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Author Topic: any info or advice  (Read 844 times)

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Offline holz88

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any info or advice
« on: September 27, 2009, 01:55:04 AM »
hi everyone,

my name is holly and I am 21 i have suffered frm repeated keecap dislocation since I was 11. I have had a lateral resase peformed twice on my left knee but the problem gets no better. In the end I stopped going to the hospital as they could offer nothing other than more surgery. I have not been diagnosed with anything further but I think that there may be a problem. Since I last went to te hospital I have had to put my knee back in place myself numerous times and I have a leag brace and crutches for when I need them.

I am at a loss as nobody can give me a reason as to why this problem persists and would be greatfull of any advice or information on where to go from here.

thankyou

Offline TwoBadKneesUSA

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Re: any info or advice
« Reply #1 on: September 28, 2009, 05:31:35 PM »
HI and welcome,

You may have to start a search for an OS that specializes in patello femoral issues.  I would look into what OS's you have seen and others in the area.  It may take a few before you find one that will work with you.  Good luck.
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline crankerchick

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Re: any info or advice
« Reply #2 on: September 28, 2009, 06:39:16 PM »
Ditto on seeking out a good patello-femoral specialist. Especially before you do any more surgery. These problems I have found even amongst the doctors, they don't always agree on what is the problem, what could be the problem, or how to fix or at least minimize the occurrence of the problem. You have to find the doctor that is going to get to your root cause for why you patella wants to dislocate, otherwise you might end up going through a bunch of surgeries, none of which fix the real problem.

The history of your knee problems suggest you might have some rotational anomalies in your legs that may or not be contributors to your problems. You'll find that a lot of knee specialists don't look for these anomalies. You'll find some want to do a lateral release, others might suggest a tibial tubercle transfer, or a medial-patellofemoral ligament (MPFL) reconstruction or they might just say, do some therapy and live with it. The important thing is taking control of your care by seeking out good opinions and educating yourself on your condition and any proposed treatments.

So, get thee to a patello-femoral specialist and get some xrays (at various degrees of flexion as well as standing leg lengths). Maybe an MRI to look for any ligament damage, especially the MPFL, and maybe even a CT scan to look for rotational deformites (femoral anteversion, tibial torsion). Do not accept, "This is the next procedure we do for people with your problem."
Mar '07 - plica excision
Oct '09 - femoral + tibial derotational osteotomy & TTT
Aug '10 - hardware removal
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