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Author Topic: 2 weeks post op femoral osteotomy  (Read 1987 times)

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Offline Msjcarter

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2 weeks post op femoral osteotomy
« on: May 27, 2012, 09:28:58 PM »
Hi i sm 29 years old 2 weeks post op on a femoral osteotomy. My rom is bad bending at 45 degrees. Dr needs me at least 90. Having trouble bending.i try and try but my knee just wont bend. Also dr had to cut my muscles and nerves to get to my bone. We have no quad response yet. Pt tried electric stim which didnt work. Im still very swollen in my knee. Hurts bad almost as if i can feel the hardware. At times i have pain under my insicion.please help

Offline WonkeyDonkey

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Re: 2 weeks post op femoral osteotomy
« Reply #1 on: May 27, 2012, 10:05:57 PM »

I know how you must be feeling, I am six months post op on a HTO. Keep up with you pain relief, as this will help when doing physio/exercises. At 2 weeks I only had 30 degree bend, I now have the same as my good leg. Do you have access to a cpm machine, as this can help. Do you have exercises to do at home to help with this?

Ice the swelling as this should reduce it and make the bending a little easier.

Good luck and let us know how you get on. Keep positive.


Offline captainruss

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Re: 2 weeks post op femoral osteotomy
« Reply #2 on: May 31, 2012, 07:12:43 PM »

What is the OS's reason for the swelling?  At two weeks, has the swelling gone down at all? 

Is your knee hot to the touch?  Is it red or pink??  It sounds painful, but the ROM is probably due to the swelling.   

I really would be very curious as to what the doctor wants to do for your swelling and what he/she thinks it is?

I did not have an HTO, but I had multiple TKR's.  I am not trying to scare you because my case is in the 1/10th of 1 percent category...whereas yours is going to be excellent after you recover!

I had the first TKR and it was swollen and hot.  I had no ROM so my OS#1 did a MUA with no success.  After the second MUA, he stated my knee was infected.  He said infection was causing the swelling.  Finally, he indicated that he must remove the TKR, clean out my knee, and put another full TKR in.  On the table, he took tissue samples (as he had one 4 previous times in his office) and it all came back negative each time.
He decided I was not infected, so he cut out excessive scar tissue and closed me up.

OS #1 said he could help no more so off to OS#2.  Again, he said it was infected.  I won't go into the rest of the story, but I have had three (3) OS and three (3) infectious disease specialists who all said it swells due to infection, yet not one culture for infection ever turned up positive.

The underlying swelling is the issue and someone must determine correctly what is causing that swelling and treat you promptly.  If there is some complication causing the swelling, timely treatment will cure it easily.  If you wait, it might not be treatable.

In your case, you are only 2 wks post op so your might just be swelling because of surgery.  Take some time and read on this forum about AF (arthrofibrosis)  There is a paper by Dr. Frank Noyes on the subject in this forum.  Read it carefully and watch for the signs just in case.

I did not learn about it quick enough and now suffer.

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?

Offline Msjcarter

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Re: 2 weeks post op femoral osteotomy
« Reply #3 on: June 05, 2012, 02:43:03 PM »
i saw my os 2 days ago he said im healing well. but i ice and elevate all day,go to pt im 1 month post op now and my rom is only 55. :( still very swollen

Offline Msjcarter

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Re: 2 weeks post op femoral osteotomy
« Reply #4 on: June 18, 2012, 11:53:48 PM »
hi dr checked me for infectons all test came back fine no infection or dvt present. he dont know why i am so swollen. my rom is only a 70. he said my patella is stuck.