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Author Topic: maquet procedure  (Read 1117 times)

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Offline keri

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maquet procedure
« on: August 02, 2003, 08:01:06 AM »
Hey everyone,
It seems to be that I will have to have another surgery on the same knee that I have been fighting with what seems to be forever.  My os told me that my knee cap is too tight in the trochlear groove.  He wants to do some kind of osteotomy.  I think he is talking about the maquet procedure.  What i want to know is how bad is the pain after the surgery? Also what is the amount of time in physical therapy? How long would i be on crutches (weightbearing and non weightbearing)?  What exactly does the procedure do?  any answers would be tremendously appreciated,

Keri
18 YEARS OLD
'98-CHONDROMALACIA PATELLA STARTED
'02-LR ON LEFT KNEE
'03-VMO ADV. & LR ON LEFT KNEE
05/04 NEW OS/TTT WITH PARTIAL MENISECTOMY
12/04 TTT SEEMS TO BE A SUCCESS!
GOING TO PT SCHOOL

Offline Riosilia

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Re: maquet procedure
« Reply #1 on: August 02, 2003, 05:37:42 PM »
I was going to have this procedure but when they got in there they decided not to do it.  Anyway, my doctor had told me that I would would be on crutches and a hinged knee immobolizer for about 6 weeks (but it can vary from 4 all the way up to 8 weeks).  

The purpose of the procedure is to allivate the tubercle (so it's more anterior), which than puts less pressure on the patellofemoral joint.  Does that make any sence?  So they have to cut the tubercle and place a bone graft under the turble.  Do you know what kind of bone graft your doctor is planning to use?  Is it an allograft (someone else's tissue) or autograft (your own tissue).  My doctor was going to use an allograft so I wouldn't have to worry about recovering another part of my body (usually they take it from the hip).  

I was also going to have to use a CPM machine post op and stay in the hospital overnight.  I'm not sure about this, but I think most doctors also but a hemovak post op so you have that taken out 28 to 48 hours after the surgery.    

Another thing you should ask your doctor about is your skin healing (right over where the tubercle is located).  I read many articles on this a one of the most common complications.  I think it's called skin neurosis?  Pre-op my doctor also warned me that my tubercle would stick out more than usual (that it wouldn't look very "attractive").  

Well, this is all the information I think about.  I hope this helps and if you come up with any other questions please feel free to ask.

          ~Riosilia
98- first patelllar dislocation
99- LR + debridment
00- proximal (VMO advancement) + distal (TTT medialization) realignment
03- MPFL repair, lat retinaculum repair, patellar microfracture
09- Patellar osteochondral allograft + MPFL reconstruction
10- ant interval release + partial synovectomy

Offline keri

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Re: maquet procedure
« Reply #2 on: August 03, 2003, 04:14:13 AM »
I am not really sure what kind o fgraft my doctor would be using.  This is in the early stages because i still have to go and see a specialist because my doctor does not do these types of procedures but his partner does.  I go to see him on august 15.  My doctor does not do these procedures but he feels that one of them would help me with the amount of pain and trouble that i am still having with my knee.  I am just trying to get some information about the different procedures before i go see the specialist so any other info about any procedures that are similar to the maquet would be appreciated.
keri
18 YEARS OLD
'98-CHONDROMALACIA PATELLA STARTED
'02-LR ON LEFT KNEE
'03-VMO ADV. & LR ON LEFT KNEE
05/04 NEW OS/TTT WITH PARTIAL MENISECTOMY
12/04 TTT SEEMS TO BE A SUCCESS!
GOING TO PT SCHOOL















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