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Author Topic: Mom wondering about LR and VMO surgery  (Read 4819 times)

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Offline brae70

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Mom wondering about LR and VMO surgery
« on: October 11, 2008, 01:30:58 AM »
My 14 year old daughter dislocated her right patella playing softball 3 months ago.  She had a lot of tissue damage and a severely bruised femur.  We are scheduled for LR and VMO surgery in a couple of weeks.  Just wondering what to expect from this surgery.  Doctor said she will be as good as new (9-11 months) and be able to return to all of the sports she plays in school. 

Offline 3Diggersmom

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Re: Mom wondering about LR and VMO surgery
« Reply #1 on: October 11, 2008, 01:53:58 AM »
Hi there, my son (15) began dislocating last year on the left.  He dislocated the right traumatically in August and had open knee surgery.  See my thread for the gory details!  Initially we were told that he should have a LR, but when we went for a 2nd opinion we were told that this would not help my son's issue.  He has patella alta and grew 9in. in 2 years.  Did your daughter's dr. tell you why she dislocated?  A LR doesn't attend to all issues related to dislocating patellas. 
9/07 Subluxations of LK began-soccer
10/07 2nd sublux of LK-basketball
11/07 Arthro of LK to remove loose body
12/07 3rd sublux. of LK-bball
1/08-8/08 PT
8/17/08-violent sublux of RK, fract cartlg behind patella-bball
8/23/08-open surgery on RK, 3 screws, NWB 10wks, PT
11/11/08-2nd surgery scheduled

Offline brae70

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Re: Mom wondering about LR and VMO surgery
« Reply #2 on: October 11, 2008, 02:39:10 PM »
No he didn't say exactly why it happened, he did ask if this had occured before.  Which it hadn't.  Only thing he did say was that her other patella is somewhat loose also, so it could be genetic.  She went through 2 months of PT to try and tighten things up, then a month of strengthening, now the surgery.  He said 4 weeks immobilizing brace and crutches, another 2-4 weeks with immobilizer and then back to J brace. 
I am extremely nervous about the surgery and the post-op.  Don't quite know what to expect, so was glad I found this sight.
Thank you for replying.

Offline rkneepain

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Re: Mom wondering about LR and VMO surgery
« Reply #3 on: October 11, 2008, 05:31:34 PM »
Hi Mom,
            Always get as much information as you can.  I understand being a mom how you would be concerned, I am a mom of two, 15&12.  I just had the surgery done 8wks ago....and yet my experience has not been a good one, there are different circumstances to every situation.  My knee had been dislocating for 31yrs and I finally decided to have it fixed.  I just thought I'd be back to work by now and to my surprise I am still on crutches, and dealling with nerve pain.  SHe is young and may do very well with it.   Some people have good experiences with this surgery.  Has it been dislocating alot?  I know physical therapy helps show how to do certain exercises to tighten the quad muscles to strenghthen the knee.  All situations are different and all recoveries are different.  The most important thing is to be supportive because dealing with knee situations can do a number on you physically and mentally.  I mean it just gets frustrating, it can be a longer road to recovery than expexted, knees are tricky and have a mind of their own.
  I hope you get all the information you can get, and get second opinions!  This site is wonderful, the people on here have been such a big help to me, and are making my recovery easier.  I know I am not the only one going through what I have been through.  I wish you and your family best wishes, and prayers!  Let us know how you make out. 
« Last Edit: October 11, 2008, 11:48:45 PM by rkneepain »

Offline 3Diggersmom

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Re: Mom wondering about LR and VMO surgery
« Reply #4 on: October 11, 2008, 08:42:58 PM »
Hi again,
I would really suggest getting a second opinion from an OS with a sports medicine background.  I am surprised that after only one dislocation surgery is being recommended.  We had the same recommendation after the second dislocation and went for a second opinion.  I am so glad we did.  My son did dislocate again, but in hindsight he was not ready to play sports and we let him return too early.  Surgery is a major undertaking and should never be taken lightly.  Obviously you are a caring and concerned mom, because you are here asking for insight.  I would get a second opinion, what can it hurt?  Good luck and keep us posted :)
9/07 Subluxations of LK began-soccer
10/07 2nd sublux of LK-basketball
11/07 Arthro of LK to remove loose body
12/07 3rd sublux. of LK-bball
1/08-8/08 PT
8/17/08-violent sublux of RK, fract cartlg behind patella-bball
8/23/08-open surgery on RK, 3 screws, NWB 10wks, PT
11/11/08-2nd surgery scheduled

