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Author Topic: Kinespring operation  (Read 80364 times)

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Offline Apleyboy

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Re: Kinespring operation
« Reply #60 on: December 30, 2012, 06:03:22 AM »
We re at the Same Stage WC , that what is frustring me a bit, no Joint pain only the tissue problems which are slowing me down a bit.
Happy Holidays
« Last Edit: December 30, 2012, 08:03:17 AM by Apleyboy »

Offline noni3650

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Re: Kinespring operation
« Reply #61 on: December 31, 2012, 03:04:00 AM »
Hi there!  Sounds like you two are doing well.  Yay.
I'm day 2 post op.  Mostly doing well,  better than I expected.  I had a massive amount of bleeding through the bandages and ace bandage on my way home from the hospital  But was able to get it under control that evening.  My knee is fairly swollen and warm but I think it is normal.  I'm keeping up on the exercises and have full extension and at least 90 degree bend.  My quad is coming back nicely from getting off the nerve block.  And I have put full weight on my knee and it seems good!  I'm excited to NOT have the arthritic-bone-on-bone pain.  I'm getting up the nerve (hah!) to take out the nerve block.  I already clamped it off but now I'm nervous!  I'm sure it will be fine.  Pain level has gone up without it but I'm anxious to have the nerve block gone.  I'm interested to see how long the implant area will be sensitive.  It does seem like it could be difficult for the body to heal around it.  Much luck to you all. 

Offline dietrichate

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Re: Kinespring operation
« Reply #62 on: December 31, 2012, 01:40:05 PM »
7 week update
I have seen my specialist for the second time as I was concerned that the lack of flexibility (under 90 degrees by myself and 110degrees pushed through by the physio with accompanying pain) was due to the spring not functioning properly in the leg flexion stage where the piston mechanism releases. Another X-ray proved this not to be the case and I was informed that it is still the trauma of the op. my specialist still feels that I am within normal boundaries and improvement will come in time.
I have noticed a marked improvement in the pain level when at rest, but the flexibility issue is the main problem. I can just about drive short distances. I go back for another consultation in 6 weeks, so I hope the news is better.
I must admit, I had higher expectations for this point after the op, but I also did not understand the amount of work needed to get one of these in - still, I think it must be a far better alternative to an osteotomy if and when full recovery is reached

Happy new year to all, and hope your recoveries continue

Dave

Offline Wobbley Chester

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Re: Kinespring operation
« Reply #63 on: January 02, 2013, 04:01:52 AM »

Offline Apleyboy

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Re: Kinespring operation
« Reply #64 on: January 02, 2013, 07:08:50 AM »
Thanks Wobbly for the link, To be honest I not sure how he went back to work after two weeks? with the festive season I ve had a couple of dinner evenings and after 3 - 4 hours my knee looks like a ballon.
(so even in a office 8 hours?).
thanks Dave for your info too. My problem area is the "cut and muscle" too as earlier mention by my Dr only need to say "op" to my knee and it swells.
 I ve notice the last couple of days the nerves seem to be coming back into action, I ll call it a interesting feeling when going up stairs or on the CPM machine.
  I must thank all for their posts, itīs really helps my morale.

Offline noni3650

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Re: Kinespring operation
« Reply #65 on: January 05, 2013, 08:36:47 PM »
Hi everyone.  I'm 8 days post op today.  I find that the incision site is still quite painful.  I have noticed that I have not had the sharp bone on bone pain though!  I still have swelling in the joint and below.  I think it is all normal.  I'm still using the crutches (mostly) to ensure that I do not limp.  I can walk without them and at home I often opt for just one crutch.  I actually went in to work on Thursday (6 days post op) and Friday (1 week post op) for about 4 hours each day.  I'm not going to lie it sure took a lot out of me!  I did well while I was at work but when I got home I was wiped out for hours!  ha ha.  We'll see how next week goes because I am planning on being back at the office at least part time!  I worry about my range of motion and hope to really push it once my stitches come out.  I can get to a 90 degree bend on my own but it gets stiff pretty quickly.   

Offline Adobec

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Re: Kinespring operation
« Reply #66 on: January 07, 2013, 10:00:58 PM »
I am happy to have found this thread.  I am 38 with advanced medial arthritis on my right knee.  My next step was an osteotomy, but a recent MRI showed a previous ACL tunnel in my tibia that did not fill with bone, making the osteotomy impossible.  How did you go about enrolling in this trial?  I am in Texas.

Good luck to you all!!
1991 - R ACL patellar tendon, med. meniscus removed (50%)
2002 - R ACL revision, cadaver, lat. meniscus removed (50%)
2011 - L ACL patellar tendon, med. and lat. meniscus REPAIR. 
3/2012 - L Medial meniscectomy (didn't heal from 2011), microfracture
11/6/12  - L TTT (maquet). Micro fully healed

Offline noni3650

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Re: Kinespring operation
« Reply #67 on: January 08, 2013, 07:12:55 PM »
Hi Adobec ~ I think that the consent form states that there will be 6 sites total that will be participating in this trial.  But Dr. Crawford (Oregon) only mentioned two other sites- one in San Francisco and the other in Indiana (I think).  I'm not sure if the other sites have IRB approval yet.  Below is a link to clinical trial information.  It (at this point) only lists the Oregon site and the Indiana site. 

http://www.clinicaltrials.gov/ct2/show/NCT01738165?term=kinespring&rank=1

I have my post op tomorrow with Dr. Crawford and I will try to remember to ask him about the other sites.

Good luck!

