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Author Topic: Malalignment Question  (Read 820 times)

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Offline dmturner

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Malalignment Question
« on: June 09, 2006, 01:58:24 AM »
OS said when I had my original lateral TPF surgery 21 months ago that he was able to achieve very good alignment but that I was now somewhat knock-kneed.  The operative report says that it was a Shatzer (sp.?) II comminuted fracture with 5mm to 1 cm depression.  I've had pain ever since the surgery, certainly not pain I cannot stand, but it's always there, anywhere from a 1-2 on an unusually good day, 2-3 when pretty inactive, and when I try to carry on my regular activities (such as they now are), it'll get to a 4-5 with a high 8-10 stab of pain once or twice a day.  This past February, I had the hardware removed and arthoscopy where he said I had Grade III chondromalacia patella which he debrided.  My leg looks slightly crooked, and whenever I extend it all the way, it'll go straight but then at the end of the extension it'll kick out to the left.  I've also had constant swelling on the medial side of my knee and medially below the knee which OS says is bursitis.  I just had cortisone shot in bursa two weeks ago but it's still hurting and swolen.

OK, when I asked OS about my leg being crooked, he said it is a little bit (about 5 degrees), and didn't seemed very concerned about it, but I think maybe that 5 degrees might be causing the chondromalacia getting worse as well as the pain and swelling on the medial side of my knee.  I also can absolutely not do any kind of squat exercises without high level pain. 

I'd really appreciate some opinions about whether 5 degrees can be the cause of my continuing problems.  I'm now doing the hyalgan shot series for the patella pain (have had three so far) and not seen much in the line of results yet.  I had two pretty good days but today was on pain killers again.

Thanks much.  Donna T.
9/04 L TPF Plate w/6 screws;
5/05 R Calcaneal Process Fracture Surgery;
2/06 L Hardware Removal & Patellar Debridement;
8/06 R Great Toe Fusion;
1/07 L TKR

Offline pegleg78

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Re: Malalignment Question
« Reply #1 on: June 09, 2006, 03:59:06 PM »
I can't help you with your aligenment questions, but I have had a lot of experience with pain meds and being in pain. I would ask to see a Pain specialist if I were you. A pain management doctor can help you so much. They understand the pain intensity and pain cycle and can treat it much better than your OS. They can give you longer acting medication that works so much better. Once you get the pain under control you can work more in you rehab.

Good Luck
99 ACL, med, lat men repair
00 Med menisectomy, lat men repair
01 med, lat meniscus transplant, ACL rev, LR
01 chrondroplasty, manip & debrid
02 med, lat partial menisectomy
03 Arthrotomy,  LOA, LR
05 chrondroplasty, lat men repair, shrink ACL
05  med menisectomy, chrondropla
05 med PKR