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Author Topic: Nick's FatPadTrim, Medial plica/Distal patella excision, AIR x2, LMR 3in1 Diary  (Read 282830 times)

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Offline Snowy

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I am going to third the very good advice given to you by kcknee and Vickster. If you did cause a new injury to your knee when it buckled, you haven't given it any chance to recover yet.

As someone who has experienced the severe pain that maltracking patellars can cause, I would also advise you not to underestimate how debilitating it can be. I have twice been convinced that I was heading into surgery for some kind of cartilage tear, only to find out that this was the root cause of my problems. Both times I was experiencing such bad knee pain I couldn't use stairs, up or down. I really wasn't convinced that maltracking kneecaps could explain it but when I started working with a physio who really understood the problem and was able to help me correct my various misalignments and imbalances, it made a world of difference.

I think that it's going to be very important for you to find a physio who really grasps the problem, and that when you do you stick very closely to their advice no matter how frustrating it is. I'm an extremely active person, but I had to accept that a month or so of drastically reduced activity and a couple of hundred quad flexes a day was critical to getting the inflammation in the knee settled and giving it a good starting point to rebuild. Second time around that was easier to take because I'd seen how effective it was the first time, but it still wasn't easy.

Be cautious about rushing into another surgery on this knee. They're not without consequences either - a post-surgical knee is not the same as one that's never had surgery, and each further procedure takes a toll. Dr. Snow seems very competent and thoughtful; if he thinks that might not be the answer this time, I think you need to be patient, wait for the scan, and work on your physio in the meantime.
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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  • Neil TheElephant knee packed up carrying his trunk
20/05/15 10 Months Day 306 Post Op

Thanks Snowy for replying and advising me what to do and glad I might be able to one day run long distance after reading what you have been through.

I have already got a date for my CT scan which is not too far away on Tuesday 2nd June @09:00 and then will wait for the results in August. I can now see that it the most sensible option to go for to pay for private PT with one of Mr Snow’s PT’s that I will be doing fairly soon as I my mum and I will be making the move to Droitwich within the next 2 weeks.

I will then use the PT Department at The BMI Droitwich Spa Hospital in the hope that as local resident and having PT done at the hospital if surgery was required. I can apply to have NHS treatment at the hospital that do allow patients to be treated at a private hospital. My old next door neighbour in Birmingham had her knee surgery at The Edgbaston BMI Hospital where Mr Snow also works at. It was all done for free funded by the NHS.

Hopefully will not come to surgery, if it was to face a 3rd exploratory scope it make sense that I can opt for patient choice. I should be eligible to apply with a long history of right knee problems and living in Droitwich locally. Has anyone else used NHS choice at a private hospital.

[email protected]
« Last Edit: May 21, 2015, 04:18:19 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
02/06/15 10 Months Day 319 Post Op

I had my CT scan at 9am this morning that was very straight forward and did not take long at all to scan not just my right knee it did my whole right leg from hip to toe according to the nurse that was operating the CT scanner.

It was done at the X-ray department, I  had to take my trainers and trousers off and wore a hospital gown. It only took a couple of minutes after going right under the circular scanner and then came back out again as each segment was scanned along my right leg.

One thing that I know will show up that may or may not be connected with the knee pain is a lump behind my right calf along the bone femur/tibia? I have had it for a while and had an x-ray done in early 00s and it’s a callus as it looked as if I had a hairline fracture in my leg during childhood. I am glad it will show up in more detail, who knows might be linked to the knee pain!

I will see Mr Snow for the CT scan results on Wednesday 12th August, I hope this time round he can work out why I am in pain and discomfort still!

It is now official after exactly 36 and an half years living in the same region of the UK in the City of Birmingham 02/12/1978! I am now officially a resident in the spa town of Droitwich in Worcestershire. The spa town put KG onto the worldwide web with its famous knee clinic thanks to Sheila Strover founder of KG.

Still living in Birmingham as a guest at my mum’s former property till Thursday June 4th even though exchange of contract was today the completion date is midday 4th June. Very long winded and confusing buying and selling in the UK, that just adds to the stress.

[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 Scubagrl4

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Hi Nick,
When do you get your results? I hope you are getting settled now that you have made your move.
How is the strengthening coming?
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
18/06/15 11 Months Day 335 Post Op

The cortisone injection has helped to ease the pain and discomfort, I am now able to walk ok again at a slower pace. I just have to be careful not to overdo it too much! The pain is still there just masked over from the cortisone injection that has been helpful so was worth having it done.

