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Author Topic: Advice Patellofemoral Realignment in England  (Read 822 times)

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Offline ipswich1984

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Advice Patellofemoral Realignment in England
« on: February 03, 2009, 10:16:56 PM »
Hi.

As you will see I am new to this however wanted some advice - I am due to have  patellofemoral Realigment done on my right knee at start of March.
Background - I have had pain in my right knee since 2004 after in slipping while walking, originally the scan I had showed some damage to the cartilage which was sorted during an arthroscopy, This helped with some of the pain in the short term however the pain came back and worse than before, my OS then decided to do a lateral release as my kneecap was'nt sitting properly, again this helped in the short term but then I started to get a lot more movement of my knee cap so I was then sent for physio which aggrevated it further.

Physio felt that my kneecap was subluxing, eventually I was referred back to my OS who advised that the realignment was the best course of action. I have lost count of the number of visits to A&E in the last year because my knee has locked or kneecap clicked out of place.

His secretary advised that he plans to do a Tibial Tuberosity Transfer, Medial Reefing and Distal Medialisation. Obviously I am a little bit hesitant regarding this as with each operation I have been told it was a success and then found myself back to square 1 again within a few months.

Another thing I was recently advised of was that I was Hypermobile with a Beightons score of 9, though not sure what this means in relation to my knee.

Am I doing the right thing with this surgery, obviously my OS thinks it will do the trick.



So a couple of things I wondered is:

What experiences have people got regarding this surgery in england as a lot of what I have read is from America.

Also any advice to help post op would be great - I work in an office but have an hour each way commute by train each day, will this impact in how quickly I can get back to work?

Thanks
« Last Edit: February 04, 2009, 06:14:49 PM by ipswich1984 »
November 2005 - Arthroscopy RK.
December 2006 - LR RK.
Febuary 2008 -
RK Subluxation. Back to physio.
October 2008 -
Put on waiting list for TTT/LR.
Told I have Hypermobile joints.
March 2009 -
TTT/LR RK.
11th Jan -
OS agreed removal of screws
5th Feb 2010 -
TTT/LR scheduled for LK

Offline wen

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Re: Newbie needing advice - Patellofemoral Realignment
« Reply #1 on: February 04, 2009, 07:02:04 AM »
Hi,
I can understand why you would be nervous.I really fee you should get a 2nd opinion with a P-F specialist. NHS, is that a health system in Europe.
This site provides alot of info on  all the surgical procedures you've mentioned and why  you would need them. Read up on each surgery. You need a PF specialist.
Good Luck
W

Offline ipswich1984

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Re: Newbie needing advice - Patellofemoral Realignment
« Reply #2 on: February 04, 2009, 09:01:13 AM »
My OS does specialise in knee surgery, he is the best one for this type of injury at my local hospital. 

Im in england so the NHS is where you go.

Im more concerned about after the surgery and the recovery as im not the best at sitting around though since my knee has got worse.
November 2005 - Arthroscopy RK.
December 2006 - LR RK.
Febuary 2008 -
RK Subluxation. Back to physio.
October 2008 -
Put on waiting list for TTT/LR.
Told I have Hypermobile joints.
March 2009 -
TTT/LR RK.
11th Jan -
OS agreed removal of screws
5th Feb 2010 -
TTT/LR scheduled for LK















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