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Author Topic: Ozzie's 2 Patella and Fulkerson ACI surgeries-both legs!  (Read 29827 times)

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Offline Witty1985

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Re: Ozzie's ACI surgery Diary
« Reply #30 on: August 20, 2013, 10:45:16 AM »
Hi Ozzie

I had a MACI procedure on a defect on my femur on the 24th July. I to went on holiday after only 10 days to Portugal from the UK. Flying was traumatic due to having my knee in full extension . However I do second your opinion on wheelchair.

I am now nearly 4 weeks post op and have ROM of around 110 degrees and extension at 0 degrees.

I have been experiencing quite a lot of aching an stiffness after exercises and when waking in the morning.

I am non weight bearing for 6 weeks and hope to go back to work after that I am a PE teacher.

When doing your ROM. Exercises how much pain would you say is good pain as I am wary of damaging the graft.

PS I totally understand your psychological woes as all I can think about it what is going on inside my knee and has it worked? If only we could fast forward time to have a sneaky peak.

Rob

Offline ozzie

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Re: Ozzie's ACI surgery Diary
« Reply #31 on: August 20, 2013, 07:17:20 PM »
Hi Witty/Rob.
Since you had the graft on the femur and I had it on the patella-the protocols are probably different for rehab, therefore take my experiences with that in mind.  My doctor said that the rehab is more aggressive with the patella-ie faster-in terms of ROM, although it sounds like you are moving right along with that. Also, I was able to put my foot down with crutches pretty early on because it was patella and not femur or tibia! The patella does not bear weight like the femur. I was really nervous about that because even though my doctor is very experienced with this surgery, I had read that patients should be non weight bearing for these cartilage replacement surgeries.  Also, I had read that the ROM goes slower than mine did-but my doctor said things have been updated based on outcome studies and I seem to be doing well.

 I am at 8 weeks now and i do have a bit of ache in the morning-a couple weeks ago it was noticeably  painful in the mornings. I wondered if it was because I am tossing and turning in my sleep.  I asked my physical therapist if I could do any harm in my sleep and asked if I should wear the brace at night and she said I could not harm the knee with tossing in my sleep. In terms of stiffness in the quadricep, I have felt some of that too-really recently, like the last day or 2, I am feeling less stiffness in my quad.  Sometimes I have experienced stiffness around the knee cap and the physical therapist treated it by "mobilizing" the knee cap gently.  She does that at each of my visits, but this week I only went one time and I found my knee cap getting stiff.  So, I did the mobilization myself and it seems to have worked well.  I am doing it everyday.  By the end of the day, I have some soreness, but nothing that affects my sleep anymore.  I have been told that most people have more pain than I had for ACI surgery.  I had more pain and swelling than usual when I had the supposedly easy arthroscopy to take out cartilage for the ACI, so I'm not sure why.  I am going to have this surgery on my other knee eventually (hopefully if the insurance works out) so I guess I could have a completely different experience next time....

 I was taking pain medicine or at least ibuprofen before doing the ROM exercises on the CPM machine or any of my exercises.  Also, if I go to Physical Therapy and don 't do the ice, I have soreness.  Since I took Percocet before doing the ROM exercises, I did not have much discomfort.  If I did not take the medicine, it was painful-up until about 5 weeks for me.  But the tibia may be more painful.

Is it difficult being non weight bearing?  Do you use crutches?  I imagine that must be challenging because you can't carry stuff around the house, etc.  You have two more weeks of that and it will pass and then you will have more independence. Since you went to Portugal, you must either have a very supportive helper(s) or be very courageous!

 There is alot of patience involved in this! This type of surgery is amazing and I am so grateful for it-just a long rehab and the uncertainty!  Must you be completely back to physical activity before returning to work.  Must you demonstrate the sports or can you instruct, but not run around?  Also, I am curious why some people have ACI and some MACI...do you know?

Let me know how the stiffness and pain are going and how you progress with this..... Ozzie/aka Kayla   :)
« Last Edit: August 20, 2013, 07:19:53 PM by ozzie »
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 vickster

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Re: Ozzie's ACI surgery Diary
« Reply #32 on: August 20, 2013, 08:17:53 PM »
I don't believe the MACI version is approved in the US, while it is ex US

This is a useful link for anyone wanting a patient guide with info about graft integrity and rehab

http://www.kneeclinic.info/download/CKC_GNHFT_ACI_RehabGuide_101106.pdf
Came off bike onto concrete 9/9/09
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Offline Witty1985

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Re: Ozzie's ACI surgery Diary
« Reply #33 on: August 20, 2013, 09:05:57 PM »
Thanks for the quick response kayla.

