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Author Topic: Post op open wedge high tibia osteotomy and microfracture  (Read 8058 times)

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Offline Code girl

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I had my operation 7 days ago ..stayed in hospital for 3 days as I requested to come home ...op went well ..excruciating pain by day 2 not a good night sleep constantly waking up for pain relief and ice ...extremely swollen from thigh down to foot ..physio visited on day 3 to bring me crutches as no weight bearing up to 8 weeks ..this is going to be hard and frustrating ..done well on crutches despite the pain ..learnt how to tackle the stairs ....discharged on day 3 ...realised got home very emotional as u forget how well adapted the hospital is with grab bars high beds etc is then u return home and there is none of this ...got myself ailot as drugs make u feel so groggy  forget what I've taken ....been given asprin for blood ..and diclofenisc paracetomal and galpendin ...all help but don't relieve all the pain ...;0/

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #1 on: May 23, 2013, 08:29:50 AM »
Day 7 ... Another uncomfortable night sleep ...not used to sleeping sat up like sleeping on side ..every movement pain wakes me up ...managing stairs a little better easier coming down then up ..cheat a little due hoping up and down ..not how shown by physio ....but I works ...find leg very painful around the osteotomy site when I get up and move or sit in chair  ..but the pain from microfracture is painful when laying on sofa ..still trying to do excesses but still two so painful and hard to do ...staring to itch around the stapled area ..not looking forward to all these coming out in 8 days ...swelling not to bad today but will get worse when up on crutches or sitting down ...bruising starting to come out all over knee and leg even on back ...having me wheelchair delivered by Red Cross today as these four walls are driving me mad .. :o

Offline DebbieCJ

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #2 on: May 23, 2013, 04:12:09 PM »
Hi there,
Sorry that you're feeling so rough with this - the lack of sleep got to me too and the only way for me to function was to have an afternoon nap every day!
I was lucky as i was allowed to weight bear from day one, as long as I was wearing my brace, so I was able to get out and about (albeit very limited).
I was also also told to keep taking the painkillers and anti inflammatories for as long as I needed them- it was important for exercising and also they work better once they're in your system.
Good luck with your recovery and keep your chin up - it will soon start to improve.
Best wishes
Debbie
2008 steroid injections, Bilateral arthroscopy
2012 bilateral arthroscopy, cartilage biopsy
2013 MACI (patella), Fulkerson and lateral release march 15th

Offline WonkeyDonkey

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #3 on: May 23, 2013, 05:46:48 PM »
Sorry to hear not is going as well as expected, make sure you keep up with the meds as they do help. I had a HTO in Nov 2011 and was NWB for two weeks and then PWB for a further 4 weeks, however as you have had microfracture as well you will be NWB for longer than I was. Try to rest your leg as much as possible in the first few weeks and really take it easy. I know that daytime TV is rubbish, but maybe you could try DVD's, and reading as well to take your mind off your leg. Easier said than done, I know.
As for the lack of sleep, catch up on it when you can, I used to fall asleep in the chair whilst watching tv. have you tried putting a pillow under part of your leg to help with the pains.
I wrote a post op diary, here is the link if you want to read, please remember that I didn't have microfracture.

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=58048.0

My heart goes out to you, as things seem to be very emotional at the moment, but they will get better and not everyone around you will understand what you are going through and how you are feeling.

Stay positive and look forward to all those things you want to do in the future, this will help get through the bad and uncomfortable times. If you have any questions feel free to ask.

