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Author Topic: Kirsty's Left Knee Trochleoplasty Post-Op Diary  (Read 164237 times)

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Offline Silkncardcrafts

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Kirsty's Left Knee Trochleoplasty Post-Op Diary
« on: May 25, 2008, 10:01:00 AM »
Hi Everyone,

Well, my knee op is now over and very relieved.

DAY OF MY OP

On the day of my operation I had to be at hospital at 1pm.

First of all I went to day surgery where I would be going from for my operation. I met some really nice ladies. Two ladies I met were going to have arthroscopes and were quite nervous as they'd never had any surgery before. One was having done with my OS and had a skiing injury from last year. She'd also torn her ACL and medial ligament.

It looked like I was going to have to wait for a while, so one of the nurses took me to my room.

Once that happened I started to really freak out. I was put into a 2 bed room and was another lady in there called Judy. She had just had an arthroscope on her right knee. Last year she had a knee replacement on her left knee, but had no knee cap. Now I know why it's so important to have a knee cap. I unpacked my bags, talked to Judy and then listened to my relaxation CD. About 3:45pm the nurse came to say they wanted me down in theatre. So, I quickly went to the toilet and got changed into the lovely gown.

Then, I walked with the nurse down to the holding bay before going into theatre. I couldn't walk without my hinged brace, so the nurse said I could wear it down to the holding bay. When I got there the theatre nurses wanted to take me in to theatre. They were annoyed I hadn't been prepped yet. Not my fault if I can't walk !!! I was starting to get really scared then. I took a few deep breaths and tried to relax. I asked the nurses to speak to my surgeon before going into theatre. He came to see me and drew a big arrow on my left leg. I told him that I was concerned that my MPFL reco had torn, but said it doesn't matter. I told him how my knee cap had come out medially and laterally and said that's why we are doing the trochleoplasty. I was worried my MPFL reco may need to be revised. So, I felt relieved about that. I also asked the nurses to speak to my sports physician, but they must have forgotten to tell him or something.

They wheeled me into theatre backwards, which didn't feel good. I was really scared at this point. I told them to be very careful when moving me as I have loose ligaments and scared something was going to come out. That's why I wanted to speak to my sports physician before going into theatre. As they moved me I could feel my knee going out. I almost felt like crying. I took a few deep breaths and tried to remain calm. Then, the anaesthetist put something in the IV which was the GA which put me to sleep. The last I remember was having a horrible taste in my mouth.

After my operation I was in the recovery room for a while. I was really struggling as my left leg was shaking badly which is something I always get after an anaesthetic. It was really scary. I also wanted to take off the oxygen mask, which the nurses wouldn't let me do.

Finally I was taken up to the ward after my leg settled down.

Next --- first night in hospital on the ward !!!
« Last Edit: June 22, 2009, 09:24:49 AM by Silkncardcrafts »
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline Isa79

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Re: Kirsty's Post-Op Diary
« Reply #1 on: May 25, 2008, 10:46:16 AM »
Hope you have a swift recovery and that your first night was not spent in pain!
Good luck

Isa
Ruptured ACL, partial MCL and Meniscus tear after ski accident: Late Feb 2008
ACL reconstruction with patellar autograft : April 21, 2008

Offline tanyap

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Re: Kirsty's Post-Op Diary
« Reply #2 on: May 25, 2008, 11:54:27 AM »
Kisrty,
youre a great woman posting a link to this diary in your pre op diary!!

What a fantastic way of telling your tale!! I love it. You poor thing feeling your knee coming out before it all started!!! Awful!!!

The last thing I remember before going asleep was the anasthetic going into my arm - it hurt, felt cold, like my arm was turning to stone, I began to giggle (nervous laughter) because it all reminded me of tv ER programs, me looking up at lights, green garbed people looking down at me, and then 3 seconds later I was out :)

Am looking forward to your next diary entry!!

These diaries that explain each part of it are SO helpful for people arent they? Its like taking the fear away if you know what to expect.

Will be off to check email shortly!
xx
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 WorkinWings

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  • Fixed my failed lateral release: back to flying!
    • Failed lateral release: medial subluxation of the patella
Re: Kirsty's Post-Op Diary
« Reply #3 on: May 25, 2008, 12:34:47 PM »
Hi Kirsty!

