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Author Topic: Hypermobility: is a lateral release the answer?  (Read 4001 times)

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Offline wil2

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Hypermobility: is a lateral release the answer?
« on: June 27, 2010, 11:29:29 PM »
Hello. It's my first time posting. I finally went to see an orthopedic surgeon after years suffering with a dislocating patella. It got so bad in the last few years that I can hardly go a week without it coming out. I have practically given up all spo except hiking, biking...light stuff. My general practitioner had me in a neoprene brace for a while, but it really did not do much. When he finally gave me the referral to see a knee specialist, the surgeon said I am hypermobile, have a tilted kneecap, and suggested a lateral release if physical therapy and taping do not help. He is giving me six weeks to try the conservative treatment. I really need to be able to move past this. But I was not expecting surgery. I know. Maybe I am naive. Maybe I should see a patella specialist? I have read some posts here that suggest that. Have also read some pretty bad horror stories aboyt the lateral release.
Can anyone help me, here? Anyone had success with physical therapy for this? Success with the lateral release? Should I bother with the specialist or just see how I do?
Thank you for reading. Thanks for any suggestions.
wil

Offline wil2

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Re: Hypermobility: is a lateral release the answer?
« Reply #1 on: June 27, 2010, 11:44:14 PM »
I'm in the US, San Francisco Bay area, if anyone has suggestions for a specialist. Thanks.

Offline Clav

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Re: Hypermobility: is a lateral release the answer?
« Reply #2 on: November 17, 2010, 01:24:03 PM »
Hi Wil

I have the same problem - I am hypermobile and a lateral release was done on me 2 years ago - THAT IS NOT THE ANSWER... my new orthepedic surgeon ( on of the best in the world ) was very shocked when he heard that i had a LR done on me because it will not work on hypermobile people. - I am not going in for a TTT ( Tibial Tiburcle Transfer ) ... You will most likely have it done aswell if you are hypermobile. Good luck!

Offline mamalama

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Re: Hypermobility: is a lateral release the answer?
« Reply #3 on: January 03, 2011, 08:35:31 PM »
hi, i had a lateral release in august, 2010.  my personal opinion, that it doesn't help, especially in  my situation. To me it was a useless surgery.  Make sure you don't have any other problems with your knee before you have the LR done.  I just completed my 3rd. surgery after failed LR.   Hope this helps.   Take Care..

Offline anniehine

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Re: Hypermobility: is a lateral release the answer?
« Reply #4 on: March 10, 2011, 07:54:01 PM »
Seek another opinion, I'm hypermobile too and had a trochleoplasty last year (domed trochlea).  From what I've been told by specialists and from what I've read on here LRs are not the answer, esp if you're hypermobile.  Find a patella specialist and get another opinion.  Good Luck  :)
Left knee started dislocating at 7 years old
Hypermobile
Arthroscopic scope April 2009
Trochleoplasty at 28 years old (10.2.10)
Did 1st SLR 1.4.10 WHOOP!!
Walked through house without crutches (12.4.10) very pleased with myself!!

Offline Kmcsmiles

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Re: Hypermobility: is a lateral release the answer?
« Reply #5 on: March 12, 2011, 02:06:59 AM »
I have hyper mobility (they now say ehlos danlos though) and had 2 lateral releases.  They did not help, and my new very knowledgeable knee surgeon has said doing a LR on people whom are hypermoblie does no good.  I recently had a mpfl and they grafted my lateral ligament as well
12/20/89: diagnosed hypermobility joint syndrome
88-96 numerous checks/mri's on knee pain
91- left knee dislocate
93-96 rt and lt knee lateral release, plica removal
12/09 dislocated rt knee
09/10 rt knee mplf and lpfl reconstruction
06/11 rt knee repair nerve damage and ligament
10/10 MUA
6/11 r

Offline kikkajane

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Re: Hypermobility: is a lateral release the answer?
« Reply #6 on: March 15, 2011, 08:30:25 PM »
Hi I am 52 I have Ehlers Danlos type 3 Hypermobility (only recently diagnosed) and have suffered with dislocating knee caps in both knees for years.  I had a transposition of the right tibial tuberosity aged 18 which stabilised the right knee cap to an extent, but caused other problems. However I had a lateral release on the left knee about 15 years ago - and that combined with physiotherapy to build up the VMO muscle seems to have been a great success.  I had a RTKR on the right knee 6 years ago - that seems to have failed.

Good luck

Kikkajane


Offline Chainsaw_gran

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Re: Hypermobility: is a lateral release the answer?
« Reply #7 on: April 06, 2011, 06:39:47 PM »
I have just had Elmslie Trillat Procedure which which has realigned my patella following long term similar problems to yours. I had loads of physio which helped for a time; I tried taping when running which made no difference. My op was 5 weeks ago so it is too soon to know how things will pan out but it was quite major.
March 2011. Elmslie trillat/TTT. Autologous Collogen Induced Chondrogenesis to patella n Trochlear.

Offline Chainsaw_gran

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Re: Hypermobility: is a lateral release the answer?
« Reply #8 on: April 06, 2011, 07:13:08 PM »
I forgot to say that I saw 2 OS's re this problem. The 1st said lateral release, but was extremely vague on all questions, so I found a recommended surgeon, who after a CT tracking scan, said lateral release would be of no benefit. Last week my physiotherapist told me that she has never had a patient who had a successful outcome following lateral release. so I hope I made the right choice.
March 2011. Elmslie trillat/TTT. Autologous Collogen Induced Chondrogenesis to patella n Trochlear.

Offline amy1

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Re: Hypermobility: is a lateral release the answer?
« Reply #9 on: May 31, 2011, 01:15:10 AM »
A lateral release for a hypermobile knee is NOT the answer.  Please go to another knee specialist
6/2004 partial lateral meniscus removal and microfracture left knee
7/13/05  open lateral release, medial plication, spur removal right knee
12/06  re do proximal realignment right knee (scar tissue formed ) 5 days post op - fell and fractured elbow
08/2009 - feeling good so far work 50 hrs a week















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