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Author Topic: SHATTERED PATELLA W/PINS -WIRE DESPERATE 4 INFO  (Read 1952 times)

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Offline Christer1959

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SHATTERED PATELLA W/PINS -WIRE DESPERATE 4 INFO
« on: April 01, 2008, 07:44:22 PM »
   I AM SO RELIEVED TO FIND U GOOD PEOPLE BECAUSE I HAVE SEARCHED FOR MONTHS  TO FIND ANYONE WHO HAS HAD SAME PROCEDURE. IT HAS BEEN OVER 6 MOS. SINCE MY SHATTERED PATELLA SURGERY (6X). I LIKE MOST OF U HAVE 2 PINS AND WIRE.
       THE SECOND THAT I LOGGED IN AND READ THE POSTS I REALIZED THAT I HAVE A PROBLEM WITH MY OS WHO HAS HARDLY EXPLAINED ANY THING TO ME.
 I DID NOT KNOW THAT THE HARDWARE IS OFTEN REMOVED! I AM STILL IN ALOT OF PAIN MAINLY DUE TO THE TWISTED WIRE AND PINS ON THE TOP OF MY PATELLA JUST BELOW THE SKIN. A COUPLE OF MONTHS AGO I ASKED MY OS ABOUT IT AND HE SAID THAT HE MAY HAVE TO "SNIP IT OFF". REMOVING SOME OR ALL OF MY HARDWARE HAS NEVER EVEN BEEN MENTIONED TO ME MUCH LESS SCHEDULED. AFTER 22 PT SESSIONS I WENT FROM 35 ROM TO 110.  AND I FEEL LIKE I CAN GET MUCH MORE ROM IF THE HARDWARE IS REMOVED. FROM THE START I HAVE TOLD THE DR. THAT MY LEG IS 3/4 INCH SHORTER DUE TO A BAD BREAK 20 YRS AGO AND HE FINALLY GAVE ME A HEAL INSERT LAST MONTH. BELIEVE IT OR NOT---IT TOOK 3 MOS TO SEE MY X RAY AND THAT ONLY HAPPENED BECAUSE I WALKED OUT OF THE ROOM! i JUST MADE AN APPOINTMENT FOR FRIDAY TO DEMAND SOME ANSWERS.
   MY QUESTIONS ARE MANY BUT FOR NOW--"DO MOST HAVE HARDWARE REMOVED?" AND "ARE THERE RISKS TO REFRATURE AFTER HARDWARE REMOVAL"

         THANK YOU SO VERY MUCH FOR SHARING YOUR EXPERIENCE STRENGTH AND HOPE !!!
                                                 CHRIS
9/10/07  fell/shattered patella 6 places
9/24/07 surgery w/ 2 pins and wire 22 staples
11/13/07 started PT rom=35
4/1/08 rom= 105 max
4/16/08 Hardware Removed

Offline Janet

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Re: SHATTERED PATELLA W/PINS -WIRE DESPERATE 4 INFO
« Reply #1 on: April 02, 2008, 02:37:21 AM »
So sorry, Chris. There is a section lower down the board under "The Specialists Office" that deals with "Bone Breaks Around the Knee." I know there are people posting there that are dealing with patella fractures. You'll probably get good advice/personal experiences if you post there.

Janet
Torn quad tendon repair & VMO advancement 4/99, MUA with LOA 10/99, Patella baja and arthrofibrosis, LR & medial release & LOA 5/01, LOA & chondroplasty 6/03,TKR on 11/06, MUA 12/06. From perfect knees to a TKR in 7 years, all from a fall on a wet floor...and early undiagnosed scar tissue.

