Advertisement - Hide this advert





Author Topic: Are All Knee Surgeons Useless?  (Read 5026 times)

0 Members and 1 Guest are viewing this topic.

Offline Kneecapped.

  • MINIgeek (20-50 posts)
  • **
  • Posts: 20
  • Liked: 0
Are All Knee Surgeons Useless?
« on: September 10, 2012, 08:34:45 PM »
Sorry for my cynical thread title but after seeing my second opinion consultant today I'm under the impression that all knee surgeons are either useless or clueless when dealing with patellectomy patients. The reason for my sweeping statement is simple, I'm now 12 weeks post op for a meniscal meniscectomy and still on crutches with zero ROM and extreme pain, the consultant decided that either I should go back too see the consulatnt who performed this surgery, or he could manipulate my knee joint under anaesthetic but warned I may end up in an even worse condition.  >:(


Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4627
  • Liked: 372
  • Neelie knee!
Re: Are All Knee Surgeons Useless?
« Reply #1 on: September 10, 2012, 08:41:41 PM »
My experiences of the 3 orthopaedic surgeons I have seen in the last 3 years has been excellent (2 for knees, one for elbow - all seen privately to be fair, but all have an NHS practice too)

Perhaps you need a patello-femoral specialist (there are a handful in the UK) or a surgeon working at one of the more specialist centres / orthopaedic specializt hospitals.  A patellectomy is presumably pretty unusual?  It would seem wise to see the surgeon who did your surgery if you can?

Good luck  :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Kneecapped.

  • MINIgeek (20-50 posts)
  • **
  • Posts: 20
  • Liked: 0
Re: Are All Knee Surgeons Useless?
« Reply #2 on: September 10, 2012, 08:55:04 PM »
My experiences of the 3 orthopaedic surgeons I have seen in the last 3 years has been excellent (2 for knees, one for elbow - all seen privately to be fair, but all have an NHS practice too)

Perhaps you need a patello-femoral specialist (there are a handful in the UK) or a surgeon working at one of the more specialist centres / orthopaedic specializt hospitals.  A patellectomy is presumably pretty unusual?  It would seem wise to see the surgeon who did your surgery if you can?

Good luck  :)
I can't find one though Vickster, I've seen 3 at Wrightington, one at Sunderland and two at Blackburn. All I get is either "sorry but there's nothing can be done to aid stability or "we can't put the clock back and put your patella back in". I'm so angry and unhappy with events, I've no other income coming in I have to rely on my wife for everything and have absolutely no quality of life.

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4627
  • Liked: 372
  • Neelie knee!
Re: Are All Knee Surgeons Useless?
« Reply #3 on: September 10, 2012, 09:12:29 PM »
Are you able to travel?  Perhaps try the Ortho centres as Oswestry, Birmingham and Stanmore - phone or email?

http://www.rjah.nhs.uk/

http://www.rnoh.nhs.uk/

http://www.roh.nhs.uk/

Adrian Wilson near Basingstoke is PF focussed http://www.kneeguru.co.uk/KNEEsurgeon/wilson02/contact.php

and there is another chap in Norfolk http://www.kneeguru.co.uk/KNEEsurgeon/donnell01/contact.php

I realise none are that close - Oswestry in NW must be closest?

Is your GP prepared to refer you to anywhere?

All the best :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Kneecapped.

  • MINIgeek (20-50 posts)
  • **
  • Posts: 20
  • Liked: 0
Re: Are All Knee Surgeons Useless?
« Reply #4 on: September 11, 2012, 08:17:22 AM »
Thank you very much Vickster for that list, I will make an appointment with my GP and get him to refer me to either of those.

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4627
  • Liked: 372
  • Neelie knee!
Re: Are All Knee Surgeons Useless?
« Reply #5 on: September 11, 2012, 08:28:28 AM »
Good luck - get the GP to contact them and see whether they feel able to help before waiting months (unless able to pay privately) and travelling hundreds of miles :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Kneecapped.