Yes I hope to be given the go ahead to walk at 6 weeks therefore allowing a return to work were I can perform desk duties / light duties. Portugal was tough but worth it.

I am really struggling with the mental side of the operation and worry at the slighest ache or pain as to whether the graft is healthy.

The link you have sent looks helpful so will have a read of that.

I also had a revision ACL reconstruction at the same time and was on the chopping block for 3 1/2 hours so this may explain pain????

It has been a nightmare on the crutches everything is hard work. They also took my hamstring tendon from my left (good) leg so I am forever tweaking / pulling tha which is driving me crazy.

My leg now resembles my upper arm and is significantly weak. I am really struggling with the end if extension an flexion exercises.

My surgeon made the decision on MACI as oppose to ACI as if I remember correctly it is the most current procedure.

I may be wrong.

How bad was your pain before the operation? Activity levels?
Rob


Offline ozzie

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Re: Ozzie's ACI surgery Diary
« Reply #34 on: August 22, 2013, 04:55:57 AM »
Hi Witty Rob,  before surgery I had pain (in both knees) that was painful going down stairs, running, jumping or any other movement with impact, long or fast walking.   It hurt if I sat in one position for a long time too.  The pain was not constant and it did not wake me at night.  But it was very limiting and as time passed there was less and less I could do.  I did not realize that I had such damaged cartilage until I finally had an MRI after 10 years of pain.  In a way I was relieved to know there was something damaged so that I could have it "repaired"-since previously I had been told by multiple doctors that it was chondromalacia (softening of cartilage) for which there was no treatment.  I used to run a few miles a day and of course I had to stop that.  Before my surgery, I was swimming laps for exercise, but, weirdly, even swimming, both breast stroke and freestyle, hurt my knees.  I guess getting to that point and thinking there was no treatment helps me be patient for waiting out the long rehab. If I have my second surgery in December, it will be a year from then that I can anticipate returning to being active...IF the grafts are successful!... I like your way of saying that it would be nice if we could take a sneaky peek into the future!  It sounded very British. 

It sounds like you have quite a few areas that were treated with surgery.  Is it because of an accident?  Sports injury?  I suspect this is the hardest part of your recovery for you.  Once you finally get off crutches, it will be much easier and you will have a sense of control because you can do more in physical therapy, etc.

You wrote that you had atrophy in your thigh and I just realized today that even though I am walking now and doing exercises like balancing on a board, I also have lost muscle both in my thigh and even more noticeably in my calf. My physical therapist pointed out the lack of muscle in my calf and it really disturbed me to see that change!  You are young and if you are a PE teacher, likely athletic-I'm sure you will regain that muscle in no time!  (:
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 ozzie

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Re: Ozzie's ACI patella and osteotomy Diary
« Reply #35 on: September 02, 2013, 08:13:36 AM »
10 weeks post op-I feel very good. When I wake up, before doing exercises, I still feel weakness in quad.  Rest of the day, feel strong and steady. I still do not walk far-but, I feel that I could walk farther than I have in the past-the most that I did was 4 blocks.  I went further than that once or twice shopping at the mall for back to school clothes a couple weeks ago.  Still, that was limited to one 45 minutes.

  I think there is some risk in this time because one could overdue it when pain and stiffness don't automatically tell your brain not to attempt too much.  I guess I tend to be pretty cautious, at least up until this point-I'm not sure if I have been overly cautious in terms of walking.  I really would like to walk my dog-but I chicken out each time I plan it (good for my kids though-they are getting more responsible about walking him without me begging!)  The underdeveloped calf is tempting me to walk more to get that back.  I am trying to be conscious of pushing off my toe in my stride, which engages the calf.  I think that walking unnaturally after surgery and not pushing off my toe in that way (plus being on crutches for a couple weeks) is what lead to the atrophy.  So far, I have not really enjoyed walking, except perhaps for the first minute or so.  I do not like standing for much time and start looking for a place to sit if possible.  I recently took a tour of a group home for teens (a friend is on the board of the program) and I did fine with the walking, but sat down whenever we stopped. 

