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Author Topic: scope and patellar decompression  (Read 29645 times)

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Offline kris_83

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scope and patellar decompression
« on: May 18, 2010, 04:37:49 PM »
exciting!
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline Lottiefox

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Re: scope and patellar decompression
« Reply #1 on: May 18, 2010, 07:08:02 PM »
Good luck!!!  ;D

Love your tag of the hottest thing on 1.5 legs - might need to steal that one!  :) ;) 
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 tez27

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Re: scope and patellar decompression
« Reply #2 on: May 18, 2010, 08:32:57 PM »
Hi Kris
good luck on the 7th ;) sorry I am prolly being a bit thick but what is patellar decompresion I haven't heard of that before and need to learn all things knee related for my sanity, knee's appear to be such complex things who knew there was so many things that could go wrong with them, but my ocd is taking over and I need to learn as much as possible lol
Take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline kris_83

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Re: scope and patellar decompression
« Reply #3 on: May 19, 2010, 11:17:27 AM »
Quote
sorry I am prolly being a bit thick but what is patellar decompresion I haven't heard of that before and need to learn all things knee related for my sanity, knee's appear to be such complex things who knew there was so many things that could go wrong with them, but my ocd is taking over and I need to learn as much as possible lol

hey tez, actually the only thing I know about it, I got from Lottie! Apparently it's not terribly common. From what the OS told me, it involves drilling a "channel" into the patella to prevent the buildup of pressure I have been experiencing. Sounds a bit like digging to China to me. At any rate, OS says it's a procedure with few complications... the hope is that there won't be other more complicated stuff to do once he gets in... but who is ever that lucky really?

lottie I am at a point where I have to stop feeling sorry about my gimpyness! So when I am gimping around the grocery store or something and get people looking at me, I have to assume it's because they think I am H.O.T.!!  :D feel free to use it for your own esteem!

have a good knee day gals.
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline Lottiefox

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Re: scope and patellar decompression
« Reply #4 on: May 19, 2010, 04:15:20 PM »
 ;D  I am sure people stare at my traversing wildly around because I am H.O.T. too, not because I am skittering around like a headless chook avoiding children (don't bang into my knee you ankle biter or you'll die a long painful death), steps, uneven surfaces, people with trolleys and slippery surfaces!

One day I'll stroll effortlessly from the changing rooms of the gym to the pool in my bare feet without clinging onto the walls and hoping not to hit a skiddy patch!! :o

Good luck for the 7th!  :D

Lottie x
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 tez27

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Re: scope and patellar decompression
« Reply #5 on: May 19, 2010, 06:59:07 PM »
Kris that procedure sound most complicated here's hopeing thats the most complicated it all gets ;)
Thanks for the info I feel I am getting an education on all things knee related on this board, I guess it's good to be informed.
I sent a friend request on face book to you hope you dont mind ;D
Lottie I have been meaning to ask you what happened to your surgery was I imagining something or were you scheduled for surgery a while ago? I think I would have read about it somewhere if it had happend!!! just wondered I hope everything is ok with you.
Take care Tez 
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline Lottiefox

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Re: scope and patellar decompression
« Reply #6 on: May 19, 2010, 08:02:39 PM »
Hi Tez,

are you a fb gal? I shall send you a request and a PM!!

My surgery was postponed - saw a new PT who was shocked at the state of my muscles - imbalances, tightness, you name it, weak in quads..she said that having a lateral release would be very tough with such poor strength and in fact I'd struggle with any scope. So, we are attempting to get some strength and see where that takes me. The fix I want via scope (cartifill) isn't available til next year anyway, this would have been an interim measure and my PT feels a better interim measure is to build my legs up. I'm also having feet problems at the moment - typical! I fear something might need doing there before my knee, which is what my very first psycho OS recommended!