Offline Apleyboy

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Re: Kinespring operation
« Reply #68 on: January 10, 2013, 10:01:40 AM »
A new week new luck ? Well mornings are good, but later in the day the swelling goes up and pain level also but the sleep issues are getting better so some improvement in general. The physio is good and heīs working me hard twice a week plus my extra bits at home. Check up tommorrow so let see what the Dr says...
A tip for anyone think about this op I had a external brace to unload for 4 month to see if any improvement / pain releve  was made ( Osser unloader One) was no to bad to wear execpt on very hot days beat having a OP which bring nothing.

Offline Adobec

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Re: Kinespring operation
« Reply #69 on: January 12, 2013, 04:55:15 AM »
Apleyboy, I will have to try the brace-- before it gets too hot here in Houston.

Noni, any info you can give me would be great.  I spoke at length with someone at moximed who said my chances of enrolling are not good because of my distance to clinical sites.  They worry about follow up.  I get that.  But honestly, I would move somewhere for, say, the summer, if it meant I could participate.  I just don't have any other options.

I'm curious... Has anyone encountered detailed inclusion/exclusion criteria?  I have grade 3 chondromalacia in my PF compartment, would that exclude me?  As far as I know my lateral compartment is fine.

Thanks a bunch and good luck to everyone!!
1991 - R ACL patellar tendon, med. meniscus removed (50%)
2002 - R ACL revision, cadaver, lat. meniscus removed (50%)
2011 - L ACL patellar tendon, med. and lat. meniscus REPAIR. 
3/2012 - L Medial meniscectomy (didn't heal from 2011), microfracture
11/6/12  - L TTT (maquet). Micro fully healed

Offline noni3650

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Re: Kinespring operation
« Reply #70 on: January 12, 2013, 10:31:59 AM »
Hi Adobec,
You should contact Samantha Quilici she is Dr. Crawfords research assistant (?) and my main contact.  I think if you call 503.494.4000 or 503 494-6400 and ask to leave a message for "Samantha Quilici in Dr. Crawfords office" - then ask to have her call you back regarding the Kinespring study.  I had to travel up there for my 'screening' appointment and several pre-op appointments (which they did in one day) but I am guessing they could pretty thoroughly screen you on the phone.  I am guessing that the distance could be an issue but if you are committed to traveling to Oregon at the different time points through the study (and you qualify) I think they will consider your case.  I asked Dr. Crawford where the other sites were (int he US) and only knew of the one in Indiana (?) and San Francisco.  But I think Indiana and Oregon are the only two that are up and running.  Anyway he said "have him give us a call" and he knew you were from Texas.  Back to the distance thing...  It is important to know that this is a five year study.  So the commitment is for five years.  That said once the surgery is completed I had an appointment 10 days post op with Dr. Crawford.  And the next will be in 4 weeks and then 6 weeks after that.  I don't have the consent form in front of me but I think over 5 years there are around 8 appointments.  Some appointments require X-rays and other tests.
Good luck to you!

Offline noni3650

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Re: Kinespring operation
« Reply #71 on: January 12, 2013, 10:49:00 AM »
Question to all who have had the surgery:

I am 2 weeks post op.  A few days ago I started to get a burning (searing, tearing) sensation below the knee cap on the opposite side of my knee.  Opposite the kinespring.  It started happening when I would move my leg a certain way but goes away as soon as I stop moving.  I have had two real episodes where it would fire up with any and every movement.  It is very intense.  Has anyone else encountered anything like this?  I'm wondering/thinking it may be a nerve issue.

Offline dietrichate

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Re: Kinespring operation
« Reply #72 on: January 12, 2013, 01:07:35 PM »
It could well be a nerve thing, there will have been a hell of a lot of disruption in there during the op, and a lot of things have to be moved around to get the spring in.
I am 8 weeks post op now, and I also had some strange and wonderful pains,swellings and sensations for at least the first six.
Just as I was wondering whether I had made a big mistake having this done, I seem to have made good progress over the last two weeks, and can now get enough bend to do the cross trainer and static bike, which to me is a real breakthrough. I realise now that these are not a quick fix and will take months for us all to reap the benefits.
I still experience a medium level of pain, but I am hopeful now that this recovery will continue to a good level of fitness and lack of knee pain.
Give your specialist a call, I am sure he will explain the sensations you are feeling
Dave

Offline noni3650

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Re: Kinespring operation
« Reply #73 on: January 12, 2013, 09:02:29 PM »
Hi Dave,
Thanks for the response and input.  I was also thinking it is most likely a nerve thing.  Everything you said made sense.  I feel like everything else is going so well but this is starting to get in the way of my rehab.  I can do all of my exercises (pushing through the searing pain) but when it is acting up walking is difficult....just when I am trying to add in more walking, bike and some other on my feet exercises! 
I had my first post op appointment 3 days ago.  At that time it (the weird pain) was only happening occasionally when I move a certain way.  He wasn't worried about it and thought the swelling had something to do with it.  I was also concerned about my bend which he is not.  I'm between 85 and 105 and at 0 degrees extention.  But it sounds like my bend is ok for where I am at in the healing process.
I'm glad to hear that you are doing much better at 8 weeks.  Is the pain that you still have around the implant site or original knee joint pain?  How much bend do you have? 
It is frustrating since I was pretty much off the crutches but now am relying on one.  But your progress is encouraging! 
thanks!
Noni

Offline Apleyboy

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Re: Kinespring operation
« Reply #74 on: January 13, 2013, 04:59:56 PM »
Check up Last Friday Dr is happy , i Need to watch my walking And Roll though more heel to Toe, swelling is still a Problem to Control . Dr Said aviod the Cycle The muscle movement Around Spring is likely to be Causing the Problem so now i should swim but Not breaststroke.
Next Check up in six Weeks with x Ray. I made today a Rest Day well it is Sunday After all...
Dave Good News on your side.















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