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Author Topic: Need more surgery, but what?? Pls help. Thnx  (Read 750 times)

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Hop skip n jump

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Need more surgery, but what?? Pls help. Thnx
« on: January 24, 2006, 11:07:23 AM »
Hi everyone,

Am new to this site and am wondering if anyone can offer me some advice.
Short history....
Left knee, 9 dislocations, arthroscopy and LR worked 10 years ago and apart from arthritis all working well.

My so call good knee suffered a horrendous dislocation Oct 03, tibia and patella. Resulting in level 3 osteoarthritis.
March 05 arthroscopy and LR, didn't work! May subs since then and a fall at work in Nov 05 brought on another dislocation.
Last Friday I saw the same specialist I have always seen (v.good) and have been put on the waiting list for, and here is the question as I didn't take it all in as was in shock!

Apparently he is going to break my tibia to move it to realign everything so patella tracks correctly. It will be moved from the looking down my left to the middle.
I think this is the TTT? Fulkerston?? I remember being told 3-5 days in hospital, no driving for a month and I will have to wear a brace.

Any ideas?

Thanks
« Last Edit: January 24, 2006, 11:35:43 AM by Hop skip n jump »

Offline shade

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Re: Need more surgery, but what?? Pls help. Thnx
« Reply #1 on: January 24, 2006, 12:04:07 PM »
Hi,

Found this info about the Fulkerson Osteotomy procedure from the KNEEguru ........

Definition
The Fulkerson Procedure is an operation to re-align the tibial tuberosity (lower bony attachment of the patellar tendon on the shinbone). It is one of a number of similar procedures known as distal re-alignment procedures.

The operation is also called a Fulkerson osteotomy.
--------------------------------------------------------------------------------
Patellar Subluxation and realignment procedures

In cases of patellar (kneecap) instability with recurrent subluxation (kneecap jumping over the edge of its groove), surgeons may attempt to improve the stability by realigning the patella by changing the forces through the whole patellar system - what is known as extensor mechanism. That is the quads muscle, quads tendon, patella, patellar tendon, tibial tubercle, and the side restraints of the patella (retinaculum).

If the operation involves structures at or above the kneecap, it is called a proximal realignment. If the operation involves structures below the kneecap, it is called a distal realignment.

Details of the Fulkerson Procedure

The Fulkerson Procedure, or Fulkerson osteotomy, is a distal realignment procedure, where the tibial tubercle (the bony bump an inch below the kneecap) is cut and moved medially and anteriorly (ie towards the inner aspect and forwards). This has the effect of improving the extensor mechanism alignment, and also decreases the pressure under the patella.

Look in the section titled 'Rehab Dept' and 'Post-Op Diary' - you will find peoples personal diaries about their surgery and recovery process.  There are quite a few who have had the TTT or osteotomy procedure, talk to them and you'll get answers to any questions you might have.

Good luck.  ~Shade
July '05 (RK) - LR/debridement
Mar '06 (RK) - Open LR + Allograft w/OBI TruFit Plug + Fulkerson TTT
 Feb '07 (LK) - LR + Fulkerson TTT

Hop skip n jump

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Re: Need more surgery, but what?? Pls help. Thnx
« Reply #2 on: January 24, 2006, 12:27:32 PM »
Thanks Shade.

Silly question but do you know what the bace will be like? Are they big cumbersome metal hinged things?


Offline shade

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Re: Need more surgery, but what?? Pls help. Thnx
« Reply #3 on: January 24, 2006, 02:02:03 PM »
Hi,

Some people have immobilizers for awhile and then get a post-op brace, but think it depends on the surgeon and his/her protocols.  There are many different varieties of post-op braces and again it seems to be a personal choice of the individual surgeons.

Here are what some of the post-op braces look like.  They are all a little different....

http://www.kneeshop.com/postop.htm
July '05 (RK) - LR/debridement
Mar '06 (RK) - Open LR + Allograft w/OBI TruFit Plug + Fulkerson TTT
 Feb '07 (LK) - LR + Fulkerson TTT















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