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Author Topic: Ruptured Quadriceps Tendon  (Read 473040 times)

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Offline Dellas

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Re: Ruptured Quadriceps Tendon
« Reply #705 on: December 24, 2012, 10:27:10 AM »
Thank you for this site and for all the posts ... I have read them all and each post has helped me complete my task at hand, that being to heal and get back to 100%.

I am 58 year old male that is very physically active, and who tries to take care of himself and am lucky to have no health issues.  Several weeks before my complete left quad tendon rupture, I now know that I partially tore the tendon at work but walked it off.

On September 14th 2012 I snapped the tendon, heared the pop and felt the pain, and proceeded to fall down a flight of steps at my home, ouch ... double ouch and thank God I did not break my neck in the fall down those steps.

Surgery was on September 21st and the surgeon, a Chagrin Falls, OH. OS, completed the repair from which I woke up in recovery with a hard cast that stayed on my leg for four weeks and alot of pain ... alot. The pain was reduced using pain drugs but I only took those for 3 days and have used Advil and Aleve since ....

I was allowed weight bearing from the first daym as I could tolerate and used crutches as needed.
Once the hard cast was removed, I was fitted with an immobilizer that was kept at 0 degrees.
I was asked to do leg lifts from four positions with the immobilizer on for the next four weeks after the hard cast was removed.  I had alot of swelling but not alot of pain.
I was weaning myself off the immobilizer after 8 weeks but the knee was tender and swollen, especially after the PT, see the link below for what I was asked to do.
As far as ROM, I started at 35 degrees ROM when the hard cast was removed and after 13 weeks I am 135 degrees ROM.
I did a TON  of heel slides once allowed and believe they are what helped the most with ROM.
By the way, once the surgery was completed, I read tendon healing was helped by using vitamin C and that I should increase my vitamin C which I did  to 5 grams spread out all day ... I am still taking that vitamin C all day, every day.
After 8 weeks I was allowed to use a stationary bicycle but could not go around and just rocked forward and backward, slowly and wiithout pushing too hard at either end of the spin ... this also helped me tremendously as I pushed through and by the 9 week was spinning 360 degrees with no resistance, but I was spinning.  Bicycling is my love ... I ride about 3000 miles each year outdoors and have NOT been on my bike outdoors since the rupture ...
I ice after each work out that feels good, but I have swelling and some pain the next day that varies each week.  I can live with both as I feel I am not doing damage ... but do lighten the workout the next day if swollen or really sore.
After 13 weeks I see the light at the end of the tunnel and was released to ride my bicycle outdoors, weather permitting and to start strength training which I will start Wednesday morning, 26th at 8:00 with my PT.
By the way, the OS put a stainless or titanium wire permanently in my knee during the repair which he said saves weeks in the healing process ... that was inserted through my patella and is woven through the quad muscle ... looks pretty interesting in the xrays.
My PT is a young man, who has two assistants, they are all very good and take a very conservative approach to the work after the surgery ... he has been in the business for about 12 years and sees very few quad tendon ruptures.
I am committed to increasing the repaired leg strength now .... the OS said that this will take 6 to 18 months ... and even then, I may only get to 90 or 95% percent ...
My PT follows the format of therapy as noted in the link below almost identically, which is by coincidence, not planning.  I found this link by looking around the Internet ...

http://www2.massgeneral.org/sports/protocols/Quadriceps%20and%20Patellar%20tendon%20repair%20rehabilitation.pdf[/u][/u][/b]

I am writing all this in the hope that my experience may help anyone who reads this .... as the experiences of those who wrote before me has helped alot ......

If anyone wants any further information about my experience, please email me at [email protected], good luck to everyone, wishing all good fortunes and good health for 2013.

Warm regards,


- Ted
« Last Edit: December 24, 2012, 10:42:12 AM by Dellas »

Offline John42

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Re: Ruptured Quadriceps Tendon
« Reply #706 on: December 24, 2012, 11:56:43 AM »
Hi Ted

Welcome to the RQT thread on KneeGuru - you will do well by reading previous posts on this thread - lots of buddies out there to answer your questions.   
 I have sent you a set of documents which I have compiled over the years - Read with care, and I hope will give you a further insight to your injury, together with the rehab process - a long rehab in front of you.

