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Author Topic: 3 years post TTT  (Read 1328 times)

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Offline christina-Leeann

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3 years post TTT
« on: October 25, 2009, 08:17:47 AM »
I had a LR 3 1/2 years ago and it failed. i than had a TTT 3 years ago and im in more pain than i was before any surgery. for years i did PT got shots than had surgerys followed by another year and a half of more therapy and shots (and screw removal surgery) i have not had insurance for about a year and a half now so i havent done anything but excercise it and try OTC meds. and nothing help ice heat etc. i work as a cna and am constantly moving. i finally got state insurance and that includes just about anything. What can i do to feel better. i am in some kind of pain 24/7 sometimes its just dull but other times i cant move... Please help me!!
Continous PT for 3 years
LR- R 02/06
More PT for 8 months Post-op
TTT- R 12/13/06

Offline fraud_ninja

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Re: 3 years post TTT
« Reply #1 on: October 26, 2009, 02:11:13 AM »
Christina,

Sorry to hear that you are still having considerable pain after your TTT.  Unfortunately, for some people they will continue to have pain and problems after their TTT.  This could be do to any number of reasons.  The pain could be because of pre-existing damage that will always be there and cause pain.  The pain could also be caused because the patella is still out of alignment. 

If you now have insurance, I would recommend doing a bit of research and making an appointment with a top patella specialist.  This could mean traveling a ways to see the doctor, but could be well worth it.  There are so many causes of patella misalignment that the only way to really get to the bottom of it is to see a patella specialist. 

I was in your position in 2007.  I was in more pain than before my TTT's.  I went to a top patella specialist and that made all the difference.  Yes I had to have more surgery, but it was worth it in the end.  My knees now feel fantastic and I have no pain at all...only soreness if I overdo it, and overdoing it now is running more than 6 miles in one day and then going for a 20+ mile bike ride and then lifting weights at the gym all in the same day.

Brianne
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 doublemom

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Re: 3 years post TTT
« Reply #2 on: October 26, 2009, 03:52:30 AM »
Ditto what Brianne has said... I think it's time for you to be seen by a good patellofemoral doctor.  One thing that came to mind reading your post is that the LR/TTT may have realigned the kneecap, but there could be damage to the cartilage underneath or to the trochlear groove, or both.  Even if the kneecap is properly lined up now, it could be pain coming from cartilage damage.  The only way you'll figure out for sure is to see a good orthopedic or sports medicine doc and figure out exactly what's causing the pain before knowing how to go about treating it. 

Andi
2000 R patella dislocation
2004 - Soccer injury - LK medial and lateral meniscectomies
2007 - Dx patellar tilt, lateral subluxation, grade III chondromalacia
5/13/08 - RK medial/lateral meniscectomies & patellar chondroplasty
4/6/2010 - RK TTT/LR scheduled

Offline christina-Leeann

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Re: 3 years post TTT
« Reply #3 on: October 26, 2009, 05:21:05 AM »
thanks for the help guys! im gonna start finding a new doctor and research my options. what kind of surgery wouild be in line after a faild LR and TTT?
A few doctors i have seen in the pass wouldnt do much for me becasue im only 21! should that really be a factor if im in so much pain?
Continous PT for 3 years
LR- R 02/06
More PT for 8 months Post-op
TTT- R 12/13/06

Offline fraud_ninja

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Re: 3 years post TTT
« Reply #4 on: October 26, 2009, 05:12:07 PM »
What would come next really depends on what is wrong with your knees.  If the pain is caused because of misalignment of the patella (which is entirely possible even after a TTT) then that could be addressed in further surgery.  Things that can cause the patella to continue to be misaligned are rotational issues of the legs, lacking medial structures in the knee (the MPFL), or even the position of the Tibial Tubercal could still cause issues. (It is possible for the tibial tubercle to still be moved into the wrong spot in a ttt.)  If the problem is cartiledge defects then obviously surgery would address that issue.

For me the problem was misalignment of the patella after my TTT.  I had patella alta and my MPFL's were completely torn.  My OS revised both of my TTT's and reconstructed my MPFL's.  After those surgeries, I never really had any problems.  It took a good 8-12 months to really feel back after those surgeries, but once I felt back everything was great.

Really the only way to know for sure is to go to a Patella Specialist.  Its entirely possible that you would need to travel a bit to find someone.  Don't let this discourage you from seeking a specialist.  I saw on your profile that you are from Wisconsin.  I would HIGHLY recommend visiting my OS.  He is over in Dearborn, MI.  My OS is such a patella specialist and he will do everything possible to find the cause of your pain and get it fixed if its something that can be fixed.  Send me a private message if you want more information on my OS.

Brianne
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















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