A few times this week, I have felt a pop around my knee that felt good afterward, looser and stronger, although I had not felt any tightness prior.  My guess is scar tissue or something detaching, but I don't know.  I am going to therapy once weekly and the therapist is still working on moving my knee, but I have not had the problem of the tissue around the knee tightening up between those sessions.  I have expanded to a few new exercises:  the "speed skater" movement, where a small band is both ankles and then I kick back with one leg while balancing on the other-both legs.  Sitting on the edge of raised table/bed, extend leg (using the other leg to bring it up-still not supposed to do leg extension using my muscles due to risk of shearing the graft-but I do do this movement at night while tossing and turning falling asleep and in my sleep-apparently ok as long as it is not a repetitive movement according to therapist-no brace needed to sleep). And then keep leg out with quads engaged for 5 minutes.  Lots of balancing on the balance boards.  The first time I did balancing on one leg, ie the operated leg, I was nervous, but felt good afterward.  On the leg press machine (on which the seat moves back and up as you push with feet) I am doing leg press, then calf strengthening with toes on the machine.  They have this machine at the gym where I (try to motivate myself to) work out and swim and do the bike, upper body machines and this leg press.  30 minutes on the bike at about level 5-6 at a quick, but not 'all out" pace, no longer causes swelling. 

With the continued and rapid improvements, I am thinking more about my second surgery.  I wish I had the feeling that when the doctor and I agree on a date, we will be able to proceed, but there is the insurance issues to contend with of course.  I meet with Dr. Gillogly on September 20.  I will plan to discuss the next surgery with him on that date.  I believe that there may be another xray that day (?) and consultation with the physical therapist - Gillogly will come to the PT room and observe me with therapist as part of the evaluation. 
« Last Edit: September 02, 2013, 08:31:28 AM by ozzie »
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 ozzie

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Re: Ozzie's ACI surgery Diary
« Reply #36 on: September 23, 2013, 03:30:40 AM »
September 22, 2013-12 1/2 weeks post op- I visited with my OS and physical therapist  2 days ago to discuss my progress and I asked about planning for surgery for the next knee.  The doctor said I am progressing well and this indicates that my graft is successful-at least so far. He said since the change from using a periosteum harvested from bone in the patient's leg to making a patch to covER graft from animal skin (pig) has made a huge decrease in complications and lack of success.  I believe that especially refers to the complication of overgrowth, ie when the new cartilage cells would leak out past the area where they were placed.  I am restricted until 6 months from "open chain" movements.  I am still doing stairs one step at a time ( *** This turned out to be a mistake-at 6 mos i learned that the protocol was actually that i could have been doing stairs normally around the 3 month mark) I am strong enough to alternate legs, but this is one of the restrictions.

I asked about planning for the next surgery and the doctor was positive about moving forward wih that.  His assistant/nurse will speak with someone from the office to contact my insurance company.  I am worried about the insurance's response since I had such trouble with approval for the first
ACI surgery.  Dr Gillogly just this week submitted an article for publication (or it was published in the journal-I forget which) re the success rate of patellar ACI in his practice.  Also another review article by different augurs was also just published. I hope these will affect the insurance's decision as well as my success on right leg, but who knows.  It would be ideal for me to have he surgery in December so I can get two weeks of recovery over the school break and not have to worry about driving my son for school.  It will be my left knee-so perhaps I won't be limited for driving as long next time.  December is my goal-but I may not have control if the insurance gives a denial. 
   
I continue to do occasional walking-I have not walked the dog so far since I did go quite a ways about a week and a half ago.  I had a bit of swelling and a bit of swelling-which may not have been bad for me, but I am so nervous.  It's hard for me to not walk the dog when my family is busy.  Then my son sprained an ankle playing sports yesterday-so now I feel more pressure to walk him.  I can do a couple blocks-but he really likes a half hour at least.  So trying to walk him short distances and encourage those who are not limited in family to take him for some more each day.  I enjoy being outside and walking-weather is a little cooler now-so it is hard to hold off for many reasons!  Meanwhile, I am swimming and enjoying that alot.
« Last Edit: January 26, 2014, 06:57:27 PM by ozzie »
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 mrspooner

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Re: Ozzie's ACI surgery Diary
« Reply #37 on: October 03, 2013, 01:50:24 AM »
Hi Ozzie,

Thank you for sharing your journey. It's a help to read the experiences of other and get an idea of whats about to happen.

