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Author Topic: Nick's FatPadTrim, Medial plica/Distal patella excision, AIR x2, LMR 3in1 Diary  (Read 282686 times)

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Offline Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1140 on: July 18, 2014, 04:26:14 PM »
18/07/14 Exploratory Arthroscopy Day 1 Post Op of Anterior interval release (AIR)

My exploratory scope went really well & was Mr Snows 1st patient of the day, I was in the theatre by 8:45am and Mr Snow did the exploratory scope that I was pleased about. Will give more in depth information tomorrow what was found. It is good news, no microfracture required, there was a large amount of excessive scar tissue to contend with once Mr Snow was inside the knee with his camera.

I was surprised how calm I felt going into theatre, that was all down to the entire medical team at the ROH in Birmingham, they were excellent, very caring towards me from the moment I stepped into the hospital pre op and back out post op.

[email protected]
« Last Edit: July 21, 2014, 12:32:00 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Snowy

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1141 on: July 18, 2014, 08:32:52 PM »
That's great news Nick! Funny, I wasn't thinking about the time difference and signed on to wish you luck, only to find that you're already out of surgery.

I'm really pleased to hear that the team treated you well and that you didn't need a microfracture. I hope that Mr. Snow was able to fix the problems that have been causing the knee pain - look forward to hearing more about what he found. In the meantime, rest up and good luck with your post-op recovery!
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1142 on: July 19, 2014, 01:16:18 PM »
19/07/14 Day 2 Post Op

I got up at 6am yesterday morning my Mum drove me to the hospital as I had to be there for 7:15 at the Admissions & Day Case Unit (ACDU).

I was surprised how well I slept the night before my exploratory arthroscopy as I was feeling calm & less anxious then I anticipated. It my 2nd exploratory scope on my right knee so knew the procedure I would have to go through.

I did not have to wait long at reception before I was called in by a nurse after reporting to the reception desk. My Mum mentioned to the Nurse I have Asperger syndrome & feeling more anxious & nervous, the Nurse went to the ward to ask the head Nurse if it ok if my Mum can come with me into the Ward. Usually family or friends have to stay outside ADCU. My Mum was allowed to be with me until I was called into the theatre.

The medical team were fantastic treating me really nicely and was told I am Mr Snow’s 1st patient of the day. I was then asked to get undressed into a surgical gown as I would be in the theatre soon.

I met Mr Snows Registrar 1st & was not at all shy to asking if Mr Snow will do the knee surgery and did confirm to me the Mr Snow will be doing my left knee! I had to correct him saying it my right knee & he had to mark my right leg.

Not sure how they mixed up my left & right knee and think there was a lack of communication that was not reassuring even though my left knee does cause me some pain at times and been told previously at some point I might knee a LR surgery. The Registrar asked me do I still want to go ahead & said yes and signed the consent form.

He marked my right knee and left, I then I saw the Anaesthetist explaining to me he will be giving me a GA that will drift into a deep sleep. I was surprised to see Mr Snow in his surgical gown to explain the procedure saying the worse case scenario would be a mircofractute and could end up being partially none weight bearing for 6 weeks.

I would be called over to theatre within 20 minutes and the time given was not far off that was only 5 minutes over due. I walked over into the room just outside the theatre & lay on top of the trolley bed. I was asked again which knee will be operated and what procedure is going to be done this morning. I confirmed that I will be having an exploratory arthroscopy done and were extra vigilant as I think they felt embarrassed that they thought my left knee was going to be operated on.

I knew a cannula would be inserted into the top of my left hand into the vein and was told I will feel a sharp prick that was quickly inserted. Like my 1st scope I said I want to be put to sleep 1st before a mask is placed over my face. The nurse that was looking after me in the ward said it a common request from patients.

I could see a red electronic clock counting the second passing by, 1st I was given an injection to numb the pain & make me feel relaxed followed shortly by the GA. Last time was only given a GA, is this fairly common nowadays to have another injection before the GA?

The theatre team was fantastic explaining each stage till to having the GA inserted into the cannula and was just coming just before 8:50am when suddenly everything went blurred and even said I can feel myself drifting off. I was out like a dimmer on a light switch.

I woke up in the recovery room that went quickly, I was in the theatre for only 1 hour as the time on the clock was just coming up to 10am. I felt really good as if I just woken up from a good nights sleep. When I woke up was a bit dazed saying have I had my surgery yet? I am sure I am not the 1st patient to say it to the nurses.

