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Author Topic: Post op open wedge high tibia osteotomy and microfracture  (Read 7952 times)

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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