Keep posting

Best seasonal greetings

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Dellas

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Re: Ruptured Quadriceps Tendon
« Reply #707 on: December 25, 2012, 01:40:36 PM »

John,

Thanks for the good information, read it all, very pertinent.

Thirteen weeks after my repair, I am convinced that to assure each person's chances for a 100% recovery, that knowing the facts is critical, and probably most critical is to know as much as possible before your surgery.

The OS that did my repair had worked on my right knee 13 years earlier due to another matter and I had good results, so I knew this OS, liked him and trusted his ability to complete the task at hand ......

From what I have read post surgery, there are diagnosis issues, repair technique issues, therapy issues etc and what is best for each one of us varies for a myriad of reasons .... so knowing facts and information is a must.

I never doubted who I wanted to repair my knee, so that was not a discussion for myself ... what was a discussion was the therapy and what I know now is that ROM of motion is the first focus and strength to get back to normal second .... but what I believe is a common denominator for all of us ... is that the healing process takes time ... and to try and go faster than what is needed to heal ... to gain ROM and strength more quickly than  what that needed time factor is ... is a receipe for a huge failure of catastrophic proportions ... and was what I did not want to have happen.

That would be what I would pass along if anyone asked me what my thoughts are ....

Wishing you Merry Christmas ....


 - Ted

Offline Joerd101

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Re: Ruptured Quadriceps Tendon
« Reply #708 on: January 07, 2013, 11:55:39 PM »
Update on progress
Now just over 9 weeks post op
Have achieved 120 degrees ROM which is great! I have found that walking as much as possible helps

Also if you have scar tissue build up, try a remedial sports massage, it helps with blood flow and movement and is really nice

They also recommend a foam roller which can help with tight ITB's and massaging the adhesions in your leg

If you have a bit of cash, invest in a stationary bike. I recently got one and have been doing 5 to 7km a day. Once you get past 90 degrees you should be good to go and it helps with strength and movement up to 120 degrees

Hope everyone is recovering well..
Patella Tendon Rupture 19th Sept
Patella Tendon Repair 5th Nov
ROM 15  Degrees15th Nov
ROM 31 20th Nov
ROM 45 26th Nov
ROM 51 29th Nov
ROM 55 2nd Dec
ROM 65  5th Dec
ROM 70 9th Dec
ROM 75 13th Dec
ROM 85 18th Dec
ROM 100 27th Dec
ROM 120 7th Jan

Offline reveille

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Re: Ruptured Quadriceps Tendon
« Reply #709 on: March 04, 2013, 07:15:50 PM »
Checking in after 7 months from the second repair. 
Well first I will talk about the good>
  My range of motion is decent  at  about 135 degrees, still can't go heel to butt.  I can walk normally now and I have returned to playing tennis twice a week for now.  My game is muted since I still can't move too quick but I am on the court. :) I also ride bike as much as I can which is relatively painless. 

Now for the bad>
Well not really bad but not great anyway.  My leg is friggin stiff...I mean I need to ride a stationary bike for 20 minutes before any planned exercise or the leg is worthless.  I have a lump above my patella laterally that is painful and hard.  I also have a good amount of swelling in the knee.  My DR doesn't seemed concerned with it though?  The weird thing is my knee is always HOT.  I mean HOT when compared to my good knee.  I ice it but the heat comes back immediately.  Has anyone had this problem before?  Possible infection?  The pain is still there but barely tolerable but I am glad to be walking again ;)  Atrophy is still noticeable but I guess it is about 70% rebuilt.  The biggest bummer is I still can't run at all.  I was running 3-4 times a week prior to the rupture so I have packed on 25lbs since my cardio has been decreased.  I hope it continues to get better so I can return to a have a half way normal life again.  End rant... ::)

Offline themerewaymeat

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Re: Ruptured Quadriceps Tendon
« Reply #710 on: March 08, 2013, 06:03:04 PM »
Evening all,