Anyway, sorry for hijacking the thread Kris, and keep gimping gals!!

xxx ;D
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 tez27

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Re: scope and patellar decompression
« Reply #7 on: May 19, 2010, 09:49:38 PM »
Hi Lottie
Thanks for the expanation but sorry things are not too good just now for you, :'(
fot all your going through you always seem to be so upbeat dont know how you do it, I really hope things get better soon.
Any idea if the foot probs caused the knee probs or the other way about, or just crummy luck.
Take care FB friend

Kris also sorry for the hijack  ;D   
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline Lottiefox

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Re: scope and patellar decompression
« Reply #8 on: May 19, 2010, 10:23:56 PM »
Ah Tez, you don't see me when I am NOT upbeat and am lying in a heap with everything hurting and wishing I had my old life back...but.....life goes on, people deal with much worse things and I won't let my dumb ass knees grind me down...although tonight I have given in to a Tramadol, fuzzy memory and a glass of red wine!!  ;D

Foot problems - I have always had dodgy lower limbs. My dad was born with feet that had no bones in them, and spent 18 years in the Orthopaedic Hosp in Birmingham being rebuilt. he passed away a few years back and was born in 1929, so he was one of the pioneers of orthopod surgery. My Aunts have useless knees, and it is obviously genetic! I have had bunions all my life, relatively small but over recent months they've got worse and painful. The very first OS I saw told me to get them sorted or else any repair to my kneecaps wouldn't last. Not sure if he is quite right but I have decided to see a foot and ankle specialist to see what they think. kind of makes sense - when my feet "sit" properly my knees feel better! They just don't sit properly very well now!

Hey ho, I'll get there. At least my upper body is strong!!!  ;D

xx
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 tez27

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Re: scope and patellar decompression
« Reply #9 on: May 20, 2010, 01:55:12 AM »
Lottie Interesting to meet another good friend of the very helpfull Tramadol I can honestly say it has gotten me through the last 2 years, unfortunatly it is going to be a bitch to part company with after my knee is back to perfect working order, but that is a problem I shall deal with in the future. :P
My sympathy for the family history of dodgy knees, I am lucky mine is puerly accident related' my legacy from my parents is the dreaded dementia Dad passed from it a few years back and Mum has been in nursing home for the last 6 years with very advanced demetia  the jury's out about a genetic link but at least I should be unaware I have it, if it gets me lol well its that or cry>
Sounds like a plan to get the feet sorted out first cos how you walk and even just stand affects the whole body's allignment,
Upper body stregnth very admirable, me not so much :) but working on it.
Take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline kris_83

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Re: scope and patellar decompression
« Reply #10 on: May 20, 2010, 10:48:23 AM »
Hi ladies, no need for apol on the hijack it was VERY educational! Also glad to see you on fb!

It seems you two are both old pros with your fancy drugs and war stories. I guess I am still a beginner, trying to wean myself off of the prescrip. ibuprofen before it eats a hole in my stomach (so far to no avail- who needs an intact stomach anyhow?) Lottie/Emma, I have also been having tons of problems with muscle tightness, especially in the hip area. That was the only helpful thing about the last round of PT I did- my physio was manually stretching the muscle. Painful but worth it for a couple of hours after. Didn't know that tightness could cause problems with a scope but now my ears are perked up.


Hope you both are having a pain free day- I am struggling and trying to decide whether to stay at work like a trooper or gather some files and go home. Trying not to be an absentee w. surgery coming but it's hard not to be a wimp somedays, you know?
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline debbieo

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Re: scope and patellar decompression
« Reply #11 on: May 20, 2010, 02:15:57 PM »
Hi Kris
Here's a link to a gel that you might use on the "outside" instead of the inside for some pain relief. It works as well  for me as taking ibupro. I know the link is for the UK but I get a script for it here from the OS.
Also, on the hip thingee--tightnesss--I have instant and lasting--well- for a while relief with dry needling., and massage. By your bursi is where tendons ligaments and other such sundry parts come together. My IT band --which can feel like a rod of iron--snaps across there and causes tightness.
So if your stuck you might try--getting stuck ::)
good luck with the procedure--fingers crossed with you--absolutely nothing else is wrong!!
debbieo
« Last Edit: May 20, 2010, 04:06:40 PM by debbieo »
tkr 9.14.09  tibia fracture 04
As Lovely as Aphrodite—as Wise as Athena and the strength of Hercules—she is known only as Wonder Woman, but who she is, or whence she came, nobody knows!  
I WILL NOT BE DEFINED BY WHAT I CAN NOT DO!
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=48797.0

Offline kris_83

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Re: scope and patellar decompression
« Reply #12 on: May 20, 2010, 03:44:41 PM »
thanks debbieo! gel sounds interesting but am I missing the link?

I don't pretend to understand how all of the muscles, ligaments, etc. connect, but my PT has told me it's all way more interrelated than well-bodied people think, for sure! I am not a huge fan of anything with the word "needle" in it but anything's worth a try. Sometimes the massage made me feel like my whole leg would explode.

