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Author Topic: Not recovered from knee surgery after a year  (Read 874 times)

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Offline culchie

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Not recovered from knee surgery after a year
« on: June 09, 2011, 10:47:37 PM »
Hi

Im posting this as I am very concerned and upset about my knee which has never recovered since last years patellar stabilisation surgery, I think I was misinformed.

I dont intend on naming the surgeon, but last year I had surgery to correct my patellar, due to the fact it would always dislocate.

In 2007 was the last time it went out. Took up exercise, and it started paining, so I went and got it looked at through the public HSE. Waiting list was a few months, and to cut a long story short, had no sickness or pain after the operation, thinking everything was ok, but I was wrong.


The main problem being that I can no longer run, the knee feels completely unstable. Sometimes the knee jerks forward for no reason, cant help looking down at the ground in case I fall over. Usually the leg hits the ground if i go over uneven surface

When standing or walking the leg feels heavy on the instep, months of physio, using an ankle brace etc, and no let up, and like Im doing my own stuff at home.

I do not want to do anymore physio, and finding time to do it is impossible, a, for me is just hopeless. I can bend it and everything, but the rest lets say....well lets not got there.

This surgeon wouldnt give me an MRI the last time I saw him, and said it was my fault that my muscles were crap, and that were his own words.

I havent a clue what to do, and my life is destroyed.

Offline Lottiefox

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Re: Not recovered from knee surgery after a year
« Reply #1 on: June 10, 2011, 09:40:32 AM »
What surgery did you have? There are many variants of patella re-alignment surgeries. Did you have a comprehensive set of X-rays, scans and MRI prior to the operation? I think that it does take a long time to recover from surgery especially if you had something like a TTT. Muscle strength is critically important in supporting the patella, but if you feel the muscles are now strong then you need to push for a second opinion to establish if the surgery has failed or if it was not the right one for you. Where are you located? You need a patella specialist to assess you in all honesty.

Good luck

Lottie
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 anniehine

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Re: Not recovered from knee surgery after a year
« Reply #2 on: June 10, 2011, 02:53:56 PM »
Hi Culchie,

As the lovely Lottiefox says, we need to know what surgery you had in order to help.  I had a Trochleoplasty in Feb 2010 and I'm still not running either.  With major reconstructive surgery your muscles can take a very long time to get back both strength and confidence.  If you stand in front of the mirror and look at things like your calves going up on tiptoes and quads when squatting you'll probably notice there's still quite a difference in muscle bulk between good leg and bad leg.  I too have had huge probs getting time to do the physio and I'm thinking this might be your problem too. The surgery hasn't necessarily failed..it might well be that you just need to work on those muscles. 

Annie.
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 Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
Re: Not recovered from knee surgery after a year
« Reply #3 on: June 10, 2011, 03:54:21 PM »
Hi Culchie,

It can take up to 18 months to to 2 years to recover from knee surgery and all depends on what you had done as some knee surgery's take longer to recover from. A torn meniscus takes less time to recover from then if you had something done like a microfracture that takes a lot longer to recover from.

I know it is hard to keep on top of your PT and must keep doing the exercises your have been told to do as you will recover quicker. You should see another OS for a 2nd opinion as you present one does not sound very caring.

It took 18 months to recover fully from my scope a plica removal and fat pad trim. I had dry needling sessions (IMS) and it really helped ease the knee pain and got me back to running again. Maybe ask your GP about IMS sessions as it might ease the knee pain but may not solve your knee problems.

Nick :) {2011} :) 
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline culchie

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Re: Not recovered from knee surgery after a year
« Reply #4 on: June 12, 2011, 02:52:16 AM »
Thanks guys for the advice.

The only pain i get is that when i lift the leg and bend it at the same time, the stiff muscle makes the leg shake and the pain. If I take time off physio, it completely seizes.

In fact according to my physio, I had a good recovery when it came to getting the bend back etc, i had an exercise bike donated to me, plus i do these leg raises with a 5lb ankle brace too. Im not sure if theyre the right exercises, so its frustrating when there hasnt been a considerable progress since February 2011.

When asked by Lottie what type of surgery to have, I really dont know, only that I had figured out there were less evasive ones. My one was where i was cut down the centre of the knee, and had the knee cap relocated.

The orthapedic Professor who did my surgery, said to me when he visited me after the surgery said that the muscles were very loose, and found it difficult to tighten it.

When I was accessed prior to the operation by his right hand man, he said by looking at my leg muscles he reckoned there would be a great deal of muscle wastage. Had an X-ray, but no MRI though. One thing to also add that I was not given an MRI afterwards only asked questions did it dislocate since, the answer being no, so presumed outcome as a success.

Yes, the knee comes miles out than the other one, but the physio said the muscles are so non existent that its making the knee look miles bigger. Either way, both physio and Professor said they couldnt predict the outcome.

I am based in Ireland, in County Clare, and had my surgery done in a specialised Orthapedic Hospital, a very good hospital mind.

Ill give the knee another year, see how much it strenghtens, and if not.........well god know???















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