Best wishes
WD

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #4 on: May 24, 2013, 07:34:41 PM »
Thanks Debbiecj ...yes it is hard not used to all this sitting around and thanks wonkey donkey I have alteady read your diary it was one of the reasons I decided to go ahead with the operation ..as I was in two minds what to do due to all the complications you are told could happen ..and I don't have a Cyril cuff only available at physio but I have been icing quite regularly and finding this has helped a lot with the swelling ...
Day 8 ...had a better night sleep last night but still wokE up quite a few times as uncomfortable and pain ...still taking pain killers on the dot ..and still feeling very dizzy with these ..my fantastic if daughter washed my hair last night ..what a fantastic feeling having clean hair ...the new wheels have arrived fantastic service by the Red Cross ..have had a sit in chair very comfortable and a nice brand new one which helps especially with my OCD on cleanliness ...hoping for the hubby to take me out for fresh air over weekend ..leg has now come out every where so bruised and starting to feel pins and needles more frequently ...and the pain when putting leg down is excruciating especially in the area of the plate not sure if its the plate irritating or the bone pain....still can't bend the leg but think this may also be the microfracture as well ...follow up for consultant arrived today 1 July and physio on 4 th June not sure what I will be doing as still can't weight bear there ..so hopefully he won't hurt me to much ..luckily I do know him from my 5 previous years of physio .. Until this op ...still so emotional feel like anything and everything sets me off the pain the frustration the feeling guilty of everyone having to care for me practically 24 hours a day ...even my poor husband working and getting up all hours to make me comfortable help me to the loo help wash me make me breakfast and then have to go do a days work ...hoping I have made the right decision even though have been told its a long road ahead and not to expect miracles .... ???

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #5 on: May 25, 2013, 08:37:58 PM »
Day 9 .another reasonable night sleep great..nice having hubby off no more getting up at 6 to get downstairs ...finding sitting in wheel chair is very comfortable ... ;D how great it's been to get out ..even if for only 2 hours ..but a nice trip in chair to garden centre and to sit outside costa on a fantastic sunny day ..makes such a difference ...couldn't believe how only a little trip takes it completely out of you ...got home sat on sofa took pills as pain had got worse but to get out was worth the extra pain ....then 5 hours later I wake up ..lol...so def a relax on sofa to reduce the swelling and get me energy back ...
Over the last week I have found I am getting so breathless not sure if this is due to my injury and the extra effort to get around ...or the heart murmur I have ..if anyone has experienced the same please let me know ...really don't want to be having to have another problem to worry about ...   ???

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #6 on: May 27, 2013, 01:11:19 PM »
Day 11 ...what a fantastic day I had yesterday ..my first visitors ...a nice relax in the wheels in the garden sun out BBQ going ...only downside no alcohol for me ..but having friends around is such good medicine ..thnk may have paid for it a very swollen  leg ad foot by 10 pm ..so found it extremelly hard to get upstairs with me crutch and jumping on other leg ...so had to be going up on the bum night as me leg felt like a dead weight ..so on me sofa elevated leg today ...finding everytime I get up to move on critches I get the most excruciating throbbing pain in the leg area where the osteotomy has been done hoping this is normal and nothing wrong .??? ...wondering how long it will be before I cand put leg down to move around on crutches and chair without it swelling to 4 times its size ..as all this sitting down with elevated leg is not me ...lol...on a good note least I've got lots to catch up on today n tv thank god for sky+ ...and on demand ..will keep me occupied for the rest of the day ...hoping tomorrow will be up to going out for a short trip ...depending on weather ... :D

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #7 on: May 30, 2013, 12:53:07 PM »
Day 12-14....day 12 not to good Solent whole day on sofa leg elevated ..so much pain ...couldn't get comfy ..and so tired phoned doc regarding pain meds as was told to slowly phase off of the gapabendin ...or something like that ..but explained the pain is so severe ..so they have given me a new full prescription ...hate to think what I'd be like if I had to stop them ..yesterday was nice more visitors to put smile on my face even if for short time..S I just can't get comfortable lately sit one way then it hurts by the osteotomy f isit another it hurts the microfracture area ..still having agonising pain in the ostetomy site and the shin bone below all the time I get up on crutches or jus dangle me leg in a chai etc hoping this is normal ...today I'm on sofa again as leg very swollen again ...hoping for me friend popin later ..but not till I know me house is immaculate ..def driving kids and hubby round the bend with my OCD ..seems so much worse now I can't do anything ...tomorrow going to be fun ...clips are coming out..hoping the district nurse will be gentle ...so back to loose women it is ..running out of tv now ...not looking good ..lol ... ;D

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #8 on: June 04, 2013, 06:36:56 PM »
Day 15-19 post op...
Not been to bad over last few days still in lot of pain and not sleeping well ...still not
I,ing me new scar..maybe once it settles down if it settles down It may not be to bad only time will tell ...had  a fantastic day down the sea front Sunday ..sat in me wheel chair fantastic weather ....but def takes it put of u ..very swollen leg on returning home ..but still enjoyed a nice afternoon BBQ ...tried to enjoy despite the pain...spent most of yesterday seeping and resting ...ready for today ....physio are so kind ....omg did it hurt when they got me to straighten as much as I could ..even know u say no more and they still try and push u a little then they try and get u to bend it ..this not only Hurt in the microfracture area but also felt like me knee cap was going to explode ..lol....they were happy with my bending apparently a little better then before op ..as the loose cartilage floating around had got caught ..which prevented me leg bending ..back in just over a week ...for more torture but until then got me excercisee instructions going to start these tomorrow as so painful and very swollen now ...so a nice relax on sofa ice cold coke ...but still no vodka ...lol.. ;)

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #9 on: June 10, 2013, 07:25:58 PM »
Day 22 - 25 ...had a nice weekend catching up with my uncle coming over from Spain ...been nice catching up ...went out Friday to do a little shopping so glad of the recomendation for a wheel chair ..only way of getting out and about ...but it's another world when in a wheel chair so many ignorant people ....obviously me sitting in a chair with me leg sticking out is not enough warning for people not to walk or try to push there trolleys into u like u not even there ...and it's amazing how many shops are so not wheel chair friendly ...
Day 23.. Had a great time catching up with family ..sat in garden having a BBQ and a soft drink for me ...but after all having ago on the lmicrophone for a a bit of singing ...had the biggest smile on my face and couldn't stop laughing ....despite all the pain ...
Day 24  Not as good day today feel a little in dumps and very tearful ...the frustration is kicking in again ..family are great at cleaning but ...I'm a bit of a perfectionist so itching to get it perfect and not being able to is so getting me down ...the thought of another 3 - 8 weeks of this is not helping ..
Day 25 ..not done much today ..finding leg still very swollen but foot seems so much worse like a swollen ball on top and so tight and hard to move ..tried to do my excercisee but even pulling foot back is proving hard with the swelling ..not doing any better with the leg bends ..little concerned as starting to feel grinding and clicking in the knee area where microfracture was done ..hoping this is not it coming away ..will ask physio on Friday ...and starting to feel the original pain in this area to pre op ...hoping this has not all been for nothing ...time for all those painkillers now so will be a drowsy zombie soon .. ;)

Offline Curz

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #10 on: June 25, 2013, 06:23:34 AM »
Hi!

I had HTO on my left knee and an acl recon - which failed.
Ive read your blog and its everything im feeling. I can take the pain in the day, except for when you get up for the first time in a while but at night its literally a nightmare. The pain is so intense and I cannot get comfortable as im on my back with my leg up in a restrictive brace. Ive taken the brace off a few times in the day to let my leg get some air though.

Does the sleeping get better or have you found a way to better it? I hate that not only do I not sleep but my partner doesnt sleep either.

Good luck and thanks

Matt
Tore acl 2007 and meniscus
Acl recon op and meniscus 2011
Tore reconstructed ACL feb 2012 and meniscus gone 2012
Leg out of alignent jan 2013 with lots of pain
HIgh tibial osteotomy on left knee june 2013. Patella tendon acl recon failed during operation june 2013.