I did end up grabbing my files and sneaking home, so I am replying from the "comfort" of my couch, trying to avoid balancing the laptop on my wonk knee. Just another day at the office! ;)
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline debbieo

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Re: scope and patellar decompression
« Reply #13 on: May 20, 2010, 04:08:28 PM »
tkr 9.14.09  tibia fracture 04
As Lovely as Aphrodite—as Wise as Athena and the strength of Hercules—she is known only as Wonder Woman, but who she is, or whence she came, nobody knows!  
I WILL NOT BE DEFINED BY WHAT I CAN NOT DO!
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=48797.0

Offline kris_83

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Re: scope and patellar decompression
« Reply #14 on: May 20, 2010, 04:42:56 PM »
wow that looks nice! thanks! I will ask my OS about it. kneegeeks are total drug dealers... haha
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline tez27

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Re: scope and patellar decompression
« Reply #15 on: May 20, 2010, 11:24:21 PM »
Hi Kris quite right if you can skoot home when things are bad then you should, I wish I had taken my own advice many times, and am now suffering due to not going home now and again, I even stayed at work the day I fell and ruptured my acl and all that hard work has done is given me more problems with an already damaged knee  :o saying that I am starting to get better and now and again I will give in if things are real bad, but the guilt and the feeling that i'm letting everyone down is still there.
Hope your feeling better take care Tez 
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline kris_83

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Re: scope and patellar decompression
« Reply #16 on: May 26, 2010, 11:58:48 AM »
Talked to the nurse at the surgery center yesterday and got my pre-op instructions! it's really happening!

The worst news of all is no alcohol for 24 hours prior! If I'm to be weaned off of my pain meds 1 week before, I'd probably really like a beer. This is so unjust.

Was a little horrified at all the ways they are trying to turn me into a "sexy supermodel" for the procedure... I was told to wear my glasses, don baggy shorts, no leg shaving 2 days before... hey did I mention that my OS is really cute? Mortifying. My hubby is also "happy" to hear about the no showering after and has asked me not to stink up the joint.

Ready to get this going already!
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline Lottiefox

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Re: scope and patellar decompression
« Reply #17 on: May 26, 2010, 02:38:54 PM »
No leg shaving???! Your OS had a furry leg fetish!!!  :P

Wait til they get you into the paper pants....or even worse.....get you commando...... :o  (can't think if it was Cosmic or Vickster who got the delights of going al fresco!!!)

Not long now, soon be unwashed and rehabbing!!

Lottie xx :)
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 tez27

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Re: scope and patellar decompression
« Reply #18 on: May 26, 2010, 06:10:35 PM »
Kris a few wee question's why no leg shaving is Lottie right and he has a fur fetish or is there another less weird reson, also why have you to come off your painmeds???? just wondering.
Take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline kris_83

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Re: scope and patellar decompression
« Reply #19 on: May 26, 2010, 09:16:53 PM »
I have no idea about the shaving- perhaps they worry about skin irritation, or they shave it themselves before the surgery like in the movies? Anyway the whole surgical crew will be very unhappy... my hair grows like a weed and 2 days growth is no joke.

I have to be off the prescription NSAIDs a week prior because they act as a blood thinner. Apparently I can have tylenol, but since that does nothing for inflammation, I'm told it won't really help much. As it is, I am taking extra strength tylenols to supplement the ibuprofen. Obviously I still have plenty of pain with that lovely cocktail.

I'm surprised that these are odd practices but I've never had any surgery so I didn't know what to expect.
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline KW

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Re: scope and patellar decompression
« Reply #20 on: May 26, 2010, 10:17:34 PM »
I asked the same question when given that instruction prior to my PFJR...

With the shaving they are worried about Cuts...even the smallest cut can introduce bacteria to the surgical area increasing the risk of infection.  Some Dr's are more stringent about this then others.  My local OS never says anything about shaving but the OS that did my PFJR said to absolutely NOT shave for 3 days.  If he had seen even the smallest cut within the surgical area he would have canceled the surgery.  Don't risk that happening....suck it up and go with hairy legs.