I have today been told that I have ruptured my quadricep tendon on my left leg. This is 3 weeks minus a day since I did it tho! Not ideal I guess? A+e initially thought I had broken my femur so sent me for xray and no break showed up so was packed off home with crutches and told to come back ten days later for physio.. Being the impatient prat that I am I gave up using crutches after 3 days and walked/hobbled my daughter to school for the next weeks. I returned to physio 10 days later and was told it was still too swollen to work on but go home and do some basic recovery work and come back a week later - @ this point she thought it was a basic tear/strain of the quad. Each night leg was painful and swollen, returned on weds for more physio only to be told he thought I had ruptured it - great! So I rang doctor and he saw me who concurred with physio yday and sent me for urgent appointment at hospital today: specialist felt it and said yes I have definitely ruptured it + immediately put me in a leg brace.. Off for a scan Monday to determine full extent of rupture and back to see consultant next day to decide what needs to be done... At the moment I kinda wish I did break my femur as rupture recovery sounds slow! Incase you are wondering i  think I did it by jumping up to head a ball or when I landed... From my knee to my groom immediately doubled in size from the swelling...

Will update further on Tuesday but looks like a long road ahead but will certainly recover fully as have to play footy! Fingers crossed I haven't done anymore damage over the last two weeks!!!!

Darren
34yrs

Offline bill.cochrane

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Re: Ruptured Quadriceps Tendon
« Reply #711 on: March 15, 2013, 04:13:38 PM »
Hi all of you,
I found this forum 6 years ago after a complete rupture of my left quad tendon following a Military parachuting accident.I was very worried as this injury seemed to be so rare and I was not sure if I could recover from it fully enough to take up my life where I left off.Well I am here to let you know that I did and you can too.I still skydive both in the Military and sports arenas and even at 58 still run.This forum helped me to gain the confidence to go for it when some people only seemed to want to wallow in their pain and misery.I thank all of you on this forum who gave me encouragement and the will to get better.I just thought of this site this evening and decided to see if it was still active in a way I am sad to see it is and in another glad as it will provide some of you guys with the information and encouragement that will help you get your lives back on track.Thank you all again.
Bill.

Offline davemacca

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Re: Ruptured Quadriceps Tendon
« Reply #712 on: March 19, 2013, 08:13:27 AM »
Found this site y'day and having read quite a lot of the posts, fell into a minor heap - confirmation really as to the severity of this inury! Am a nearly 55yr old Aussie, pretty active (wavesailer, telemark skier, occasional mt biker, walker - down lots in the past 30yrs, etc). Stepped off my wavesailer as I pulled into the beach (down it a 1000 times) and bang, down like a bucket of c..p on 17 Jan - near complete tear of right quad tendon off the patella.

Op on 5 Feb (lost a week as local hospital theartes lost aircon due to Jan heatwave). Dr reckons op went well and I'm hoping like hell I get a good report card when I see him tomorrow, will be my second visit and 6wks post op. Have worn the zimmer brace since the accident (2months now) and Dr was very keen I take it very easy with brace on all the time to allow tendon repair. Last week had the brace off in the sun and moved ever so slightly without it, allowing the knee to bend and freaked at the pain - just hoping i have not undone any of the repairs - 2 screws in top of patella and fine gauge carbon fibre sutures.

Am concerned with the fact my knee has been straight in the brace for nearly 9wks since the accident. See the Physio later this week to start the rehab process. Keen to arm myself with info re options for the rehab process.

Great to have a resource like this to become informed, as Dr's here (like most places I guess) are flat out attending the other maimed and injured, to give a lot of time to fully informing patients such as myself.

Thanks for reading, Dave
 

Offline John42

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Re: Ruptured Quadriceps Tendon
« Reply #713 on: March 20, 2013, 02:13:53 PM »
Hi Dave

Welcome to the RQT KneeGuru webpage.   

You are in for a tough rehab with lots of physio to come

I attach a set of documents which I have compiled over the years.  They do refer to a Ruptured Patella Tendon, but the rehab is very similar.

PATIENCE is the keyword - read some of the previous posts on this thread - ASK questions.

Where do you live

Take care   JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline davemacca

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Re: Ruptured Quadriceps Tendon
« Reply #714 on: March 20, 2013, 09:05:30 PM »
Thanks a lot John,
I got a good report card from the DR y'day - very happy with the healing - he reckons I've been eating plenty of spinach?? The best news of the day, whilst a bit freaky, is that I can take my brace off (worn for nearly 9wks), 2 weeks earlier than expected. Will only use it to give confidence moving around.
Start my Physio tomorrow which will be interesting, to say the least.
I live on the South Coast of NSW about 2hrs south of Sydney - beautiful area for all those outdoor activities that I love.
Will keep you posted with my progress.
Again thanks, Dave.