I have been extremely busy relocating from Birmingham to Droitwich Spa 2 weeks ago today. I admit have not been able to give my right knee much rest with unpacking and buying gardening equipment and new furniture etc. I can now slow down my pace as the bulk of the unpacking and settling in have reached its peak.

I do have swelling at the bottom of the kneecap that is still painful as soon as I try to kneel or squat and increase my pace. It is a hindrance as I am now doing a whole day at the centre for kids with autism with complex needs in the morning that not too much of a problem.

It is the kids in the afternoon with Asperger are that are a lively bunch, I would like to be physically active and would love to take part but cannot physically, that’s frustrating.

One of the kids is very weary and concerned about my bad right knee when a girl suddenly grabbed my right leg that she tends to do with both staff and the other kids. He said to her don’t hurt Nick’s bad knee, which was a nice gesture.

I will go to the Droitwich Spa Hospital on Monday where Mr Snow works at for some physiotherapy sessions before I see Mr Snow for the results of my CT scan on August 12th.

Scubagrl4, I will get the results on August 12th, I will start to do strengthening exercises from next week onwards. 

[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
18/07/15 12 Months Day 365 Post Op

Here what has been written in the assessment after my 2nd post op consultation with Professor Snow.

This gentleman returns to clinic. He has had deterioration in his knee of late and sounds patellofermoral in nature worse on running and stairs. It is now affecting his ability to walk distances. His MRI scan has shown no abnormality, the previous oedema in the medial femoral condoyle has resolved but there is a very a very minimal effusion. His knee pain does sound very patellofermoral in origin and I think we should get a CT scan to check the alignment particularly relating to the TT-TG distance. He may have a chronic level of synovitis related to previous surgery and therefore I have injected the knee today with Marcaine and Kenolog and hopefully it will settle down. I will see him again in 3 months time with the results of the scan and the result of the injection.

Is Marcaine and Kenolog a posh term for a cortisone injection! What does it mean TT-TG distance? The rest I can understand ok from the report.

I managed to find a private clinic that has one of the best PT's in the UK, she was the former PT when The Droitwich knee Clinic was in existence, the clinic has now relocated to Worcester. I will be seeing her on weekly basis starting on 20th July. This will by my 1st assessment appointment at the clinic, I will see how it goes from there.

http://www.spirehealthcare.com/droitwich/

I have found the injection has helped to reduce the pain so now able to walk ok again without too much pain after every footstep as it was before the injection. I is not too long now till I get back my CT scan results back. I  am seeing Professor Snow at his Clinic on Wednesday 12th August so now only have to wait 3 weeks and no longer 3 months, that have flown by due to relocating.

[email protected]
« Last Edit: July 22, 2015, 04:48:36 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 Scubagrl4

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Marcaine is a numbing medication and kenalog is a steroid, so yes, that means a steroid injection. I'm glad your wait for results is going fast and I hope it continues to go fast. Hopefully the fix will be all exercise and no surgery. Fingers crossed!
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
27/07/15 12 Months Day 374 Post Op

I have seen new PT twice so far last week Monday and again today and have found it very helpful. I was given an initial assessment last week, my right knee structure is not too bad. I have been given some stretching and muscle strengthening exercises to do at home.

It is mainly tightness that needs to be worked and only need to focus on my right knee doing calf and hamstring stretches and slight strengthening around the quads. The PT I did last week has shown an improvement slightly with the muscle balance.

When I saw my PT today she made sure I was doing my PT exercises correctly still after she wrote down what I should be doing checking twice that I was doing it correctly before leaving. I had some ultrasound therapy today and friction massage therapy around the portals and bottom of the kneecap today. She was happy with the way I was doing my PT exercise sheet.

My PT will do a report before I see Professor Snow on Wednesday 12th August of what she has spotted and what needs to be worked on and how I am progressing. I do not need any further PT from her just do the my daily PT exercise sheet she gave told me to do.

Thanks for Scubagrl4 for clarifying that the injection is cortisone injection and have googled what TT-TG distance means and self-explanatory that is to do with the distance between the tibia and kneecap. It is usually a sign of patellofermoral syndrome that is mentioned in the report.