  • MINIgeek (20-50 posts)
  • **
  • Posts: 20
  • Liked: 0
Re: Are All Knee Surgeons Useless?
« Reply #6 on: September 11, 2012, 11:38:19 AM »
I've got an appointment to see my GP tomorrow. Out of the list of those consultants Mr Wilson sounds my best bet, even though it will mean travelling many hundreds of miles,  but seen as I'm at the last chance saloon I would travel many more miles if it meant regaining some quality of life back.

Offline Lottiefox

  • SuperKNEEgeek
  • *****
  • *
  • *
  • *
  • *
  • Posts: 2393
  • Liked: 16
Re: Are All Knee Surgeons Useless?
« Reply #7 on: September 11, 2012, 01:13:02 PM »
There are some danged useless surgeons out there I have to say! Adrian Wilson has an excellent reputation and as you say, travelling to get life back is well worth it. I had hoped things were settling down, I remembered you posting about all the issues a while ago and it seems you're not having much success with docs..

Good luck with the GP

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 Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4627
  • Liked: 372
  • Neelie knee!
Re: Are All Knee Surgeons Useless?
« Reply #8 on: September 11, 2012, 01:14:15 PM »
I think WonkyDonkey had an HTO done by Mr Wilson - I believe a private consult initially and then transferred onto his NHS list.

Hopefully, she'll come along :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Kaddydee

  • Regular Poster
  • ***
  • Posts: 131
  • Liked: 61
Re: Are All Knee Surgeons Useless?
« Reply #9 on: September 11, 2012, 11:41:27 PM »
Hey,

I feel your pain and frustration!  I am also 12 weeks post partial meniscectomy with no ROM, pain and only partial weight bearing.  Since the first op I have had another 3 arthroscopes/flush outs to see whats wrong.  I've seen 3 orthopedic surgeons and all are baffled.  Two of the surgeons have no people skills and I have had to rely on Google to work out what they are saying.  One surgeon really took the time to explain all the possibilities - he was fantastic but still didn't have clue!  He said he had never seen anything like it. 

Last week my main OS (I haven't seen for 4 weeks) said I have Compex Regional Pain Sydrome - I think this was the only way he could explain all my pain and lack of movement with a knee that looks fine.  This is how he told me.....he walked into the room and said "Go home and look up CRPS.  THis is what you've got - I've always thought so.  I'll see you in 8 weeks and if it's better and then we can do a MUA.  Make sure you keep eating" That's all he said!  He was about to walk out the door and I said that I had no idea what he was talking about.  He gave a very scientific answer (lots of big words) and walked out.  Thankfully there was a physio with me and she talked me through it once he left.  Unbelievable!!
I realise my knee is a complicated case but it would be nice if a surgeon would take the time to talk to me and give me some options, some ideas or even just be honest and say "I don't know". 

Starting Hydrotherapy today and am really hoping this will make a big difference - can only hope!
I hope things start to improve for you Solar Cycles and that you find someone that understands and can give you an answer.
Kaddydee

Offline Comjag

  • MINIgeek (20-50 posts)
  • **
  • Posts: 36
  • Liked: 0
Re: Are All Knee Surgeons Useless?
« Reply #10 on: September 12, 2012, 09:37:06 AM »
As far as I'm concerned meniscectomies should go the same way as the lobotomy has gone. With a damaged meniscus nine out of ten surgeons are going to start cutting from habit (when you have a hammer everything looks like a nail!), instead of , for example, admitting to the patient that they might not have all the answers.
There was a story on the Tonic program here in Australia last year where a study by the University of Sydney found most patients who underwent meniscectomies had worse symptoms after their operation than before. The only occasion when it was recommended is when a piece of the meniscus was causing a 'clicking' sound in their knee when they walked.
I hope stem cell science soon soon obviates all need for this operation, or at there is greater awareness generated among OS's that cutting the meniscus out is not some sort of cure all.
2004 Left ankle fusion
Sep 2011 Left knee arthroscopy - partial meniscectomy of medial meniscus and chondroplasty
Mar 2012 Left knee arthroscopy - partial meniscectomy of medial meniscus
Oct-Dec 2012 series of three PRP injections into left knee.

