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Author Topic: help needed please  (Read 1458 times)

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Offline sniper1979

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help needed please
« on: February 22, 2010, 11:07:40 AM »
 ive had a lateral release a tibial tranfer and cartlige operation my original surgeon has now retired
and need some help. my clinical diagnosis is

suffers from patella chondromalacia

patella subluxion further with contraction of quadriceps muscle

abnormal lateralization of tibial tuberosity

servere laxity patellofemoral joint

ligamentous laxity

hypermobility syndrome

servere crepitus

just want to know what can really be done to help and manage these problems

thanks

Offline sniper1979

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Re: help needed please
« Reply #1 on: March 16, 2010, 11:46:59 AM »
 ::)
where are all these so called knee experts must be as good as the knee
specalists in western australia bloody hopeless

Offline Lottiefox

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Re: help needed please
« Reply #2 on: March 16, 2010, 12:05:51 PM »
Sniper,

have you just had the surgery you refer to or is it something that was done a while ago and you now have these problems that you've listed? Or are these the problems that led you to the surgery you describe?  :-\

I think people perhaps don't know quite what to advise as it isn't quite clear - if you've recently had surgery you might find that posting in the section related to TTTs will bring more help. Similarly with the cartilage repair - what sort was done?

Clearly the list details quite a few issues and if this is what you are faced with now, after surgery some while ago, then I'd suggest you need a new OS opinion. Are you doing any form of exercise or PT program? You've certainly got a lot of kneecap issues going on, and stronger muscles can only help with the function to some degree even if it doesn't solve everything.

There are a lot of very helpful and knowledgeable people on here - perhaps give us a bit more information and try posting more specifically on the areas of the board that relate to your diagnosis as some people might have missed your original post.

Good luck with finding some answers

Lottie  :)
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline crankerchick

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Re: help needed please
« Reply #3 on: March 16, 2010, 12:56:06 PM »
I agree. Please try to provide some more information such as when your surgery was and what you are actually experiencing now.

My first guess right off the bat is that if you are still having problems after lateral release and a TTT, then your OS did not get to the root of your problem with the chosen procedure and that is time for another opinion from a patello-femoral specialist.

Have you ever had CT scans for your problems? Standing leg length x-rays? That diagnosis sounds like it straight out of an MRI report, and sadly, MRIs aren't all that useful for patella tracking problems. CT scans and plain old x-rays are best.
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