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Author Topic: MACI and Fulkerson Osteotomy March 15th 2013  (Read 6386 times)

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Offline DebbieCJ

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MACI and Fulkerson Osteotomy March 15th 2013
« on: March 03, 2013, 08:33:28 PM »
Hi all,
This is my first post. The op, on my left knee (patella has 2cm x 2cm bald patch!), has been scheduled since August and now with only a couple of weeks to go, I'm getting nervous.
I've tried to find out as much as I can about the procedures and the rehab, but have not found anything that covers both at the same time!
The blogs on here have been very useful for each individual procedure, can anyone help with info covering the impact of both together?
Thanks!
Debbie
« Last Edit: May 05, 2013, 06:45:01 PM by The KNEEguru »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline vickster

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #1 on: March 03, 2013, 08:41:08 PM »
There are a few diaries around the place, e.g. Sune's here

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=60875.0

Also, some of the US posters have had de novo and an osteotomy if you have a look around the post op diaries and cartilage repair sections

Good luck with the surgery :)
« Last Edit: May 05, 2013, 06:45:47 PM by The KNEEguru »
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 DebbieCJ

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #2 on: March 03, 2013, 10:56:54 PM »
Thanks Vickster!
Still finding my way around the site.
« Last Edit: May 05, 2013, 06:46:17 PM by The KNEEguru »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline vickster

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #3 on: March 04, 2013, 08:20:42 AM »
No worries

Here's one of the de Novo, TTT diaries  http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=60611.0

This is a very useful site about ACI rehav which you may find interesting too

http://www.kneeclinic.info/download/CKC_GNHFT_ACI_RehabGuide_101106.pdf

« Last Edit: May 05, 2013, 06:48:05 PM by The KNEEguru »
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 Mistyd

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #4 on: March 04, 2013, 04:21:06 PM »
I should be having mine this month too  ;)  Have 2 large spots known in the trochlear groove and patella.  I think the main line of thought is BE RELIGIOUS ABOUT THE REHAB AND GO SLOWLY!  Rehab is extremely important for this (and any) surgery recovery.  Not overdoing and yet not shirking from (recovery) pain during exercises is important too.  It takes so long for the cells to mature and harden you don't want to deviate from your planned rehab.

Good luck!  I plan on reading your diary (should you do one)  :)  I started one explaining where I currently stand; right now I am awaiting a phone call for surgery date.  I can't wait as my knee is very painful, locking about every stride, and I can feel the constant grinding...no fun!

God Bless,

Misty
« Last Edit: May 05, 2013, 06:47:08 PM by The KNEEguru »
Living for the Audience of ONE: Jesus Christ

'95 -knee injury
5-'04 -knee scope cleaned up grade III tears
12-'12-knee scope cleaned up tears
2-'13-harvested cartilage for upcoming ACI
...awaiting ACI

Offline DebbieCJ

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #5 on: March 13, 2013, 12:05:40 AM »
Thanks for the comments, Misty and Vickster.
The rehab link was very useful - most user friendly and easy to understand that I've read.
Only 3 days to go now and very nervous - trying to ensure house is straight, work covered, teenagers taken care of. Not sleeping well!!
I'm concerned about some of the practicalities of managing in a leg brace after surgery - moving around the house, getting in and out of bed, showering, travelling in the car etc.
Anyone have helpful tips on what made everyday activities easier to manage?
My physio has been great - proper hand holding!
 
Deb
« Last Edit: May 05, 2013, 06:47:36 PM by The KNEEguru »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy - done!
« Reply #6 on: March 18, 2013, 10:37:06 AM »
Blimey!
So, I had the surgery last Friday morning and came home from hospital yesterday (Sunday) - had I not been feeling so sick due to anaesthetic and morphine then I'd have been home on Saturday afternoon.

Everything went well and as planned and I'm not feeling too bad. My pain is being managed with paracetamol and ibuprofen 4 times a day, with 2 40mg tramadol tablets at bed time. I'm wearing a 'range of movement' brace, set at locked straight most of the time, although I have been told that I can 'unlock' it if my leg is raised and fully supported. I'm also using an ice pack every 3 hours or so to help with the swelling.

I'm spending 90% of my time sitting or lying with my leg raised above my hip level. The most pain I get at present is on first standing after a period of time sitting - the weight of the brace and the pressure on the Osteotomy site is very painful, but it doesn't last for long once I'm moving around.

