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Author Topic: fractured patella  (Read 1385 times)

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Offline jbtncusa

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fractured patella
« on: January 27, 2010, 03:53:59 AM »
hello all! i am new to this website and looking for some help/advise. i fell november 3, 2009 directly on my right knee on a sidewalk. while i knew i hurt and that something was certainly not right, my pain seemed to diminish after a while and i was able to cotinue with a fairly normal schedule for about a week. after that anount of time and since i was unable to climb steps without taking them one at a time and bending my knee was painful i went to a walk-in clinic. the doc in a box diagnosed a broken patella and referred me to an os. the fracture was non-displaced so i was placed in an immobilizer for 4 weeks then given a hinged brace for a month. i am moving better and and pain comes and goes. i have fairly good range of motion but am still unable to climb steps, kneel, and have pain. i wnet back to m os today and the x=ray shows calcification but not complete healing. does anyone out there know how long this is supposed to take to heal. the doctor told me today that he did not feel as if the fracture would become displaced at this point, so that is good news, but i am concerned about the continued pain and inability to manuever stairs. i sure would appreciate some advise - especially if anyone out there thinks i need to seek a second opinion. the os told me that this injury is very traumatic but i am wondering if i could have some soft tissue issues and i have not had an mri. the inside of my knee is still sore to even touch. almst 3 months seems like a long time for a broken bone to heal.  jane

Offline fannyfatigue

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  • "this too shall pass" (I hope)
Re: fractured patella
« Reply #1 on: January 27, 2010, 04:43:44 AM »
Hi Jane,

Sorry to hear about your fracture.  It takes quite a while to mend and rehab from these breaks, so continue to be careful.  I also fractured my patella, non-displaced last year and pretty much sailed through PT, regained full ROM, had decent strength back and was released by both my OS and PT.  Then at 10 wks. to the day I was descending a staircase and it shattered.  Obviously it wasn't as healed as we all thought.  So my point is to take it slow and be very careful.  Most non-surgical rehabs go very well, it just takes time.  You didn't mention if you are doing physical therapy.

Regarding your 2nd opinion question.....I am now a firm believer in them.  (Wish I had been a year ago.)  For my surgery I demanded a new OS who is a knee specialist, but also went for a 2nd opinion 4 months after when I had some complications to put my mind at ease.   So if you have doubts and the resources, it can't hurt.

There is a section down below in The Specialist, broken bones in the knee, where you will find many people recovering from fractured patellas.  Most have had surgery, but it is a wonderful forum filled with information to help you along.

Good luck,

FF
1/9/09-fx r patella
2/17-OS rls-150ROM   
3/12-PT rls
3/20-shattered
4/1-OS#2
4/7-ORIF, 2 screws/cerclage suture
5/4-PWB
5/11-beg PT-20-30
5/18-WBAT w/crutches, brace off-42
6/19-AF-ext dbrdmt, synovectomy, meniscus mua-90
6/25-65
7/27-105
8/6-122
9/3-130ROM
10/12-PT, 11/9/09-OS rls :)

Offline jbtncusa

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Re: fractured patella
« Reply #2 on: January 27, 2010, 04:52:16 AM »
thanks ff! i am looking for a second opinion right now. the os i am seeing is just a general ortho, no real specialty. i am so scared i may fall i find myself being overly cautious. i am not in any kind of pt right now because i have good range of motion. the doc today told me to walk but no bike riding or anything that requires a lot of repetitive flexing. i already have arthritis and take 200 mg of celebrex twice a day and that is not helping with the pain so i take darvocet and sometimes lortab to help. my main concern is that arthritis is developing in my patella - which i understand is a very real possibility from an injury like this. i'll continue to check the message board and appreciate your response. jane

Offline ncconnie

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Re: fractured patella
« Reply #3 on: January 31, 2010, 02:01:46 PM »
Know how you feel.  I had two non-displaced fx in right patella in June.  Was immobilized for eight weeks and set free.  After 7 months and still having pain and trouble with stairs and squatting down I went back and had an MRI.  Looks like a discord meniscus and some cartlidge damage.  I saw the results first from working in an Urgent Care and see the doc tomorrow.  I don't plan on doing anything about this and will live with it.  I think an invasive procedure at this point will only make it worse.  Hang in there

Offline jbtncusa

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Re: fractured patella
« Reply #4 on: February 01, 2010, 09:27:26 PM »
thanks for your reply. sorry you are still having issues. i feel as if i may be in the same boat. going to see another os on february 10 for a second opinion. this is one my rhuemy recommended. i'll keep posting as i know more...... good luck