Advertisement - Hide this advert





Author Topic: Shallow Trochlea (SPELLING?)  (Read 8610 times)

0 Members and 1 Guest are viewing this topic.

Offline viper99991

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Shallow Trochlea (SPELLING?)
« on: December 04, 2009, 10:03:51 PM »
Ok I injured my knee in 2006.  I am 28 years old and have had a lateral release and another surgery to take out the cartlage again.  My OS says he cant do anything else he said if i was Older i could get a knee replacment but said i was way to young they would have to replace it every 10 to 15 years.  He basically said sorry I have seen 3 OS since 2006 everyone said sorry cant Help ya I'm Trying a few Colleges that do new stuff but not holding my breath. Its on my Right knee the groove is straight across.  SHould I push the OS to do knee replacement or Do what me and my family Dr. Suggested Amputate my knee.  Don't know if my dr. was joking but I think it might come down to that.  There is a procedor it New Zealand that my OS talked about where they grind you a new groove but said it had 90 % failer rate. I live in the USA.  When I Google it I mainly get Dog Dr. lol go figure.  There isnt even a knee Brace to hold my knee cap in place because my condition is so Unique My OS said he has never seen one ever and all of his Colleages didnt either.

Offline kscope09

  • SuperKNEEgeek
  • *****
  • Posts: 691
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #1 on: December 05, 2009, 12:22:38 AM »
I'm also 28 and have a shallow troucklea, but my os doesn't seem worried about it.  I asked if it it would make me more sceptable to dislocation and he said that working the quads would help and i shouldn't worry.  I'm hoping to return to sports in the new year.

Sorry to hear about your problenm though i don't really know what to suggest out of your options but perhaps stems cells are the key.  I had a chrondoplasty and whilst I'm told it should last a few years if I'm sensible, I'm sure I'll be needing something to deal with teh arhtritis that is inevitable.

Like I said your options do sound drastic and I honestly couldn't suggest anything, but I'm not so sure if amputation is such a great idea because once it's gone you can't do anything with it.  Also, your other leg is gunna do a lot more work and will end up with arthritis before long.

All the best
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline viper99991

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #2 on: December 05, 2009, 06:22:21 AM »
Well they have done almost everything they could but nothing helps.  I have been doing Therapy ever since this happened and nothing helps My Trocklea is straight across there is no grove what so ever.  I have exausted everthing i can.  My Knee cap dislocates every day. I have been on Darvacets, Vicadin, Percasets, and Oxycotton.  They OS Moves them around so much so i dont get addicted to thim and yes I already hace Arthritis in my knee have Had it since first Surgery.  I have contacted a few Leading edges Dr. SOme want to pay me.  But i dnt want paid just want it to get fixed.

Offline kscope09

  • SuperKNEEgeek
  • *****
  • Posts: 691
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #3 on: December 05, 2009, 11:43:21 AM »
That's really awful.

Looking at your posts, I'd say having a new groove made would be best and if it fails you can go for amputation ,but once you amputate it's too late.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline fraud_ninja

  • Forum Faithful
  • ****
  • Posts: 344
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #4 on: December 05, 2009, 05:57:34 PM »
Amputation would NEVER be a good option.  Shallow trochlear grooves are somewhat of an uncommon problem, but not for the right surgeon.  The truth with your knee condition is that there are probably very few doctors that have the right knowledge and expertise to treat your knee.  99% of surgeons will tell you that there is nothing that can be done.

It sounds like you need a good patella femoral specialist to take a look at your knees.  The procedure you are referring to is a trochleoplasty and there is a lot of debate on this board as to whether or not the procedure is successful.  Very few surgeons in the US preform the trocheleoplasty, but there are quite a few overseas that do.  I will not get into the debate of its overall success rate, but I would be safe to say that it has more than a 10% success rate.

Where you need to do your investigation is in finding the root cause of your instability.  Though you have a shallow trochlear groove, there are also several other factors that only a PF Specialist would even think to check for.  All can be checked with either a simple CT scan or x-rays.  Some of those issues are patella alta and rotation of the femur and/or tibia. 

At this point I would recommend doing some research and finding the closest PF Specialist to you.  Where abouts in the US are you located...many of us have experience with your issues and could point you in the right direction.  A PF Specialist should be able to offer you better solutions than what is being given to you at this point.

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 viper99991

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #5 on: December 05, 2009, 10:19:00 PM »
I live in Pontiac, Illinois Zip Code is 61764.

  Theres only few options left i though I knew about the Grove thing just didnt know what it was called.   The amputation was gonna be my last bet.  If a knee replacment didnt work thats what I was going to do.   My OS Just went to see him yesterday again to get more pain meds.  He gave me shock therapy for at home use because is does feel better when I do do this.  Not Stopping the Dislocation tho Just like eases the pain some.

