screw it in place, I will see if I can dig out some of my old films. 

The Fulkerson treatment was
A.) not invented
B.) not approved by insurance 
C.) the bone"hack"saw I was treated by in 86 had no clue.

When I saw a really Good salvage OS in 89 he was able to do the Maquet to esentially achieve the results of the Fulkerson.  When he did the Maquet, he used a long tibial shingle and was able to not use hardware, rather spring tension of the tibia-shingle to hold the shims in place.  I was up and was using crutches and weight bearing the day of surgery.   ;D

The Hack in 86 had convinced me he had done all that could be done and I would have to live with it.  What he neglercted to say was that he had tried every thisng the HE knew to do.   >:(
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Hop skip n jump

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Re: Pictures of the Fulkerson produdure?
« Reply #11 on: January 27, 2006, 12:48:22 PM »
Hi Cat and Hopalong
Do you yhink they would put in platinum screws for me!!!!!!! :P I could melt them down afterwards!
Thanks for your advice, very much appreciated. Just wish i didn't have such a long wait until it can be done! Arghhhh!

Hop