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #11 on: July 13, 2013, 01:05:44 AM »
Sorry it's been a while since I've updated
Sorry to hear u are in so much pain curz  ..I so would like to say it gets better , but its not with me ..I'm now 56 days post op ..I've been having my leg straightened and bent by my physio but its not nice extremely painful within the knee , but this is due to my microfracture ...bending is not as bad on the ostetomy site but the straightening is , I'm still on critches and the chair if got a distance to do , I'm allowed to put about 20% weight through at mo pain tolerated , but after about 6 steps the pain im getting in my osteotomy site and shin is excruciating , I have now had my gapapentin increased now to 1800 mg and still taking diclifenic , but this is not ideal as they slow the bone healing down , but due to my allergys to codene and morphine I have to carry n with these ,
I have had my 6 week post op X-rays , they seem to be happy with these but will get a better idea  at 14 weeks when they are hoping ill be weight bearing little more for a full leg X-ray , I'm not only finding the pain physically draining its also mentally draining , and so frustrating ,
Also curz I am having big problems with sleeping can't get comfy and when I do the nights practically over , I've been sleeping downstairs , to give my husband a good night sleep , as wel, as he has had car accident , and is unable to help me up stairs .but I am finding sitting up on sofa is a little m,ore comfortable , still can't seem to get the selling down my foot looks like a pin cushion ...,  :(

Offline Curz

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #12 on: August 04, 2013, 08:50:28 PM »
Hey,

Sorry to hear its not going well. Im 7 weeks post op. got the brace on still but am weight bearing an allowed to not use the crutches as well. I do keep one with me tho an use it half the time.

Im not balancing on one leg (operated leg) an allowed to do lunges and squats as well. I have no pain, swelling is going down to. My knee is cracking a lot tho as the swelling goes down. Its hard to walk properly tho due to the swelling.

Im off for another 5.5 weeks of work at least tho. How r u getting on since your last post?

Matt
Tore acl 2007 and meniscus
Acl recon op and meniscus 2011
Tore reconstructed ACL feb 2012 and meniscus gone 2012
Leg out of alignent jan 2013 with lots of pain
HIgh tibial osteotomy on left knee june 2013. Patella tendon acl recon failed during operation june 2013.

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #13 on: August 15, 2013, 05:51:39 PM »
Hi curz
Ive not been to bad ...getting little more sleep then before but still getting pain in night ...I'm now 40% weight bear with the use of crutches still ..find after about 10 metres the pain is still excruciating ..and getting a lot of cracklings in the knee too ...I'm finding my leg is locking a lot as well , so will speak to consultant about this ,, I'm off to see him next Wednesday for long leg X-rays ..ill be 14 weeks post op then ..hoping I will be giving ok to go back to work as I'm getting so bored , but am concerned ill struggle big time as not even managed to hobble for very long as yet and even though will be back on phase return will still be doing 3 hours work though ...main concern at mo is I'm still experiencing same pain in knee as was pre op ...sounds like u are doing a lot better then me , and looks like u op has been successful , just hoping all this pain is just scar tissue and will settle soon ..;0))

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #14 on: August 19, 2013, 11:09:06 PM »
94 days post op ....it doesn't seem I've been off work this long ...and still struggling with rehabilitation ...another day at physio ..proud I managed to get through my lists ..but it was agony ...even came home and re did all of the excersises and stretches again in the afternoon ..getting more and more concerned abot the bone pain I'm feeling n my tibia especially in the osteotomy area ..it seems to get worse as the days go on ,, still getting a lot of pain in the microfracture area ..still can't straighten the leg it's like it goes so far then there is something stopping it go further ..not sure if scar tissue or failure of microfracture ..knee is still locking as soon as I put about 40% weight through and giving way on me a lot as well ..got me consultant on Wednesday so hoping he will be happy with long leg X-rays ...and if I can go back to work ..not sure what the average time is to be of work. But I feel i seem to be recovering slowly , thought I would of been back after about 8 weeks , its 14 at end of this week , still can't seem to master down to one crutch as I seem to walk funny as ,y husband says ,like I'm sticking my leg out as I walk ..still yakng maximum dose of pain relief ,, so also going to ask consultant if this is normal or should I be reducing this by now .. ::)

