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Author Topic: Tibial Tubercle Osteotomy tomorrow! What to expect?  (Read 20234 times)

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Offline sy5gtt

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Tibial Tubercle Osteotomy tomorrow! What to expect?
« on: November 21, 2011, 09:40:08 AM »
It's been a long 3 months waiting for this op but the day is nearly here! Just wondered if anyone knew what to expect recovery wise/time off work (factory, no sit down jobs), driving etc?

Offline Jwin138

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #1 on: November 21, 2011, 07:01:12 PM »
Hey - I havent had the surgery - but have been reading about it - here is some info you might find useful?

Tibial Tubercle Osteotomy
Tibial tubercle osteotomies are important surgical techniques in the operative management of patellar instability and patellofemoral pain.

When is a patient a candidate for tibial tubercle osteotomy?

History of multiple knee subluxations or dislocations
History of patellar and femoral pain
Physical Therapy has been exhausted
Non surgical management has failed

and this article from Bostonssc.com
http://bostonssc.com/assets/pdf/TTO_Protocol.pdf

good luck!


What is involved pre operatively?

continuation of therapy to help strengthening the quadriceps
x-rays
MRI
Pre operative anesthesia consult depending on patients needs


What is involved with the surgery?

The surgical approach is relatively straight forward and the osteotomy is a low risk technique
The osteotomy technique is a greenstick-style distal osteotomy that avoids periosteal stripping appears to optimize bony consolidation, thereby minimizing postoperative fractures.



What does post operative incision care consist of?

Day 3 patient may remove ace wrap and dressing
Steri strips are to remain intact until shriveling up or falling off
Patient may shower after day 3
Patient may not bath or swim until released by the doctor


Post operative care?

Patient will be NON weight bearing on the affected leg for 6 weeks
Patient will require use of crutches
Patient will wear a knee immobilizer
Patient will start slow Range of Motion Exercises at home

When is the Follow up Visits?

7-10 days post operatively
6 weeks post operatively
3 months postoperatively
As needed

When can the patient start to bear weight?

Generally 6 weeks postoperatively
Then the patient can bear weight without crutches in the knee immobilizer for about a week then wean out of the knee immobilizer.

When can the patient return to full activity?

This is individualized for each patient, but generally 3 months after surgery.  Some patients may require the use of a patellar stabilizing brace for contact sports.

When to call the office?

fever greater than 101
increased pain not tolerated by pain medication
redness or drainage at the incision site

Offline Silkncardcrafts

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #2 on: November 22, 2011, 12:14:30 PM »
Each surgeon has their own protocol.

Just follow their guidelines and you should be fine.

Good luck with your surgery.
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Offline sy5gtt

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #3 on: November 23, 2011, 08:38:10 PM »
Just an update. I have had the op now. I am fwb locked and nwb unlocked for 6 weeks. Hurts like hell with the brace on as the straps go right on top on the main cut.

Offline Jwin138

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #4 on: November 23, 2011, 09:21:38 PM »
hey sy5gtt - hang in there and i guess dont be shy to take the pain meds.
hope your recovery goes well!

Offline sy5gtt

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #5 on: November 24, 2011, 08:50:33 AM »
Cheers  :) this morning was awful. Pain like no other and back ache now too. Been up about an hour and it's easing up a bit. Knee is swollen to almost double the size so ice packs all day today.

Offline martzzzz

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #6 on: November 24, 2011, 06:58:56 PM »
Hope the pain lessens as the day goes on!

I am actually scheduled for the TTO in 2 weeks (as of yesterday) and as it grows closer, I am freaking out. I'm 21 living with 2 roommates and 6 hours away from 'home'.

Anyway, the reason for my reply is to address that you are FWB immediately. After a lot of research, I've read a lot of things about the TTO being NWB and crutches for 6-8 weeks, etc. Finally, I found someone who is FWB immediately as I have been told.

Please keep us updated, I'm curious to see how these first few weeks go for you!!

Offline sy5gtt

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #7 on: November 24, 2011, 09:08:51 PM »
Yeah full weight bearing with locked brace. Today has been a bit better and just been using 1 crutch around the house. Still very painful as brace straps right on screws. I'll keep you posted :-)

Offline martzzzz

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #8 on: November 25, 2011, 06:09:14 PM »
hmm that stinks! What kind of brace do you have? I wonder if there's a solution to that. Hopefully it doesn't cause more unnecessary swelling or irritation for you! :(

Did you get a pain/nerve block after your surgery? My doctor was talking about something like that because I do not take narcotics or really any type of medicine but I'm wondering if holding off on the pain might make the healing process worse.

Offline KW

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #9 on: November 25, 2011, 06:40:39 PM »
Still very painful as brace straps right on screws.

Solution for this issue....Take a elastic bandage (ace bandage type) and fold into a square roughly large enough to cover the site of the screws.  Place this over the screw site under the strap of the brace.  It will provide enough padding that it should stop the irritation the brace strap is causing.
Right Knee
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Offline sy5gtt

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #10 on: November 25, 2011, 07:29:07 PM »
hmm that stinks! What kind of brace do you have? I wonder if there's a solution to that. Hopefully it doesn't cause more unnecessary swelling or irritation for you! :(

Did you get a pain/nerve block after your surgery? My doctor was talking about something like that because I do not take narcotics or really any type of medicine but I'm wondering if holding off on the pain might make the healing process worse.
I did ask the anethetist but he said they don't work very well below the knee. Just on ibuprofen and tramadol.

Offline sy5gtt

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #11 on: November 27, 2011, 09:14:29 AM »
Ok so my leg is now swollen quite badly. Even my foot! I can no longer get a shoe on. Any tips on reducing this?

Offline Lottiefox

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #12 on: November 27, 2011, 10:55:52 AM »
Swelling is normal. You've had bonework done. Elevate - and that means higher than your heart not just putting the leg up in front of you. You might be trying to do too much - after my foot op it all felt wonderful after the initial post surgical bone pain worse off - I was upright too much and had a LOT of swelling. Try and keep elevated and do any flexion work you can; have you been told you can start bending if you're not WB at the time? Lots of ankle pumps (like you're blowing up a tyre with a foot pump) will help the foot swelling and the calf blood flow. Ice is good, but only 20 minutes per hour and never directly on the skin. Constant ice can do more harm than good.

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 sy5gtt

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #13 on: November 30, 2011, 08:51:01 AM »
Thanks Lottie  :)

Quick update. 1 week post op today. Pain is (sort of) under control as long as I keep up the med's. Running out of Tramadol and not seeing the surgeon until next week. My foot is almost covered in one big bruise but I'm walking around the house crutch free. All in all it's ok (I think).


Offline WonkeyDonkey

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Re: Tibial Tubercle Osteotomy tomorrow! What to expect?
« Reply #14 on: November 30, 2011, 12:30:04 PM »
Hi

I am currently 3 weeks post op for a HTO, my main thing to say is keep up with the pain meds, always make sure you take them regularly. I have had loads of swelling and bruising, and icing certainly helps. I am using a cryo cuff, 4 times a day and twice at night, which has reduced the swelling considerably. The bruising changes colours each time you look, and purple and yellow are my main shades. My pain meds are Co-Dydramol which I take 2 four times a day. I have had no real pain, only when trying to bend my knee. I have been non weight bearing for two weeks and upon seeing my OS, I can now put about 20% weight through my leg.

Hope all is going well and keep positive, which KG is a great source of support. There are lots of positive people on this site to help us through.

Good luck
WD
















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