Mike
92 L Meniscectomy
02 L Meniscectomy
04 R ACL
06 L Meniscectomy
10 R ACL
13 L Meniscectomy

Offline ozzie

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Re: Ozzie's Patellar ACI surgery Diary
« Reply #38 on: October 17, 2013, 11:34:09 PM »
October 16, 2013-About 3 1/2 months post surgery-I just returned from a 5 day trip with lots of walking and I am pleased that it went well.  I toured 4 colleges in the northeast with my daughter and did all the tours, as well as walked around the towns/cities.  I actually took a crutch with me, so for the first 3 days I used that when I was going to do alot of walking in hopes that it prevent swelling of the knee.  I had no swelling those days.  In NYC, I did not use the crutch and had a small amount of swelling-very minor.  We walked around and did shopping in the city and I felt ok.  I'm glad I went because it showed me what I can do now.  When I returned home, I took the dog for a walk two days in a row and I think that one reason I have some discomfort walking in the neighborhood is due to our driveway being very steep and long.  So, I plan to drive up the hill to take walks in the future. Its actually the knee tht did not get the surgery yet that hurts going downhill, and iI am really slow and tentative on steep downward inclines.


Note: December 12, 2013 I am adding this note at approximately the 3 month mark to be helpful to someone reading this that is planning to have ACI surgery.  I am now at the 6 month mark and planning to have my 2nd ACI surgery in 2 weeks.  I spoke with my PT last week and was dismayed when I asked her about starting to walk stairs one at a time and she replied that I was able to do them at 3 weeks.  The lack of practice with stairs has made it all the more daunting to try this and I have found that I am having difficulty going down the steps using my right leg.  At present, I am unable to do this.  So, for anyone who has had this surgery and is approaching the 3 month mark, I suggest that you consult with your physical therapist if they have not mentioned returning to walking stairs in a normal manner.

In my rehab, the area of my leg that could be stronger are my glutes and hip because I can balance much better on the left leg than on the right.  I still do not do stairs alternating legs (very slow and kind of embarrassing on stairs) and was wondering if this lack of using my right leg to climb is contributing to the weakness.  I have exercises to do for that area-pilates hip sequence and also the skater exercise using a small band.  I still experience quad weakness-but much less-sometimes in the morning and sometimes after sitting for awhile, I will have a brief loss of the muscle.   If I do my exercises that day, it is less likely.  When i was on my trip, I did not do as much therapy exercises.
« Last Edit: December 13, 2013, 04:53:56 AM by ozzie »
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 ozzie

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Re: Ozzie's Patella ACI surgery Diary
« Reply #39 on: October 29, 2013, 05:42:33 AM »
  October 29, 2013-  It is 4 months since my ACI and osteotomy surgery.  I have begun walking regularly 2-3 miles outside and on the treadmill with very little or no swelling.  I feel very close to normal on the operated knee and am free if pain. According to the protocol, I still do stairs one at a time and do no jumping or running.
     Those of you who read this who are interested in insurance coverage for the patellar ACI or who are planning to have (or have had) this surgery on both knees, may be interested in my progress on getting my second surgeries approved.  I have been worried about getting approval for a second ACI surgery and wondered about my options if the insurance denied the surgery.  Get a knee replacement and give up my dream of being as active as I would like to be for the rest of my life?  Get only the Fulkerson and have the damage contained to the cartilage already worn away, but live with major cartilage damage?  I try to avoid ruminating about it, but it seems bleak....
    My doctor's office began the process to request coverage for an osteotomy (Fulkerson) and ACI after my appointment with Dr. Gillogly on Sept 20.  Two days ago, I received a letter from my insurance company stating that the Fulkerson was approved. That was not a surprise. Then yesterday, I received a letter saying my ACI surgery was denied. I had expected this, but still felt down about it. I hoped that an appeal would make a difference-but was pessimistic-since last time that did not help.... Then today we received another letter saying the ACI PATELLA had been approved. Tomorrow I will call my doctor's office and see if they can interpret the letter. I hope it means that it is approved and we can set the surgery date.
 I will try to restrain my excitement until I know for certain.
« Last Edit: December 23, 2013, 07:34:01 PM by ozzie »
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 ozzie

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Re: Ozzie's Patella ACI surgery Diary
« Reply #40 on: December 05, 2013, 02:10:52 PM »
ACI surgery for left knee scheduled for Dec 26.  I am trying to plan for some help in the house and driving me and my kids.  I am wondering if return to driving will be easier with the left knee.  My rehab for the right knee has gone smoothly and I hope I will have such good luck with the second knee, but I realize that it could be different.

