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Author Topic: 6 weeks in full extension cast  (Read 3726 times)

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Offline kerrianne

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Re: 6 weeks in full extension cast
« Reply #30 on: September 04, 2007, 01:26:34 PM »
hi djay! my knee at the moment is at 85d.....not much fun and i dont want to live with it if i dont have too.

i worry that my tendon wont stretch but i really hope!

i have just started to use one crutch not full time yet though, my leg just doesnt feel part of me!

Offline djay

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Re: 6 weeks in full extension cast
« Reply #31 on: September 04, 2007, 02:36:28 PM »
Hi Kerrianne,

One crutch is much better, at least you can carry drinks around for yourself.  There's a ruptured patella tendon thread further down on the 'patellofemoral joint' board further down which might be worth a read.  Do you go to the Frank Radcliffe clinic?

Tanyap
I think the risks are pretty high, knees are important and the more times you mess with them inside must cause problems in itself.  plus theres the risk of scar tissue and further contracture which if not rehabbed properly might make it worse.

they will do a 'Z' cut to the tendon which should lengthen it but then its a case of keeping it stretched i guess, without tearing it further or allowing it to scar down.  Im thinking about hiring a CPM machine myself, they dont seem to be used much here, i saw them in the hospital for TKR patients but only once a day.  In USA people can get them prescribed to take home i think.
Not much option without surgery apart from living with the 90 degrees.  Ive seen quite a few specialists and am now at another hospital, had some specialist physio but ran out of money big time.  Turns out the kneecap goes low enough to touch the shin which is causes the limited ROM, so not really much choice.

Damage was from playing football.  I didnt think it was too bad, tried to run it off and stretch as I thought it was just a knock.  Then I drove home and realised I couldnt walk when I got out the car.
Sport hurts....
so go hard, or go home.

Offline tanyap

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Re: 6 weeks in full extension cast
« Reply #32 on: September 04, 2007, 03:49:34 PM »
kerianne - once again i say it - wow youre doing great!!! one crutch already!!! youll be fully mobile in no time!
be careful not to over do it - you can get excited making progress, but you need to rest also.

djay - i hear you. i guess its up to you to weigh up the risks to the possible advantages, and make an informed decision based on that.
my original injury was something i thought would just heal and id be ok (being chased by a boy in school aged 12, turned and had a sudden traumatic dislocation) - little did i know it was the start of constant knee problems!!!

whats the long term outcome if you didnt have the surgery - youd be stuck with the 90 degrees - what kind of an impact is that on you - what things could you do before that you wouldnt be able to do again (play sports i guess?), do you suffer a lot of pain with it? would it be likely yo cause further problems down the line?
Im asking more out of curiousity than anything, my knee is far from 'good' but id do pretty much anything to avoid another surgery - mostly for the reasons you have outlined - causing more problems, introducing more muscle dysfunction etc... im willing to suffer the odd dislocation and not be able to run or do contact sports, but id like to be able to live day to day life without always worrying that my knee is about to sublux or dislocate.
it used to be like that for me but over the years the atrophy set in and now its taking a long time to rehab that.
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 djay

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Re: 6 weeks in full extension cast
« Reply #33 on: September 05, 2007, 08:12:43 AM »
Hi Tanyap

I suppose avoiding surgery is a good thing, nobody really wants to get cut open without any guarantees.

Sports is definately out, no running, no jogging, no walking down steep stairs more than 1 at a time, no kneeling.  No sitting comfortably on a train if its busy, no running for a tube, no football, no standing for a long time (but i guess thats a given for any knee injury)  No skiing (ive never done it but wanted to).  No cycling.  No chasing after someone if they nick your wallet / bag (its never happened but I would want to).  No running away if somone decides you need a kicking.
Sport hurts....
so go hard, or go home.

Offline tanyap

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Re: 6 weeks in full extension cast
« Reply #34 on: September 05, 2007, 10:30:43 AM »
hi djay,
besides the kneeling and cyclying thats pretty much my position :) actually i can stand around for a long time usually, just at the moment im contantly sore from physio so it hurts.
I used to worry about the no running away or no chasing after someone, but then i got used to it, half the time id be in heels and wouldnt have been able to run anyway!!!

I think youve got to do what youve got to do. If you do nothing you wont have any improvement. Action is better than inaction.
You seem well informed about it - and presumably the hospital wouldnt go ahead with it if they didnt think there was some chance of improvement.
Keep posting - ill be looking forward to hearing how you get on!.
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