A Porter took me back to the ward that was a male only ward making sure I had plenty of jugs of water one of the nurses who I saw during my 1st scope in 2009 joked I was drinking like a fish. I also had 2 slices of toast & 3 cups of coffee.

My blood pressure was higher than it should have about 104 to 98 that slowly went down with other patients blood pressure were around 70 to 80. I had to wait for a PT to arrive that took one & a half hours all she wanted to know was what hospital I want PT at. Of course the ROH were I just had my surgery so was a wasted time.

The guy next to me had shoulder key hole surgery around the same time with another OS who was back before me that left the ward before me, this shows how quick surgeons work nowadays work.

I wanted to know what procedure was done in my right knee but no one really knew that was a bit of a disappointment. After I was discharged from the ward walking into reception Mr Snow came up to me and told me had anterior interval release procedure as I was not sure what he meant but did point out was fibrous scar tissue causing me all the pain and discomfort and had been experiencing pre op.

I have a large bandage over my right knee & wore a tight green anti-embolism stocking to prevent DVT in theatre. I have been told to wear it for 2 weeks and to keep the bandage on for 48hrs. I am seeing Mr Snow on Wednesday 13th August @14:00 at the outpatients department.

I am taking  2 30mg dihydrocdeine, 2 500mg paracetamol & 400mg 1 ibuprofen daily. I am finding the bandage is too tight that is pushing hard against the surgical portals. Also very itchy, I only have another 24hrs to put up with it! I have dissolvable stitches but have to keep the stitches dry. How do I shower with plastic polythene over my right knee?

Will stop now & will find out exactly what has been done when I see Mr Snow on 13/08/14.

Thanks for everyone for wishing me good luck & a speedy recovery.

http://en.m.wikipedia.org/wiki/Anterior_interval_release

(just been googling & think have had AIR procedure)

[email protected]
« Last Edit: July 21, 2014, 12:28:24 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1143 on: July 20, 2014, 11:00:09 AM »
20/07/14 Day 3 Post Op

Coming to terms that I at higher risk of getting Arthrofibrosis again in the future! It was always at the back of my mind that I could have excessive amounts of scar tissue! AIR procedure is not mentioned much in the KG bulletin board medical abbreviations, so guessing it is not such a common knee surgical procedure.

I would have to have a more unusual knee condition as most novices that do not know much about the knee have only heard about cartridge tears ACL tears.

I am so glad that I chose Mr Snow as my OS as I read on one of his profiles he has major interest towards soft tissue problems in the knee; this was the key factor for choosing Mr Snow to do the AIR surgery.

It has now been over 48hrs since surgery so can now take off the bulky bandage leaving just the actual small adhesive dressing until my next clinical appointment. I would have thought the dressing needs changing regular not kept on for days and weeks, is it holding the portal in place!

Cannot get small adhesive dressing wet that needs to be kept dry. Washing the body with a flannel is not as refreshing as a shower or bath and surely I can improvise or buy something that will keep the small adhesive dressing dry while I am taking a shower.

I slept for nearly 12 hrs last night, the 1st night was hot & sticky, thunderstorms & heavy rain interrupted my sleep pattern. I was in bed last night at around 7:30pm, was up just once during the night to go to the toilet.

The pain is under good control with the meds, I will now reduce them slightly taking just 1 Dihydrocdeine 30 mg rather than 2 as I have been doing. Now that my surgery has been over 48hrs can reduce the dosage.

Sorry about the long post yesterday, I am not only doing it for myself, I am sure other members will be interested of how I progress that are going through similar experiences to what I am going or have been through.

http://www.kneeguru.co.uk/KNEEnotes/specialist-commentaries/dr-peter-j-millett/2006/anterior-interval-release-rationale-behind-surgical

http://en.m.wikipedia.org/wiki/Arthrofibrosis

[email protected]
« Last Edit: July 21, 2014, 12:44:03 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Vickster

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1144 on: July 20, 2014, 01:09:14 PM »
Glad it all went well Nick :)

The reason why you can't get it wet and also for not changing the dressing is to limit the risk of bugs and potential infection in the portals while the stitches are there.  You could contact your GP nurse if the dressing starts to get tatty and ask if they can provide an Op site waterproof dressing which you can shower with (these are quite costly so not standard issue on the NHS in my experience)

You could cover the knee with a bag taped on and a towel wrapped round, and shower carefully over the bath, keeping your leg out of the way and dry
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Clarkey

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21/07/14 Day 4 Post Op

I got my mum to help take of the bulky bandages that was a thick layer to go through with some of the old blood seeping through the bandage. Unlike my 1st scope I have an extra portal above the kneecap, what is the reason for having a 3rd incision when it standard to only have 2 portals at the bottom of the kneecap.

