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Author Topic: lateral release problems afterwards now what to do?!  (Read 1194 times)

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Offline 1dell24

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lateral release problems afterwards now what to do?!
« on: October 16, 2011, 04:30:59 AM »
so i dislocated my knee, and went to phy. thep. for about three months and my knee never got better i had really bad pain, and it just wasn't workin so my doc decided to go in and scope my knee which he found i had a crack in the cartliage in the back of my kneecap, and then did a lateral release he said recovery time would be bout 3 months, so after that i started p.t. right away and i really was doin way better than i was doing before and now its been about 4 months since the surgery and i deal with it catching alot, like when my knee is straight and i bend it the whole thing will like shift and pop, and i've been just really really struggling with it, went to doc he said it was my quad strenght so cont. with p.t and prescibed me the bledsoe 20.50 brace, the brace does seem to help with some of my symptons, but still deal with a lot of the catching/popping with it. went back for my checkup with him he said the crack in the back of my knee cap could be some what troubleing to me, but he did suggest another surgery that would be more invasive to get my kneecap as centered as possible, i said right then i dont think i want that because bball starts in 4 weeks and thats lke my whole goal is to be ready for that he said, ok and to keep with thep. to improve my quad strenght cuz he really feels lke thats my issue right now. what do you think im really confused i had when it cathces but i also dont wanna miss bball if i dont have to either! and what might this surgery be he never did tell me the name he just said it was around a 6 to 9 month recovery.

Offline MamaAce

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Re: lateral release problems afterwards now what to do?!
« Reply #1 on: October 17, 2011, 02:40:39 PM »
I'm guessing your OS is talking about a proximal realignment, which I had done and with that you can't even start pt for 2 months, be prepared for an immobilizer for at least that long if not longer.  From what you are describing I don't think quad strength is your issue. Quad strength doesn't make your knee catch, it just makes it unstable.  Good luck with what ever you decide. But be aware if it is a realignment, you will need help for even basic things like getting in and out of bed.
Aug 2000-RT Knee scope w/LR
Nov 2000-LT Knee scope w/LR
May 2010-LT Knee proximal realignment w/LR
Nov 2010-RT Knee proximal realignment w/LR
Jan 2010- Fell in snow damaged trochlear groove RT Knee
Apr 2011-RT knee scope
Nov 2011-RT Knee TTT, LR and Distal Realignment

Offline aaa

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Re: lateral release problems afterwards now what to do?!
« Reply #2 on: October 17, 2011, 02:57:04 PM »
i think you should move this post, or ask in the patellofemoral forum

Offline Driden

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Re: lateral release problems afterwards now what to do?!
« Reply #3 on: October 17, 2011, 03:17:05 PM »
If a patient presets with a history that includes patella dislocation or subluxation in addition to pain, and the doctor says he wants to do isolated lateral release to make it "track" better, the patient needs to run--not walk--to the exit door. If the patient submits to this procedure, then it is no surprise when things don't work out, as making a loose patella even looser via release makes no sense. And i don't care if the doctor went to Harvard and operates on pro athletes.  Therefore, it is time for the patient to take charge of things, get a new doctor who is enough of a PF specialist to have reversal of the lateral release in his arsenal, and understand the procedures. This may require travel, but that is far less inconvenient than having more failed operations. Also, immobilizers are usually for doctors and patients who like really stiff knees and long and painful rehab attempts. The rehab protocol is often important to discuss with your new doctor.

Offline RLE

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Re: lateral release problems afterwards now what to do?!
« Reply #4 on: October 18, 2011, 06:18:35 AM »
What exactly is a lateral release and why would it be done for this particular problem? My surgeon put it on my release form and the second opinion doctor I saw said it was standard. I had a strong feeling that I shouldn't do the surgery (complete intuition since I know absolutely nothing about this) and have am still trying the PT route.
Accident 2011: permanent dislocation, hole under the patella, bone fragments/debris embedded, scar tissue, 3 torn ligaments, fracture, cartilage sheared off, contracture,
2011 MUA
PT on-going
2012 MPFL reconstruction,TTT
        TTT
        Lateral lengthenin
        Arthroscopy/clean out
Thx Dr. T