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Author Topic: post op on hemicap patellofemoral resurfacing  (Read 2790 times)

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Offline mccullog

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post op on hemicap patellofemoral resurfacing
« on: February 12, 2010, 08:55:10 PM »
Hi,

  I had this procedure done three weeks ago today.  First week post op, I was doing great.  Good mobility in spite of swelling.

  This week has not been so good - had incredibile pain and swelling in my calf midweek. I can feel the device in my knee.  Called the ortho, his office told me that I was overusing it, and to stay off of it for two weeks. Ice and elevation.  Not happy about such a snotty response.

  Went to see my oncologist for a cancer follow-up.  The onc was concerned about the calf swelling and risk of clotting.  He sent an e-mail to my otho about this.

   Things are better today, but still have pain, swelling and limited moblity.  Getting very discouraged and almost wished I didn't have this done. Will be spending my free time on the weekend with elevation and ice.

   I regret not talking with the ortho about the recovery process.  I feel like I rushed into this. 

   Has anyone else had this experience? I will keep people posted. I want my life back!!!

   

Offline snorunner

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Re: post op on hemicap patellofemoral resurfacing
« Reply #1 on: February 17, 2010, 09:04:01 PM »
Hi Mccullog:
I'm not sure what a hemicap is...is this a patellofemoral joint replacement? Did you get the metal femoral component and a plastic kneecap button? I have a PFJR, and will have another one here in less than a week. Check the patellofemoral section in the "specialists office" on KG's; you will find there are a number of us over there. This is a big surgery with a huge recovery time frame. I know there are folks who get just the femoral piece and some who get just the kneecap button but most get both parts since they are designed to work togther.

snorunner
Chondromalacia dx age 14
1987 dx: malalignment, condromalacia, maltracking
2/2008 Gr. 2/3 OA L&R knees
3/2009 Gr. 4 severe isolated patellofemoral OA L&R
4/09 Hyalgan injections
8/24/09 PFJR and LR left knee
2/5/10 Left scope/debridement
2/22/10 PFJR and LR right knee

Offline doublemom

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Re: post op on hemicap patellofemoral resurfacing
« Reply #2 on: February 18, 2010, 07:12:46 AM »
A possible blood clot is something to be taken seriously.  If you have calf pain and swelling, you really should be evaluated to make sure there is not a DVT in your leg.  Seems like your ortho office tried to blow you off instead of taking a potential problem seriously.  Hopefully it's not a clot, but you don't want to find out the hard way if it is!

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 mccullog

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Re: post op on hemicap patellofemoral resurfacing
« Reply #3 on: February 20, 2010, 03:52:47 PM »
Hi,

  Doublemom and snorunner,thanks for your insight.  I finally went to the urgent care dept of my hospital.  No clot or dvt, the dx was a hematoma in my calf.  Very painful.  The blood is slowly dissipating from my calf and ankle.  I have lost all muscle tone in the calf.

   The dr was pretty snotty.  He said 'ths is not my problem'.  The physical therapist said that she could help me.

    I had a doorknob put in the kneecap.  Not sure about the other piece.  The terminology was 'patellofemoral joint resurfacing'.   There is a lot of swelling around the kneecap.  Will that go away?   Snorunner, I take that you have had successs with this device and it appears that you are looking to have your other knee done.

   Thanks for any insight you can give. 

Offline snorunner

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Re: post op on hemicap patellofemoral resurfacing
« Reply #4 on: February 20, 2010, 05:23:18 PM »
Hi mccullog:
Well very glad to hear you got cleared of any clots. You were wise in getting that checked out; doublemom was right--any calf pain or problem needs to be looked at pronto. If you have looked at your post-op xrays and you have the metal piece it will be quite obvious-it's a large metal piece on the end of the femur. The plastic button will not show up on xray. If it's being called "patellofemoral joint resurfacing" then you probably have both. Ask the doc and ask for a printout of the xray at your post-op appointment.

Its a big procedure with a long rehab. Some people are starting to get around pretty well at 6 weeks (stairs etc. ok). Some of us take much longer. I'm in the slow track group; I had some issues and didn't really get going till about 3 months. But that is NOT typical. There is a lot of swelling and tightness to work out for a while. PT usually starts  immediately post-op and continues for 6-8 wks. My first knee is still a work in progress. Funtionally it was a good operation but I still have some comfort issues to work out. I had to go back for an arthroscopic clean out of scar tissue 2 wks ago around the plastic button. It's been causing some pain issues. But strength was very good at 5 months. As far as #2 goes, I my only choice is this again or a TKR and my doc is confident the PFJR will be good.

PT is absolutely instrumental in getting you going again and getting muscle tone and strength back. They also have tricks/modalities for helping with pain and swelling like ultrasound and cold laser. Hope your doctor changes his attitude; I wouldn't care for that response at all!
Chondromalacia dx age 14
1987 dx: malalignment, condromalacia, maltracking
2/2008 Gr. 2/3 OA L&R knees
3/2009 Gr. 4 severe isolated patellofemoral OA L&R
4/09 Hyalgan injections
8/24/09 PFJR and LR left knee
2/5/10 Left scope/debridement
2/22/10 PFJR and LR right knee

Offline mccullog

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Re: post op on hemicap patellofemoral resurfacing
« Reply #5 on: February 21, 2010, 02:18:08 AM »
Snorunner,

  Thanks for the update and feedback.  I am really frightened that I have lost all my mobility.  Wish I never had this done.   I had visiting PT at home and was doing great with that.  Am supposed to see my dr. in two weeks. That will be  a total of 6 weeks post op.  My hope is that the hematoma is healed, the bruising is gone (it gets better every day) and that I can straighten my leg.   

  Am afraid that I'll never be able to walk again.  Walking is my therapy.  It has gotten me through breast cancer and radiation.  It feels as though my wings have been clipped. 

 This dr. minimized the surgery. He said 4 months' rehab at the most.  I hope he is right.  Wish I had gotten a second opinion.

  Good luck on your next procedure. Keep us posted.  I will keep the group posted on my progress as well.















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