Also noticed no shaving has been done around the knee that was done during on scope #1 & think up to each individual OS personal preference if they want to shave around the kneecap takes up extra time. It might not be necessary as theatres nowadays are so sterile that there is no need to shave the hair legs. Depends on the type of surgery being done, for type of knee surgery it is was not required.

It not for the squeamish seeing the blood stained adhesive dressing that has to be kept clean and dry that been explained well by Vicky as I do not want to get an infection. I slept well once again, I have started my PT exercises this morning.

I even went to my local cricket club and drank pints of iced tap water having a good few hours away from home. I was asked by one of the club committee to help him move some benches! I thought he was having a laugh and joke but he was being serious and annoyed I could not help him out!

Even was giving me funny looks for elevating my leg on a chair, need to move with the modern times as they are a bit old school still my local cricket club. A kid I get on well with cheered me up that comes regular to watch the cricket.

[email protected]

« Last Edit: July 21, 2014, 02:30:02 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline kcknee

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Nick- I had an anterior interval release in 2010 to release sheets of scar tissue from around my patellar tendon. Another sheet of scar tissue was removed from around my quad tendon during the same surgery. If you search the AF board, there are many people there that had this surgery and there are articles in the information hub if you search for anterior interval release there. I sincerely hope that this is a one time scarring problem for you brought on after your fat pad was trimmed, but please be careful. Inflammation, swelling, bleeding or fluid build-up can all cause the scar tissue to return quickly. You now know that you can produce scar tissue excessively. I know you are familiar with the AF protocols and writing as you suspected that you had scar tissue problems before, but read the rehab protocols again and proceed slowly and gently. Trust me, it is no fun if the AF becomes recurrent.

Kristin
12/31/08 - Skiing injury L knee
6/1/09 - ACL stump removed from joint
8/31/09 - ACLr - Hamstring Graft
12/21/09 - Ant Fasciotomy 
8/26/10 - Anterior Interval Release
12/6/10, 5/5/11, 12/22/11 - Fasciotomy
12/7/12 - Nerve Decompression
6/3/13(m), 7/29/13(l), 12/13/13(m & foot) 2/3/14(l) Fasciotomy

Offline Clarkey

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22/07/14 Day 5 Post Op

Thanks for the pre warning Kristin and remember well the problems you had to endure with your AF problems and hope I am not more prone to build up of fibrous scar tissue build up in the future. You are right about lots of information about AF on KG. I could have claimed compensation after my 1st exploratory arthroscopy from my former work place when my former line manager made me do manual labour 2 weeks post up. I was signed of sick at the time by my GP and my right knee was certainly made worse being forced to work.

On a more positive note In am not feeling as much pain this time after my 2nd scope and remember as soon as I woke up from my 1st scope with pain straight away around my portals. I am feeling some pain and discomfort that one would expect after knee surgery with swelling and my ROM is not too good that will improve with PT.

My knee gives in suddenly when walking that caused by weak quads and admit it very hard for me to keep still and less active! I even wanted to go to the autism charity shop I volunteer at the afternoon after my morning surgery as it just the way I am have to be active. I have to accept for now to slow down my pace  as the last thing I want is for the scar tissue to reform again!

Wearing shorts today walking around and a hot day and might not look nice for others to see and could cover it up so it is less obvious. Should I take it easy post op by not walking too much and enjoy the hot weather while it lasts!

[email protected]
« Last Edit: July 22, 2014, 08:24:54 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Vickster

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Nick, if you are more comfortable wearing shorts do so :)  I've got a grim scar/lump/bruise combo on my shin following my op in Feb, I don't worry what others think (presumably you have a bandage over your knee).  People I know are aware of the injury, people in the street, never likely to see them again anyhow :)

In terms of walking around, probably best to take it easy, keep any swelling down and always ice after activity / physio exercises.  Use crutches for now if you need to for support if the knee is sore

Enjoy the sunny weather, it'll make you feel better and autumn will be here before we know it ;)

Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Clarkey

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23/07/14 Day 6 Post Op

I thought I would start the my post op diary #2 with my very 1st post I did on my diary and can see 6 years ago today that my right knee has not been ok for a fair while now. My fat pad back then was not in good shape, I also had fluid in the knee!

Had my MRI scan results this morning and only found a problem with the fat pad there too much fluid around the fat pad and I think the fat pad is inflammed as well. I saw the very nice PT again who suggested two options having Physio around the fat pad ultra sound and massage or a cortisone injection around the fat pad fluid area. I will have to wait a couple of weeks for PT and it might not help and the PT I saw today was relectant for me to have an injection by a very good OS that good giving injections.

I still not satisfied with the outcome for many reasons since my fall back in October 2007 I have not been able to walk well and can no longer run. I get regular knee pain around the fat pad and can feel it catching at times that is not a nice feeling. I been doing PT to build up the quads and it has helped and go to the Gym 3 times a week and go on the cross trainer and excercise bike but after about 10 minutes I get knee pain in my right knee where I have the fat pad problem. I cant work to my full potential on the Golf Course as if I over do it knee begins to hurt.

All I want is to finally see a OS as its I am now starting to become annoyed about my whole knee issue I cant see any harm in trying the injection as my knee cant get any worse. I dont like to wait another few more months to see if the PT helps or not as it most likely might not and will end up with the Injection.

My left knee not 100% as well as I have maltracking problems and it also hurts if I use my knees too much and sometimes the pain very bad but does not happen to often. The PT hopes the insoles will help with my knee pain which will be fitted on the 19th August.

I like to know if anyone else has had fat pad problems and how it was treated, how bad do I have to be till I see a OS rather then a PT who very good at his job but only the OS can really find out the real knee problems and what action is needed. Will the injection solve my right knee problems as my PT thinks I dont need a scope but could it come to this if PT and injection does not help me run again with less or no knee pain. The Injection might work but will it fix the fat pad problem.

I kind of happy that I know what it is but dispointed that I not been sent to see a OS which I knew was going to happen.

Nick ??? {2008} :)

I am more optimistic this time round that Mr Snow has done enough to remove the scar tissue with minimal invasive surgery as this time round have less bruising then scope #1. No bruising at the back of the calf muscles behind the knee, pain is not too bad compared to my last surgery.

Is there differences with the OS a patient chooses as scope #1 was done by Mr Green’s Registrar, as soon as I woke up felt knee pain and had problems straight away. After Mr Snow had done AIR on my right knee I felt so good wanted to volunteer that afternoon at the local autistic charity shop where I volunteer all day every Friday.

I am glad I studied carefully all the OS that work for the NHS across the West Midlands region. As I mentioned before Mr Snow stood out who has major interest towards soft tissue knee problems, hopefully he has fixed my right knee!

If I did have problems again with the right knee or get problems with my left knee I would always see Mr Snow. I think it is good for Mr Snow and myself not to see a different OS if another knee problem should arise.

I am not too bothered what others think if they see my blood stained small adhesive dressing as you pointed Vicky with your shin. It is too hot to cover the knee, it is good to get some natural sunlight onto the portals that we do not get too often in the UK, that will help to speed up healing process.

[email protected]

« Last Edit: July 23, 2014, 04:58:05 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
24/07/14 Day 7 Post Op

I think it is the time of year and the good weather the UK is experiencing that a week has gone already, starting week 2 post op of my ACI surgery that was only done a week ago tomorrow. I am trying my very best not to overdo it too much as I cannot help being active, maybe what I am doing is not a bad thing after all!

I am sorting through various important documents so up and down the stairs a lot that might be beneficial for the quads to give them a good PT workout exercise. I am doing leg raises as I am watching TV, this is a good way to do PT when pre occupied watching a program I enjoy as day time TV is not fantastic with repeats that I watched numerous times.

The bruising is coming through around the shin at the bottom of my right kneecap, no bruising yet coming through behind my hamstring behind the knee as I experienced with scope #1. I am icing and elevating when I can taking 2 30mg dihydrocdeine once a day before I go to bed as it can make you feel sleepy, 2 500mg paracetamol 3 times a day and 1 400mg of ibuprofen twice a day after breakfast and again in the evening after tea.