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #15 on: August 25, 2013, 07:22:53 PM »
Day 100 .....been back to consultant he is happy with my osteotomy ..healing nicely ..yaaaaaaay ...but on a bad note ..thinking the microfracture has failed ..explained still in lots of pain in the medial part of my knee ,and by now this should be feeling a lot better but it's not ...and didn't get any reassurance it's going to get better ...so feel like I'm back to square one  pre op ...with the extra added pain in my tibia ...totally fed up now ...was hoping for a miracle pain cure ...o still on two crutches .. On a good note well mentally good .. I've convinced the doc to sign me back to work ..maybe only few hours a day ..but what sanity to go back and get away from these four walls ..with adults to talk to ... :).. Getting little scared though as also going to be on extreme light duties ,,bit worried may not cope and ay let colleagues down but got to give it ago eventually...got great friends at work who all going to help as much as possible ... :) 

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #16 on: November 14, 2013, 08:17:41 AM »
6 months omg ...only seems like yesterday ..being wheeled into theatre ...but unfortunately not 6 months of joy ...had me check up today ..consultant is happy with the osteotomy leg nicely aligned healing well ..could even have late removed in about 8 months if all goes well ..but was it all worth it ..yes they have widened the gap ..but.   I'm still in so much pain in the medial area ...knee is giving away a lot ..pain constant still on crutches ..and stability very unprodivtable ..could be one step or ten .when pain so severe knee gives out ...unfortunately answer from consultant is ...let me show u pictures of u femur ..the damage is very large and right down to the subdue all bone ..attempted micro fracture ..but due to size of lesion and depth ..it's not worked ..there is nothing more we can do for u carry on on u strong painkillers ..keep it moving and try to maintain until I'm old enough for knee replacement ..think it could just cry now ... :'( ..no impact sports ..and if weight Bering is a big problem don't weight bear ....so going to have to put up with this for next 10- 15 years ...sorry to be so negative ..I had such high hope for this op after all the other failed procedures ...but there is lots out there that this has worked for, just not me. ...

Offline WonkeyDonkey

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #17 on: November 14, 2013, 10:24:40 AM »
My heart goes out to you. My HTO aligned my leg beautifully but unfortunately my pains have not gone away. I do not want a knee replacement yet, so have been given a Ossur Unloader brace, which rubs the back of my knee, so every time I wear it, I then have to leave it off for a week to let my leg heal. I am trying electro-acupuncture to help with the pain. I still do physio exercises, but nothing seems to get rid of the pains.
Unfortunately no operation would appear to be a miracle cure, I wish they were.
Stay positive, this operation has a long haul recovery, and you will keep making progress for months to come. I am 2 years post op and can do more now than I could pre-op. We have all had good days and bad days and that is when KG's comes into it's own as a wonderful world of support and understanding.
Good luck
WD

JFVolleygirl27

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #18 on: November 14, 2013, 08:22:31 PM »
I'm so sorry. I can't imagine the frustration with the op---crutches still at 6 months. Is this the only doctor you saw? Maybe you could get another opinion from someone about the part of your leg that won't heal. That would be terrible to put up with, especially if its several more years before you could get a tkr.

Again, I'm so sorry! Try to keep fighting and stay positive. You are in my prayers.

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #19 on: November 14, 2013, 10:03:41 PM »
Thanks ..but I'm already on my third consultant being passed on to another .with what they think may help ...had chondroplasty ,, cortisone injections and dura lane lots of physio over the last 6 years ...plus this op..and they have given up on me ..nothing else they have said can be done even by another consultant ..got a severe injured leg that I'm just to young for the correct treatment of knee replacement ....so I've got to try and cheer myself up eventually get out there do what I can despite it being much ..quality of life seems nothing at mo..poor husband has to help me get dressed get in and out of bath up and down stairs ...I can't go out on my own as knee constantly gives way and I'm on floor .hopefully eventually I will be able to come to terms with how I'm going to be and there is not now going to be a miracle cure ...