Offline brae70

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Re: Mom wondering about LR and VMO surgery
« Reply #5 on: October 12, 2008, 05:07:26 PM »
Thanks for the responses.

rkneepain
Miranda dislocated it on a Friday and we allowed her to play softball again on Sunday, stupid decision, and she did it again.  Those are the only 2 times it ever happened.  We believe that she did the main damage the first time and then did more damage to the femur the second time.  Before that she didn't have any problems. 

3Diggersmom
We did consider getting a second opinion, but decided against it.  Her OS is the best in our area, he is the OS doctor for the NFL team here and the president of the NFL physicians.  We honestly believe that he knows what's best for her.  At her first appointment with us he went through her MRI and kept saying what a bad injury this was for a 13 year old (that's how old she was when it happened).  He wanted to try the pt first to see if it would tightened and it didn't.  So he moved to the next option, surgery.  He stated that this is the option because he fears if she hits the femur again that she will shatter it, that is how damaged it is.  Basically he described it as "mushy".  Miranda is ready for it to be over, she wants the surgery so she can get on with everything.  So now we wait for the 23rd and hope all goes well.

Thank you again to the both of you for taking the time to speak with me, I really appreciate it.

brianne

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Re: Mom wondering about LR and VMO surgery
« Reply #6 on: October 15, 2008, 04:02:16 AM »
Not getting a second opinion is one of the worst mistakes you can make.  You cannot undo a surgery after its been done.  It is good that your daughters OS is one of the best in your area.  My first OS is the best in my area.  However, he was not qualified to treat my Patella Instability.  I trusted my first OS and the results were disatrous.  I had TTT's on each of my knees.  The OS did a good job with the surgeries, but they were the wrong surgery for my problems. 

Your daughters problem requires a PATELLA FEMORAL SPECIALIST.  A good OS is not a Patella Femoral Specialist.  A second opinion would not take much more time but could prevent your daughter from having the wrong surgery for her problem.  A patella realignment surgery is not to be taken lightly.  The wrong surgery could leave your daughter with permanent damage that could give her trouble for the rest of her life.

I cannot stress enough how important it is to see a specialist.  I placed way too much trust in my orginal OS and as a result I was left in worse condition then before the surgery.  My current OS is one of the top specialists in the country and he has totally saved my knees.  The difference is night and day.

Please consider getting a second opinion.

Brianne

Offline brae70

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Re: Mom wondering about LR and VMO surgery
« Reply #7 on: October 15, 2008, 02:57:49 PM »
Brianne thank you for your response, even though I totally had a melt down.  I did make some phone calls and it appears as though her doctor does specialize in patella femoral issues.  I have a couple other calls out there to find more doctors. 
This whole thing has been very difficult, sports are my daughters everything, even though they shouldn't be.  But that is how she defines her self, an all around sports girl.  So we are hoping for the best out of all of this. 

Offline 3Diggersmom

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Re: Mom wondering about LR and VMO surgery
« Reply #8 on: October 17, 2008, 09:49:10 PM »
Dear brae70-
I totally hear you about the sports and the importance it plays in your daughter's life.  My son is equally as devastated due to his injuries.  We are currently awaiting a second surgery to remove screws from the hopefully salvaged cartalige behind his kneecap.  He lives for basketball and this will be the 2nd yr. in a row that it has been taken from him due to injury.  We don't talk about it, but he may never play again.  Somedays I think he might have a chance and then I am doubting that possibility the next day.  Who knows, we take it day by day.  I need to run, but want to write more.  It is so hard to have this happen to your child and to feel helpless.  Hang in there!
9/07 Subluxations of LK began-soccer
10/07 2nd sublux of LK-basketball
11/07 Arthro of LK to remove loose body
12/07 3rd sublux. of LK-bball
1/08-8/08 PT
8/17/08-violent sublux of RK, fract cartlg behind patella-bball
8/23/08-open surgery on RK, 3 screws, NWB 10wks, PT
11/11/08-2nd surgery scheduled

Offline brae70

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Re: Mom wondering about LR and VMO surgery
« Reply #9 on: October 19, 2008, 06:22:06 PM »
3Diggersmom,
I am so sorry to hear about what your son and family are going through!  The thought that they can't do what they love to tears me up, and you are right there is such of feeling of helplessness.  But kids are strong and resilent, I guess we just need to direct them to a new path if it comes to that. 
Hoping for the best for everyone.

