Advertisement - Hide this advert





Author Topic: 6 weeks post knee cap dislocation  (Read 611 times)

0 Members and 1 Guest are viewing this topic.

Offline mctuffington

  • MICROgeek (<20 posts)
  • *
  • Posts: 1
  • Liked: 0
6 weeks post knee cap dislocation
« on: November 27, 2012, 08:14:17 PM »
Hello everyone. 6 weeks ago my knee cap. I slipped in a puddle and I went one way and my knee went the other. While on the ground I was able to get my knee back in place.

I immediately went to the ER and the next day I saw a Doctor of Osteopathic Medicine who sent me in for an MRI. The MRI showed that I had a partial tear in my ACL and a complete tear of my MPFL. There was also some soft tissue damage and cartilage loss due to the dislocation. I was placed in a leg brace set to zero degrees and told to come back in three weeks for evaluation.†

During those three weeks I was told to try to perform leg lifts, which I was and still am unable to do. When I went in for my evaluation the doctor was surprised that I was unable to get me leg off the ground and sent me to physical therapy the next day. He said that I may be able to avoid surgery with a good PT program.

I have been to PT 4 times in the past three weeks and Iím scheduled to go twice a week for the next three weeks. I have been doing the home exercises but I am still unable to perform a strait leg lift and I canít walk without crutches and even then I walk very slowly and awkwardly. I have been given 60 degrees of flex in my brace so far but Iím only able to achieve about 25 or 30 on my own. During PT they bend my leg over a roll of foam and they can get me to about 40 degrees before I tell them to stop.

Iím not in constant pain anymore and I can stand on my leg without problems but I still canít use it to get out of a sitting position or get it to beck much at all. Like I said before walking is strange and difficult and I still canít do a leg lift. I still have bouts of swelling but to ask bad as I was a few weeks ago.

 My questions to the group are, now that Iím 6 weeks out should I be able to use my leg more? Is it normal that Iím still so limited? Has anyone has a similar injury and got through without surgery and if so how long did it take to recover?

Any information that you have would be greatly appreciated!

Offline allyd

  • SuperKNEEgeek
  • *****
  • Posts: 678
  • Liked: 34
Re: 6 weeks post knee cap dislocation
« Reply #1 on: November 27, 2012, 09:35:34 PM »
Some input on your questions:

My questions to the group are, now that Iím 6 weeks out should I be able to use my leg more?
Everone is different and this is impossible to compare from each individual, because of different dr protocals, the extent of your injury, amount of swelling, etc. Our bodies just react differently. Being immobilized for a few weeks is definitely going to cause muscle wasting and loss of ROM. Iíd focus on regaining ROM before strength. Itís a process. I know doctorís measure progress based on weeks Ė but if Iíve learned anything, think of rehab in terms of months not weeks.

Has anyone has a similar injury and got through without surgery and if so how long did it take to recover?
Have you had patellar dislocations before? The research says - First time dislocations respond well to PT as a first course of treatment, surgery usually isnít advised unless it happens again. I donít know how the partial ACL tear may or may not affect your outcome. But there is a good chance you can rehab to overcome the MPFL tear.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline captainruss

  • SuperKNEEgeek
  • *****
  • Posts: 675
  • Liked: 9
Re: 6 weeks post knee cap dislocation
« Reply #2 on: November 29, 2012, 07:07:27 PM »
You must develop a relationship with your OS whereby you can ask these questions and get answers you understand and are comfortable with.  You don't have to like them, but need to understand.

Also,  you should get multiple opinions.  You may find multiple OS's have multiple diagnoses and treatment plans for the same injury.

Finally, educate yourself on this forum.  There are postings, and information that will permit you to learn specifically about your injury, who the best specialists are, and what your alternatives are.

Russ
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?