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Author Topic: 13months post patellar surgery and soo very confused  (Read 2710 times)

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Offline bishop102

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13months post patellar surgery and soo very confused
« on: September 09, 2013, 07:03:58 PM »
Let me start by apologizing if posted in wrong area or if this has been addressed..Rupture accrued 13 months ago.  I had surgery less then 24 hours after accident.Spent some weeks in straight brace and began pt as soon as staples came out...Surgeon and therapist were both well known and recommended.  I had the same set backs as most atrophy buckling weakness etc.. I knew going in that this was going to be a long road, but I STILL struggle with going down stairs and occasional buckling. Met with the surgeon today and he gave me a steroid shot and has scheduled a post MRI...I'm just worried that I will never reach 100% or close to it.  Told me I shouldn't be having problems with stairs at this stage.

Offline bishop102

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Re: 13months post patellar surgery and soo very confused
« Reply #1 on: September 09, 2013, 07:08:03 PM »
Sorry I forgot to say thanks for any input...

Offline John42

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Re: 13months post patellar surgery and soo very confused
« Reply #2 on: September 09, 2013, 09:20:57 PM »

Hi bishop102

I have read your post with care, and as my own Orthopaedic Consultant stated, what ever ROM you reach at 12 months, cannot be improved on.   So lets establish, what ROM you have today and have you had your good knee measured, which should be in the region of 130/140ROM.   

Very few RPT injured patients ever reach 100%, but anything over 120ROM is a bonus, and you should be able to leas a normal life.   

Where do you live.

May I suggest that you click on the undermentioned thread - these set of documents, I have compiled over the years together with KneeGuru - you should be able to learn more about your serious injury.

Keep posting and take care

JohnK/ Manchester UK


https://www.facebook.com/QuadricepsPatellarTendonRupture
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline SellaVee

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Re: 13months post patellar surgery and soo very confused
« Reply #3 on: September 10, 2013, 12:09:12 AM »
Hi bishop102.  I think you're posting in exactly the right place.

I'm pretty sure that some posters have reported further improvements post 12 months, but the thing that's most likely to improve is muscle strength rather than ROM, and muscle strength is what I think you need to work on.

I have no medical qualifications.  Everything I know about knees I've learned in the 3 months since my own injury.  Here are my thoughts anyway.

Going upstairs uses flexor muscles to bend the leg.  Going downstairs uses extensor muscles which straighten the leg.  Flexor muscles tend to be stronger than extensor muscles.

If you were having pain going downstairs I might think of arthritis, but as your knee is buckling it sounds like you need to work on strengthening your muscles.  Could that be the case?

Do you have access to a good sports injury specialist physiotherapist?  This is very much their area of expertise.

The MRI scan will show up any problems with the repair.  Please let us know how it goes.

I'm only just over 2 months post op so I'm not speaking from experience but I hope I've been of some help.

Sella
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline bishop102

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Re: 13months post patellar surgery and soo very confused
« Reply #4 on: September 10, 2013, 02:42:20 AM »
Thanks for the reply
I live in Syracuse NY,  I am a former competitive bodybuilder and I continue to train with weights (carefully) My range of motion I worked very hard on but with caution this came back equally to the good side, not sure the exact ROM.  My rehab was right on track and progressing well but then seemed to hit a plateau at about nine or ten months..I guess that is my biggest fear, is this it for recovery???.  Quad muscle is continuing to add muscle and strength so maybe it just needs more time or maybe being forty three plays a role in this..Trying to continue to stay positive and appreciate the feedback from earlier

Offline carkeltom

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Re: 13months post patellar surgery and soo very confused
« Reply #5 on: September 10, 2013, 04:52:24 AM »
bishop102, i suffered double rupture and from what i have read you should be able to return to the normal activities, which, if you are working on regaining your size and strength in the affected leg, I would say you are on track.  Not sure why the stairs are still an issue, but maybe it is just a regression or habit from when the injury occurred and the way you relearned to walk.  Just a thought.  I am 43, and was not the most active person, but I hope to get back to coaching softball and being able to run after my kids.  I can definitely see a plateau though happening, but I am sure if you were to push through, you would go past your previous limits.  Not sure on the final ROM, but it does really seem to differ, person by person.

Tom
Bilateral patellar tendon rupture 7/19/13

Offline SellaVee

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Re: 13months post patellar surgery and soo very confused
« Reply #6 on: September 10, 2013, 11:30:09 PM »
Bishop102, congratulations on getting your ROM back, and on rebuilding your strength.  What do you think is causing the problems with going downstairs?  Is it just too painful or are you worried about buckling?  I ask because I've got all of this ahead of me.  I'm still doing what I call the "step tap" method, good leg down, injured leg plus crutch joins it, then on to the next step.

Perhaps Tom is right and it's just a question of technique.  I only come downstairs with someone walking ahead of me.  I thought I'd be bold one day but just stood at the top petrified because I couldn't manage my crutches and the things I needed to take downstairs, so I called for my husband.  I am getting braver every day, so I'll try again soon.
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline bishop102

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Re: 13months post patellar surgery and soo very confused
« Reply #7 on: September 11, 2013, 02:36:24 AM »
I don't have pain with stairs, It is when the knee starts to bend and the quad is supposed to take over and support the remaining motion..It seems like it doesn't catch quick enough..I knew this was going to be a long recovery with slow progressions..I have worked extremely hard with rehab with hopes to get close to 100%.  I just need to stay positive and realize that it may take a bit longer..SellaVee and others you will get their also...This injury has played mind games with me due to the fact that it was caused by others.  I'll let ya know if the steroid shot helps and what the MRI has to say..

Offline bballkingofnba

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Re: 13months post patellar surgery and soo very confused
« Reply #8 on: September 12, 2013, 02:53:47 AM »
bishop have you had your knee looked at again by a surgeon? Sometimes you can have patellar maltracking and misalignment. How is the height of you injured patella compared to the other one? Is it a bit higher? Also, it has been 18 months for me and I still have trouble with stairs. This is because unlike others my knee suffered a major trauma and the kneecap took a vicious hit as well wehereas other ppl have sports injures and those r a little easier to recover from. My knee used to buckle but getting the VMO back is key to stabilize the tracking.

Offline bishop102

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Re: 13months post patellar surgery and soo very confused
« Reply #9 on: October 02, 2013, 09:59:04 PM »
Follow up with the surgeon the other day..Stated that the MRI looked OK, some thinning of the mcl which I'm sure both my knees have this from years of wear and tear..Wants me to wait it out longer and then we can discuss having it scrapped..He said if that does not help we could discuss going in and tightening  the joint??
  Went to visit my PT yesterday to discuss the results with him.He feels its still a time thing and wants me to go back to doing some single leg strengthening  exercises..
  If someone has a crystal ball can I borrow it???

Offline bishop102

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Re: 13months post patellar surgery and soo very confused
« Reply #10 on: October 02, 2013, 10:00:55 PM »
Friend of mine you is a nurse had knee issues and they put hgh into the joint area and it really helped her..Unfortunately I live in a small city and that's not happening