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Author Topic: Rotational Osteotomy of Tibia not healing  (Read 18394 times)

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Offline Alyce

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Re: Rotational Osteotomy of Tibia not healing
« Reply #45 on: September 10, 2009, 12:47:47 AM »

Hey All,

I saw Dr. Teitge yesterday.  He was troubled to see me walking with both crutches still.  His theory is that the quads, glutes and hams are so atrophied that they can't help the leg walk.  It also puts more pressure on the bones, which could have contibuted to the slow healing.

The GREAT NEWS is that the tibia is 70% healed!  He is really pushing me to bear more weight on the crutches, and walk with one when I can.  He's so gentle... he said "even if you can do it for 20 feet for one day, then 10 more feet the next day."  He wants me to resume PT and GENTLY strengthen those muscles.

He is so kind, and just seeing him made me feel better.  I know he feels badly that I am having such a hard time from the parilytic ileum on.  I asked him for a big hug when we were leaving.  He really is the best surgeon/doctor I've ever known.

I am totally exhausted after the 17 hour day traveling.  I'm going to bed early tonight, and pray that I sleep.

Thanks for your words of wisdom and your support.

Aree
Patella shaving & Lateral Release 6/2002
Reattachment of Lateral Retinaculum & Microfracture 6/2003.
Both procedures failed.  Reattachment was successful.
Lesion remains 15mm x 9mm x 6mm
Tibial rotational osteotomy May 2009
LPFL rebuild May 2009
Surgery for Baja Patella February 2010

Offline jumpi5d

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Re: Rotational Osteotomy of Tibia not healing
« Reply #46 on: September 10, 2009, 05:40:44 AM »
Aree!!!!! That is so the best news ever!!! I was NOT expecting such good news opening this tread up!

I'm so so so happy for you!!!!!!!!!!

Dr. T is super awesome. I was scared to walk at first and he jokingly dared me to walk to xray...so I did...got half way down the hall and he goes "You have a limp....." Haha! <3  Teitge hugs are the best....especially when wrapped up in good news not bad.

Hugssssssss I hope you're sleeping awesome.

xoxoxoxoxo
Paige
-Paige

3/5/09 Right Distal Femoral Osteotomy for Patella Alignment 
11/19/09 Left DFO for Patella Alignment.

Offline crankerchick

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Re: Rotational Osteotomy of Tibia not healing
« Reply #47 on: September 10, 2009, 12:39:18 PM »
Alyce, glad to hear your osteotomy is finally healing. Reading your posts were absolutely heartbreaking to me! I could feel your frustration and despair in each post. So, i'm really glad things are looking up for you. Many wishes for continued healing! I'm starting to get more and more nervous about my derotation surgery on oct 20th. Starting to have trouble sleeping at night. It probably didn't help that yesterday, not even trying (i was googling vitamin dosages for osteotomy surgeries), I stumbled on an old thread where 2 or 3 people had posted about rotational osteotomies not healing. That totally sent me off into a panic, and is probably the reason i tossed and turned all night. To read that yours is finally healing is both super great news for you, and oh so very hopeful news for a soon to be (half) untwisted gal. Thanks for posting and take care.
Mar '07 - plica excision
Oct '09 - femoral + tibial derotational osteotomy & TTT
Aug '10 - hardware removal
"You control your leg. Don't let it control you." -Smart trainer
"Get your a$$ in gear and go for it! Nothing will happen until you make it!" -Smart doctor

Offline ArielF

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Re: Rotational Osteotomy of Tibia not healing
« Reply #48 on: September 10, 2009, 05:04:04 PM »
Aree!

What great news!  I am so happy for you.  It makes a big difference when you know that you are heading in the right direction.  Be assertive in PT and don't do anything that makes you uncomfortable.  Have them explain why they are doing what they are doing.  I let my PT know when something hurts and ask why and what is the purpose.

CONGRATULATIONS!!
Ariel

Offline Alyce

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Re: Rotational Osteotomy of Tibia not healing
« Reply #49 on: September 10, 2009, 05:18:47 PM »

Hi Ariel,

I am excited at the progress, but daunted by the work ahead of me.  I am really worried that I won't walk any time soon.  I think that , and the ability to drive would boost my spirits. Dr. T. even mentioned testosterone to help bulid back the muscle.  I know the amount of atrophy shocked him.  I can't even sit, because the butt bone on that side has no muscle covering it.  I won't start PT for a week, but have the exercises that she gave me the first time.  It's hard when you're so burned out to push yourself.

I wish I could do the happy dance over my good news!  I just keep putting one crutch in front of the other.

Thanks for your good thoughts.