Offline Linds

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Re: Mom wondering about LR and VMO surgery
« Reply #10 on: October 22, 2008, 06:36:27 PM »
Hmm , have you considered a second opinion?

Having been one of those kids who lived through this stuff starting when I was about 9 years old...

I have had a LR on both my knees, the right when I was 21 and the left when I was 24... the LR did help.. it didn't fix everything but it did help, but the recovery was HARD and very long.. like literally years before I could say my knee was improved from before surgery... everyone is different and kids heal alot faster...

I just think i'd get a second opinion on it, because a LR done in the wrong situation can make things a whole lot worse in a hurry.  LR surgery is indicated in situations where there is excessive lateral tilt of the patella, not actual subluxation... i'm sure the VMO surgery is going to help with that.. but i'd just make sure you understand exactly what they are aiming to accomplish before you let them go ahead..
goodluck to you and your daughter, I really hope that this procedure or something helps her get back to doing what she loves... knees are a tricky thing to get fixed once they don't work...
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline 3Diggersmom

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Re: Mom wondering about LR and VMO surgery
« Reply #11 on: October 24, 2008, 01:18:16 AM »
Hi mom, wondering if you are nearing the surgery date or if you have postponed.  Hope all is well.  ;)
9/07 Subluxations of LK began-soccer
10/07 2nd sublux of LK-basketball
11/07 Arthro of LK to remove loose body
12/07 3rd sublux. of LK-bball
1/08-8/08 PT
8/17/08-violent sublux of RK, fract cartlg behind patella-bball
8/23/08-open surgery on RK, 3 screws, NWB 10wks, PT
11/11/08-2nd surgery scheduled

Offline brae70

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Re: Mom wondering about LR and VMO surgery
« Reply #12 on: October 26, 2008, 03:57:43 PM »
Well "we" had surgery on the 23rd.  All went extremely well.  She is doing so amazing!!!!  Doctor told us this is probably the most painful surgery he does, so I was pretty worried, but her pain has been very tolerable and she is moving around well on her crutches.  Her appetite has been fine and I am just so relieved.  Showering is another story, that is very difficult.  We have had constant visitors, her friends spent the whole day with her yesterday and have even been helping her in and out of bed, she doesn't like to be dependent on mom.
We start PT tomorrow, so I am thinking things will probably get harder.  But we are totally up for it.  She wants to go to school tomorrow, told her "ummm I don't think so".  It is going to be a looong recovery we know this, but I honestly believe she is up for the task and ready to go for it.



Offline 3Diggersmom

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Re: Mom wondering about LR and VMO surgery
« Reply #13 on: November 01, 2008, 03:25:00 PM »
Wow, 3 days post-op and she sounds like she is doing great.  So happy for all of you!  Keep us posted on her progress  ;)
9/07 Subluxations of LK began-soccer
10/07 2nd sublux of LK-basketball
11/07 Arthro of LK to remove loose body
12/07 3rd sublux. of LK-bball
1/08-8/08 PT
8/17/08-violent sublux of RK, fract cartlg behind patella-bball
8/23/08-open surgery on RK, 3 screws, NWB 10wks, PT
11/11/08-2nd surgery scheduled

Offline brae70

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Re: Mom wondering about LR and VMO surgery
« Reply #14 on: November 05, 2008, 04:21:56 PM »
Going to see the doctor today for follow up.  Miranda has been doing great in PT, he says right now she is where the doctor wants her to be in 2 weeks.  Not sure what her ROM was yesterday but I know last week she went from 38-49.  Guess we will see what the doc has to say today.  She is being stubborn about the crutches, catch her every now and then taking steps without them.  Told her I was going to tell the doctor so he can yell at her seeing how she isn't listening to me. 















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