Karen
Right Knee
2000 - 2002 - Scope,LR,TTT,Unscrewed
01-10-12 - PFJR

Left Knee
04/07 TTT/LR
08/07 Bone Grth Stim
10/07 Loose/Bent Screw
1/08 Unscrewed/MRI~NON-UNION
02/19/08 Lt  TTT Revision W/Graft
12/09/08 Scope
05/15/09 Scope
09/04/09 PFJR/Unscrewed

Offline kris_83

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Re: scope and patellar decompression
« Reply #21 on: May 27, 2010, 12:21:22 PM »
thanks KW! that actually makes a lot of sense. The majority of the questions I was asked during the no-shaving conversation were about infectious things... when was my last cold/flu, have I been exposed to C-diff, etc. Up until recently, I was doing a lot of germ-related research for work. It seems to me hospital-acquired infections are a bigger issue than ever. Not only does it improve the quality of patient care, it also gives these hospital systems major bragging rights if they can keep their incidences of HAIs really low.
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline tez27

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Re: scope and patellar decompression
« Reply #22 on: June 06, 2010, 12:40:42 PM »
Just wanted to say a big GOOD LUCK for tomorrow, hope all goes well and I look forward to hearing all about it once your on the other side, I hope your not feeling to freaked out at the moment cos I'm sure you will  be absolutly fine.
Take care Tez 
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline Lottiefox

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Re: scope and patellar decompression
« Reply #23 on: June 06, 2010, 12:47:42 PM »
GOOD LUCK from me too! Boris sends you a nice warm mouse as a good luck gift and I'll be thinking of you!! My legs would be the same after 3 days - the OS would think he'd got a gibbon in there!

Let us know how it all goes!

Hugs

Lottie x :)
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 kris_83

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Re: scope and patellar decompression
« Reply #24 on: June 07, 2010, 03:43:18 AM »
thanks to you gals and Boris of course! I am sitting up chugging water for the next hour and 20 min. til it is forbidden- how else might they expect me to take a pregnancy test in preop 13 hours after I stop drinking anything? Neanderthals!

I hope to come back bearing great news very soon! My mom seems game to be a good nurse, she brought so much food I think she forgot we have grocery stores in this state. Can't wait to wake up sometime tomorrow afternoon with what will hopefully be a new lease on life!

you geek ladies are the best and your thinking of me means a lot especially as I sit here flipping out while everyone else has gone to sleep.

good night!

12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline Lottiefox

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Re: scope and patellar decompression
« Reply #25 on: June 07, 2010, 03:04:01 PM »
Hope it all went well Kris - guessing you might be a bit sore and yukky when you read this - but it is done and over and you'll soon be the hottest thing on TWO legs!!  :D  (two dehaired legs!!)

Let us know you're doing OK, Boris has a handy bat on standby in case you need an extra special gift.  :P ::)

Moms always go overboard with food don't they - you'd think nuclear war was imminent if you ever went to the supermarket with my Mum.... :o

Hugs

Lottie xx :)
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 Snowy

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Re: scope and patellar decompression
« Reply #26 on: June 07, 2010, 11:47:24 PM »
Just caught up with your story here and wanted to wish you all the best - it's Monday afternoon here in the Pacific time zone so I'm guessing you're through the procedure now - I so hope all went smoothly for you and this is the start of a whole new phase of pain-free knees. :)
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline kris_83

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Re: scope and patellar decompression
« Reply #27 on: June 08, 2010, 04:36:57 AM »
Hi all! I am still trying to get my act together so I'm going to make it brief for now. The nurse said I am an anesthesia "lightweight" makes sense I can't hold my liquor either.

My surgery didn't start til 3:15 pm, at which point my dad had to go to the airport so Alan was gone too. He got back just as I got into recovery but missed the recap with my surgeon- so of course my mom :forgot: what one of the procedures was. Will keep us guessing til next week. I know for sure I had the drilling (synovectomy) and some filing of the raggedy patellar edges where there was bone-on-bone.

I am starting to have a lot of pain but staying on top of the meds. I didn't get crutches because I can PWB, I just have to make sure not to twist or move suddenly. The dressings have to be on longer than previously scheduled so no shower for 48 hrs now! My leg's going to be a forest under these bandages.

I will start my post-op rundown ASAP- maybe tomorrow- the typing is still making me feel really dizzy! So I'm off to check on Theresa's diary and then sit here to wait to take my next round of Vicodin (I think you call them Lortabs in Europe?)

best knee wishes to everyone tonight or this morning, whatever it may be!
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's