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Author Topic: I had surgery on Monday... wish I had found this site first!  (Read 1214 times)

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Offline Stasha83

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Hello everyone

I have just come across this site and I have never seen so much helpful information, I just wish I had found it prior to my surgery on Monday.

My knee pain began on 16/06/10. I was running on the treadmill at they gym and then suddenly had terrible pain in my right knee and was not able to weight bear. Swelling came about 2/3 days post injury and the pain increased on a daily basis. I saw a specialist on 26/06/20 and had keyhole surgery on 28/06/10.

The findings of x-rays, MRI and surgery were as follows:

Multiple microfractures to my tibia
Widespread bone marrow oedema in tibia
Sprained MCL
Tears in ACL
Damage to the horn in the meniscus (I can't remember what the consultant said about this)
Impinging Hoffa - has been removed
My kneecap had become spongy and soft
My knee had moved towards the inside of my leg

I am now in a full length fixed brace which prevents me from bending my leg and is supposed to help straighten my leg. I had my stitches removed yesterday and am being assessed by a physio on 06/07/10.

I just wondered if anyone had suffered from a similar injury and could advise me on recovery time scales please? My Dr has said anything between 6 weeks to 6 months but I am obviously hoping for the 6 weeks!

Any advice, hints or tips would be very gratefully received.

Many thanks, Stasha
June 2010 - R knee TPF & Hoffa removal
Dec 2010 - R knee- Arthrofibrosis
Dec 2010 - L knee Myxoid degeneration of meniscus
Jan 2011 - R Knee 11 steroid injections & Synvisc1
Feb 11 - MUA & LOA
June 11- Steroid inj, EMG & nerve tests
Aug 11 - MUA & LOA
Feb 12 - R Knee denervation

Offline Snowy

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Re: I had surgery on Monday... wish I had found this site first!
« Reply #1 on: July 04, 2010, 04:40:04 PM »
Sorry to hear about your injury - it sounds like a nasty one. But this site is definitely a goldmine of information for anyone recovering from surgery, as well as going into it.

Your recovery is going to depend very much on what they did during surgery. Do you know exactly what was done? For example, did they do an ACL reconstruction, or did they just fix the impinging Hoffa and the meniscus damage? Did they do anything to adjust the kneecap, or are you going to work on this with physiotherapy once the other damage has healed? The recovery could be very different depending on what was done. From what your doc said I'm guessing you didn't have an ACLr or anything done to move the kneecap, but that's just a best guess on my part. :)

Even with this info every injury and every recovery follows its own path, but there are folk here who have been through every kind of injury and can share their experiences and give you an idea of what to expect from the surgery.

You're probably going to have some residual effect from the original injury, too. Bone marrow edema and the tiny fractures are nasty - they do heal by themselves, but it can take anywhere from 3 to 7 months. I recently tried a 5 minute jog at the 3-month mark from my injury (an ACL tear with bone edema in the tibia & femur) and it aggravated the bruising quite badly. Patience eventually pays off, but it can take a while.

Best of luck, and I hope you're not feeling too bad after the surgery.
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 Stasha83

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Re: I had surgery on Monday... wish I had found this site first!
« Reply #2 on: July 05, 2010, 09:45:23 AM »
Hi Snowy

Thank you so much for your reply, I really appreciate you taking the time to help me  :)

From what I understand surgically, he has just fixed the meniscus and removed the impinging Hoffa. He said the damage to the MCL and ACL should heal without surgical intervention (fingers crossed!).

My kneecap is still in the wrong place (which is lovely!) but my understanding is that the brace will straighten my leg. I am having my Physio assessment tomorrow so will ask the Physio about how my knee is going to return to its proper place. I will also ask about the bone marrow edema and microfractures as when I asked the surgeon to explain he was very dismissive and told me not to worry about that aspect of the injury but from what I've seen on the internet so far and your reply, those issue seem to be very slow to heal.

Judging by your experience, I wont be back on the treadmill for a good few months then?!  :(

June 2010 - R knee TPF & Hoffa removal
Dec 2010 - R knee- Arthrofibrosis
Dec 2010 - L knee Myxoid degeneration of meniscus
Jan 2011 - R Knee 11 steroid injections & Synvisc1
Feb 11 - MUA & LOA
June 11- Steroid inj, EMG & nerve tests
Aug 11 - MUA & LOA
Feb 12 - R Knee denervation

Offline tez27

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Re: I had surgery on Monday... wish I had found this site first!
« Reply #3 on: July 05, 2010, 02:23:37 PM »
Hi Stasha and welcome to this fantastic board..Sorry about you injury it sounds pretty nasty, aint it amazing how quickly your life can change, I bet if your anything like me you never thought much about your knee, and what its put through every day from just walking around and a bit of excersise :)
Sorry I cant comment on a lot of the things going on with you but the one thing I have experience with is the acl, and from what I have been told once its torn it will not repair itself I could be wrong and if I am please jump in and let me know, anyone!! but from reading a lot of posts concerning the acl Im  pretty sure thats the case, saying that loads of people lead normal active lifes without an acl or with a partical acl but it means having to really stregnthen the muscles round the knee to take over the work.
Your physio will be able to help you with the correct excersises to do for your different injurys.
Good luck with everything and I hope you start to feel better soon.
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 Snowy

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Re: I had surgery on Monday... wish I had found this site first!
« Reply #4 on: July 05, 2010, 04:29:40 PM »
That doesn't sound too bad - you could be facing a much longer recovery if you'd had an ACL reconstruction. I don't know a huge amount about the specific surgeries you've had done, but get a better idea of what your recovery might be like I'd head over to the post-op diaries section of the website and look for folk who've had similar ops to you. I found that a goldmine when I first blew my ACL and was trying to figure out what to expect.

The one thing I would be a bit concerned about is that the ACL doesn't heal by itself. Once it's torn, it stays that way. If you only have a partial tear your doctor may be planning to send you for PT and see if you can gain enough strength in the muscles around the knee to stabilize the joint, but regardless of how small the tear is the ACL will stay torn. I'd get your knee checked for laxity once the other damage has healed and see if this is something you need to follow up on. The MCL is more obliging and should heal fine by itself. :)

Depending on how severe the malalignment of your kneecap is, this may be something you can correct with PT. There are surgical options if the conservative approach doesn't work, but in my case (I have a variety of issues caused by maltracking kneecaps) I got a fair bit of relief from working on exercises that strengthened specific muscles that pulled the kneecap back toward a correct alignment.

Most likely the reason your OS was dismissive about the edema is because although it can be uncomfortable and slow to heal, there really isn't anything you can do to speed the healing process beyond avoiding activities that would aggravate it. My PT also told me not to worry about this, and just to be patient and it would get better with time. It's certainly improved over the past 4 months, but not to the extent where it could handle the impact from running yet. Don't read too much into my experience, though - remember, every case is different. Generally around 3 months seems to be the point where people notice improvement. You've had other work done too, so I would check with your PT to find out when you might be back on a treadmill. You should be able to resume non-impact activities (e.g. stationary biking, swimming) sooner.

Hope this helps a bit, and that you're able to find some useful information in the post-op diaries. This site is a really great resource for advice, information, and support. Hope your healing continues to go well!
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 Netball Nat

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Re: I had surgery on Monday... wish I had found this site first!
« Reply #5 on: July 05, 2010, 10:14:40 PM »
Hi

I agree with Snowy about the ACL, I had reconstruction and took a good 3-4 months before I was doing any running movements. If I had it again I would def work harder on the rehab exercises in building up the surrounding muscles Quads, hams and calf as I think thats whats led to my second injury now 2 years on.

My OS said you can lead an normal life with a torn ACL but I wanted to go back to playing competively and being 26 agreed to have it replaced.

Good luck.