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #20 on: November 14, 2013, 10:11:17 PM »
Thanks wonkey donkey ..think I have told u before your diary was what encouraged me to have this op ...m the same have a aligned leg now but ..as my consultant has explained they never guaranteed the pain to go just ..to widen the gap so my bones weren't constantly rubbing together ..but as I have such large amount of articular damage to the femur ..completely down to the subdurak bone ..this cannot be cured ...I will  try to carry on ...but it seems the sharp crippling pain I've been experience is becoming more regular and unpredictable ..I spending lots of time on the floor ...or in tears as not sure how much more I can take ..as am already on maximum dose of painkillers .... :-[

Offline cardifflandlord

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #21 on: November 25, 2013, 10:33:20 AM »
Hey Code Girl,

so sorry your in so much pain. I had a high tibial osteotomy 4 days ago which included a bone graft from the opposite hip and I have been in a dreadful state but this has been managed by pills. Do you have a pain plan in place or have you discussed a pain plan with anyone? My pain was sorted via VERY strong painkillers ie Oxycontin and oramorf. I'm off home today so wont be on these painkillers for very long but surely there must be something that can be done to help you?

My tibial correction was over 16 degrees and during the past two days I have been very low about it all but to hear you in so much distress is awful. HAve you been to a pain clinic?

Jools

PS - my surgeon told me the op was going to be "sore" but I did not equate this with the fact he was essentially breaking my leg and I was in no way prepared for the pain which varies between excruciating and just plain f*****g awful lol. I have to have the left leg operated on next April when this one heals so at least now i know what to expect and I WILL take the drugs offered and WILL NOT try to be brave and tough it out and neither should anyone else!

Offline WonkeyDonkey

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #22 on: December 02, 2013, 04:25:51 PM »
Hi Code Girl

How is it all going? Please say things are getting better, I sympathise with your pain and understand how it can grind you down, physically and mentally. Sometimes it would be great if all the hospital departments worked together better so patients get a better deal. It is no good for a patient to hear there is nothing an OS can do, there are always options. I have asked about other options and have tried a private physio, massage, acupuncture, electro-acupuncture, brace, aqua classes and swimming. So far I am having pain relief from the electro-acupuncture, although it doesn't last for long, it does give me some relief for a few days. I just keep asking for more options saying I am not ready for a TKR yet.
Keep asking questions and don't take no for an answer. It maybe worth contacting other OS' and asking for their opinion. Where are you based?

WD

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #23 on: January 08, 2014, 10:07:10 PM »
Thank both of u for your kind words   Sorry not replied  just struggling so much at moment  I'm hoping to get an appointment to beg for different pain meds as I'm already on max dose of ones I'm on now and they are not touching the pain ....I'm still on two crutches , but have to struggle with one to work ...still in physio but back to basics of stretches no weight bearing excercises allowed .  Over the last 8 weeks pain has become utterly unbearable ..it seems if I twist slightly , put to much weight through leg or even step wrong I'm getting an excruciating pain similar to electric shock going through my knee ...then I have a very dull bruised pain and cannot bend or straighten it ..all I've been offered is another dura lane injection but after last one , and being in agony for three weeks , with my knee at least 6 times it's size I can't bring myself to give it another go ...I've given up on any miracle op now ..but would be happy if I could just get some relief pain meds wise from this excruciating pain even if only for a few hours a day ... So scared to go out on my own as it gives way with no warning ...even the osteomy site is become a constant aching pain ...fingers crossed something will help very soon  :(

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #24 on: February 03, 2014, 11:20:16 PM »
I soon thought I'd be running around by now ....but that's not the case ..I'm hoping someone out there's has I liar op and may of experienced the sme ...if it stand and put two much weight through leg  it goes so stiff and struggle to move it without severe pain .if I walk with uneven step , even on crutches a sicky electric shock pain shots through knee and leg gives way ..then there's the constant. Sharp pain with every step even with only about 25% weight through it ??does anyone  have this similar problem ?? Just feel like I'm talking to brick wall when I'm trying to explain to the physio and doc ...???

