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Author Topic: subluxated patella questions.  (Read 793 times)

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Offline jennamarie

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subluxated patella questions.
« on: June 12, 2007, 09:04:28 PM »

I am 15 years old and I have a Subluxated Patella.[/size]
there are a few things i've been wondering;

1.
Is there a good time to get the surgery?
Like should i wait till i am older, or is it better to get the lateral release at a younger age?

2.
Anyone that has gotten the lateral release, was it painful?

3.
I have heard that it is better to exercise a lot before your surgery because it will strengthen the ligaments or something and it will make the recovery easier?
Does any one know if that is true?

4.
What are the complications of the lateral release?

5.
My left knee has been "popping out" for the past 9 years and last summer my right knee popped out expectantly..so i imagine its only a matter of time before my right knee gets just as bad as my left..so do i need to have this surgery on both knees?


your input to any of those questions is greatly appreciated.


Offline tanyap

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Re: subluxated patella questions.
« Reply #1 on: June 13, 2007, 08:59:32 AM »
Hi Jennamarie,

Ive had a dislocating/subluxing patella since I was 12 years old (Im 33 now). At age 14 they operated on me and repaired soft tissue damage, repaired and repositioned my patellar tendon, lateral release, bone grafts, cartilage repair.
I had 3 years where it didnt sublux or dislocate, then it began again - only in high stress activities like running/contact sports. Over the years its gone downhill and currently Im on a new PT program to strengthen my leg muscles, particularly VMO - to try and stabilise my patella.

As for your questions:
1: Your OS is the best person to decide when to get the surgery - waiting may allow further damage to happen, or for your condition to worsen.

2: I had a lot of work done at the same time, but all surgery is fairly painful, and the rehab afterwards can be difficult - however its the pain of BEFORE surgery I remember not the pain of recovery.

3: Absolutely exercise as much as possible before surgery - it will shorten your rehab time. Exercise will strengthen the muscle structures that support your knees, and if you do a lot of exercise before a surgery you will have less ground to make up afterwards - there is always going to be muscle wastage from not using your knee while it heals - the more the muscles are built up before the better.

4: I dont have an answer to this - but if you search this site for 'lateral release' you will find some info

5: Again - your OS is the person to answer this question.

Hope some of that helps you.
Tanya

1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline zeni

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Re: subluxated patella questions.
« Reply #2 on: June 13, 2007, 10:22:48 AM »
Here is an information page on lateral release from the kneeguru website-

http://www.kneeguru.co.uk/html/steps/step_05_patella/lat_release.html

This page from the knneguru website discusses the rehabilitation aspect of lateral release-

http://www.kneeguru.co.uk/html/gym/specific/lateral_release.html

This kneeguru page on proximal realignment procedures may also be useful-

http://www.kneeguru.co.uk/html/steps/step_05_patella/realignment.html

The kneeguru website also has this tutorial on Patellofemoral pain that you might like to read-

http://www.kneeguru.co.uk/KNEEtutor/doku.php/patella/grelsamer_pf_pain01















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