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Author Topic: MPFLr 8wks post op and ROM 124!!  (Read 1409 times)

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Offline DebraJean

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MPFLr 8wks post op and ROM 124!!
« on: February 02, 2012, 07:19:28 PM »
At 8 weeks post op os took me out of brace and said to use it! I looked at him like he was nuts! Well, the PA was who I seen, lol.  I was freaked and said I would walk on it with brace unlocked and work up to no brace.  It was very scary after non wt bear for 2 wks and then wt bear with brace on and locked.  Started that night at home and have been just fine, lol, if not chicken.  It's hard to trust a kneecap that was very unstable before!!  Called my PT and asked him to measure my ROM.  He was suprised I was not coming in with orders but when he measured it was really suprised!! So was I!!  After last dislocation in Oct and before surgery ROM was back to 135 so I'm only about 11 off.  Just an update, thanks Deb.

Offline oohheykate

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #1 on: February 03, 2012, 02:32:08 AM »
Wow! That's awesome! You're doing really well. Keep up the good work.
-18 years old-
Left knee;
11.07.08- Scope
07.02.09- Lateral Release/Meniscus Repair
11.11.09- diagnosis of Patellar Instability/Patellar Tracking Disorder
12.10.09- Medial Reefing/Lateral Release
01.11- Synvisc
04.14.11- MPFL Reconstruction
06.21.11- LOA & MUA

Offline allyd

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #2 on: February 03, 2012, 02:44:29 AM »
Sounds like you are right on track! Great to hear!
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline DebraJean

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #3 on: February 04, 2012, 02:01:57 AM »
Thanks guys! Do you know how long it takes to rebuild up the muscles of the leg?

Offline allyd

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #4 on: February 04, 2012, 02:19:28 AM »
Hard to say... Definitely depends on the individual, how you progress, how much wasted away, etc.

My experience: just past 4 months post op... I'm still working to build up to full strength. At 12 weeks, they had me do a functional test that suggested I was about 80-85% of full strength compared to my other leg. From a visual stand point, it was around 3 months that I finally saw some definition to my quad... and it still looks smaller than the other. I know I'm getting close, but there's plenty of work left to do. I'll do another more advanced functional test at 6 months - they tell me it is designed to measure whether my leg is strong enough to return to sport, and the movements associated with. While the first one is to measure for functional, day to day activity.

But from a purely, functional, daily life standpoint... I felt strong enough and stable around 12-14 weeks. I no longer had to space out shopping trips, cut them short, avoid certain housework, etc... I was definitely back to normal life coming and going as I please.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline oohheykate

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #5 on: February 04, 2012, 03:18:40 AM »
Like allyd said, it depends on the person and how much PT you're doing. About a month after my MUA/LOA (about 13 weeks after MPFLr), I was feeling pretty strong doing normal everyday things except walking down stairs. Sadly, my leg still kind of shakes when I walk down them even though I walk them ten times a day at school. I am slacking and not doing my exercises. If I did them, I would probably be close to 100% by now.
-18 years old-
Left knee;
11.07.08- Scope
07.02.09- Lateral Release/Meniscus Repair
11.11.09- diagnosis of Patellar Instability/Patellar Tracking Disorder
12.10.09- Medial Reefing/Lateral Release
01.11- Synvisc
04.14.11- MPFL Reconstruction
06.21.11- LOA & MUA

Offline DebraJean

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #6 on: February 04, 2012, 05:45:22 PM »
Ok, thanks for the timeline.  I can -- almost-- clean most of my house without putting something off for the next day. (and my house is not huge).  Since I'm not going to PT I will have to measure it on daily jobs.  I am a cosmetelogist and if do nails all day, where I am sitting, I can work full days.  I've done a few hair clients and that still wears me out faster.  I usually use my lt knee to raise and lower my chair and I can really feel it.  On this coming monday I'll know for sure because I will do a foil color and a couple haircuts plus a few nail clients.  I see fast food for dinner that night in my familys future, lol.  Stairs are still hard but I dont have any at home and don't encounter many in my daily life. Thanks a bunch, Deb

Offline DennisKnee

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #7 on: February 13, 2012, 08:03:41 AM »
I'm very curious about your MPFL reconstruction as I haven't come across too many in this forum and am having one, together with an ACL reconstruction in 6-8 weeks. I'd appreciate any info you can share about the surgery e.g. choice of graft, recovery and rehab protocols etc. if you'd be willing.

Thanks. I hope it's all progressing well for you.

 :)
Sep 10 - confirmed ACL & medial meniscus tear
Dec 11 - chronic patellar dislocation - MPFL tear
23 Feb 12 - scope, MUA & 50% medial meniscectomy
17 Apr 12 - ACLr and MPFLr

Offline oohheykate

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #8 on: February 14, 2012, 12:45:27 AM »
DennisKnee,

if you look in the various post-op sections or patello-femoral section you should find diaries. Here's a link to my MPFLr diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=55881.0

I don't think many people have had them in conjunction with ACL recons though.
-18 years old-
Left knee;
11.07.08- Scope
07.02.09- Lateral Release/Meniscus Repair
11.11.09- diagnosis of Patellar Instability/Patellar Tracking Disorder
12.10.09- Medial Reefing/Lateral Release
01.11- Synvisc
04.14.11- MPFL Reconstruction
06.21.11- LOA & MUA

Offline DennisKnee

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #9 on: February 14, 2012, 06:35:40 AM »
Thanks a million! I'll be sure to take a look  :)
Sep 10 - confirmed ACL & medial meniscus tear
Dec 11 - chronic patellar dislocation - MPFL tear
23 Feb 12 - scope, MUA & 50% medial meniscectomy
17 Apr 12 - ACLr and MPFLr

Offline DennisKnee

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #10 on: February 14, 2012, 09:55:35 AM »
Hey Kate,

I'm only a few pages in and already loving your post op diary. Admittedly it's got me pretty nervous about what's ahead but I guess it's better to have some idea, though I doubt one can be truly prepared. Still haven't had any luck finding an ACL & MPFL combo but I'll keep looking.

I sure look forward to the day I can post "ROM 124" - must be a great feeling!

:) Karen
Sep 10 - confirmed ACL & medial meniscus tear
Dec 11 - chronic patellar dislocation - MPFL tear
23 Feb 12 - scope, MUA & 50% medial meniscectomy
17 Apr 12 - ACLr and MPFLr

Offline oohheykate

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Re: MPFLr 8wks post op and ROM 124!!
« Reply #11 on: February 15, 2012, 12:58:49 AM »
Karen,

Ah, sorry I've gotten you nervous! The first week, I was on pain meds that I'm tolerant to so my pain was up there and I had three surgeries before the MPFLr so it wasn't a straight forward recovery like it would've been if it was my first surgery. It's worth it in the end, I can tell you that! I don't even remember the pain or anything. My knee feels better than it has ever felt. And it's definitely great when you achieve almost full ROM!
-18 years old-
Left knee;
11.07.08- Scope
07.02.09- Lateral Release/Meniscus Repair
11.11.09- diagnosis of Patellar Instability/Patellar Tracking Disorder
12.10.09- Medial Reefing/Lateral Release
01.11- Synvisc
04.14.11- MPFL Reconstruction
06.21.11- LOA & MUA