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Author Topic: Shattered kneecap... One Year later still torture  (Read 1630 times)

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Offline Happygma

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Shattered kneecap... One Year later still torture
« on: August 28, 2011, 12:15:46 AM »
Hi, In October of 2010 I fell and shattered my right kneecap, it was in hundreds of pieces.  They wired and pinned it back together.  Two months later they went in and cleaned it up removing a few small pieces.

It is nearly a year and I find it torture to walk up or down stairs or stand or walk any great distances.  I am really active and do force it until by evening it is swollen and so painful I can barely stand it.  I went in to the Doctor several months ago and told him this and he was bothered by my compaint.  He had his PA give me weekly injections into the joint saying it was athritis.  None of the injections made a bit of difference.  The pain is not in my joint, it is in and around of the kneecap itself.

Does anyone have any suggestions.  I am an active 66 year old woman and do not have any osteoporosis or arthritis.  I have to tell you that my Doctor is one of the best sports medicine Docs aroung, but he does not relate with older people.  I asked if maybe I should have a total knee replacement, he said it was too damaged and "if you are still alive in 15 years it could be an option".  I felt like saying "well, it you are alive in 15 years, maybe I will let you do it".


Offline kneepaincure

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Re: Shattered kneecap... One Year later still torture
« Reply #1 on: September 08, 2011, 02:42:24 AM »
You could find a doctor who deals more with older people.. That was a real rude thing to say to you even as a joke..
Have had tilted kneecaps for many years, and occasional patellar tendinitis.

Offline Lottiefox

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Re: Shattered kneecap... One Year later still torture
« Reply #2 on: September 08, 2011, 09:39:59 AM »
Have they ever discussed the state of the cartilage on the kneecap? Unfortunately shattering the bone so badly may well have removed a lot of the covering behind the patella. Then, even if the bones heal well you'll have a surface that is compromised and thus may create pain on activity that loads the patella surface (eg stairs). It is a form of arthritis, as the joint surface has been affected but through a trauma rather than slow wearing out. Unfortunately we do tend to have some wear and tear anyway on our kneecaps however fit and active we are, so such a bad break may have exacerbated it. There are options for partial replacements, perhaps you need to find a patella specialist who can discuss the state of the patella and talk through options. Many on here have had PFJRs - or partial replacements of that section. But, you need someone to look at why it is still painful. I would say also that broken kneecaps seem to be the SLOWEST things on here to heal and return to function. Even a year can be part way - but I would definitely seek a specialist view from someone who knows the kneecap well. Mr "If you're still alive in 15 years" wouldn't come near me with his saws.... :P

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....