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Author Topic: Patella Knee Tendon Rupture Treatment Plan  (Read 10916 times)

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Offline John42

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #15 on: October 02, 2012, 09:27:32 AM »
Hi Scammy

You are just about on track = the next mile stone is 120ROM, which should be reached in the next two months or so, and anything over 120 is a bonus.

Just one tip, the tendon is still very weak, so treat the knee with respect, ;isten to your knee and you will continue to make normal progress.

\keep posting

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline scammy

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #16 on: October 03, 2012, 12:07:53 AM »
John,

Thanks for the reply. Good to hear that I am on track. Is there a specific reason why I won't get over  120 degrees?

You are right about the weakened tendon. Just today, my knee slipped a little why walking and I felt the pain. The surgeon also said the same thing.

Thanks for the feedback and prompt response.

Offline John42

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #17 on: October 03, 2012, 11:30:40 AM »
Hi   Scammy

The reason why I stated 120Rom is simple - have your good knee measured, which should be in the region of 130/140 ROM - you lose a little in the operation -   I have finished up with 118ROM , but you cannot run after a bus, walking up and downhill is a B.................., and bear in mind, work hard at those stretching exercises, because what you achieve after 12 months is your lot.

Keep posting

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline scammy

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #18 on: October 24, 2012, 12:25:37 AM »
Just a status update. I am now at 120 degrees ROM. I still cannot straighten my leg all the way.
Hopefully, I can get more range of motion and my quads have a long way to go

Offline John42

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #19 on: December 24, 2012, 09:29:15 AM »
Hi Scammy

A further two months along the long road to recovery, and it`s two months since you have posted.

So, what is the current situation.

With seasons greetings

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline scammy

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Re: Patella Knee Tendon Rupture Treatment Planua
« Reply #20 on: December 24, 2012, 04:33:52 PM »
JohnK,

Thanks for the post. My current situation is 130 ROM which is very good. Taking steps is still very painful. I still need to strengthen my quads. The exercise bike and elliptical machine is being used but results seem to be very slow.

Thanks,
Sam

Offline scammy

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #21 on: January 12, 2013, 05:35:40 AM »
JohnK,

I was wondering if I could ask a few questions. As stated in my earlier post, I am at 130 ROM but my leg still looks like a noodle. I do physical therapy 3x per week for about an hour each session. This primarily includes bicycling, leg lifts, leg press, elliptical machines. I am almost 23 weeks post injury and I still have pain going up/down stairs. I think this is primarily due to quad muscles being weak. I can walk fine but my progress seems to be very slow. On the leg press, I use only my damaged leg and can do about 90 lbs (no pain). The leg lifts about 15 lbs (painful), hamstring (leg pushes) about 50 lbs (no pain).

Am I on track or am I not doing something right?

Any help will be greatly appreciated.

Thanks,

Offline John42

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #22 on: January 12, 2013, 12:33:02 PM »
130 ROM at six months is very good, but you still have lots of work to do, as my Consultant, used to say,  hard work up to 12 months and then you will not get much more to increase that noodle.

Upstairs, will always be a problem, so much for me, that I sold my beautiful house and bought a flat.  In this way, I have no stairs - but it has made a vast improvement to my life.

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Pauljohno

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #23 on: January 31, 2013, 07:27:21 PM »
Hi John and all,

Baring in mind I did the double, my rehab has not really been any different to the singles club.
I can't wrap my head into what ever ROM I end up with after 12 months will be it'.
The limit will be mechanical as in how my knee will go, tendon's and muscles must be able continue to be stretched beyond the 12 months, if I am not wrong?
I taught martial arts in my teens and twenties and remain convinced that anybody can improve their flexiblity with a steady regular stretching routine.
Still at the 5 1/2 month stage I am frustrated how slowly my quads are regaining strength. During the martial arts time I began weight training more and more and ended up kicking the Kung Fu and being a hell for leather weight trainer.
Being lucky to have been around intelligent bodybuilders from the start, I have always stuck by the key to building muscle is to use the max resistance through the max range of a muscles movement, using a set and rep system.
Sort of rationalising the slow re growth of my quad's being linked to me still not being able to work them through their max movement range, though I am not far off, if we are talking using a leg press. However the resistance is still not enough to stimulate growth in my quads. I have not yet got the sore muscle feeling in my quads or anything near the fealing that they are being worked to a level I would like them to be.
'Am I wrong or is it just as I think a question of keeping at it and increasing and increasing to gain the strength and gain the  associated stablity of re built quads should give me. I have cut back on direct hamstring stuff now I have sort of got over in braces and lack of use wastage in this area.