I did an hour hike over Thanksgiving and have taken other long walks since then. I realized by asking physical therapist that I had mistakenly thought I was not to do stairs u tip 6 months. She said I was able to do stairs using both legs, by 3 months!  I am now at 5 months post op so I lost precious time!  It is hard goi g down stairs!  I am going to spend as much time as I can working on this because my right leg will be my "good" leg when I have surgery on left.  My knee has gotten swollen a couple times recently-I am not sure if it is related to hike and walks or the stairs.
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 ozzie

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Re: Ozzie's Patella ACI surgery Diary
« Reply #41 on: December 13, 2013, 04:48:42 AM »
December 12, 2013
I am still planning to have my 2nd ACI surgery on December 26.  My revelation about the stairs, ie that I   was able to do stairs at 3 months, continues to be a worry to me.  I have found that I am able to go up stairs using my right leg, but going down is a problem.  I'm not able to do it without holding onto the rail.  Really, I cannot do it and certainly would not be able to do it if my left leg is weak.  I am working on quad exercises and trying to do the stairs daily.  Today, I rode my bike for over an hour including some tough hills.  I love biking, but I feel a bit daunted because I am not back to normal in terms of quad strength.  On the flat surface I don't notice it, but on the steeper hills, it was tough.  I am going to ride as much as possible leading up to my surgery.  The weather is cool, but with warm clothes, it is fine (I am in Atlanta).  Definitely experiencing anxiety about how it is going to go given that my right knee is not back to normal, but excited to proceed with the process of the 2 ACI's, rehabilitation, and hopefully a return to being as active as possible.  Some of the anxiety is also that the date has been set so recently and I only have a couple weeks to prepare.

I have arranged for someone to help me and do some housekeeping and cooking for 2 weeks.  I do not know if I will be able to drive more quickly since this will be my left, non driving, leg, but hoping that will make it quicker.  My kids will be on school break when I have surgery, so we arranged for them to visit with family for 5 days and then when they return, my husband will be off work and we will also have the person to lend a hand.  We have no family in town and this time my mom will not visit, so we have decided it is a worthwhile expense to have a person to help.  She will drive me to daily physical therapy appointments once my husband returns to work on the 3rd and also drive my son home from school each day.
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 ozzie

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Re: Ozzie's Patella ACI surgery Diary
« Reply #42 on: December 20, 2013, 01:56:00 AM »
This week, I have practiced stairs one at a time and have adapted well. I hold on to the rail, but it is not difficult..... I have not had as much time as I had hoped for strengthening exercises, but have been practicing with crutches and doing the stairs each days, continuing to do stationary bike, leg weights, and other exercises.  I had meant to also do exercises with weights on the left leg, which is the leg that will have the surgery next week, but have not done it.  In general, I am doing very well at 6 months. If I do not do some weighted exercise, ESP if a couple days pass without exercise, the quad can feel less engaged every once in awhile.  When I do strengthening exercises, my muscles feel the best.
« Last Edit: December 23, 2013, 07:44:26 AM by ozzie »
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 ozzie

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Re: Ozzie's Two ACI and Fulkerson Surgeries
« Reply #43 on: December 27, 2013, 07:17:40 AM »
Today, I had my second ACI-this time patella and trochlea-as well a second  Fulkerson (osteotomy). My first AI and Osteotomy was on my right leg , this one on the left.  went very well.  I slept much of the day and now have some energy so ill do a quick blog entry and hopefully sleep through the night.

I am getting used to crutches again. I practiced for the week prior to surgery on the crutches. Today I needed to have my husband help me do the minimal walking (car to house, bed to bathroom), but by this evening, the tranquilizers I had requested and other meds wsore off and I felt steady enough to crutch the short distance from bed to bathroom-but with my husband in close proximity in case I stumble.