Offline WonkeyDonkey

  • Forum Faithful
  • ****
  • Posts: 219
  • Liked: 12
Re: Are All Knee Surgeons Useless?
« Reply #11 on: September 12, 2012, 11:30:22 AM »
Hi Solar Cycles

I can recommend Adrian Wilson, as like Vickster said he did my HTO. I first saw him privately as a self funding patient, and had my arthroscopy privately at the Hampshire Clinic. When it was decided that I needed a HTO, I transfered to his NHS list at Basingstoke & North Hants Hospital. I am lucky as he is only 17 miles away from me, but I would travel to see him if I ever moved!

He is very knowledgeable and I have asked loads of questions, taking along a list, which he has always taken the time to answer. If I have not understood, he has taken the trouble to explain again.

Be aware that his waiting lists are not short and I was told that the waiting time for another arthroscopy is nine months on the NHS.

I know there are other patients of his on this site, but I can only give you my own experiences.

If you want any further information, please feel free to ask.

WD

Offline Kneecapped.

  • MINIgeek (20-50 posts)
  • **
  • Posts: 20
  • Liked: 0
Re: Are All Knee Surgeons Useless?
« Reply #12 on: September 13, 2012, 01:36:28 PM »
Thank you all for your replies and kind words, as of yet I haven't been down too see my GP due to my knee being very painful making it impossible to walk even with crutches. I'm in a dilemma really as to which way forward would be best. If I decide to see Mr Wilson the long waiting list would be far too long, nine months putting up with the amount of pain and discomfort I'm in and with no income coming in, due too me not able run my business, isn't really an option. I'm even considering getting in touch with consultant who performed the surgery and making an appointment to see him, although having made a complaint against him and the nursing staff would probably mean I wouldn't be welcomed back with open arms.

Lots to ponder over but feel I'm caught between the devil and the deep blue sea. Who would think that having no patella would prove such an obstacle in this country, I've read medical journals where there are a couple of options available to me but alas the funding and expertise isn't, here in the UK. :(

Offline RLE

  • Forum Faithful
  • ****
  • Posts: 361
  • Liked: 7
Re: Are All Knee Surgeons Useless?
« Reply #13 on: September 13, 2012, 10:02:57 PM »
Wow, I was in exactly your situation. I totally feel for you. Lost a year of my life (and income) and on crutches (still actually) excruciating pain. I couldn't find a doctor who could put together everything that was going on and fix it. Even in the most famous sports medicine clinic in the city. It was a nightmare. Last summer I fell into a deep dark depression I could barely move, I was going to end my life, I had lost everything with no hope or end in sight. Unbelievably one of the top surgeons in the country had me on a waiting list and called me. He's also an amazing human being, a healer besides being a surgeon.
So my advice is to seek out the best. Can you travel? I know that there are surgeons who are part of the Patellofemoral group in Europe who could help.
Don't give up.
Accident 2011: permanent dislocation, hole under the patella, bone fragments/debris embedded, scar tissue, 3 torn ligaments, fracture, cartilage sheared off, contracture,
2011 MUA
PT on-going
2012 MPFL reconstruction,TTT
        TTT
        Lateral lengthenin
        Arthroscopy/clean out
Thx Dr. T

Offline LAS

  • Forum Faithful
  • ****
  • Posts: 250
  • Liked: 11
Re: Are All Knee Surgeons Useless?
« Reply #14 on: September 16, 2012, 03:46:28 AM »
I agree some OS are positively useless.  My first OS didn't explain anything, ripped out my meniscus and left me limping and though that I shouldn't even raise an eyebrow.  My 2nd OS surgeon was entirely different.  He  put my mind at ease and I was able to understand my condition and this created trust between us.   In any event good or bad, you need to get as much information as you can before you make decisions and most of all trust you Dr.   I really regret going into surgery blindly and not doing any research.  If I had the information I have now I would of chosen another surgeon.  But I trusted him and didn't have the best outcome.   Anyway I hope all of you out there get the best of care and by the way when I found this site I actually learned something.
Good Luck!   LAS
« Last Edit: September 16, 2012, 03:49:58 AM by LAS »