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Author Topic: Galeazzi Proceedure???  (Read 870 times)

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Offline EMMAC

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Galeazzi Proceedure???
« on: March 05, 2008, 01:15:05 PM »
Following bilateral arthorscopy in November and 3 months intensive physio, have just had appointment with my consultant.

I've basically been diagnosed with Patellar subluxation in both knees but my left knee is an awful lot worse than my right.

My Consulant has suggested I have further surgery on my left knee whereby he will take a Hamstring tendon and attach to my patella in order to reallign my patella.

Has anyone heard of this???  From looking at this website, it seems to be a proceedure called GALEAZZI PROCEDURE.  It then goes on to say this is rarely used which worries me slightly!!!

I would love to hear from anyone that has had this procedure with details of rehab etc...

Thanks

Em
« Last Edit: March 05, 2008, 01:27:05 PM by EMMAC »

Offline ClimbingGirl

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Re: Galeazzi Proceedure???
« Reply #1 on: March 06, 2008, 03:29:39 PM »
Hi!
It could be Galeazzi or it could be a medial patellofemoral ligament (MPFL) reconstruction that he is suggesting. I've had a MPFL recon done on both knees. This is the ligament that attaches from the patellar to the femur and is often stretched beyond repair or torn completely when the kneecap dislocates. The recon uses a graft (your own tissue or from a cadaver), commonly the hamstring, to act as a 'new' ligament. It is reattached at the kneecap and the femur by screws. I think the Galeazzi is slightly different in that the bit of hamstring remains attached at its source and then it is anchored to the kneecap - I might be wrong though!
The MPFL recon is a tough surgery to go through, like many realignment procedures. I am still battling somewhat with my right leg which is 2 years post-surgery. My left, which I had done just before xmas is recovering quite well though. I think the recovery is quite unpredictable and will depend on the state of the leg prior to the op as well as pain post-op which can inhibit the quads from recovering.
All that said though I am still convinced it was the right thing to do as my quality of life is better!
Ask your surgeon about the procedure he plans so you can be fully informed before you commit to anything!
All the best
Climbing Girl
Several L kneecap subluxations
R kneecap dislocation '00
Diagnostic scope Jan '06
R MPFL reconstruction & lateral release Mar '06
L MPFL reconstruction Dec '07

brianne

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Re: Galeazzi Proceedure???
« Reply #2 on: March 06, 2008, 03:39:25 PM »
Yes, this does sound like an MPFL reconstruction.  I had my right knee done on Dec 17th along with a TTT revision.  I had my left knee done on Feb 7th also with a TTT revision and MPFL recon.  It can be a tough recovery.  So far both of my knees feel good, buts its still very early for me to tell what the final result will be.  My MPFL's were both torn from too many dislocations of my patella.  Actually my left MPFL was totally shredded, nothing left of it, according to my OS.

The best advice I can give you is to find a specialist in Patella Realignment procedures.  The MPFL recon can be very successful, but done wrong it will leave you continued problems.

Good luck with everything.

Offline EMMAC

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Re: Galeazzi Proceedure???
« Reply #3 on: March 06, 2008, 06:28:31 PM »
Thanks for that - does sound like may be MPFL. 

I must admit I was in a bit of a daze when my consultant was telling me I needed further surgery and didn't really take in what he was saying... Forgot to ask the usual questions too, like how long I am likely to be off work/unable to drive etc...  Looks like my estimate of 2 to 3 weeks could be a long way off though!!!

Strange how it seems to affect both knees - mine are both bad - having the left done first as this is the worse..  Unfortunately as I have been suffering for over 11 years and have been continually told "there is nothing we can do", have got a lot of damage to the back of patella..  Had bi-lateral arthroscopy to "tidy" them up but still very painfull..

Thanks again for your replies, really does help to know that someone else has been through the same thing and is coming out the other side!!!