I've been told to take it easy for the first week or so, although I have been supporting my own weight, in the brace, since the physio got me up and about in hospital. The advice before surgery was conflicting! I'm doing very simple closed chain (foot supported by a surface) exercises - heel slides, using my hand as support for the knee joint, calf pumping (pulling your toes towards your head then pointing them) and static quads (tightening your thigh muscle and pushing the back of the knee on to the bed). None of these cause any pain, although the bending of the knee during heel slides is uncomfortable due to the amount of fluid around the knee joint.

I'm dozing in the day as I'm not used to sleeping on my back and the knee brace doesn't give you much choice. I've been told that I should only have to wear it during the night for a couple of weeks.

I've made an appointment with my nurse to have stitches 'snipped' next Monday - they are soluble so don't need pulling out.

A couple of things I wasn't aware of:
I have to give myself an anti-blood clotting injection in my tummy every evening for the first week (never done anything like this before and a bit weird, not really painful though)
I had a nerve block in my groin before surgery and mentioned to my surgeon that some of the area around my knee was still numb yesterday. Due to the amount of cutting he needed to do for both procedures and the tissue and nerves that are damaged, the numb area could last for up to a year.

Having spoken at length to the physio regarding some of the practicalities of moving around, such as sitting on the loo (not comfortable at all unless at a funny angle), getting on and off the bed and in and out of a chair, there seems to be no way that I am going to be able to have a shower or a bath! I can't get the brace wet, but can't stand up without it or get in the bath with it on. So, top to toe soapy washes with hair wash over the bath is how it will be for the next few weeks.

Debbie x
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy
« Reply #7 on: March 18, 2013, 10:39:50 AM »
P.s. and my husband is washing my feet!
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline kimb

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #8 on: March 18, 2013, 06:21:07 PM »
Did they show you (or maybe you already figured it out on your own) how to use a band/tie/towel or your other leg to be able to lift and lower the injured leg up and down, so you can more easily get in and out of bed and such? It's much easier than having someone do it for you or trying to support your leg with your hands.
 
Good luck with your healing, I hope it goes smoothly and quickly! Nothing is better than being able to shower and sleep normally! I had such horrible back pain from sleeping on my back with my legs up. It didn't matter how I supported my legs or my upper body. My back hurt worse than my knee for the first many days!
« Last Edit: May 05, 2013, 06:49:02 PM by The KNEEguru »

Offline DebbieCJ

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #9 on: March 18, 2013, 06:42:25 PM »
Thanks for your reply!
Yes, I was shown how to use my other leg to support my injured leg - it makes moving a lot easier, especially getting in and out of bed.
My mum has bought me a support pillow (triangular shaped) and this seems quite comfortable so far. Early days!
« Last Edit: May 05, 2013, 06:49:35 PM by The KNEEguru »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy - 6 days post op
« Reply #10 on: March 21, 2013, 12:55:44 PM »
Hi again,
Just a quick update.
Am now 6 days post op and doing regular exercises as described previously.
My knee is still very swollen - I am icing the area after exercising. The calf pumps are fine, static quads seem tricky in that I'm having difficulty actually tensing my quad muscles. I assume this is down to the level of cutting that was done?
I am supporting my knee with my hand when I do heel slides and can get to about 40 degrees - however, it feels as though there is a solid lump inside my knee, nearer the back than the front on the outer edge. I also have a huge amount of bruising on the back of my knee.
I am doing all the exercises without the brace on which is a relief for a short period of time.
The pain is not too bad, although I relented and had an additional tramadol tablet yesterday afternoon - the bone feels sore, particularly when standing after sitting for a period of time. The weight of the brace doesn't help!
I'm sleeping on a support pillow to try and help with back ache.
Overall I don't feel too bad and it is probably as I expected - I'm still dozing in the day due to disturbed sleeping at night.