Offline WonkeyDonkey

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #25 on: February 05, 2014, 02:32:32 PM »
Hi Code girl

Sorry to hear things aren't getting better for you. I found that if you keep a diary, of pain, symptoms, strange sensations, giving way etc. and show it to the doctor, then they tend to take you more seriously, write down questions etc. to ask.
Main thing is not to give up, keep asking questions, research options, medications etc. and go in with an idea of what outcome you want.
I have had a Synvisc One injection and that has helped move the pain into an ache, which has helped me no end. I have been to the gym wearing my unloader brace (which I am now getting along with nicely), doing exercises that I never thought I would do again. I have just finished with my private physio, but have a gym instructor who appears to understand about my knee ability. Just got some extra exercises for stability for my knee.
Has your physio actually had experience with other HTO patients, this helps, I have found that the more patients they have dealt with, having had the same op the better. Have you thought of getting a second opinion?
Good luck, and keep us updated
WD

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #26 on: February 05, 2014, 08:13:02 PM »
Thanks wonkeydonkey  ..I have been offered the same injection but had the duralane a similar one ...prior to the op and my leg swelled so much , they think I reacted to it , so I'm a little scared to put myself through the three week of pure agony , even when sitting down again , not sire my pysio has dealt with osteotomy patients as I've been in and out of physio ,, for 6 years and not met anyone who has had one yet , but maybe it's because I had my operation by a consultant at a different hospital as my original consultant does not do them nor any other consultant in the hospital , I do go back  for post op appointments but have my physio at my local hospital ..they also have mentioned I go back to the unloader brace .. But I was hoping this would not have to be the case as . I thought having the op would mean I could say goodbye to the horrid uncomfortable equipment , that rubbed my skin so much I blistered badly .. I may discuss with my physio  if there is a more comfortable model available .. Many thanks again ..glad up are doing well yourself  :D

Offline WonkeyDonkey

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #27 on: February 07, 2014, 10:07:58 PM »
I had my HTO in one hospital and then did all my physio in my local hospital, but was lucky to find some fab physio's, who I stuck with even after I was discharge from NHS physio, I then went with them privately to continue the good work. I didn't hesitate to book in again when I had a few problems and again after my last arthroscopy to continue with some extra physio. I have at long last stopped seeing them, but always have the option to go back if needed. I now have a great guy at the gym, who sorts out all my exercises.
I had hoped for a miracle cure when I had the HTO but unfortunately that was not completely the case. I got the brace in order to offload just that little bit more, but I mainly use the brace when in the gym, which has helped so much. It was a pain to wear it during the day as I could only wear certain types of clothes over the top of it. It also rubbed my skin raw, so I had to stop wearing it for a week to let it heal up, defeating the object of having it. I have the Ossur Unloader One, which I hated to start with, but actually now call it my bionic leg and can put up with all the looks from other gym users. I wear a pair of light weight gym 3/4 lengths under it and it does not rub the back of my knee. I also had a lot of the double strapping cut away, which helped no end.
Maybe you need to find yourself a new physio, one that has dealt with HTO patients before. See your GP, get yourself some better pain meds, and try to stay positive, (I know it's easier said than done)
You can always email me if you need some support.
WD

Offline Code girl

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Re: Post op open wedge high tibia osteotomy and microfracture
« Reply #28 on: February 10, 2014, 07:09:49 PM »
Thanks again ..not sure what my unloader one was called ..it was grey and very bulky ..I have been back to the docs but they can't give me anything different as I'm allergic to morphine . Which would be next best thing ....only feel human lately when in the pool as swimming is prob the most comfortable excercises I can do ...not sure there is a physio available at my hospital as we have a knee glass that takes place in the gym and it's done by the highest pyhsio they have ..don't like to koan but just feel like the excersises are not helping extremely painful ..I do try my hardest to so them but feel like crying with the pain ...then when I try to explain to them how much pain I'm in that they think I'm just not being positive about recovery ...which is what I love to be even half recovered would be great ..I'm so glad that u have improved and have such a fab positive outlook ...I'm trying to be positive , but it just seems at mo every day of pain is another knock back ...:0/ I will maybe discuss the offloaded brace with my physio  to see if a more comfortable on and less bulky is available