I again have a nerve block which means no pain!  It also means no feeling in my leg/foot.  This means that I have to be super careful on crutches and just moving around, so as not to do harm. I have on the cuff for the "Game Ready" ice machine and the soft stabilizer cuff, which helps to keep leg straight.

The ice machine was delivered to the surgery suite before I went in for surgery.  We had initially paid $300 prior to the first of what is now 3 surgeries, and we though the rep said that we would not have to repay for the following surgeries.  That was true for the last one on June, but today he did not give us that deal. I do think that it may have played a part in my past two good recoveries and worth the cost. 

I have to sleep on my stomach the first two nights (maybe three-I was groggy post op and my husband got the post op info from the surgeon and nurse.

Advice for any surgery:  bring at least one companion to post op and have them WRITE everything down in detail). 

When i was alert before my first surgery, Dr Gillogly had told me the reason for sleeping face down and he said there is a theory that this helps the cells adhere better to patella. I believe he said it is best to lie on stomach in these first day even awake.

The CPM machine (which constantly moves your knee) will be delivered to the doctor's office tomorrow when i am rhere. I have a post off doctor appointment and my first PT appointment tomorrow morning.

I am less anxious than prior to the surgery!  I was so tense and my internist gave me a couple of  Xanax for the 2 days prior to surgery which helped a lot.  Now I am doing ok.  It seems like I'm just going to repeat the whole process of my first ACI.   But, I am not naive.  I know complications could pop up-even though the first 6 months on my right leg have gone very smoothly.......
« Last Edit: December 27, 2013, 07:39:19 AM by ozzie »
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 ozzie

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Re: Ozzie's 2 Patella and Fulkerson ACI surgeries-both legs!
« Reply #44 on: December 28, 2013, 04:16:09 AM »
Day 1 post op from 2nd ACI (patella and Trochlea) and Fulkerson.  The nerve block continues to numb my knee.  I can now feel touch on my toes, calves, thighs. I was a bit alarmed by slight pain behind my knee. I want to "stay ahead of the pain" and I had not taken the Percocet since early morning and it was 9pm when I felt the discomfort.  I took the Percocet at 9pm and 20 minutes later felt fine.  I am not sure of the dosage, but when I get a chance, I will look at the bottle and write it here.  I am a little "dopey" today-I keep forgetting little details like the time of tomorrow's PT appointment, immediately after someone told me.  Otherwise, in good spirits.

My husband is off for more than a week and he is helping me a lot by bringing me meals in bed, helping me move the CPM machine on and off the bed, and everything else. He also stays close to my left side when I am walking on the crutches. When the nerve block wears off and I can "toe touch", then the crutches will be easier.  I am doing fine on them, but like having him to spot me just in case and also i put my arm around his neck and he basically lifts me up and down the very small step at our front door.  My kids are staying with my mom and my brother out of state since the day before my surgery and will return day after tomorrow.

The woman who was supposed to help me when my husband returns to work bailed on us and won't be coming!  She got a full time permanent job (not just for 2 weeks like it would have been for us) and closer to her home.  My first  reaction was panic, but then I decided it is fine.  By the time I would have needed her,  getting around on the crutches should be easier and I may even be driving since they said that with the left leg, I'll be driving quite soon.  I figure if we do some take out food for meals until I can cook again (when I am on one crutch), it will still be WAY cheaper than paying for a helper.  I was going to pay her  $125 a day for 2 weeks!  A really big savings not to have that expense.  I had not wanted her for  eight hours a day, but she lives far from my house and she had said she needed a full day to make it worth her while.  Having someone in your house can be uncomfortable.  And really it is good to save the money for us... So, hopefully this will work out OK.  I do have good friends who can come over to help and do my shopping-A few close friends are also neighbors-and they want to help me.  Plus I have a teenager who can drive.....No relatives in town though...

I had PT and doctor appointment today.  The knee is swollen of course.  The doctor said instead of staples, they used fiberglass tape and glue!  I could not lift my quad at all, but with the  the nerve block it is not clear why.  I did stretches for calves and hamstrings and ankle twirling which protects against clots.  Tomorrow I go back to PT again and then it will be 2 times a week.  I was able to dangle my foot at 90 degrees, so the physical therapist said to do 90 at least part of the time on the CPM machine.  The CPM machine was delivered today-my old friend!!!   Did about 5 hours today on that contraption.
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« Last Edit: December 28, 2013, 04:26:58 AM by ozzie »
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