Debbie
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline ozzie

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  • ACI & Fulkerson 6/25/13, ACI & Fulkerson 12/26/13
MACI and Fulkerson Osteotomy March 15th 2013
« Reply #11 on: April 05, 2013, 10:30:27 PM »
Hi Debbie,

I noticed you had a similar surgery as I am planning and also noticed you had not posted for awhile. How are you doing?  I hope you have progressed well.  I am planning ACI patella and Fulkerson on April 30 in Atlanta....curious about how Fulkerson has affected your recovery. 
You are probably not needing ice regularly, so this may not be timely suggestion for you, but when I read your posts. I was surprised that you did not have an ice machine.  I found the one I used (Game Ready) so helpful after the arthroscopy I had last month. 

« Last Edit: May 05, 2013, 06:50:26 PM by The KNEEguru »
ACI patella and trochlea & Fulkerson on Dec. 26, 2013-Dr. Scott Gillogly
ACI patella surgery and Fulkerson with Dr. Gillogly June 25, 2013
Extensive cartilage damage in both knees due to misalignment of patellas

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy - 3 weeks post op
« Reply #12 on: April 07, 2013, 05:31:45 PM »
Hi Ozzie,
Thanks for your post!

I'm now 3 weeks and 2 days post op.
I've seen my physio and has my first post op review with my consultant (2 days ago). He's really pleased with my progress!

I'm doing the same exercises - all closed chain, 10 heel slides, 50 calf pumps, 2x10 static quads, all 5 times a day. I can bend my knee to 90 degrees, and can support my weight, wearing the brace in a straight locked position, on my injured leg.
I am not able to do any straight leg raises due to the Osteotomy healing.
The consultant is really pleased that I have taken things so slowly - a nervous patient (of doing any damage to the implant) is better at rehab, apparently!

I am still icing the knee after exercise - the cryo cuff that was given to me at the hospital works really well. I am now down to one paracetamol and one ibuprofen tablet twice a day.

As of two days ago, I no longer have to wear the brace at night - it's much more comfortable, but I'm still not sleeping well. If I need to get out of bed I have to put the brace back on and as it's still uncomfortable to bend my knee ( lots of fluid around the joint) I'm still sleeping mostly on my back.

My consultant says that at the end of next week (week 4 post op) I should be able to walk with the brace set at 30 degrees flex, then by the of week 6 post op I can take the brace off completely. My next follow up session will be at the end of week 6 and he wants to take an X-ray at that point, presumably to check that the bone is healing properly.

I've read a number of blogs whereby the Fulkerson goes hand in hand with a 'lateral release' and apparently I've had this too!

Why do they never tell you everything?

It explains why the left side of my leg is so tender and bruised and has so much fluid in it!

I'm also now rubbing bio-oil into the scar twice day and had my first shower in 3 weeks yesterday! Bliss! It was really tricky though and involved my husband ensuring I didn't fall over whilst i was supporting all my weight on my uninjured leg.

I'm technically back to work tomorrow - lucky that I can work from home and intend to do so until I can drive again. I'm still sitting with my leg raised and supported all the time.

I hope this has been of help - good luck with your op.

Debbie



2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline Mistyd

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #13 on: April 09, 2013, 03:39:43 PM »
Hi Debbie,

I am glad you are doing so well  :)  It is a long haul in recovery, lots of up's and down's (so I've heard).  As to the Dr. not telling you 'everything they did in surgery', the paper you sign before surgery lists the possibles of what could be done during surgery.  You may not have noticed that that was listed (if it wasn't...they could be in big trouble).

I pray you continued success in healing and getting back to a normal and productive (fun) life again ;)


God Bless,

Misty
« Last Edit: May 05, 2013, 06:51:22 PM by The KNEEguru »
Living for the Audience of ONE: Jesus Christ

'95 -knee injury
5-'04 -knee scope cleaned up grade III tears
12-'12-knee scope cleaned up tears
2-'13-harvested cartilage for upcoming ACI
...awaiting ACI

Offline DebbieCJ

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #14 on: April 09, 2013, 11:36:04 PM »
Thanks Misty.
I can't believe it's already nearly four weeks since the surgery, but most days seem to go slowly! Very frustrating not being mobile and relying on others for basic activities when I don't feel unwell and am not really in pain!

As you say, it's a long haul and it will hopefully lead to a much better quality of life so I just need to get on with it.

Debbie
« Last Edit: May 05, 2013, 06:51:48 PM by The KNEEguru »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy - 4 weeks post op
« Reply #15 on: April 12, 2013, 12:11:13 PM »
Hi again,
Am now 4 weeks post op and saw the physio again today.
I can bend my knee to 100 degrees and can fully weight bear wearing my brace, which is now set to 30 degrees flexion instead of locked straight for walking - it feels strange and my injured leg feels very weak.