I have had experience of 2 exploratory scopes so far and both pre-op my right knee pain level was not as bad as it is right now! I still think it is AF and scar tissue causing the pain and discomfort in my right knee. I know that just because the MRI scan shows minimal oedema in the medial femoral condoyle this time round does not entirely rule out excessive scarring inside the knee.

My PT does not think another surgery will be required but so did my last PT thinking PT exercises will solve it all. At least pre-op to surgery #2 I was able to walk at a quicker pace and knee and squat with minimal pain.

I fully admit I neglected my PT and friction massage therapy post op after scope #2 so was surprised and stunned that this time round is minimal bone oedema. I have always had maltracking problems in both knees and been told my right look stable and strong with not too much muscle loss or wastage.

I do not want to sound negative all the time I just know my knee better than anyone and know that the pain is something internally inside the knee and know now that my knee strength is strong. It is hindering when I volunteering and want to take part in sporting activities with my nephews! I am not happy to leave it the way it is.

I seem to remember when I had my PT before scope #2 member on KG said give PT a chance as it takes time and patience to get the knee strong again. I am now at the stage where I want something else done apart from only PT that I will of course carrying on doing daily. It just not making any difference to the pain level. What it has done is made the knee feel less tight from the stretching exercises.

Will see what Professor Snow says when I see him in clinic, I an not entirely sure what he can spot on an CT scan apart from PFS that only requires PT and no surgical procedure. This is why I think it could be scar tissue again that I am more prone to or would not have had AIR surgery. All members on KG that have had AIR know it is hard to rectify and get right again, requiring specialist aftercare.

[email protected]
« Last Edit: July 27, 2015, 04:56:07 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
05/08/15 12 Months Day 383 Post Op

Just one week until I see Professor Snow for with my CT scan result, I am hoping he has spotted something that's an easy and straight forward to get right again. I have been doing my PT schedule on a daily basis as my new PT has advised me to do.

I am doing calf stretches and calf raises that is not too bad too do. I am doing single legged wall squats on my right knee. It is painful at the bottom of my knee that increases as soon as I straighten my knee again.

According to my PT my muscle strength is good as I go swimming twice a week for a full 45 minutes. She has already seen less tightness in my quads and hamstring since doing the exercises that I have been told to do on a daily basis.

I also had a chat to my sister who is an orthopaedic nurse who said that now I have had some PT and cortisone injection. My right knee restrictive and painful still on a daily basis that the next step would be a possible 3rd exploratory arthroscopy.

If I try to kneel or squat or try to increase my walking pace I feel intense pain straight away at the bottom of my kneecap! Visually one can see that there is swelling at the bottom so something is not right. It has now been over a year since my AIR surgery and I have not seen any improvements yet.

My ROM is ok now and was ok prior to scope #2 when I had AIR surgery. It feels the same again that could well scar tissue inside the kneecap. AF is not easy to eradicate as know my PT overdid it with my Physio exercises.

I am not totally convinced that my last MRI that my bone oedema has cleared up, often AF is not spotted on an MRI. I have only had one result showing up a problem out of four MRI’s I have had. Every exploratory scope I have had showed up problems inside my right knee.

I am fully aware surgery is a gamble and risk and could be worse off! If I did end up having a 3rd exploratory scope I would go for it and hope I am 3rd time lucky. It would be great if I was able to do long distance running again. This is the main reasons for having the last 2 scopes done.

Sorry for such a negative tone post op diary, I wish I could bring some positive news at this stage.

[email protected]
« Last Edit: August 06, 2015, 03:06:44 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
12/08/15 12 Months Day 390 Post Op

I went to my consultation in time arriving at 11:00am in time for 11:30am appointment, I then read on the screen Mr Snow not in clinic today will be seen by his registrar instead and he delayed by 50 minutes.

I was called in 1 hour late at 12:30pm and while waiting chatted to the nurse say he very good the registrar that has been working flat out all morning seeing 27 patients. I was the 20th patient to be seen with another 7 left to be seen before the end of the clinic session.

What he suggested shocked and stunned me and mentioned doing an ‘Osteotomy’ on my right knee! I would then come back in 4 weeks time when Mr Snow is in clinic to make a decision what to do next.