Aree
Patella shaving & Lateral Release 6/2002
Reattachment of Lateral Retinaculum & Microfracture 6/2003.
Both procedures failed.  Reattachment was successful.
Lesion remains 15mm x 9mm x 6mm
Tibial rotational osteotomy May 2009
LPFL rebuild May 2009
Surgery for Baja Patella February 2010

Offline ArielF

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Re: Rotational Osteotomy of Tibia not healing
« Reply #50 on: September 10, 2009, 07:41:55 PM »
Hey Aree,
It is very encouraging once you start being able to excercize.  I am not a control freak but once I was able to work at my exercizes and not at holding still, I finally felt that I was making progress. Yes it will be a lot of work but not as challenging as holding still and attempting to keep those spririts up.   It is "happy" work.   Try not to over do and enjoy the healing.

Hugs Ariel

Offline Alyce

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Re: Rotational Osteotomy of Tibia not healing
« Reply #51 on: September 22, 2009, 05:43:03 PM »

Good News Y'all,

We just got back from a sunny week at the beach!  I soaked up tons of vitamin D, and am losing less hair as a result.  Before, it was coming out in handfuls.  Thankfully, I have thick hair.  Vitamin D is almost like a hormone, in that you need an adequate amount to absorb calcium.  You really can't get it through supplements.  I'm very fair skinned, and you have to NOT use sunscreen for 15 minutes a day.

I was able to walk in the pool, probably 15 feet, without pain.  I also am walking a little here and there with one crutch, and putting more weight on my leg.  I start PT on Friday.

I was only on my feet for maybe 4 hours a day on vacation.  I think it accelerated the bone healing.  Plus, my bone stimulator is my best friend.

I am so encouraged by this progress.  I'll be doing the polka by Christmas!

Hugs,
Aree
Patella shaving & Lateral Release 6/2002
Reattachment of Lateral Retinaculum & Microfracture 6/2003.
Both procedures failed.  Reattachment was successful.
Lesion remains 15mm x 9mm x 6mm
Tibial rotational osteotomy May 2009
LPFL rebuild May 2009
Surgery for Baja Patella February 2010

Offline ArielF

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Re: Rotational Osteotomy of Tibia not healing
« Reply #52 on: September 22, 2009, 08:03:32 PM »
Hey Aree!
That is fantastic news!  I am so pleased that you are progressing and getting away from the crutch.  It is a lot more work for your weakened leg so make sure that you give it time to catch up.  I hope that PT is kind to you. 

I am seeing my doc on Thursday wish me luck.

Ariel

Offline Alyce

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Re: Rotational Osteotomy of Tibia not healing
« Reply #53 on: November 05, 2009, 02:31:09 PM »
Hey Y'all,

Great news!  The bones are healed.  I am unable to walk because the muscles are so atrophied.  I am going to have to work like Rocky to get the quad and VMO back.  I walked in his office and had sharp, deep bone pain.  Since then, I walked at home and that pain hasn't returned.

He did this cool thing on his computer with an Xray.  Now my leg is perfectly lined up.  He actually drew a line from the top of my hip to the bottom of my foot.

The only bad new is that I still have pain where the lesion is.  I am having an MRI next week to try and determine how big the lesion is.

He stated again that he was surprised that I didn't tell him that he made me worse than before surgery.  I told him that I couldn't go there... that it was a dead end.  I knew the risk.  I've had the surgery and have to make the best of it.  I think it's too early to tell.

Thanks for all the good wishes.

Aree
Patella shaving & Lateral Release 6/2002
Reattachment of Lateral Retinaculum & Microfracture 6/2003.
Both procedures failed.  Reattachment was successful.
Lesion remains 15mm x 9mm x 6mm
Tibial rotational osteotomy May 2009
LPFL rebuild May 2009
Surgery for Baja Patella February 2010

Offline Tailwind

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Re: Rotational Osteotomy of Tibia not healing
« Reply #54 on: November 05, 2009, 10:26:04 PM »
The Rocky theme is playing in my head.

Right now.

Da da da da da da da da! Da da da da da da da da! Da da da da da da da da, da da! Gonna fly now! Flying high now!

Glad your bones are healed. Get on with the rehab.

Catch the chicken Rock!
10/06 - Man v. Dog Collision
12/07 - Meniscus Trim
4/08, 12/08 - Synvisc
6/09 - Diagnostic Arthroscopy
8/09 - DFO

Offline Alyce

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Re: Rotational Osteotomy of Tibia not healing
« Reply #55 on: November 06, 2009, 02:42:22 PM »
Thanks Tailwind for your cheers.  I actually have never seen any of the Rocky movies, so I don't get the chicken reference.