Offline LaCaliUSA

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Re: SHATTERED PATELLA W/PINS -WIRE DESPERATE 4 INFO
« Reply #2 on: April 02, 2008, 03:16:24 AM »
Hi Chris:

I had a fractured patella too with 2 screws and wires like you.  I have posted under Stiff Knee Advice Please and it tells my story.  I did have the hardware removed because there was a popping sound on extension and it did make my knee ache.  If you are having pain it is a good idea to seek an os that you like and has had the experience with removal.  I have not heard of a doctor snipping off the top of the screws before.  My os unscrewed them and took out the wiring as well.  There is a risk of refracturing the patella while removing, but it is not oftent hat this has happened to my knowledge.  But, I did ask this very question and my doc said there is a small possibility, which of course, he has to say.  He also told me that it takes about three mos for the holes to fill in or for the patella to become strong.  Until then, you can walk on it, do exercises such as quad strenthening, rom and most else that doesn't require great strain on the patella until that time.  For the most part, it is a breeze compared to the first surgery and you will be up and around right after surgery.  It will ache a bit for a day or two but really nothing dramatic.  Be sure to get an os that is competent and has done this procedure many times before.  The knee is nothing to mess with and it is time well spent researching the best surgeons in your area.

I waited until ten months after the first surgery before the removal.  He took xrays and did a scan before to make certain the bone had healed and to also look at the location of the hardware to see whether it posed a risk of creating problems s arthritis later.  He was not the same doc that did the first surgery and I am glad he did it.

Good luck to you.  Let us know how it goes.

Sincerely,

Ei

Offline tilly4

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Re: SHATTERED PATELLA W/PINS -WIRE DESPERATE 4 INFO
« Reply #3 on: April 02, 2009, 02:26:05 AM »
I am 2 months post patella surgery-- mine was broken into about 3 pieces.  It was a great relief to read that the surgery to remove the hardware is nothing like the original surgery!  I am 61 and live by myself, and this has been and continues to be an unbelievable nightmare. I started physical therapy about a week ago.  I expected there to be some pain, but I had no idea just how hard this recovery would be.  My surgeon has already told me that I will need to have the hardware removed.  How do you keep your spirits up during all of this?  All I can think of is that I will be tortured by my PT three times a week, and then I am supposed to torture myself when I am at home.  I am doing it because I am hell-bent on getting back to normal.  I hope that is a realistic expectation.  I like to walk briskly, dance, and play tennis.

My good friend was just diagnosed with breast cancer and was telling me all of the resources that the American Cancer Society makes available to her.  Don't get me wrong, I am not comparing this injury to what she has to go through.  However, at one point I joked that there needs to be an American Patella Society.  This web site is a great resource.  Thank you!!

Offline cleemc

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Re: SHATTERED PATELLA W/PINS -WIRE DESPERATE 4 INFO
« Reply #4 on: February 13, 2010, 09:58:49 AM »
Just had my hardware removed three days ago and what a relief. I was terrified to have my knee opened up again. I fractured the patella into several pieces in October of 2008. I went through therapy, thought I was recovered, and out of the blue started getting stabbing pains in the knee. Never occurred to me I'd have to have the hardware removed but that was the problem. The hardware removal was unbelievably easy/different (other than my fear going into it). Three days later I'm walking around with no crutches, no cane, nothing. The pain was relatively bad the first day and a half, but it has eased off to almost nothing. The incision is much smaller. I am sort of on cloud nine about the whole thing - other than the cost of course. Can't believe I've finally got all of that junk out of my knee.

Offline tilly4

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Re: SHATTERED PATELLA W/PINS -WIRE DESPERATE 4 INFO
« Reply #5 on: February 14, 2010, 09:54:45 PM »
Christer,

I am now one year post original surgery for a shattered patella.  My hardware was at the point of breaking the surface of the skin, so my surgeon opted to remove it 6 months post surgery.  I was also having a lot of pain and could not progress well with physical therapy.  The operation to remove it was fairly minor, and there was almost no recovery time in terms of being able to go back to work.  I can tell you that removing the hardware speeded up my progress in physical therapy a great deal.  Now, here is the good news.  I have recovered virtually total range of motion.  My surgeon called it an 'excellent outcome.'  I still have some limitations and difficulties, but that may be because I am not a spring chicken.  For example, dealing with staircases is hard, but doable.  I cannot sit on my haunches, and I can't kneel on that knee.  who knows, maybe some of that will come with time. 

Talk to your os, and if he can't give you a good answer to your questions, go elsewhere.  I am so sorry that you or anyone has to go through dealing with this injury. I think it is the hardest thing I have ever had to go through in my life.  However, should get much better.  Stay in touch with the people on this site.  Work hard in physical therapy. 

Wishing you a speedy recovery,

tilly4 AKA LIz















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