Offline mhsflute07

  • SuperKNEEgeek
  • *****
  • Posts: 1152
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #6 on: December 05, 2009, 10:24:17 PM »
I had a trochleoplasty 7 months ago. I live in the US and my OS does them fairly routinely. I don't have any specifics on success rate, but I will tell you that I already had a 2.8 x 2 cm defect on the back of my patella. I doubt if my OS would have even recommended the procedure if he felt the risks of arthritis negated any benefits. The trochleoplasty has significantly improved the way my patella tracks. My OS explained that the trochlea helps guide the patella. If the trochlea is completely deficient (in my case mine was actually dome shaped, as opposed to flat) there is nothing there to guide the patella.

There are several other people on here who had a trochleoplasty and could offer their perspectives as well.

June 2, 2005 TTT/LR  R.
July 26, 2005 TTT/LR  L.
June 6, 2006 Microfracture R.
June 5, 2007 Microfracture & Screw Removal R.
March 12, 2009 Scope and ACI Biopsy R.
May 12, 2009 TTT, Trochleoplasty R.
December 15, 2009 ACI (patella) & bilateral hardware removal
December 21, 2010 LOA and LR

Offline viper99991

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #7 on: December 05, 2009, 10:36:31 PM »
Thats Good But Im getting copys of my Mri soon and might post them Ill block out the name and all other info releated to me.  My OS was woundering if my left knee is messed up to but I have never had a problem with it till like 2 years ago because I made that one put all the weight on it all the time just like feels funny a little pain but not dislocating yet.   I've been doing research but most of the hands down best Dr. live in Chicago which is to far for me to go. Peoria Isnt that far but Pushing it. Bloomington Is not that far either Thats where my OS is from Dr. Newcomer.

Offline fraud_ninja

  • Forum Faithful
  • ****
  • Posts: 344
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #8 on: December 06, 2009, 02:11:41 PM »
I do not get it.  You are willing to consider an amputation a viable option for you, but you won't consider traveling to get the best care an option?  Your condition is treatable and there are many people who have had your problem and with the right care from a qualified OS they have made a good recovery. 
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 viper99991

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #9 on: December 06, 2009, 06:52:56 PM »
I Cant sit that long to travel.  Plus I havnt been able to work since the Injury so money is short on.

Offline kscope09

  • SuperKNEEgeek
  • *****
  • Posts: 691
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #10 on: December 06, 2009, 09:50:43 PM »
Do you mean they'd pay you because some of the surgeries your looking at experimental and need a guinnipig?
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline viper99991

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #11 on: December 07, 2009, 01:20:42 AM »
Sitting for Few Hours Hurts alot and yes I'm looking into the guinipig thing.  My Condition is Unique My OS says There are other things wrong with it aswell.  As I said above that I really amputation is Last ditch effort.  The reason  I dont go to far to travel Car rides and such Pain and and money but the other is if I get all the way up there and the Dr. goes well cant do anything for you.  Then I have gone threw all the pain and spent the money to go up there.  Just frustrated with it sorry if I am confusing People but have been to 3 OS and everyone has said sorry cant help you or did surgery and nothing helped and possably made it worst.  What I would like to know is the people who have had the groove done what was the recover time and how long ago and have you had your knee cap dislocate again or did it fix where it doesn't.  Thanks for all the help though I really do appreciate it.

Offline crankerchick

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 1861
  • Liked: 24
  • How 'bout them Cowboys!
    • Derotation osteotomy & TTT Post-op diary
Re: Shallow Trochlea (SPELLING?)
« Reply #12 on: December 07, 2009, 02:49:14 PM »
You have been to 3 OS who all said sorry they can't help you, but let me tell you, they are the wrong people to be visiting at this point. You are convinced there is nothing left for you to do at this point because 3 doctors, most likely not patella specialists, have told you so.

First, a doctor that says they have never seen a shallow trochlear groove is definitely not someone who deals with kneecaps for a living. Second, a doctor that only does lateral releases and then says there is nothing left to do also is not someone that specializes in knee caps for a living. Point being, a good patella specialist likely would not do an isolated lateral release, and doubly likely wouldn't do one for a shallow trochlear groove.

The patello-femoral section of this website is full of folks with shallow or non-existent trochlear grooves. I have a shallow groove.

I can tell from your posts you are frustrated. What you need to do is take a deep breath and leave alone all of this talk of knee replacements and amputation. Those are EXTREME measures to a not all uncommon problem. Plus, if there are OTHER things also wrong with that knee, a knee replacement likely won't even FIX your problems. And an amputation is just well ludicrous talk at this point.

What you need is to talk to the RIGHT kind of specialist that has encountered your issue before. One this will also evaluate your WHOLE leg, soft tissues and bones and all and suggest a full course of treatment to put you on the path towards an improved lifestyle. If cost/travel isn't an option then that is your choice, but to even think about a TKR or amputation because a few non-qualified guys told you there is nothing left is just plain silly.
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 viper99991

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Re: Shallow Trochlea (SPELLING?)
« Reply #13 on: December 10, 2009, 02:44:26 AM »
Well Made three appointments one is in Chicago and the other 2 are in Peoria.  All of them is not till the New Year so just have to toughen it out.  One is with Roush College Place the other are From what My family Dr. says are Upcoming OS that Don't fool around with Duct tape on a Torn off head to try and fix it.