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Author Topic: Patella stabilisation post op diary  (Read 110252 times)

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Offline tanyap

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Re: Patella stabilisation post op diary
« Reply #15 on: May 29, 2008, 09:00:42 AM »
Hi Joanne,
Hows the incision?
I dont know what to make of the pics. It certainly looks clean - no dangerous redness around it etc...but it is kinda nasty looking opening like that? Mind you if its just healing from the inside out perhaps thats just how it goes, maybe its going to heal with a kinda of wide scar like my original surgery? Just keep an eye on it, make sure if it get red round the edges, starts seeping anything ugly, or gets obviously 'wrong' looking then get it checked out. I assume since your OS saw it so recently its fine.
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 Sore knee

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Re: Patella stabilisation post op diary
« Reply #16 on: May 29, 2008, 10:54:59 AM »
When he saw it you didnt even know there was an incision. We took the dressings off and you couldnt see it seriously it was amazing. It was in the next 24 hours when I started bending my leg a little it started to open. I showed my PT and he got a nurse on Tuesday and said it looked ok so I will take photos every couple of days and see if it changes.

It stings a good bit but is fine..I think.
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 tanyap

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Re: Patella stabilisation post op diary
« Reply #17 on: May 29, 2008, 10:58:00 AM »
I think if you keep it clean and covered it will be fine - its a good idea to take pics to see if it changes, it might just be that as it was deep it is slower healing top down than bottom up if you know what i mean?
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 Silkncardcrafts

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Re: Patella stabilisation post op diary
« Reply #18 on: May 29, 2008, 12:04:15 PM »
Hi Joanne,

How's the incision ? I hope you are feeling ok.

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 Sore knee

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Re: Patella stabilisation post op diary
« Reply #19 on: May 29, 2008, 03:43:02 PM »
I will take a piccie later on and post it. Its fine I think....very sore and stingy but I guess thats normal.

I will start to post my re-hab protocol written by the OS.

I see my PT next Tuesday again as for the first few weeks very little can be done as we cant work the knee too hard, its really just to stop it all tightening up. Static quads, no SLRs really. Trying to encourage weight bearing....but I have been doing that myself anyway. I only use crutches out the house.

I am doing ok and gently trying to stretch things out.

Will post with piccie later.

Love to all
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 Sore knee

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Re: Patella stabilisation post op diary
« Reply #20 on: May 29, 2008, 06:29:34 PM »
Well I was on my fet a lot today and its complaining tonight.

I have a couple of piccies off my phone of tonights knee with no brace.

I will post my post op programme for this stage later on once kiddies are in bed.
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 Sore knee

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Re: Patella stabilisation post op diary
« Reply #21 on: May 29, 2008, 06:32:05 PM »
and another
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 Sore knee

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Re: Patella stabilisation post op diary
« Reply #22 on: May 29, 2008, 06:33:25 PM »
and a close up
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 Sore knee

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Re: Patella stabilisation post op diary
« Reply #23 on: May 29, 2008, 06:35:48 PM »
Over all I am pleased as you can hardly see my scope wounds. Its the thrid time they have been opened up so I expected them to cause me problems. A bit more worried about the incision but its not leaking or anything and the nurse told me its just fluid buislding up round the edge. I reckon if there was any cause for concern it would be oozing or doing more so just keep going.
How are you all today ?
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 Beda

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Re: Patella stabilisation post op diary
« Reply #24 on: May 29, 2008, 08:05:34 PM »
Joanne- welcome to the world of a hopefully stable patella. Your wound looks very neat and tidy, I'm sue there no reason for concern, only if it starts oozing something yellow or nasty should you be concerned. i wish they did such a neat job when they did mine for 27 years ago. But I suppose then they had different methods and instruments, and had to be more radical. Mine worked fine by the way, but I just got other problems aftewards. I was immobilized with FWB for 6 weeks, At that time there was no fancy brace but a POP cast. My wound was sewn with 18 stitches, which didnt come out for 6 weeks because i was immoblized in a cast. its truely amazing how far theyve come these days!!
Keep up the good work, hope you have  a speedy recovery
Love beda xx
'79 trauma v.knee
'81surgery patella lux.
'84 osteochondritis dissecans
'86 osteotomy
until now 16 knee surgerys ink. 6 failed tkr. pretty much exhausted all areas and types of surgical proceedures for knees
all TKR's loosened & failed
2008 wait for Final arthrodesis
constant pain