Offline scammy

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #24 on: February 28, 2013, 03:00:55 AM »
Pauljohno,

You describe the exact same thing that is happening to me. I can work out on a bicycle or elliptical machine forever and the quads in my good leg are sore the next day but the quads in my bad leg are NOT sore at all. When I exercise, I try to use my bad leg more but it doesn't help.

My step down exercises don't seem to work either. I cannot slowly bend my knee such that I can control the descent to the lower step. It just seems like I "fall" to the lower step. I think this is all to my weak quads.

Have you had any luck in building quads?

Offline Jedward

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #25 on: March 04, 2013, 06:59:06 PM »
Hi Scammy et al.  I ruptured my patella tendon playing football 7 weeks ago.  Initially in a brace set to 30 degrees, at 6 weeks it increased to 50.  I can get it to 50 but it is very stiff and very swollen.  Also very tender to touch still and there is a part of my knee I cannot feel at all.  During the op they also wired the knee which I was told is likely to snap when I have full movement and will need to come out most probably.  It feels a long process so far and reading your progress it is going to be a long haul.  I was told I would be in the brace for 12 weeks as this is the time you are most at risk of snapping it again, should 90 degrees be exceeded.  However on my last consultation I was also told that once my knee no longer tender and I can get to 90 degrees  they will take it off.  I imagine on my 8 weeks review I will go to 70 in the brace before at 10 or 12 it goes to 90 - will see.  I'm 37 so no more football for me.  Just want to make the best of it, work hard on the physio and play some golf.  Ay tips or advice welcome ... :)

Offline John42

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #26 on: March 04, 2013, 07:36:02 PM »
Hi Jedward

Welcome to the RPT treatment plan - I would suggest that you repost your story on the RPT surgical webpage - lots of buddies out there to help through on your long rehab journey.

    Where do you live?

At six weeks, you should be coming out of the brace and the knee should be about 30/40ROM, so you are not doing bad.

I suggest that you read a set of documents which I have compiled over the years, and don`t forget ASK questions.

Take care - keep in touch
JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Jedward

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #27 on: March 04, 2013, 09:36:20 PM »
Hi Johnk, I'm on the wirral, so not far from you

Thanks for the post, I will read your doc and repost as you suggested.  Cheers, John

Offline TendonTim

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #28 on: March 20, 2013, 09:27:26 PM »
Hi everyone,

I'm very interested in the progress that everyone has been making here. I ruptured my right patella, and medial and lateral patella retinaculum on 2/10/13. I had my surgery on 2/15/13. 2/16 I was set up by my physical therapist with an electronic stimulation machine and a list of other exercises to do. To date (4 weeks 5 days) I have 80 degrees active flexion, and I can do 2-3 sets of 5 straight leg raises without pain. I'll start physical therapy tomorrow with home exercises and progression to 90 degrees flexion by next friday. After that, I have clearance to really go at the bending past 90 degrees. My question to everyone is: what did you all use to gain the natural movement? Right now, I have to warm my knee up before I get to the 80 degrees. Waking up in the morning, I only have about 30-40 degrees flexion.


Just my input on progression of the ROM. I'm a second year med student in the US and I'm studying for my USMLE step 1. I can post the links for some of the literature that I've been reading if anyone would like to know the source of my info. Majority of the studies associate early ROM (30-45 degrees) immediately post op with increase strength of the repaired tendon. This is mainly due to stronger cross linking of microfibrils in the repair. During the 4 week post op, the body begins to lay down Sharpe Fibers that anchor tendon to bone. That process is complete enough by 6 weeks post op to begin vigorous active flexion. The repair is still not adequately strong enough to support heavy lifting until the 3-4 month time period when the type 1 collagen has been completely laid down. After this point, it should be ok to really work the muscles around the joint as the tendon should be strong enough to receive the load. This is more of a general process that will vary from person to person and things are not always like textbooks say so please dont take my word as gospel, but more general information. Also, if anyone sees anything i said as incorrect, please feel free to correct me.

Oh, and I'm not sure I agree with 12 months being the limit on achieving full ROM. The body is capable of some amazing things.

Offline John42

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Re: Patella Knee Tendon Rupture Treatment Plan
« Reply #29 on: March 20, 2013, 09:55:28 PM »
Hi Tim

Have a look at Ruptured Patella Tendon Surgery, would be wise to post on that webpage

Take care

JohnK/Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon