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Author Topic: Natalie's Fulkerson / TTT With complications! (Open Patellafemoral Realignment)  (Read 6275 times)

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Offline red1702

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Morning Guys :)

Duckie Recommended that I post my story here too, as it was originally in the general discussion thread.
This is two weeks old now, so I'll put little updates in, too.

Hi all,
I just wanted to put my two cents in as to what to expect when having this procedure. I had mine on September 21st this year.

My first little gem of wisdom would be this Ė do not underestimate how painful this procedure is. Without wishing to scare anyone, my hospital ward-mate, Charlotte, had three children and said she would sooner go through childbirth again.
This is not something you will want to put off for long. The sooner you get it done, the better as far as I am concerned; I was told that had I had this operation a few years ago, my recovery would have been quicker and easier. I am only 22.
Ask as many questions as you want, as many times as you want, and donít be afraid to ask about pain relief options. In my pre admission appointment I made sure that it was common knowledge that I have a very low pain threshold and that, basically, I am a big wimp. It was better to admit this and have all of the pain relief options than try to be brave! I was given a femoral nerve block during my operation which is injected into your groin area whilst you are still under the anaesthetic, and keeps your leg numb for hours after you wake up. Keep this in mind though- when the injection starts to wear off, you will find yourself with a burning sensation on your kneecap which is unpleasant to say the least. Mine lasted about 12 hours, whilst Charlotteís lasted a good 24 hours; it depends on each person individually.
Because of the amount of bandages you will be wrapped in, ice isnít terribly effective but it is certainly worth having a big bag of it resting on your leg anyway. I was given liquid morphine which was taken orally every 2 hours and although it doesnít kill the pain completely, it does take the edge off slightly. Another thing to consider is that it will make you feel a little drunk, and many people find that sensation unpleasant. I also had codeine and paracetamol every 4 hours. I was in a leg brace straight away which was locked completely straight for two days, then was unlocked to allow a 30 degree bend. I am now at (almost!) 60 degrees. The brace allows the bend, but my muscles haven't quite grasped the concept yet† †;D

Be prepared for bed-pans and bed-baths† :-[. Again, if you are used to being independent, it is a difficult concept to grasp, but you have just had major surgery and you will need help. Youíre not going to be getting out of bed on your own for a while, so be gracious and if you are offered help with washing, accept it. Having a bed-bath will make you feel a million times better.
I will tell you only about my experience, and give advice; this is not intended to be medical advice at all, just a few tips from one person to another.
I was in hospital for two nights and was pleased to be going home, but I made sure I was sent home with a bottle of liquid morphine and plenty of painkillers. I was very lucky to have someone at home with me constantly, as I was still unable to so much as go twenty yards to the toilet on my own. Everything is extremely difficult when you are on crutches, particularly carrying things, so I dug out an old backpack and made sure anything I wore had pockets in it. I keep my phone on my person at all times, because if someone has to pop out for even a minute, that minute is a really long time if you fall. I lost my footing a couple of times, which is very painful, and I needed help to pull myself upright again. I didnít fall completely down, but I did slip several times and my bodyís automatic reaction was to tighten the thigh muscle to help me stay up. It hurts.† :'( Sturdy footwear is imperative.
I spent a good chunk of my time crying after I had this operation, sometimes from the pain, but a lot of the time it was because I was frustrated with my lack of ability to do anything for myself† . It helped to write down how I was feeling everyday in a diary, as it enabled me to look back and see the progress I was making. It was very slow, but still evident. :D
I went back into hospital just three days after being discharged because my leg was so swollen I couldnít even stand, whereas Iíd be making good progress up until that day. I was taken into A&E and shortly after being put into a room, my temperature soared through the roof and I started losing consciousness through the pain and panic. My whole leg was so swollen that it was agony even to lightly touch, and so it was assumed that I had an infection. I had to have a needle put under my knee cap to drain off some fluid for testing, which believe me was no where near as painful as I was expecting. In fact, afterwards, I felt relieved, as two syringes of fluid were taken out of the joint and therefore I didnít feel as swollen. Thanks to my low pain threshold, I was given a freeze spray on the area before he put the needle in. I had a five day stay in the hospital this time, whilst they figured out what was wrong, which was frustrating and boring. I had a total melt-down, threw a huge tantrum because I was so sick of being in the hospital and threatened to discharge myself† >:( :'(. That night, in an attempt to sedate me, I was given sleeping tablets and plenty of morphine, and I slept fairly well for the first time in a week. I felt better in the morning, and although a little embarrassed, everyone on my ward had admitted that they had gone through the exact same thing. More importantly, that morning I managed to have my first shower.
I havenít slept very well since the operation and I have only had one night where I have slept through. At first it was the pain keeping me awake, now it is being uncomfortable. Plenty of pillows and an elevated leg have helped, especially being as after surgery you must sleep in the brace. I am a side-sleeper, so sleeping on my back was hard, but as the weeks have gone on I have learned ways to sleep on my side. Itís not comfortable for very long, even with my leg sandwiched between pillows, but again, it shows progress.
Being on crutches is frustrating and difficult, especially when you start to get aches and pains in your back and shoulders. Heating pads and massage help, and if you donít have someone who will help, try to get hold of one of those electronic massagers. I got calluses and blisters on my hands eventually, so I recommend plenty of hand cream and getting some weight-lifterís gloves. They are slightly padded and will stop your hands from aching as much.
Another thing I wouldnít have been without is my grabber. One of those litter-picking looking things which will assist you in accessing things that are just out of reach. Invaluable.
I am exactly four weeks on from the op and my scar has healed well enough for me to start using Bio-Oil to minimise the appearance of the scar. With my leg straight, the scar is four inches long and a millimetre wide. At the moment it is vivid purple, but I have been assured that it will fade over time. I am already back at work; I returned last week (three weeks after op) as I have a desk job and the company I work for have made plenty of adjustments for my return, including moving me into a bigger office downstairs, giving me more room to manoeuvre. I am also right near to the toilets now and also to the kitchen, and it has been good for me to have something to focus on. I do get very tired very quickly and as soon as I feel that Iíve had enough, I am allowed to go home. Iíve been averaging 6 hour days.†
Be prepared for this. Have plenty of things to keep you occupied and ensure you have some really good friends around to keep your spirits up. It might just be a case of someone sitting and watching a movie with you, but it goes a long way in making you feel better.
Another thing is that I barely had an appetite after this surgery, which I am assured is quite common. Keep plenty of things to snack on as you might not be up to eating full meals. I had a mini fridge next to my bed with some cold drinks and snacks in it. It was another little thing that helped me to feel less dependant on others.
I went out a few times, with the aid of a wheel chair and a leg extension attachment which allowed me to keep my leg straight and elevated. Getting in the car was something I thought Iíd struggle with, but I just sat in the back of the car with my legs up on the seats. Itís not going to be easy in a two door car, but I had access to a four door car and I just sat on the edge of the back seat with my legs out of the door and shuffled myself backwards.
Itís little things that can make life a lot easier, such as the equipment from the occupational therapist. I had a frame that slotted over the top of the toilet which made life a lot easier. I also borrowed from a friend an over-bed table like the ones you get in the hospital, which was useful for putting my laptop on and for eating, as well as keep everything really close to hand.
Remember that every one is different, but being prepared for all eventualities will help make everything a little easier. I am an example of the extreme as I am now suffering from post-surgical traumatic stress, but I am getting better everyday and learning to look forward to new things and see the bigger picture. My surgeon has recommended that I get my other knee done in a few months...†
Good luck, and please feel free to ask me anything!
I am now exactly 6 weeks post op and today, my quad muscles came back to life as I can raise my leg from the bent position a few inches off of the ground. I had a physio therapy appointment last monday, when my PT discovered that in terms of recovery I am way behind. I should now be at 90 degrees and I am still barely touching 50. Last Thursday, I ended up back in the A&E after getting out of the car (I wasn't driving, obviously!) and going to put my foot on the ground, I got an unbearable shooting pain right through the left side of the kneecap. I sat back in the car, waited a few minutes and tried again, only for the same thing to happen. I was given blood tests and x-rays, as once again I had a temperature (38.7) and the knee was hot to touch, so I was investigated for infection again. Still, they found nothing wrong and sent my on my painful way! Apparently, Ipswich Hospital in England are unconcerned about post operative problems! Should I assume that in USA the approach to recovery is more aggressive?

Any questions, get in touch!
Many hugs,
Red xxx
« Last Edit: November 10, 2010, 08:15:12 AM by red1702 »

Offline duckie857

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #1 on: November 02, 2010, 07:34:29 PM »
Natalie,

I'm so glad to see you took the time to post a diary!

I'm two weeks behind +1 day.

I'm sorry you're going through so much for this surgery. Your results are unfortunately an indication that not everything always goes smoothly and people's pain thresholds are vastly different. I hate to compare, but I guess that is what we're all hear for!

I haven't updated my post-op diary, but today I reached about 110 degrees ROM. I was shocked when I did it, but there it was! I have very good mobility and am in absolutely no pain on a daily basis. Last night I was a bit sore in bed, I kept waking up with some pain in my kneecap, but I think I was laying wrong on it for a bit. Other than that, I'm walking normally but with my brace locked at 0 degrees. This gives met he "peg leg" look. I've noticed I'm subconsciously trying to walk with a normal gait because my brace keeps clicking with my backwards force as I walk. Woops!

I'll be off crutches "officially" tomorrow but if I'm honest I've been cheating while walking around the house for a good long while. I haven't ventured outside without crutches yet. I like the security of knowing that people SEE my injury.

My post-op recovery for the first 2 weeks was fairly non-eventful. I had a minor trip and fall that hurt my wrist and made me hate crutches more than I already did. My knee was fine. At 11 days post-op I went bridesmaid dress shopping. My OS moved my PT dates up from a 4 week start to a 2 week start. So far, I can do 40 SLR's front-way, and 15-20 on my side, back, and stomach each depending on the day and how good I feel. I'm stretching my hamstrings and building up my calf muscles again. Quad sets are easy. I should be starting land-dwelling activities this week including the bike, hip exercises, and other fun activities that don't require crutches. Next week we're starting aqua therapy.

I'd say that as a general rule I've seen the US doctors use more aggressive treatments and the care is overall better in some cases. My OS has been more cautious because this is my second surgery and he doesn't want me to over do it...but I feel really good. Really, really good. Better than I did pre-op and I'm only 4 weeks out.

As for swelling and scar tissue...my knee is not really that swollen anymore. The first few weeks it was fairly puffy but I never experienced anything horrible. I did have slight burning sensation in my knee and I was hot to the touch, but nothing dramatic that caused me or my surgeon concern. My scar is abour 2 inches long. I can already feel tissue building up underneath. I'm trying to break it down as much as I can.

Here are a few questions for you...

Are you in a brace still? If so, what kind is it? (locking ROM, immobilizer, small hinged brace?) Do you have to go to A&E for issues related to your knee after surgery? I feel like that's backwards. If I have any surgery related issues I have a direct line to my OS's triage nurse. She'll tell me what to do and where to go if I need any help. I think I'd only be sent to the ER in extreme circumstances!

Also, how often do you ice and elevate? What's your PT regime? What exercises are you doing, how often do you go to PT, what are you doing at home?
'04 - '10: Years of dislocations & subluxations

01/13/2010 - LR, MR, VMO Advancement
10/06/2010 - Fulkerson Osteotomy (TTT)
09/02/2011 - Scheduled MPFLr

Offline Kat_Walk

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #2 on: November 03, 2010, 02:41:06 AM »
Hi Red,

It sounds like your recount is similar to mine, thought I didnt have an infection. Sorry to hear about that. I'm in Australia and much like you, my OS isnt all that easy to get a hold of. There is no triage nurse like Duckie mentioned she has access to. I have to leave a message with my OS reception and wait til they get back to me. If thats no go, I go to my local doctor, and if its after hours, god forbid, then its off to the local public hospital and a long wait in the Emergency Dept. (A&E).
Mine case is work comp related, so technically I'm not being looked after by the public health system, but I dont feel like its helped any, in fact it has probably been harder.

I read the latter part of you post in red text, about being able to lift your leg a few inches from the bent position.. do you mean you have a towel or something under your knee and can lift you foot just off the bed? Thats the first things I got after trying to wake my quads up, at about 5.5 wks. It was about 2 days later in the morning I was trying to do SLR and I felt my heel lift ever so slightly, it didnt come off the bed but I could feel the pressure of my heel on the bed lessen, that evening I got the SLR. It was a little one a first only, an inch or two, but it got better the more I did it. It's hard work though, so keep your chin up, it will get better.

If it makes you feel better I'm 9wks today and at 33 degrees which hasn't changed in weeks! Its driving me mad so I totally understand your frustration† ???
 
12/9 - Substantial Subluxation of L patella due to a fall
12/9 - 2/10 - PT for injury
3/10 - PT rehab (non responsive)
5/10 - Referred to OS
6/10 - Diagnosed Maltracking & patella alta
9/10 - TTT with LR
10/10 - VMO atrophy & muscle imbalance
11/10 - Diagnosed with Femoral Nerve Inflammation

Offline red1702

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #3 on: November 03, 2010, 08:59:38 AM »
Thank you for your replies!
In answer to your questions:
I am still in a brace, I'm not sure which kind it is but it goes from ankle to thigh and I think is also known as a 'Don Joy'. Nothing joyful about it though, if I'm honest.
If I have knee related problems I go to the A&E where I have to explain over and over again what I've had done and why; although it should all be there in my medical records. I then get a Registrar (whatever one of those is, I thought it was something to do with a church!) from the Orthopaedics dept. come around and poke and prod and pull me around, make me cry and then promptly leave telling me absolutely nothing. Welcome to the UK, home of friendly and helpful doctors...
I don't ice and elevate very often if I'm honest, I just don't get the chance whilst I'm at work and when I get home I just sit with my feet up on the sofa.
Physiotherapy? I practice bending my knee. That is the full extent of what I have been asked to do.
When I am sitting in a chair I can lift my heel off the ground until my leg is almost straight. I can't raise it from the straight position.
In terms of swelling, my knee is still massive and I can't yet even see the kneecap. I have been walking around without crutches for a while (around the house and office) and will venture short distances outside (from the car to the shop etc) and I have found that I am fairly stable now. The weird thing is, I still have the peg leg walk, because I have physically forgotten how to walk normally.
I'm frustrated because I walked to the toilet and back on my own the day after surgery (with crutches obviously) and now I'm not making progress at all. I am going to Paris for New Year and since it's rapidly approaching, I'm worried that I won't be well enough to go.
Did anyone else find that since the operation they felt constantly hot, and has had every illness going since? I don't know many people suffering from post op depression (although I HATE that word) that has required medication other than myself, has anyone else experienced this?
xx

Offline duckie857

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #4 on: November 03, 2010, 01:18:40 PM »
Okay, yeah...you're in a ROM brace. You're right...they're not fun.

It sucks that you're not getting continuous care with your surgeon. How are you supposed to get proper diagnosis if you can speak to the same person when you have a problem? It seems counter-intuitive to me.

You should really ice and elevate. I know it's hard to do, but if you're having problems you really need to take care of that. You won't get the swelling down in your joint if your leg isn't up and iced. It'll just never get better.

You're only doing leg bends? That's scary. What about quad sets?

The icing will help the swelling. You might also want to consider wrapping it in an ACE bandage under your brace to give you some compression. That helped me when my knee was a balloon. It's good that you're walking, though. Sometimes these things take time. Peg-legging is still normal at this point...until you're out of that brace you're going to find it really awkward to walk.

The first two weeks after my surgery I slept with the window open even when it was below freezing out. With a fan. So I know what you mean. Now, my apartment is so cold I don't think I could be warm at all even if I tried.

As for post-op blues I've never really had them. I have never felt like I needed to be upset...I have a great team and family behind me so it has never felt daunting. I've also been blessed with an easy recovery. Sorry :( I can't help you there.
'04 - '10: Years of dislocations & subluxations

01/13/2010 - LR, MR, VMO Advancement
10/06/2010 - Fulkerson Osteotomy (TTT)
09/02/2011 - Scheduled MPFLr

Offline mermaids

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #5 on: November 03, 2010, 09:20:04 PM »
So sorry you have such a rough time.  I agree that you really need to ice and elevate to keep the swelling under control. 

In some ways, it sounds like the US doctors are more aggressive, but not so much in other ways.  My OS said I could not return to work for 3 months after surgery.  Granted, I am teacher which means standing most of the day.  (However, if you read my post op diary, you will see that I am big cheater) 

While I have not dealt with depression, you should certainly discuss it with your doctor if you feel it is an issue.  Given how your recovering is going, depression seems perfectly reasonable.  Chronic pain is difficult to deal with. 
12/90 - scope
12/08 - lateral release
6/10 - scope (aborted attempt at TTT)
9/10 - Fulkerson TTT
12/10 - torn cartilage & possibly PCL

*results may not be typical*

Offline Kat_Walk

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #6 on: November 04, 2010, 02:46:56 AM »
Ok, I don't like to admit it, but I suffered from depression, and still find it hard at times now. I was on medication for it also. I have stopped it coz it now clashes with my CRPS meds. Don't feel bad if you are not coping. It's very mentally draining, especially when you don't have a smooth recovery. Believe me.. I know! Everyone is too busy dealing with the knee, no one remembers to consider your mental state..

As for the quads. if you aren't practicing ALOT from a straight leg position, it will take forever to come back. I know its hard and disheartening to try over and over to lift your leg and nothing happens but you have to be diligent. I promise it will come, you just have to keep pushing for it. Ask the girls who have posted, I was so discouraged, I posted a question regarding SLR's/quad atrophy and they posted back when I was down about it which kept me going! (Love you girls, you know who you are)
I was told without being able to do a SLR, you are not really using your quad to walk and the brace if giving you the ability to walk. without the brace your quad wont be good enough to hold you up to walk, hence why my OS refused to let me out of the rigid splint ("Rchardson splint" if you want to google it in images) until I could do the SLR. This may just explain your leg leg walking thing, but I'm just guessing.. ?? Are you using an E-Stim device on your quad? I highly recommend it. It really helped me. And the good thing is if you buy one (or maybe hire from PT clinic??), you can stick it on your quad and hook it up under clothing, and run it (on low) off and on all day while you are at work. It will at least give your quad some stimulation while you are busy with working.. Just a suggestion..  :) 

BTW, do you try do the SLR in or out of the brace? I found a little trick, at this time I still couldn't do the SLR, I took the splint off while on the couch, I put my hands under the back of my knee and passively moved it up and down.. like trying to "loosen" the knee joint gently. It wasn't much as I had very little ROM, maybe 10 degrees at the time. So after gently wriggling the knee for a minute or so, I tried the SLR and it worked.. the thing was for the next 5 days or so, I couldn't do the SLR without first "loosening" the knee. As I kept practicing it came back and I didnt have to loosen it off anymore to be able to do the SLR. Sounds ridiculous but it worked! (I also know Crankerchick  - another KG veteran had a similar experience) Maybe give it a try, I cant see that it will hurt, if you are allowed to take the brace off for SLR's. 

Good luck Red.
Cheers
Kat
12/9 - Substantial Subluxation of L patella due to a fall
12/9 - 2/10 - PT for injury
3/10 - PT rehab (non responsive)
5/10 - Referred to OS
6/10 - Diagnosed Maltracking & patella alta
9/10 - TTT with LR
10/10 - VMO atrophy & muscle imbalance
11/10 - Diagnosed with Femoral Nerve Inflammation

Offline red1702

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #7 on: November 04, 2010, 10:07:13 AM »
Thank you so much for all of your encouragement guys. I tried an slr and it was absolute agony, although I can feel the muscles starting to work. The knee joint is so tight that it feels like I have a rubber band around it or something. I tried to do it both in and out of the brace and had more luck in.
I can't believe that I've not been given proper exercise to do- no wonder I'm getting no where.
I will try a compression bandage (we call them tubie-grip) and ice and elevate more. When I woke up this morning, the swelling was minimal so I guess it's during the day when I'm moving around that I get the problems.
I'm going to take the advice of the people who have actually had this operation and are successfully recovering as opposed to my physio who couldn't possibly know how hard this is. Don't worry, I'm not taking it as offical medical advice!
I think my mum has got a tens machine which has pads with a low current that runs through it - is that the same thing as an e-stim?
My doctor has given me 40mg of citalopram which has made the world of difference. I wake up feeling that much more positive than I did to begin with, and hopefully I wont need to take them for much longer. I hate the fact that I have to be labelled as someone with mental health issues!
I log on here everyday now, it makes me feel so much better to know that people have had this same thing and are recovering. It gives me hope that I can get there too!
I'd really like to go back to the gym soon but I guess I wont be allowed for ages. It's annoying because I have piled on tonnes of weight - I used to walk four miles a day to work and back and go swimming twice a week. I guess I've gained about 14lbs. Rubbish!† >:(
Thanks again for giving me hope everyone! You are brilliant!
Natalie xx

P.S. Having read Kat's diary, just like to add that I have the nasty thick dark hair thing too!
« Last Edit: November 04, 2010, 11:46:43 AM by red1702 »

Offline duckie857

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #8 on: November 04, 2010, 03:37:18 PM »
Natalie,

I'm glad that you're finding some comfort here at KneeGeeks! I just don't know what I would have done without it. When my family asks me how I'm doing they're looking at more of a "good" or "bad" answer...not so much "I have 5 degrees more ROM today than yesterday!" I swear, my boyfriend can only handle so much knee related talk. He's generally excited that I'm getting better but I think that me gimping around isn't exactly fun to watch.

Be careful at the advice you take...we're all different. Mermaids has a quote on her signature that says "Results Aren't Typical" or something to that effect. Remember that everyone heals at different rates. Also remember that every doctor approaches surgery and recovery different. This could be based on patient's prior experiences or just plain common sense. All of this put together means that we've all got to use common sense. In your case, I don't think you have quite the team behind you that some of us do...making it difficult to know where you are in terms of recovery.

In the end, my best advice is to go with your gut feeling. If you feel like you aren't getting proper care or treatment, or if you feel like your recovery is behind where you feel you should be, speak up and call the surgeon's office that did the work. I've said it to Kat before...sometimes you've gotta make a bit more noise than usual in order to be heard.
'04 - '10: Years of dislocations & subluxations

01/13/2010 - LR, MR, VMO Advancement
10/06/2010 - Fulkerson Osteotomy (TTT)
09/02/2011 - Scheduled MPFLr

Offline mermaids

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #9 on: November 06, 2010, 12:01:01 AM »
This board has been a great find.  It helped me know what to expect.  It appears my results are not typical, but hearing other people's stories has made me appreciate my good fortune even more.  Hearing the wide range of results is helpful. 

I am so tired of trying make people understand there are lots of different kinds of knee surgery.  Yes, someone who has a scope to clean up some cartilage and is running again in a few weeks.  TKR is not always the answer, especially for a young person.  Your cousin's ACL repair is not the same thing as this surgery.  The guy who set your kid's broken arm is not the guy who can fix my knee. The fact that I have had 3 surgeries in two years does not mean my OS does not know what he is doing.  Most people mean well, but I get tired of explaining the story. 

It is nice to hang out people who understand how frustrating crutches are, the sleepless nights, the excitement about another 5 degrees of ROM. 
12/90 - scope
12/08 - lateral release
6/10 - scope (aborted attempt at TTT)
9/10 - Fulkerson TTT
12/10 - torn cartilage & possibly PCL

*results may not be typical*

Offline duckie857

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #10 on: November 06, 2010, 01:00:37 AM »
Every time I go out in public I get the dreaded "oh, wow, what happened? Did you have a knee replacement?" question. It drives me up the wall. Then I have to explain my entire medical history for them to understand why, 4 weeks later, I'm still in a brace and peg-legging around. Maddening. I've had SO many people ask me, at 23 years old, if I've had a TKR. Now, really. Really? Why is it that when they see you on crutches and in a ROM brace they automatically think it's an ACL tear or a TKR? Oy.
'04 - '10: Years of dislocations & subluxations

01/13/2010 - LR, MR, VMO Advancement
10/06/2010 - Fulkerson Osteotomy (TTT)
09/02/2011 - Scheduled MPFLr

Offline Melissa S

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #11 on: November 06, 2010, 02:39:43 AM »
Ok. I hope this doesn't annoy you all or is a stuped questions but what is the reason to have a TTT?  I have only seen them as treatment in conjunction with an ACI so I am not sure what condition this is treating.

Melissa
Injury with knee hitting concrete 7/07, partially torn ACL, and cartilage damage
Scope and debridement 2/08
2nd scope 1/10 with carticel biopsy
Carticel implant surgery on 11/8/10

Offline mermaids

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #12 on: November 06, 2010, 08:22:11 AM »
In my case, I had the TTT due to severe patellar tilt and very bad tracking.  My patella goes off to the side when I bend my knee.  Add to that a lack of cartilage and you get one very painful knee. 
12/90 - scope
12/08 - lateral release
6/10 - scope (aborted attempt at TTT)
9/10 - Fulkerson TTT
12/10 - torn cartilage & possibly PCL

*results may not be typical*

Offline Melissa S

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #13 on: November 06, 2010, 05:29:33 PM »
Oh, OK, I see.  Thanks Mermaid.  Hope you are doing well now?
Injury with knee hitting concrete 7/07, partially torn ACL, and cartilage damage
Scope and debridement 2/08
2nd scope 1/10 with carticel biopsy
Carticel implant surgery on 11/8/10

Offline mermaids

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Re: Natalie's TTT - (Open Patellafemoral Realignment) With complications!
« Reply #14 on: November 06, 2010, 06:11:15 PM »
My TTT was done 8 weeks ago and I am doing fantastic.  My OS and PT guys are having a hard time keeping me from doing too much.  I have had no pain at all since surgery.  Seriously, no pain.  The only time I used the narcotics was at night to help me sleep.  Trying to get comfortable with the bulky brace is what made sleep difficult, not pain.  I have breezed through all the PT exercises I am allowed to do.  Honestly, this has been the easiest knee surgery I have had.  I have no idea why it has been so easy for me.  After reading about everyone's pain levels, I feel a little guilty....
12/90 - scope
12/08 - lateral release
6/10 - scope (aborted attempt at TTT)
9/10 - Fulkerson TTT
12/10 - torn cartilage & possibly PCL

*results may not be typical*