Offline tanyap

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Re: Patella stabilisation post op diary
« Reply #25 on: May 30, 2008, 09:03:03 AM »
Hi Joanne,
it looks good!! Thats gonna heal up fine, as Beda says, unless it starts leaking anything nasty there is no cause for worry. Its going to be a very neat job when it heals!! Are you keeping the incision covered all the time (except for pics of course!!). So long as you keep that clean the body will look after it and seal it all up soon.
The scope holes look great!!

My scope holes look a little sore this morning after taking my stitches out, Ive got like tiny stitch marks as well as the incision marks!!! They should disappear shortly!

Are you off crutches Joanne? I know you were only using the outside last time you mentioned them.
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 Sore knee

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Re: Patella stabilisation post op diary
« Reply #26 on: June 02, 2008, 11:09:30 AM »
I use one crutch when I'm out. I am determined this time to be more mobile and less reliant on others. Pain and discomfort is variable. Inside the house I hobble.

Still have the brace on although my knee is kind of huge today and my shin, ankle and foot swollen somewhat too.

Wound is fine but still not closed over.

so here is my rehab :

Day 1 - Day 10 / Return Clinic

compression bandage / crepe comes off leaving clear dressing
tubigrip applied

patient is instructed on static quads which are encouraged as able
No ROM exercises undertaken at this time
Camp splint / hinged knee brace remains in situ to prevent knee flexion
Patient is mobilised, partial weight bearing with crutches

10 days - 4 weeks

Wound is checked by consultant
Physio is commenced
ROM is encouraged - no more than 40 degrees
Patient continues in camp splint
If patient wears hinged brace range can be up to 40 degrees only if good quad control
Static quads and iner range quads encouraged
Proprioception exercises commenced for patients in brace from 0 to 40 degrees only if quads are good enough

My quads arent strong due to the year of knee issues so I may be slowe I guess.

My knee is huge. Its at least double the size of the other knee.
I see my PT tomorrow. I will take a photo later if I can.

Hope you are all 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 tanyap

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Re: Patella stabilisation post op diary
« Reply #27 on: June 02, 2008, 11:14:41 AM »
Joanne, how come your knee is so huge? Did you do anything to make it bigger? How does the incision look? Sometimes just being upright causes fluid to collect in the post surgery knee. I think exactly the same about me as far as rehab goes, it will take me some time because I couldnt use my leg properly for so long. Aw well, we will just have to be patient i guess!!
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 Beda

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Re: Patella stabilisation post op diary
« Reply #28 on: June 02, 2008, 11:58:25 AM »
Joanne, just the fact your upright makes your leg swell up after surgery. It is very important that you elevate it at every oppertunity you have to prevent this from happening too much. The wound can ooze a clear fluid, but this is normal and will disperse after  a while. It just shouldnt be gaping open or anything, and keep it covered with a clean sterile gauze dressing every day, failing that one of thoses great big meopore plasters (the white ones) you can get for surgical wounds. They are best because they stop dirt and dust from getting in as they are sealing the wound in. Dont try to poke or prod at it, it itches i bet?! If it itches its a good sign, a sign of healing.
Good luck with it all
Love beda xx
'79 trauma v.knee
'81surgery patella lux.
'84 osteochondritis dissecans
'86 osteotomy
until now 16 knee surgerys ink. 6 failed tkr. pretty much exhausted all areas and types of surgical proceedures for knees
all TKR's loosened & failed
2008 wait for Final arthrodesis
constant pain

Offline Sore knee

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Re: Patella stabilisation post op diary
« Reply #29 on: June 02, 2008, 04:38:54 PM »
Thanks guys :)

No itching, not oozing really just quite tender and painful.

I still have a huge amount of burining and tension that goes down the medial side of my leg and round into the back underside of my knee. Alsong with the pain down from the medial side of the patella. At times it creeps right over the top if the patella and goes down into the shin bone.

My ankle and foot is swollen, I never get swollen ankles so this is weird for me.

Some photos for you today.

1st - doesnt give you the overalll swelling but shows you the size
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















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