I've been told to carry on with the same exercises - heel slides, static quads, calf pumps - for the next two weeks, at which point I should be able to take the brace off permanently and also start straight leg raises as the Fulkerson should have healed sufficiently.

Due to the amount of fluid in my knee, and the resulting 'tight' feeling i get when bending, I'm also going to start using a heat pack and massage the area around the scar more vigorously to stimulate nerves and healing.

I'm still not sleeping well - just not comfortable but am napping in the day!

Debbie

2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline JessJess28

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #16 on: April 12, 2013, 07:27:08 PM »
Sorry you are not sleeping well  :(. I feel your pain. At least you get to nap  ;). Sorry you feel weak in the brace locked at 30. My OS says immoblizer for full 6 weeks. I'm getting nervous I'll be too weak if I don't get out of it sooner. I wonder why my OS won't let me use a ROM brace before the 6 weeks. I know they all have their own protocols though. Think it would be rude to ask why I can't use one?

Glad your ROM is improving! Hope your swelling goes down soon. Im a few weeks behind you post op so enjoy reading other Fulkerson diaries.
« Last Edit: May 05, 2013, 06:52:31 PM by The KNEEguru »
History of Dislocations
12/08 Scope
3/2013 TTO, Lateral Release, Medial Reefing, Grade III Patella lesion.
11/2013 TTO L knee, LR, Medial Reefing, R knee screw removal

Offline DebbieCJ

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #17 on: April 12, 2013, 08:38:03 PM »
Thanks for your post.
I don't think it would be rude at all to ask about a ROM brace - it helps with your understanding of what your OS is expecting of you and should ease any concerns you have about your progress.

We all have unique knees and we all heal at different rates too, but it is nice to get a feel of what is 'normal'!
« Last Edit: May 05, 2013, 06:52:57 PM by The KNEEguru »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline Mistyd

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #18 on: April 13, 2013, 04:06:35 PM »
Depending on where the graft is located usually depends on how much ROM you are able to do early on. I believe trochea and patella patients are able to PWB but not have much ROM (if any) early on, but those with femur/chondyle (brain went blank!  :olol...outside edges of knee ..need more coffee,lol) are able to bend early but no weight bearing for a longer period of time.

Hang tight Debbie, remember this is a looooong road to recovery.  I know it must be a royal pain in the patutee (a$$) to not be able to sleep at night.  Thankfully, you are able to sneak some napping in to try to catch up on some ZZZ's.  You might let your doc know too about the lack of sleep you are having, maybe he can prescribe something for a short time to help you get back on track to a normal sleeping habit (and during that time, your knee will continue to heal allowing you better positions, less pain, more mobility, etc).

God Bless,

Misty
« Last Edit: May 05, 2013, 06:54:40 PM by The KNEEguru »
Living for the Audience of ONE: Jesus Christ

'95 -knee injury
5-'04 -knee scope cleaned up grade III tears
12-'12-knee scope cleaned up tears
2-'13-harvested cartilage for upcoming ACI
...awaiting ACI

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy - 6 weeks post op
« Reply #19 on: April 29, 2013, 05:28:12 PM »
Hi all,
I'm now 6 weeks post op and progressing well.

Had my 6 week review with my consultant last week - I no longer have to wear my ROM brace and can walk with one crutch instead of 2!

I've added straight leg raises into my exercise schedule (quite difficult to do as quads are weak, the muscles shake after a couple of seconds!) and now use an exercise ball to 'roll' my knee from approx 30 degrees to 110-120 degrees (consultant describes it as being like rolling a lawn to achieve a smooth surface on my cartilage implant). I am restricted to close chain exercises only until 12 weeks.

My physio is going to get me on an exercise bike this week and once I can achieve a 120 degree bend regularly (my knee is quite fat and tight with fluid / fibrous gunk) I will also add 500 revolutions 3 times a day into my exercises.

I had an X-ray taken to ensure the Osteotomy is healing well - I have attached a couple of images. The screws are 48 mm long - huge!