I travelled to see my sister who is an orthopaedic nurse in the theatre at Ipswich Hospital in Suffolk for a couple of days break. She said it far too drastic and pointless unless my knee is worn out on one side badly. I am too young aged 37 in December.

To be allegeable for Osteotomy you need to be aged 40 to 60 and have signs of a worn out kneecap and think the registrar trying to think too far ahead. I personally think I should at least for now have a 3rd exploratory scope as my last 2 previous scopes my knee looked ok visually and on the MRI looked ok. Once the knee was scoped then problems got spotted straight away that the MRI scan missed out on.

I am ok with another surgery but not as drastic as an Osteotomy that is stressing me out! I am more than happy to pay to see Mr Snow privately as then I know I will be seeing him. My sister and I both think another surgery would be required by doing a 3rd exploratory arthroscopy. I had 2 scopes previous when the knee looked healthy but was not the case once inside.   

I am now really shocked and confused and, I asked my sister would it be ok to overrule the decision and insist that I have a exploratory arthroscopy instead. This is a far more sensible and logical option to go for next. She said she cannot see it being a problem if I wanted to have my right knee scoped. I am happy and willing to take the risk and gamble.

I still think it AF and the excessive scar tissue is putting strain on my patella tendon that is then putting strain onto my tibia! I am not the expert I have the feeling it is AF again. I fully admit could have should have worked a lot harder post-op to stop AF from returning.

AIR surgery is to remove AF also known as scar tissue?

[email protected]
« Last Edit: August 12, 2015, 09:12:44 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 lucha86

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hey clarkey  :)
its taken me a few days to read your diary... but wow, what it has proven to me is sometimes different opinions do matter to get the right help, but also that Mr snow seems to be the one that is able to help you...

I think the best thing to do would be sit down with Mr snow and see or ask what plans he has got for your knee and to clarify why his registrar said what he said, sometime i myself have found the registrars opinion to differ from the surgeon remember the registrar is training under the consultant and any time i got a strange answer i would always ask the consultant for clarity to why the registrar said that... i would say also get him to explain to you your most recent mris and xrays to ask about the condition of you knee, i think the knee thing that would help you is if mr snow gives you a better understanding of the quality of your knee joint at the present point............. =))

Offline Vickster

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Nick, did the registrar explain the findings of the CT scan. I think you've mentioned that you have patellar maltracking, if so you may have worn away the cartilage on the back of the patella and would explain the patello femoral pain. A TTT, or kneecap osteotomy (different to the ones that are used to align knock or bow knees and delay a TKR) might be under consideration to resolve this malalignment. There are plenty of younger knee geeks who have had this surgery to help with kneecap problems

Have a read of the patellar primer, it'll help you understand the anatomy and the types of things that can be done for wonky patellar (mine has decided to start tracking laterally and I get similar symptoms, can't kneel, squat, aches, pain going down stairs). I've got some relief from the sharp pain with kneecap taping. Mine is likely to do with muscle tightness and imbalance

http://www.kneeguru.co.uk/KNEEnotes/primers/patella-primer

Of course, it could again all be due to scar tissue, but that presumably would have been visible on the CT or MRI

Hope you get to see Mr Snow soon, he's probably on his family holiday right now :)
« Last Edit: August 13, 2015, 05:01:54 PM by Vickster »
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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  • Neil TheElephant knee packed up carrying his trunk
13/08/15 12 Months Day 391 Post Op

A year ago to do I had my 1st post op appointment after my AIR surgery and now even worse off than I was pre-op! I am sorry to post again so soon I just need to discuss again yesterday’s consultation with Professor Snow’s Register and after a night’s sleep feeling more positive again.

Lucha thanks for your reply and good advice, I fully agree with what you have suggested to have a in depth chat with him what options to take and what he thinks could causing to the pain and discomfort at the bottom of my right kneecap.

It must have taken ages to read through my diary and hope it did not send you to sleep reading my never ending post op dairy. I will wait for 4 weeks and carry on doing my PT that I have been daily and if I not seen any improvements by my next consultation will say I now I want something done now apart from Osteotomy?

My sister and I have both said no way should I go ahead and was only suggested not actually fully finalised when he discusses my knee with Professor Snow. I think he wanted to come across knowledgeable thinking he knows what he talking about! As you have already said that a register has less knowledge and experience so was a bit of a big jump to even suggest considering doing a knee realignment osteotomy! Think she seen how tough it is to recover from in her line of job and does not want to see her youngest brother going through such a big surgery!