Offline davemacca

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Re: Ruptured Quadriceps Tendon
« Reply #715 on: March 20, 2013, 09:06:50 PM »
Thanks a lot John,
I got a good report card from the DR y'day - very happy with the healing - he reckons I've been eating plenty of spinach?? The best news of the day, whilst a bit freaky, is that I can take my brace off (worn for nearly 9wks), 2 weeks earlier than expected. Will only use it to give confidence moving around.
Start my Physio tomorrow which will be interesting, to say the least.
I live on the South Coast of NSW about 2hrs south of Sydney - beautiful area for all those outdoor activities that I love.
Will keep you posted with my progress.
Again thanks, Dave.

Offline davemacca

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Re: Ruptured Quadriceps Tendon
« Reply #716 on: April 11, 2013, 01:45:31 PM »
3 weeks tomorrow since start of rehab and 9 weeks since surgery. Brain is slowly remembering that I can bend my leg, although only to about 45 degrees. And yes, the knee does get hot and stays hot after a bit of a workout. Had physio the other day (always fun?) and then did my first bit of decent walking, only ~1km. It was very sore the next day and still is 2 days later. Back to the physio tomorrow for my twice weekly visit and dreading the work he will do to break up the scar tissue.

I seem stuck at around 45 ROM and look fwd to being able to consistently bend my leg greater than this. But the heat thing is weird. Also look fwd to getting on my bike which is mounted onto a trainer ready to go. It certainly is not a short journey to full recovery.

Dave Macca

Offline John42

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Re: Ruptured Quadriceps Tendon
« Reply #717 on: April 11, 2013, 02:15:30 PM »
Hi Dave 

Remember   --- PATIENCE - don`t push it


Take care

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline shane2801

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Re: Ruptured Quadriceps Tendon
« Reply #718 on: May 05, 2013, 07:34:04 AM »
Hi everyone,
i did a partial tear to my right quad tendon on the 30th Oct 2012 (50% torn) . I didn't visit the surgeon as a physio said he would fix it. I stupidly believed him. I was able to walk with a slight limp but felt uneay on inclines or declines. I was able to walk up & down stairs with a little pain. All this was achievable after 3 months. I thought it would be a time thing but on the 10th April I did visit the surgeon for piece of mind. What he told me wasn't great. After viewing my first MRI I had doe ( 2 days after injury) he said he would have opted for surgery. He sent me for another MRI and after looking at that he said surgery to reattach I would need. He was worried that becuase I left the injury for 5 months the tendon may be useless as it had retracted 10 cm.
I went in for surgery and it had actually torn around 75%. He was pleased with the surgery and the tendon was good. He is confident I will make close to a 100% recovery.

My surgeon didnt put me in any sort of brace as he said I didn't need one. I am now 3 weeks post op and I have no pain. I have no brace and was only on crutches for the first week. I have around 75-80 degree ROM at present. I can walk around with full weight bearing but only walk slowly.

After reading the past 48 pages I thought I would be in a brace for weeks etc. Am I lucky? Admittedly the first posts were from 2006 so there may be more advancements in surgery I dont know. I start physio in 2 weeks.

I was only in pain for the first week after surgery. Has anyone else had a similar experience to me?? I am in Sydney Australia.

Thanks


Offline Bearkev

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Re: Ruptured Quadriceps Tendon
« Reply #719 on: May 13, 2013, 02:41:04 AM »
Hello all.  I just found this forum today and am very happy I did.  I ruptured my left quad tendon 100% on April 18th at work.  That night I had my surgery and was fitted with my leg brace - no bending or weight bearing.  My first follow-up with the Doctor was two days ago.  Had my staples & stiches removed and everything looked good according to the Doc.  He has me beginning my PT in five days (not looking forward to it).  Reading through these posts gives me some hope and also worries me some.  I know patience is very important but it's never been a strength of mine.  At least the pain hasn't been bad since the surgery.  I haven't taken any paid meds in over a week now.  I'm sure that will be changing once the PT starts later this week. 

Thanks to everyone though who has posted in this thread.

Kevin