Can now shower pretty much unaided (although hubby still washes feet) which is great. I should be able to attempt driving in a week or so - I have an automatic car so no issues with gears / emergency stop, it's just being able to get in and out of the car without twisting my knee and being able to sit comfortably, which is still tricky.

All in all it's going well - slow and steady. Both the consultant and physio are really pleased.

Debbie

« Last Edit: May 03, 2013, 09:39:29 AM by DebbieCJ »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy - 7 weeks post op
« Reply #20 on: May 03, 2013, 08:03:16 PM »
Hi all,
Just a quick update.
Saw the physio today, am now able to use an exercise bike and do one-legged balancing whilst standing on a cushion!
I have some pain on the outside of my knee, where the lateral release was done, so the physio has massaged the ITB and all around the outside of the knee. It has helped and I need to try and do it myself before using the bike.
I've also been wary of walking in a way that puts pressure on the cartilage implant - I've been 'dragging' my leg and not bending it enough. The physio has told me to exaggerate lifting my leg, as the action of simply walking does not put force through the kneecap that will do any damage - the thigh muscle is doing the work to lift my leg and gravity is enabling the bending. It feels weird but seems to be working.
Am going to try driving at the weekend - a chance at freedom!

Debbie
« Last Edit: May 04, 2013, 10:09:38 AM by DebbieCJ »
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline JessJess28

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MACI and Fulkerson Osteotomy March 15th 2013
« Reply #21 on: May 04, 2013, 06:19:08 PM »
Good luck trying to drive! Aaack! I didn't even think about that stuff for when I am cleared to drive. I can't bend my knee past maybe 80 degrees so not sure I can even try to drive once I get this brace off. Keep us posted with your progress. I had my Fulkerson about 2 weeks after you so it's nice to see how others ahead of me are recovering. Have a good weekend!

jess
« Last Edit: May 05, 2013, 06:53:58 PM by The KNEEguru, Reason: Title amended on main thread at request ot the OP. »
History of Dislocations
12/08 Scope
3/2013 TTO, Lateral Release, Medial Reefing, Grade III Patella lesion.
11/2013 TTO L knee, LR, Medial Reefing, R knee screw removal

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #22 on: May 05, 2013, 08:29:10 PM »
Thanks Jess.
I can bend my knee to about 120 degrees now, but am still very nervous of trying to drive. May give it a go tomorrow.
Knee has been really quite sore today, very achy when walking, sitting, exercising. Am taking a couple of paracetamol twice a day to try and help.
I caught the heel of my foot on a step coming down stairs yesterday and felt as though my knee 'jolted', causing a sharp pain. I hope I've done no damage and just need to rest it for a day or so.

Debbie
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #23 on: May 07, 2013, 10:52:13 PM »
I drove my car today!
No problem at all, am relieved to be mobile again.
Have also purchased an exercise bike and have done a couple of 10 minute sessions today, approx 300 revolutions in each session.
I'm so unfit!
I need to build up to 3 x 500 revolutions per day, as well as continuing with straight leg raises and balance exercises.
I've stopped taking all painkillers now - the Osteotomy site aches occasionally and my thigh muscles also ache after exercise so I am continuing to use ice.
My progress since removing the leg brace has increased dramatically - I think the next couple of months will be more of a slog, as I need to continue with more of the same to really build upon my early success!

Debbie
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline JessJess28

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #24 on: May 08, 2013, 07:08:52 PM »
Yay! So glad you drove! Sounds like you are doing well.

I have a couple questions for you if you don't mind? Is your osteotomy site still puffy? I'll be 6 weeks post-op on Friday and mine is still puffy. Also, did you find you needed something for pain after physio/therapy? Want to make sure I ask about this stuff when I go in next week and get my script for therapy. I can't bend very much now without a lot of pain so I am nervous. Thanks in advance for answering.

Hope you keep progressing well! Keep us posted :)

Jess
History of Dislocations
12/08 Scope
3/2013 TTO, Lateral Release, Medial Reefing, Grade III Patella lesion.
11/2013 TTO L knee, LR, Medial Reefing, R knee screw removal

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #25 on: May 08, 2013, 08:25:39 PM »
Thanks for your post Jess.

Don't mind the questions at all!

The Osteotomy site has never really been swollen and isn't puffy at all - it is very tender to touch however, and aches most of the time, and the site where the drain was put in is still very sore.