Knee is starting to feel stiff again and sore that I think is normal and all part of the recovery process, maybe I need to slow it down if I am more prone to scar tissue build up that easier said than done as I am sure I have ADHD as I struggle to keep still or take things easy or at a slower pace!

I am staying positive by thinking that my AF will be eradicated by not assuming or thinking the worse that new scar tissue could build up again and be back to square one!

[email protected] 
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
25/07/14 Day 8 Post Op

Already into week 2 post op, I have been told by my sister who works as an orthopaedic nurse for nearly 30yrs with the NHS in the Suffolk region that I should only keep on the blood stained small adhesive dressing for up to 10 days. I should then have a shower to loosen the 3 adhesive dressing that can do more harm then good if they are left on too long!

I am seeing Mr Snow for my post op follow up appointment on Wednesday 13th August at 2pm. This would be a long time period with the same surgical adhesive when I had my scope done on Friday 18th July. I have not yet received a date and time to see a physio at the hospital. I do agree with my sister, I am just concerned to take them off myself.

Would it be safer and wiser to go and see my local GP Nurse on duty at my local medical practice or should I take shower and take the adhesive dressing off once they are wet and easy to peal away. Should I wait for my clinical assessment with Mr Snow, my sister thinks they did not realise the time scale till my next appointment.

Another sister out of 6 suggested massaging the leg muscles and quads that will help with the recovery period using E45 cream, I see no harm having a leg massage. I am still uncertain if I should remove the adhesive dressing that is heavily stained with dried in blood around the portals that a nurse is more use to dealing with that can remove, clean and sterilize the portals/incisions and remove the adhesive dressing more safelly then me!

[email protected]

RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Vickster

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Nick, normally the bandage comes off when the stitches come out - 10-14 days.  Were you not told this?  Do you have stitches to come out?

I'd contact the ward you were treated on, or your practice nurse
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Clarkey

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26/07/14 Day 9 Post Op

Nick, normally the bandage comes off when the stitches come out - 10-14 days.  Were you not told this?  Do you have stitches to come out?

I'd contact the ward you were treated on, or your practice nurse

Vicky, thanks once again for replying and has a copy of the Birmingham ROH NHS Trust that has provided me with a Patient Advice Sheet after having a knee arthroscopy.

There is one paragraph about the dressings that says the following.

Dressing – You can remove the bulky bandages from around your knee after 48 hours. Normally there are two or three small incisions sites covered with small adhesive dressings. Keep these dressings in place and try to keep them dry until your next clinical appointment.

The medical were fantastic on the day of my right knee exploratory arthroscopy and have no complaints. Once again the communication was poor as the nurse did not inform me what was wrong once Mr Snow looked inside my knee even, she even admitted that she does not understand what has been done to my right knee. Thankfully Mr Snow kindly came to me just as I was about to walk out of the ADCU Reception, he told me has done an AIR surgery on my right knee.

No one mentioned to me about the dressings apart from saying the stitches will dissolve and disappear and will not need any stitches taken out. I have got my next clinical appointment with Mr Snow 13th August that is far too long to wait. The blood stained dried out adhesive dressings has now gone dark brown and the dried blood is caked in the that is starting to pong slightly! I have looked at the info sheet, there is no mention about the maximum amount of time to keep on the adhesive dressings.

I shall go and see the duty nurse at my local GP Practice on Monday morning as I do not mind if I have to wait a while. An alternative is to go to an NHS Walk in Clinic that I am sure I am entitled to go to.

Also no PT Hospital appointment date given yet that should have been booked the same day I had my scope when they booked my clinical appointment with Mr Snow.

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« Last Edit: July 26, 2014, 11:40:23 AM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline tez27

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Nick with this hot weather I would think it would be best to remove the dressing especially if as you have said they are starting to pong a bit, have a shower and maybe you could put some of those small round plasters over the incision sites which you could change every couple of days if your worried about leaving them open to the air. after a week the incisions should be healing nicely and as your sister who is an experienced nurse said keeping the dressings on too long could cause more harm especially with the hot weather.
Fingers crossed this will be your last knee op and Mr Snow has done an excellent job in getting you back to having a pain free knee.
Take care
Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision















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