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Author Topic: Fulkerson osteotomy or PKR aged 39?  (Read 4370 times)

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Offline caroline889

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Fulkerson osteotomy or PKR aged 39?
« on: March 10, 2012, 09:25:14 PM »
Hi I'm due a fulkerson osteotomy for my right knee in the next couple of weeks. I'm really worried about it and in a lot of pain with both knees. I don't know if I'm making the right decision. I don't know whether I should have PKRs instead which is my other option at this point although ive been  advised against it. I am 39 years old. Has anyone been in this dilemma and what did you do. I wish I knew what to do at this point. Thanks
Dislocations since 1986
Lateral Release RK June 2008
Diagnosed trochlea dysplasia RK & LK 2008
MPFL Recon. &  microfractures LK & RK April  2009
Diagnosed grade 4 arthritis RK & LK 2009
Scopes  & microfractures RK & LK Nov  2011
Fulk'n osteotomy, mpfl recon& trochleoplasty RK March 2012 LK Feb 2013

Offline KW

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  • My new PFJR...Love It!!!!
Re: Fulkerson osteotomy or PKR aged 39?
« Reply #1 on: March 11, 2012, 01:41:38 AM »
If you are a candidate for a Fulkerson (your tt-tg offset must be off) then in order to have a successful PKR (a PFJR) you would need the Fulkerson anyway.   The PFJR will not be successful if the underlaying cause of the damage is not also corrected.  It's like putting new tires on a car with a bad alignment. 
Right Knee
2000 - 2002 - Scope,LR,TTT,Unscrewed
01-10-12 - PFJR

Left Knee
04/07 TTT/LR
08/07 Bone Grth Stim
10/07 Loose/Bent Screw
1/08 Unscrewed/MRI~NON-UNION
02/19/08 Lt  TTT Revision W/Graft
12/09/08 Scope
05/15/09 Scope
09/04/09 PFJR/Unscrewed

Offline captainruss

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Re: Fulkerson osteotomy or PKR aged 39?
« Reply #2 on: June 09, 2012, 08:03:32 PM »

If you have an alignment issue, your OS is not suggesting a PKR is he/she?  KW is absolutely right, unless doing both it won't work. 

More importantly, you are 39.  The path becomes steeper each time you have a PKR or eventually a TKR. 

If your OS is suggesting something other than correcting your alignment, I would suggest you search out a patella-femoral specialist and start over....make sure you are getting the correct diagnosis and then back it up with two (2) more opinions. 

I can tell you from experience, once you start down that path there is no going back.  Normally, PKR's and TKR's are hugely successful.  At 39 though, you are early.  I would give my left arm to go back and NOT do my surgery because my knee prior to the surgery was better than after any one of the 8 unsuccessful operations I have had.

80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?