I've only just stopped taking painkillers (have only been taking paracetamol regularly for past couple of weeks,  morning and night). I don't find I need anything additionally after a physio session, but I still ice the area after a session and after each exercise session during the day. Both my surgeon and physio however have told me to take painkillers if I need them and not to worry about it - if the exercises hurt too much, I won't do them and recovery will be too slow!

It sounds as though your rehab protocol has been quite different to mine. And we all recover at different rates so you shouldn't worry too much about the level of bend you can achieve without pain - mine has improved a lot between 6 weeks and now. The level of pain also depends on the type of movement I make - 120 degrees on the bike sometimes is easier than 40 degrees walking!

I hope your physio goes well, and that you start seeing improvements soon.
Let me know!

Debbie
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy - 8 weeks and 4 days post op
« Reply #26 on: May 14, 2013, 05:11:07 PM »
Hi All,
I am now 8 weeks and 4 days post op.
All going ok, and I am now driving almost every day, albeit short distances.

At the end of last week my physio was concerned that I had fluid in my knee joint and wasn't sure if this was residual from the surgery or due to the new exercise regime on the bike. She's therefore scaled back my exercises! I am now doing 5 minutes twice a day on the bike, plus a 5 minute walk (still doing straight leg raises, calf pumps and static quads). It doesn't feel like much, but my knee has actually been really achy today so have not wanted to use the bike at all.
The most painful part of my knee is where the lateral release was done - it's extremely tender to touch.
I'm massaging my whole knee area once in the morning, and using bio oil on the scar.

Has anyone else had issues with the area where the lateral release was done, and any tips on making it less tender?

Thanks,

Debbie

2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline JessJess28

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #27 on: May 14, 2013, 06:09:05 PM »
Debbie- Sounds like you are doing well! I too have tenderness on the lateral side of my knee where my lateral release was done. I also have pain down the lateral side of my leg. Not sure if it's from a nerve or just the lateral release though. I've been trying to massage the area to see if it helps. I will ask my Dr about it on Thursday.
History of Dislocations
12/08 Scope
3/2013 TTO, Lateral Release, Medial Reefing, Grade III Patella lesion.
11/2013 TTO L knee, LR, Medial Reefing, R knee screw removal

Offline sune

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #28 on: May 21, 2013, 01:06:18 PM »
Hi Debbie.

I've also had some pain coming from the lateral side of my knee. It's never been so sore to touch, but it would become painful after exercising. I stepped down my training program quite a lot for almost 2 months, and I also used anti-inflammatory gel and two pills, and now it's much better. My training program is back up, but to avoid it triggering a new inflammation, I only train every other day.
I wish you a continued good recovery.

Sune
1999: Chondral lesion on medial patellar facet. Synovium changes, grade II degeneration of neighbouring cartilage. Debridement (shaving) and lavage.
2009: 2nd arthroscopy,  debridement (shaving) and lavage.
2010: steroid injections
2012: MACI (2 patella, 1 trochlea)+Fulkerson+Lateral release

Offline ozzie

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  • ACI & Fulkerson 6/25/13, ACI & Fulkerson 12/26/13
Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #29 on: May 22, 2013, 05:19:59 AM »
Hi Debbie,  I have been following your progress and it sounds like you are going great!  I am hopefully having ACi and Fulkerson mid June. My insurance had denied payment for the lab cost (but not ACI and they had already paid for the initial "harvesting surgery) and we had to fight to get approval. So now it has been approved.  Thanks for posting updates. It is so helpful to read about your progress and ups and downs-helps me know what to expect and also to know I'm not the only one with the knee problems. (:
ACI patella and trochlea & Fulkerson on Dec. 26, 2013-Dr. Scott Gillogly
ACI patella surgery and Fulkerson with Dr. Gillogly June 25, 2013
Extensive cartilage damage in both knees due to misalignment of patellas

Offline Code girl

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #30 on: May 23, 2013, 08:12:28 AM »
Hi I am 7 days post op from a open wedge high tibia osteotomy and microfracture ...I'm not allowed to weight bear up to 8 weeks ...I'm finding the straightening and bending excessive are excruciating and I can't do them the foot flexion is a lot better does anyone know if this will get better over time ...I would like to do a diary of my post op but not sure how to do this many thanks  ;D