I hope to see the movie before my physical therapist kills me.  It feels good to move again, but I think I'm going to have to tell her to crank it down a notch.  She starts each session with dry needling with acupuncture needles.  She inserts them at trigger points and twirls them around, with me flopping like a fish out of water.  Afterwards I feel like I've been beaten with a baseball bat.  I get chills and nausea, and just lie on the couch until it's time for bed.  She did less yesterday after my feedback.  Guess we'll have to do even less.  It helps with the pain, and allows me to do quad exercises for the first time in six years.

Hanging in There,
Aree
Patella shaving & Lateral Release 6/2002
Reattachment of Lateral Retinaculum & Microfracture 6/2003.
Both procedures failed.  Reattachment was successful.
Lesion remains 15mm x 9mm x 6mm
Tibial rotational osteotomy May 2009
LPFL rebuild May 2009
Surgery for Baja Patella February 2010

drmark

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Re: Rotational Osteotomy of Tibia not healing
« Reply #56 on: November 08, 2009, 10:31:07 PM »
What type of device did Professor Teitge use to fix this osteotomy?

Offline MaryU

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Re: Rotational Osteotomy of Tibia not healing
« Reply #57 on: November 17, 2009, 08:07:02 PM »
I am a 58 yr old female - lliving in Michigan - who has had two tibial osteotomy surgeries this year.  Both were unsuccessful.  In the first one, the dr used two overlapping plates that pushed up where they met and the top of the tibia bone turned.  I was also having a big problem with the regrowth, even with a bone stimulator.

The second surgery (Jan 19 and July 10) used one plate but that has cracked where a screw is located and it's also in the area where bone matter was filled in.  I've also been using the bone stimulator since the second surgery.  This 'break' happened sometime between the 3rd and 4th month check-ups.  I had no indication of a break or stressful feeling in the leg.

Now they want to call in yet another dr to do a knee replacement and put a rod in the tibia. 

Fortunately (?) I am having shoulder repair next week (arthroscopic) and spoke with THAT surgeon from Michigan State University - who has done 5 shoulder and knee surgeries on me - what he thought of the x-rays.  His take was that I did NOT need a knee replacement and he felt that putting a rod in was going to be difficult because the break was so high.  He indicated that the reason for the problem was that after 4 months there is still a nonunion and for some reason it is not healing. 

He suggested an orthopedic trauma specialist and is going to give me the names of two doctors - one at U of M in Ann Arbor and one at Botsford.  A search on umich.edu for their orthopedic area listed surgeons and two had the word 'trauma' in their "specialty." 

He said that they might want to do an external fixation.  After I complete the shoulder surgery and am up to it, I'm hoping to get in to U of M (even though I'm a Michigan State Spartan through and through) and may have to go through a difficult surgery there and long recovery. 

All I know is that I can't keep going on like this and am tired of dealing with it.  I was off work for 3 months the first time and 2-1/2 months the second time.  The doctor didn't give me real restrictions and especially after the second surgery, I felt good faster, probably due to the fact that the muscles, etc. had already adjusted.

Glad and sad to know others have gone through multiple surgeries like me and hope that this 3rd time is going to bring good results.

My best to everyone out there going through this.  You are in my thoughts and prayers.

Mary

Offline ArielF

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Re: Rotational Osteotomy of Tibia not healing
« Reply #58 on: November 17, 2009, 09:09:01 PM »
Hi Mary,
Yikes.  It sounds like you have been having a very rough time.  It is a good idea to take a break get some advice from the specialists. Give yourself time to get the options and weigh the pros and cons of different surgeries or just waiting to see where your knee ends up. 

Best of luck
Ariel

Offline Alyce

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Re: Rotational Osteotomy of Tibia not healing
« Reply #59 on: November 17, 2009, 09:27:53 PM »
Hi Mary,

I can't believe everything that you have been through!  It certainly sounds like one ordeal after another.  I think you are wise to take a step back and reevaluate.  It's important that you trust your doctor.  It's interesting because so many of the rotational tibia osteotomy docs are also trauma specialist.  They are used to making decisions about treatment immediately, which may or may not be the best thing.

I applaud your tenacity.  I'm sure you've had days when you felt like giving up.

This is a great source of information, and I encourage you to read and post frequently, if only to vent.

Best of Luck,
Aree
Patella shaving & Lateral Release 6/2002
Reattachment of Lateral Retinaculum & Microfracture 6/2003.
Both procedures failed.  Reattachment was successful.
Lesion remains 15mm x 9mm x 6mm
Tibial rotational osteotomy May 2009
LPFL rebuild May 2009
Surgery for Baja Patella February 2010















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