Banner - Hide this banner





Author Topic: What to expect?  (Read 921 times)

0 Members and 1 Guest are viewing this topic.

Offline gottabelieve

  • MICROgeek (<20 posts)
  • *
  • Posts: 17
  • Liked: 0
What to expect?
« on: May 30, 2010, 03:53:05 AM »
I apologize in advance if I am posting this in the wrong thread (which I'm sure I am)/stating something that has been stated before. I'm so sorry! Anyways,

I am having an arthroscopic lateral release on my right knee next week. I have patella femoral/chrondomalacia. (sp?)  I've been in physical therapy for over 4 years, and 3 doctors have suggested this surgery after multiple x-rays and mris. I am 19 years old, in shape, and pretty active (not as much as I used to be due to my knee pain.) My knees have gotten to the point where the pain is just unbearable after long days at work and standing on my feet. I love going to concerts, so for me, being able to stand through one painlessly is a huge goal!

What I would like to know is what recovery is going to be like, what to expect after surgery, etc. I know I have to keep it elevated and to ice often, and to start quad sets and straight leg raises as soon as I can. I was told not to bend it for a week (will be in an immobilizer) and then I will start going to pt again. My doctor suggested a few days on crutches, but I will still be weight bearing on the affected leg while doing it. I plan on working hard because I am ready to have this over with, but I am very concerned. I know everybody's circumstance is different and I'm hoping for the best in my own personal one, but do I seem like a good candidate for this surgery? I've made the mistake of reading up on it extensively and I've heard many horror stories :/ Any information would be greatly appreciated! Thank you!

Offline crankerchick

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 1863
  • Liked: 26
  • How 'bout them Cowboys!
    • Derotation osteotomy & TTT Post-op diary
Re: What to expect?
« Reply #1 on: May 30, 2010, 04:21:48 AM »
I know everybody's circumstance is different and I'm hoping for the best in my own personal one, but do I seem like a good candidate for this surgery? I've made the mistake of reading up on it extensively and I've heard many horror stories :/

Whether you are a good candidate really depends on some information you haven't yet provided. Are you having any patella instability? Is your issue just pain from the cartilage wear? How was the "chondromalacia" diagnosed? Have you had any x-rays? CT scans?

I can't comment on what the recovery is like, as I haven't had the surgery, but I think I can help you figure out if this is the right surgery for you or not. Generally speaking, lateral release can be successful in the right circumstances--specifically when there is patellar tilt WITHOUT instability. The problem with lateral release is it tends to be overdone. It is imperative to get to the root cause of the problem before deciding on what is the best surgical approach to fix patella problems. Chondromalacia isn't really a diagnosis. It's more like the symptom or effect of a bigger problem. The bigger question is why is the cartilage wearing under the kneecap and causing pain? The answer to that question will lead to the surgical approach to fix it.

This starts with seeing a good patellofemoral specialist, having a thorough examination, and the proper diagnostic imaging.
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 gottabelieve

  • MICROgeek (<20 posts)
  • *
  • Posts: 17
  • Liked: 0
Re: What to expect?
« Reply #2 on: May 30, 2010, 04:58:13 AM »
Thank you. I have had many xrays since the problem began (when I was 14 years old) and 2 mris. The most recent mri was about a year ago because of a suspected meniscus tear. There is no patellar instability, and I have never dislocated my knee.

I have had multiple xrays since I was 14, and the 3 doctors who have viewed them all noted the "misalignment" I guess, of my patella. (I'm sorry if I'm not using correct medical terminology, I really am not very educated in that department) My most recent doctor had me go for the mri because the pain is not the whole knee cap, but only on the inside. I have not been told anything about the cartilage, only the alignment of the kneecap. The tilt on my right knee cap is very apparent, while it is nonexistent on the left.

Offline tenisfan

  • Regular Poster
  • ***
  • Posts: 119
  • Liked: 0
Re: What to expect?
« Reply #3 on: May 30, 2010, 06:14:05 AM »
i have had great success with my lateral release. So glad i did it. The recovery is about a good 2 months. I was on crutches for 2 days. I did have alot of swelling, that is normal, so just ice it alot and elevate, pain wise there will be some, just take the pain meds,  Start the exercises right away, I think i started mine about 4 days after. :)  Good luck
2006 right knee surgery, meniscus
2008 left knee lateral release,  meniscus
2009 microfracture left knee, lateral meniscus,  fragment
2009 cartilage transplant oats
2010 loose fragment removal, meniscus fraying,found another defect
2010 oats failed, synvesic injections ,2011 right knee meniscus