Vickster thank you for giving me some good advice, maybe I just was in shock yesterday when such a bigger than expected surgical procedure was mentioned and maybe I am being was being too negative towards the registrar. It is easy to then criticise as he has been has been trained in the States, it is good in a way he has suggested something rather than saying live and put up with it.

I think the CT and MRI scan was not completly 100% clear but I maybe wrong, I think he said there were a few small issues spotted and he was under time pressure so could not take in all of what he was saying. He did locate the pain during the examination that was very sharp and intense so did well to find the delicate spot.

I will wait now till my next consultation that's only 4 weeks away not 12 weeks, I will still carry on doing my PT that has eased the pain slightly. It has not improved my mobility and pain and discomfort just numbed the pain.

Without sounding to offensive in nature if I attempt to run or increase my walking pace I call it a spaz knee attack. My right knee is exerting all the pressure onto the bottom of my kneecap onto the tibia that then swells up if I do too much in one day. This is why knee realignment surgery is now in discussion.

Will stop now before I confuse myself even more!

[email protected]
« Last Edit: August 13, 2015, 05:45:54 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 Scubagrl4

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I feel like you may have missed some info. To have a mostly clear CT, it seems a little crazy that such a surgery would be mentioned. I would wait for Dr. Snow's advice before getting too worked up about it (easier said than done though). I would expect that there needs to be a clear issue for them to suggest this kind of surgery.
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
18/08/15 13 Months Day 396 Post Op

13th month post op, it was January 2013 when I sustained the injury to my right knee and also happened to have the number 13 when I was going to take part in the Droitwich Spa Half Marathon in March 2013. I should not be superstitious with numbers as it just bad luck and a coincidence that I had the number 13 before I reluctantly had to pull out that was a tough decision not so much physically more mentally it got to me.

My times up until my unfortunate slip on black ice was going with an average pace of around 6 minutes and 40 seconds. I am still to this day very bitter and upset that I was not able compete. I only have myself to blame for making my right knee worse risking surgery just because I wanted to run again! I could have left the knee as it was pre-op to scope #2. At least I could still kneel, squat and walk at a better pace back then.

I was too much focused towards thinking that after scope #2 I would be running again soon! It might be my autistic traits having Asperger’s that I was very focused on one thing, determined to get back into long distance running. 

The fall I was told was might have not been the cause of the sudden deterioration of my right knee, it was a pre-exsisting condition was Professor Snow’s opinion. I did have warning signs while running prior to the fall so he could well be right! I know one cannot turn back time. There are others out there with more complex and crippling knee problems than mine.

It is big issue for me personally as I lived and breathed long distance running. It was part of my social life, I may well have lost out on potential friendship maybe even a relationship as I was getting on well with the members at the running club. I am now blanked and ignored or see new members I have never met when I go for a swim at the leisure centre as they all meet up there for a run.

Scubagrl4 I am certain the registrar mentioned the procedure 'osteotomy' as he went through the procedure quickly saying it a big surgery to have done that involves cutting into the bone at the bottom of the knee tibia/shinbone by cutting out a wedge etc. I asked my mum again who was in the room with me, she said he mentioned the same as I was hearing from him!

I am also certain that he said that both the MRI scan and CT scan looked fine nothing out of the ordinary to see! So why then mention doing such a major surgery if my scans look ok? I even told him that maybe a 3rd exploratory arthroscopy might be a safer option as the last 2 scopes my right knee looked ok on the MRI scans.

Sorry to have a whinge and moan, I think we all have been through our ups downs with our knee problems. We can only put our trust and faith into the experts out there that want to do what they can to get us back to being active once again.

Could this be the procedure he was talking about with a success story below! My knee has never dislocated or come out of the socket. This is why I am so sceptical about the whole thing, my sister said that TTT's etc is only done if your kneecap keeps coming out of its socket!

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=49136.495

http://www.kneeguru.co.uk/KNEEnotes/blogs/jsmi001/2007/tibial-derotational-osteotomy

Ending on some positive news I have already got a date for my next appointment. Five weeks away on Wednesday 16th September @11:30 at the Bham ROH that's becoming too familiar now to me!

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« Last Edit: August 18, 2015, 05:44:42 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