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #31 on: May 23, 2013, 04:01:28 PM »
Hey Sune / Ozzie / Code girl,
Thanks for your posts.
I'll be 10 weeks post op tomorrow, with another physio session planned to see if my reduced exercise regime has improved the fluid level in my knee.
I'm walking much more easily now, although still with one crutch for stability. My knee still feels 'fat', in the area below the knee cap, but i am massaging every day to try and minimise this.
The bike is also much easier - I am managing 2 x 5 minutes easily, with very little stiffness on the first few revolutions.
The lateral side of my knee is still very tender and there has been little improvement. Not sure what else I can do other than ask the physio for advice and take painkillers when it's particularly niggly.
 
Sune,
I've been following your diary with interest - it's great to see your progress and useful for me to get a feel for what might come next! I've also reduced my exercises right down and feel it has helped.

Ozzie,
Good luck with your forthcoming surgery - if you have any questions, feel free to ask. It's comforting to get an idea of what to expect and what is 'normal', although we're all unique.

Code girl,
To start a post op diary, click on the Post Op Diaries<50 posts index and at the top select 'New Topic', this will be the first post of your diary.

I'll post a physio update tomorrow.

Best wishes
Debbie

2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline JessJess28

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #32 on: May 23, 2013, 09:00:42 PM »
Debbie,

I'll be interested in your update post tomorrow. I have fluid on my knee still too. My physical therapist told me yesterday that it could be a few more months. He also said it doesn't look too bad though. That's great that you can bike! I got to do some work on the bike yesterday, just 1/2 revolutions though.

Keep us posted! Sorry your lateral side of your knee still hurts. Mine does too.
History of Dislocations
12/08 Scope
3/2013 TTO, Lateral Release, Medial Reefing, Grade III Patella lesion.
11/2013 TTO L knee, LR, Medial Reefing, R knee screw removal

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #33 on: May 24, 2013, 12:02:01 PM »
10 week post op update.

My physio is really pleased with my progress - the fluid in my knee has reduced (measures 1cm less round my knee joint).

I need to continue with the bike, leg raises, static quads and balance exercises and she's given me some additional ways of exercising my thigh muscle to try and start building it up - at the moment, it's maintaining it's size, but not increasing. The exercises are basically other ways of doing leg raises, lying on my front or my side. Will give them a try later!

There's not much I can do to reduce the tenderness on the lateral side of my knee, it's just going to take time. I will continue to massage the area every day as this helps with the bike exercise.
 
I have a consultant appointment next week, then at 12 weeks I should be able to start doing weight bearing exercises such as squats, as the cartilage should be sufficiently stable.

Debbie
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline DebbieCJ

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Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #34 on: June 02, 2013, 06:10:39 PM »

Hi All,
11 week and 2 day update.

I had my 12 week follow up last Thursday (11 weeks!) and consultant was very pleased with my progress.
I can bend well, although it is still painful and tender around the lateral area and the spot above the Fulkerson. I am walking much more easily, although after a length of time the whole knee aches and stiffens up.
I have issues with atrophy, with my leg feeling very weak. The consultant asked me to do a mini squat on my right leg, only moving my knee an inch or so forward, then the same on my left which made me feel as though I was going to fall over! Another week and I can start doing strength exercises, putting a small amount of stress through my knee and hopefully building up the muscle.

It still feels like really slow progress, but I'm no longer using my crutch so it is improving and moving forward.
I'm also getting better on the bike - it's much easier than when I first started using it.
Must stay positive!
I'm seeing my physio at the end of next week so will let you know how the next stage of exercises goes!

Debbie
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline ozzie

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  • ACI & Fulkerson 6/25/13, ACI & Fulkerson 12/26/13
Re: MACI and Fulkerson Osteotomy March 15th 2013
« Reply #35 on: June 24, 2013, 05:21:07 AM »
Hi Debbie,  My ACI Patella and Fulkerson surgery is in two days.  Reading your notes is so helpful.  I will cross my fingers that I have such smooth progress as you are having on recovery.  Best wishes for continued improvements.
ACI patella and trochlea & Fulkerson on Dec. 26, 2013-Dr. Scott Gillogly
ACI patella surgery and Fulkerson with Dr. Gillogly June 25, 2013
Extensive cartilage damage in both knees due to misalignment of patellas















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