Advertisement - Hide this advert





Author Topic: Does a PFJR also correct alignment?  (Read 6584 times)

0 Members and 1 Guest are viewing this topic.

Offline greatfulgann

  • Regular Poster
  • ***
  • Posts: 123
  • Liked: 6
Does a PFJR also correct alignment?
« on: January 13, 2013, 10:38:47 PM »
I have not been able to find the answer to this.  If you have abnormal alignment which has contributed to your worn kneecap, do you need an ostoeomy prior to the kneecap replacement to correct the maltracking or will the replacement address this problem as well?

Offline KW

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 1408
  • Liked: 1
  • My new PFJR...Love It!!!!
Re: Does a PFJR also correct alignment?
« Reply #1 on: January 21, 2013, 12:55:38 AM »
Yes,  the alignment need to be corrected at the time of the PFJR.  Otherwise it is like putting new tires on a car with a bad alignment. 
Right Knee
2000 - 2002 - Scope,LR,TTT,Unscrewed
01-10-12 - PFJR

Left Knee
04/07 TTT/LR
08/07 Bone Grth Stim
10/07 Loose/Bent Screw
1/08 Unscrewed/MRI~NON-UNION
02/19/08 Lt  TTT Revision W/Graft
12/09/08 Scope
05/15/09 Scope
09/04/09 PFJR/Unscrewed

Offline greatfulgann

  • Regular Poster
  • ***
  • Posts: 123
  • Liked: 6
Re: Does a PFJR also correct alignment?
« Reply #2 on: January 21, 2013, 04:51:59 AM »
This makes sense but is a TTT done at the same time as the PFJR or must this be done in a previous surgery? 

Offline cyclist chick

  • MICROgeek (<20 posts)
  • *
  • Posts: 2
  • Liked: 0
Re: Does a PFJR also correct alignment?
« Reply #3 on: January 21, 2013, 06:21:24 PM »
Hi KW.

I find your posts very helpful and hopeful. I need to know of some orthos in Philadelphia who are well versed in PFJR.

Are you allowed to give me some names?

Thank you.

Cyclist Chick

Offline FMRCathelete

  • Forum Faithful
  • ****
  • Posts: 354
  • Liked: 5
  • Cats are great recovery companions
Re: Does a PFJR also correct alignment?
« Reply #4 on: March 11, 2013, 11:13:46 PM »
As someone who apparently needed alignment done with my PJFR I can definitely say it does need to be done-the smallest misalignment can make a huge difference in recovery.  Another factor that I think OS's miss is that alignment on the table under anesthesia does not always = alignment in weight-bearing (normal life) mode.  Just my humble opinion based on my experiences thus far.  -A
Lat release 5/08
OATS 7/09
PJFR 10/10
Scope, plica removal/synovectomy 1/12
Scope, Medial retinacular release and debridement of excess tissues 2/13
Knee Denervation 3/2014

Offline greatfulgann

  • Regular Poster
  • ***
  • Posts: 123
  • Liked: 6
Re: Does a PFJR also correct alignment?
« Reply #5 on: March 13, 2013, 01:17:25 AM »
Thanks FMR.  That is what I thought.  How do you get an precision weight-bearing alignment during surgery?   

Offline FMRCathelete

  • Forum Faithful
  • ****
  • Posts: 354
  • Liked: 5
  • Cats are great recovery companions
Re: Does a PFJR also correct alignment?
« Reply #6 on: March 17, 2013, 03:33:08 PM »
Your welcome.  And you don't get a weight-bearing alignment during surgery.  My thought (and just MHO) is that ALL OS's should have a treadmill/bike, etc in their office to evaluate the knee in motion.  This way they could feel & see the joint while you are in motion, takes notes as to what unusual movements they feel & apply this knowledge to therapy recommendations and/or in surgery.  This is not how they are taught, but I think we'd all be a lot better off & have better outcomes if they gave this a try.  My husband tried to assist me in simulating riding a bike in the exam room once & OS was able to see the tracking issue I was talking about, but still looked at us like we were both a little nuts. ::) Thanks for reading my rant.  Cheers-A
Lat release 5/08
OATS 7/09
PJFR 10/10
Scope, plica removal/synovectomy 1/12
Scope, Medial retinacular release and debridement of excess tissues 2/13
Knee Denervation 3/2014