Great to see you've moved on to a post-op.

The way you tell your story is so vivid.  Really transmits the scary, helpless feeling of being taken into the OR, including the fact that you are at the mercy of strangers (those nurses, expressing annoyance--so insensitive; good thing the other nurses involved seemed to be just the opposite). 

So glad your OS was able to come out and speak to you right before.

I also shake like crazy after general anesthesia, but I do it with my whole body!  I get so cold and keep asking for blankets, but it takes a whole pile to finally stop the shakes.  For my last op--the ill-fated lateral release--they had nice pre-warmed blankets to cover me with in the recovery room.  I liked that!   But really, I hate that feeling of coming off the GA so much, if I have to have surgery again, I think I'll try to find out about other options...

Can't wait to read the rest of your tale.  You're a good story teller.  :)

Ok...  It's back to house cleaning for me...  My husband's older brother is coming from across the country to stay for a week while he attends a conference.  While I do love him dearly, one whole week gives him a whole lot of time to find all those last minute hiding places I usually put my messes in when guests come for a quick visit!!  :o  :P

Thanks for telling us about your experience, Kirsty.  I am really glad you are doing so well, now.  ;)

Angela 8)


Feb'00: Twisting injury (w/"pop")
dx - bone bruise of lateral tibial plateau
Apr'00 to May'07: intermittent pain; NO instability
7/May/07: Lateral Release (which created instability)
17/Jan/08: dx - iatrogenic medial patellar subluxation s/p LR
16/Jan/09: Back to function!
[email protected]

Offline Mandy

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Re: Kirsty's Post-Op Diary
« Reply #4 on: May 25, 2008, 05:01:03 PM »
Glad to hear surgery is done and you're on the recovery side, Kirsty!!

Hope you're not in too much pain and I look forward to reading more about how you're doing!!

~Mandy :D
21 yrs old
12/04: plica removal (RK)
2/05: debridement, LR/TTT (RK)
6/05: debridement, LR/TTT (LK)
10/05: scar tissue removal/debridement (LK)
3/06: screw removal (both knees), debridement on TTT site (LK)
5/08: debridement, HTO, Maquet procedure (LK)

Offline lb573

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Re: Kirsty's Post-Op Diary
« Reply #5 on: May 25, 2008, 07:44:29 PM »
Hi Kirsty!

I am so glad to hear that you are on the recovery side!! Sorry to hear that you had a bad experience with some of the nurses...some people are in the wrong line of work! Hope you are feeling well and not in to much pain!

Leah
27 yo RN
L Knee:
07/'01 - scope
01/'02 - scope
12/'03 - LR
07/28/2006 - TTT/LR/Patellar Debridement
07/11/2007 - Screw Removal
R Knee:
07/06/2007 - Patellar dislocation
04/10/2008 - TTT/LR
06/11/2008 - MCL tear, Bone Bruise
09/29/2009 - Medial plication/reconstruction/debridement

Offline Silkncardcrafts

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Re: Kirsty's Post-Op Diary
« Reply #6 on: May 26, 2008, 09:10:50 AM »
Hi Everyone,

Thanks for all your get well messages.

Here's the next instalment.

FIRST NIGHT ON THE WARD

When I left recovery I was taken up to my room. I then had to be moved over to my own bed. It wasn't a pleasant experience, but glad to be back on the ward.

A couple of hours later my cousin came into visit me. His father-in-law was upstairs as he was brought in for a lung and leg clot. I really feel for him as his wife is due in July with their third child and the last thing they need. His wife is just so worn out.

My Mum also came to visit me, which was nice.

I tried watching a football program, but just fell a sleep. I felt like I was totally drugged out.

The first night wasn't much fun as I was in pain and kept waking up every hour or so.

Both Judy and I didn't sleep much so we chatted quite a bit, which was nice.

SECOND DAY ON THE WARD

In the morning my OS came to visit me. He said the operation went really well. I asked him whether I had any cartilage damage and said I had some under my knee cap, but said it wasn't too bad considering how long I've had the symptoms for. He checked out to see how well I could contract my quads and whether I could lift my leg off the bed. My OS was really impressed as I could contract my quads and do a SLR. He said he didn't want me to do much. My OS said I could work on my bend but not push it. He was also surprised how well I looked as I normally get really sick after an anaesthetic. That was one really good thing that I didn't get really sick after the GA.

It was quite funny as my OS showed the nurse how to use the cyrocuff and asked her to put more icy water in it as it didn't have enough ice in it. No point if it didn't have enough ice in it. He was tactful about it though.

Soon after my OS came in the physio came to see me. She was really sweet and had an interesting upbringing. She was born in the UK, was brought up in Zambia and came to Australia to do her tertiary education. She got me up and made sure I could walk properly on my crutches and use some steps. She wasn't sure on the exercises my OS wanted me to do as my OS hadn't left an exercise sheet so she was going to speak to him.

Just before lunch my Mum and a good friend came to visit. I hadn't seen my friend for ages, so it was nice to see her.

The ward I was in was going to be closed for the weekend. So, they had to move me. After lunch and my visitors left a had a quick shower. Then, the nurses helped me pack my bags and was moved over to 2 Leigh Place, the orthopaedic ward. I was in a room with 3 other ladies. They were all really down to earth and very friendly. They looked after me much better there.

I am just so glad the operation is now over. It is much better than I thought it would be. The pain is very manageable and knee feels soooo stable. Yeah !!!!
« Last Edit: May 26, 2008, 12:22:32 PM by kjwilkin »
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline tanyap

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Re: Kirsty's Post-Op Diary
« Reply #7 on: May 26, 2008, 10:48:56 AM »
Kirsty!
I didnt realise you could do an SLR the day after surgery!!! ROCK ON!!!!!!!! Thats brilliant!!

Im soooooooo glad your knee feels more stable. And so quickly too!!! Not surprising you didnt get much sleep the first night, combination of pain and anasthetic leaving your system etc... Good you had Judy to chat a bit to.

Looking forward to the next installment!
xx
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 arkitect06

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Re: Kirsty's Post-Op Diary
« Reply #8 on: May 26, 2008, 02:20:08 PM »
Kirsty, I can't believe you could do an SLR so early!!  That is so great!  I am so happy for you that you don't feel unstable anymore!  I hope your pain continues to be manageable.  I will be waiting for your next post :)

Farrah
11/16/10 Fulkerson TTT, chondroplasty, LR (Left Knee)
11/17/09 SCS re-implant
7/29/09 I&D
5/7/09 SCS removal b/c of MRSA
12/15/08 & 2/6/09 SCS Revision
10/30/08 Spinal Cord Stimulator Implantation
6/27/08 diagnosed with RSD
1/8/08 Fulkerson TTT, chondroplasty, LR (Right Knee)

Offline lb573

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Re: Kirsty's Post-Op Diary
« Reply #9 on: May 26, 2008, 06:48:48 PM »
Hey Kirsty! It sounds like you are doing really well!! Good Job!

Leah
27 yo RN
L Knee:
07/'01 - scope
01/'02 - scope
12/'03 - LR
07/28/2006 - TTT/LR/Patellar Debridement
07/11/2007 - Screw Removal
R Knee:
07/06/2007 - Patellar dislocation
04/10/2008 - TTT/LR
06/11/2008 - MCL tear, Bone Bruise
09/29/2009 - Medial plication/reconstruction/debridement

Offline Sore knee

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Re: Kirsty's Post-Op Diary
« Reply #10 on: May 26, 2008, 07:04:27 PM »
Way to go well done you !

You sound as if you are doing great. My surgery is days ago now and I cant do a SLR yet !!!!
I am so pleased you are doing ok  :-*
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline Thekaratekid

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Re: Kirsty's Post-Op Diary
« Reply #11 on: May 26, 2008, 09:13:40 PM »
Blimey Kirsty you are doing really well, well done!!!

Waiting patiently for your next installment, lol you are doing brilliantly to remember every thing so clearley, I forgot most of the 36 hours after my op.

I'm so happy your ok.

Trace
23/07/08 - MPFL Reconstruction
28/11/07 - LR (Failed)
4 years of physio and acupuncture
23/12/03 - Arthroscopy
7 years of physio, insoles, brace, MRI scans and Xrays
1996 - knee problems started

Offline Silkncardcrafts

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Re: Kirsty's Post-Op Diary
« Reply #12 on: May 27, 2008, 08:41:56 AM »
Hi Everyone,

Here is the next instalment.

SECOND NIGHT ON THE WARD

I was moved into an orthopaedic ward as I said in my previous post. There 3 other ladies, Faye, Jean, Debbie and myself. They were all really interesting people.

Faye was in her 70s and does social ball room dancing a couple of times a week. She also manages on overseas holiday once a year. This year she is doing a 27 day cruise throughout Europe. It sounds fantastic. Faye had an arthroscope for cartilage damage and was told by the nurse that she'd be up for a knee replacement in the near future. She wasn't very happy as she is very active and said she couldn't take too much time off dancing as she said she'd lose her partners for ballroom dancing. She said she's sick of being told by doctors that it's your age and we can't do anything. She was interested in seeing my OS as he is very conservative and doesn't let age get in the way when people are very active in later life. So, she's probably going to go and see him. I don't think she'd chosen her surgeon very well in the first place.

Debbie had been in a motor bike accident several years ago and had just had a half knee replacement. She'd developed some kind of infection. So, was back in hospital for an arthroscope and to sort out the infection. Debbie had 3 daughters and one had recently lived in Paris for a year.

Then, finally there was Jean. She was really interesting too. Jean had undergone a knee replacement and was finding it quite difficult as she only had the use of one arm. She complained about her leg being very heavy and not being able to move it. I reassured that the strength would come back. It was her first knee op, so probably hard for her to understand. It was funny as I kept running in to her OS. First he saw Judy in the other room and now Jean. She had so many different doctors coming in to see her. She had a cardiologist, pain management specialist and orthopaedic surgeon. I was just greatful I only had my knee surgeon coming in. Jean was a really interesting lady. She lives independently and does a lot of different volunteer work. One of her friends attends some painting workshops at a college in Warrnambool, about 3 hours from Melbourne each year. They also have silk painting there. Silk painting is one of my hobbies, so was going to find out some more information for me.

For the rest of the afternoon we basically chatted amongst ourselves and got to know one another better. It was nice having some company.

In the late afternoon my Mum and Dad came to visit. It was good to see Dad as he'd been in Laos for work. Soon after they arrived a friend came to visit. My Mum and Dad left after a while to give my friend and I some time to talk. My friend could see I was getting pretty tired so decided to leave. She was going to the footy at the Melbourne Cricket Ground anyway.

Another lady was in Jean's spot called Leanne before she came in. It was really funny as her husband went to school with my OS. I gave her my OS's details as her husband needed to get his knee done. He was supposed to have it done 15 years ago but when he was waiting to see an OS one of the patients said how bad he was and walked out. Leanne had broken her fibula and was put in a moon boot. My orthotist fitted it and said hello to me. He hadn't realised when I was having my knee done.

After dinner I started watching the news, but fell a sleep after 10 minutes. When I woke up I turned the footy on and was going to watch that, but feel a sleep. I woke up at half time and Collingwood were thrashing Geelong. Normally Geelong beat every team. When I woke up I just turned the tv off and went back to sleep.

Next Instalment - third day on the ward.

11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline tanyap

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Re: Kirsty's Post-Op Diary
« Reply #13 on: May 27, 2008, 09:26:04 AM »
Great story Kirsty - funny you knew the different people to say hello to - your OS will be pleased youre his acting Public Relations Rep :)

Am back in work so will be making shorter posts today - lot of catching up to do - i gave a general update over on my diary - you know it all anyway, all going fine, weak but not unstable!
xxx
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 Sore knee

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Re: Kirsty's Post-Op Diary
« Reply #14 on: May 27, 2008, 01:01:35 PM »
This is an excellent post-op diary. I hope you are ok and making progress.

I will keep popping in and hearing how you are getting on.
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed