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Author Topic: multi tibial plateau fractures at 17 now 7 years on and more surgery  (Read 1833 times)

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Offline kirky2k4

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At 17 I had my leg shattered in a rta break peddle came up threw my foot shattering my angle and knee and 4 open fractures

this was in 2005

One which was tibial plate break (broke in 3 places each side and down the middle)

Had 2 x 6 inch plates and lots of screws

lost more that 50% my cartilage from the impact

i then had the plates removed and a osteotomy the re align my leg which the use 3 metal clips (was done at top near tibial plateau)

was told in 2010 that i need a total knee replacement but being 22 at the time i was too young.

last year at 23 i was told they would do a knee replacement if i want but try put it off as long as i can.

i have being told their is a  very high risk that i will end up with above knee amputation at some point specially if i have a knee at those age

the doctor is well know

Doctor Paul Sutton in Sheffield Claremont private hospital ( was transferred their from Barnsley and Sheffield NHS hospital )

now at 24 i have had enough the pain and went to see about the total knee replacement,

once again he said he will do it but would prefer try other options St

about 4 weeks ago i had arthroscopy of the knee and they tidy all the debris up in the knee

went back this week and he showed me the pictures from the arthroscopy and it shows the center the knee (plateau) their is a hole 15mm by 10mm

i am now awaiting to have specialist weight bearing X-rays and told i will need another osteotomy to move the weight bearing away from the hole

seems they will try every other option before a knee replacement

any one else ever experianced or come across a hole in the tibial plateau... its being almost 7 years now since the RTA so the hole must have got bigger due to walking threw the joint

regards Simon



« Last Edit: April 22, 2012, 02:49:13 PM by kirky2k4 »

Offline Lottiefox

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Re: Total knee replacement yes or no 23 years old with serious risks
« Reply #1 on: July 28, 2011, 09:57:19 PM »
Not an easy decision.......what function do you have now? Pain levels? Walking ability? Have they given you a percentage risk of the TKR not working and a possible amputation? I suppose it comes down to whether you can live with what you have or whether you take the chance that a TKR could get you better function. Its hard to comment without knowing how restricted you are at the moment. You certainly have been through a tough time.

I guess, putting myself in the position....if I REALLY could not live with the knee and leg as it was then I would take the risk and accept that even if the worse outcome happened it would not be worse than the state I was in now. I would have to be suffering a lot though to be willing to risk an amputation. Surgical risks are real - we always think they won't happen to us but they can do. I got RSD after a relatively common foot surgery and am still fighting it. I expected every other complication (or at least considered them) apart from what happened. I suppose I am saying that only do the op if you are ready to accept that there could be a chance you wake up with the leg gone. Clearly you would hope and pray that things worked, but expect the worse and in some ways you can't be surprised....

Good luck up in sunny Sheffield,  8)

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 Kimberly 77

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Re: Total knee replacement yes or no 23 years old with serious risks
« Reply #2 on: July 28, 2011, 10:09:58 PM »
Almost in the same boat as you except I am 10 years older then you. I am already a amputee and have issues with my only knee due to overuse. All I can say is what Lottie just said to you. If your life seems to be affected to the point it is not like living life anymore the surgery would be worth doing. If you are still able to get around and the pain isn't debilitating then maybe hold off for a while. They don't like to do these on us young ones because of risk of failure increases and they only are projected to last 10 to 20 years and they know more than likely we would live longer. Me being a amputeeI can tell you that it is not the end of the world to lose a leg. They have come so far with prosthetics after a year you probably wouldn't notice the difference much. I was never lucky enough to wear a prothesis and my life has always been full. Just remember that your case is a bit different then everyone elses and you have to be prepared for anything that you may not expect. Also if you have the replacement now, it will projectedly fail by the time you are 43, revisions often don't work, so amputation maybe in your future later on, but if you can get a few more years I would go through with it. I would rather have my life back now why I am young then to get it back at 60.
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline kirky2k4

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Re: Total knee replacement yes or no 23 years old with serious risks
« Reply #3 on: July 29, 2011, 12:20:51 PM »
Updated 1st post
« Last Edit: April 22, 2012, 12:33:23 PM by kirky2k4 »

Offline Kimberly 77

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Re: Total knee replacement yes or no 23 years old with serious risks
« Reply #4 on: July 29, 2011, 04:54:20 PM »
Sounds like alot of pain meds. I only take tramadol for pain, it don't work well though. It seems your life has been changed greatly by this and that should be your deciding factor. I have 3 kids, 12, 8 and 3 years old so I can relate to not being able to do things with the kids. It sucks! Good Luck and I hope you get some relief from your pain soon.
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline kirky2k4

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Re: Total knee replacement yes or no 23 years old with serious risks
« Reply #5 on: April 03, 2012, 08:01:03 PM »
Updated 1st post
« Last Edit: April 22, 2012, 12:33:48 PM by kirky2k4 »

Offline Fischbeck

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Re: Total knee replacement yes or no 23 years old with serious risks
« Reply #6 on: April 04, 2012, 06:19:33 PM »
A proceedure called MSC (Mesenchymal Stem Cells) with BMAC (Bone Marrow Extract Concentrate) worked for my knee. I had dead bone and three huge lesions(14 to 17 cm sq) that had no borders. I traveled to Milan, Italy and Doctor Alberto Gobbi of OASI fixed my knee. New bone and cartilage regenerated. It is like having a new lease on life. My Doctor John Lane of Scripps in San Diego was instrumental in setting the relationship up. I am only one person and it worked for me. The proceedure has been approved in Europe Since 2004 and the first operation was in 1998. Around 20,000 people world wide have had this proceedure with great success. Doctor Lane actually traveled to Italy to attend the second operation with Doctor Gobbi. Dr Lane was able to see the effects of the first proceedure 18 months before and watch how it was done for the second time. He was amazed and is now a true believer. I have the information and know how if anyone wants to repeat my steps. Feel free to ask. Google all the above. See Ya

Offline kirky2k4

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Re: Total knee replacement yes or no 23 years old with serious risks
« Reply #7 on: April 22, 2012, 11:24:47 AM »
Updated 1st post
« Last Edit: April 22, 2012, 12:34:27 PM by kirky2k4 »