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Author Topic: Advise on Post TTT Surgery  (Read 840 times)

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Offline lmel16

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Advise on Post TTT Surgery
« on: May 04, 2009, 09:39:20 PM »
Advice desperetely needed!!!!

I had a TTT 3 1/2 weeks ago, and my surgeon said that i needed to be in a full leg cast for 6 weeks! When my cast is due off my surgeon is convenietly away for the whole week. So i have been put in to have my cast removed the week before. My dates keep being changed but now im set to have the cast of on the thursday before which means that i will have had the cast on for 5 weeks.
I am very worried after reading lots on this and that it is common protocol for ttt to be in a restricted cast or splint for 6 weeks that it may be too soon to have the cast removed.

Im wondering whether i should push for the cast staying on another week+ or just have it taken of the week before?
Has anyone experienced this?
1998-2004 multiple subluxations R Knee
2004 dislocation R knee
2004-2009 subluxations R knee
2009 dislocation resulting in Arthroscopy and TTT

Offline fraud_ninja

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Re: Advise on Post TTT Surgery
« Reply #1 on: May 04, 2009, 10:37:43 PM »
It is a shame that your OS is out of town the week that your cast is originally scheduled to be taken off, but thats something beyond your control.  From my experience, you will be fine if you have the cast taken off at 5 weeks post-op.  I am sure your OS will do x-rays before removing the cast.  I have had four TTT's and I was out of a straight leg brace by 5 weeks for one of mine and it was fine.  Don't worry too much, I am sure there won't be any problem.  The screws from the TTT keep that bone in place very well.
12/26/02 LR R
10/26/06 TTT R
1/25/07 TTT L
12/17/07 TTT revision, MPFL recon R
2/7/08 TTT revision, MPFL recon L
3/24/08 screw removal R
4/30/08 screw removal L

Knees are fixed, training for a triathalon.

9/21/09- Right ankle reconstruction

Offline KW

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Re: Advise on Post TTT Surgery
« Reply #2 on: May 04, 2009, 10:39:46 PM »
I have never had a cast after a TTT (I've had 3)....always been a Post-OP ROM Brace that I could remove while sitting on the sofa, sleeping, or to take a shower.  I have been in the brace for anywhere from 4 weeks to 123 days depending on the situation. My thoughts are if your OS thinks it is ok to remove the cast at 5 weeks then don't worry about it.

Karen
Right Knee
2000 - 2002 - Scope,LR,TTT,Unscrewed
01-10-12 - PFJR

Left Knee
04/07 TTT/LR
08/07 Bone Grth Stim
10/07 Loose/Bent Screw
1/08 Unscrewed/MRI~NON-UNION
02/19/08 Lt  TTT Revision W/Graft
12/09/08 Scope
05/15/09 Scope
09/04/09 PFJR/Unscrewed

Offline adlottis

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Re: Advise on Post TTT Surgery
« Reply #3 on: May 04, 2009, 11:48:38 PM »
My experience was locked hinged brace for 4 weeks, on all the time except when doing exercises and occasionally when resting, watching TV.  After my 4 weeks I was was weaned off it for the next 2 weeks.  If hte cast comes off and OS doesn't feel you are ready he can always put you in a brace for remaining time.

Good luck,

Annette
1976 first dislocation 10 years old
1980 14 yrs old LR, MR, remove chip bone
1980-2005 numerous dislocations
March 2007 Proximal/distal realignment, chondroplasty
July 2007 MUA
July 2008  synvisc
Sept 2008 patellar tendon tendonitis
June 2009 hardware removal, LR, debriedment

Offline lb573

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Re: Advise on Post TTT Surgery
« Reply #4 on: May 05, 2009, 02:36:10 AM »
Hi,

I have had a TTT on both knees, and after my first i was braced for 6 weeks, and with the second TTT i was out of the brace at 5 weeks. As Annette said if your OS feels that after the cast comes off that you will still need extra support, they can put you into a brace for any remaining time. All the best in your continued recovery!!

Leah
27 yo RN
L Knee:
07/'01 - scope
01/'02 - scope
12/'03 - LR
07/28/2006 - TTT/LR/Patellar Debridement
07/11/2007 - Screw Removal
R Knee:
07/06/2007 - Patellar dislocation
04/10/2008 - TTT/LR
06/11/2008 - MCL tear, Bone Bruise
09/29/2009 - Medial plication/reconstruction/debridement

Offline lmel16

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Re: Advise on Post TTT Surgery
« Reply #5 on: May 05, 2009, 11:12:10 AM »
Thankyou all so much for your replies,
As ive mentioned on other forums recently, my OS is a great surgeon but his bed side manner and post op instructions are a little less reliable.
I have had him as my OS now for most of my life and have grown to realise that i should take what he said with a pinch of salt and thankfully i have a fantastic PT who knows him well and ew joke about it butshe tends to put me on a different post op track.
I am full weight bearing but tend to suffer for it in the evening and the next day, (at the min im FWB one day and MWB the next) but he gave me stern instructions to be full weight bearing when i next see him. i feel that my leg is struggling with that at the minute and wonder whether i should not force it. Unfortunatly im not back to my PT until the cast comes off next week.
I probably should change surgeons but i trust him completly with the surgical side and he is the best around here. So that is why i am a little cautious if things get brought forward or changed.
He hasnt mentioned anything about xrays but i may push for them when i go back.

Thanx Mel
1998-2004 multiple subluxations R Knee
2004 dislocation R knee
2004-2009 subluxations R knee
2009 dislocation resulting in Arthroscopy and TTT

Offline Leentje

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Re: Advise on Post TTT Surgery
« Reply #6 on: May 05, 2009, 11:01:33 PM »
I had a cast for 3 weeks following my TTT, it was removed on wednesday and by the next sunday I was walking without crutches! (well walking... lol).

Don't worry, post-op protocols vary, just follow your OS's protocol, even if his bedsidemanners suck!

Good luck!
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation















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