Banner - Hide this banner





Author Topic: Cycling Patella Fracture.  (Read 18683 times)

0 Members and 1 Guest are viewing this topic.

Offline tophercfh

  • MICROgeek (<20 posts)
  • *
  • Posts: 1
  • Liked: 0
Cycling Patella Fracture.
« on: May 31, 2014, 11:50:10 AM »
Hey guys! On 17 Apr, I was involved in an RTC, leading to a vertical, nondisplaced patella fracture. Unlike most I see on here, I wasn't required to undergo surgery, I have just been in fibreglass casts since it happened. I am walking and putting a little weight on the leg now, with the assistance of crutches, but can walk small distances if necessary without. I'm getting my cast off for the final time on 3 Jun, and am wondering what's next. Mainly, my questions are a) How long is recovery typically for someone who hasn't had surgery compared to someone who has, and b) how long should I leave it before I get back on my bike? I am a keen cyclist, and was cycling a good 30 mile round trip to work every day. Thanks for reading!

Offline charlottekatt

  • MINIgeek (20-50 posts)
  • **
  • Posts: 29
  • Liked: 13
Re: Cycling Patella Fracture.
« Reply #1 on: June 02, 2014, 05:25:25 PM »
I'm strictly a short distance commuter cyclist (3 miles round trip).  But it was my only form of transportation (well, aside from 2 feet) prior to the pavement attacking my knee (NOT bicycle related).  Bicycling was one of my first questions to my Ortho-doc.  And, he cheerfully assured me that I'd be seeing a bike in physical therapy, and that he strongly recommended cycling for his knee patients.   It was a good month and a half, however,  before he let me do any bending of my knee. 

I went ahead and borrowed a bicycle training stand and set my bike up on it, waiting for my PT to say I had enough ROM to attempt using it.  He start putting me on a recumbent (sp)  bike for warm-ups  before I had enough ROM to pedal a standard bike.   As soon as I reached the 110  mark, I reached a bit of a sticking point (PT thinks I had some adhesions that needed to be broken loose) Anyhoo...you can look below to see my progression kind of sped up once I was able to pedal my own bike on the stand.

I tried my first ride to work yesterday.    Made it most of the way (shifting into easier and easier gears for the mildly hilly parts of the ride).  I did end up having to walk up the "killer" hill ...and I can't stand and pedal yet.  Oh, and that one-legged "wait at a stoplight" stance gets real wobbly after the 1 minute mark.  I am making progress even though I feel about as strong (Okay, pathetically weak) as the first day that I tried cycling to work.  Have A LOT of leg strength to build. But will get there.

Make sure that your doc and your Physical Therapist know that your goal is to cycle ....they'll tailor some of your exercises towards that....
-------------------------
2/23/14 - Fractured Patella - Transverse/Displaced - Immobilized
2/25/14 - Doc appt, surgery scheduled
3/4/14 - ORIF  - 2 pins, Tension band - cylinder cast NWB
3/11/14 - Follow-up - NWB
3/21/14 - Cast off.  ROM Brace locked in full extension - NWB
4/4/14 - Brace, Full extension - NWB 70% healed
4/11/14 - Physical Therapy start - 38 ROM
4/14/14 - 48 ROM
4/17/14 - 60 ROM
4/21/14 - 78 ROM
4/24/14 - 90 ROM
4/25/14- Doc appt, w/wean from brace instructions/wean from crutches instructions
4/28/14 - 105 ROM
5/1/14 - 110 ROM
5/5/14 - 112 ROM
5/6/14 - Started bike trainer (10/15 min/day)
5/08/14 - 120 ROM
5/12/14 - 125 ROM
5/14/14 - 130 ROM
5/19/14 - 137 ROM - started walking home from work (1.5 miles)
5/25/14 - 4 mile bike ride (flat)
5/27/14 - 142 ROM

Offline daihard

  • Regular Poster
  • ***
  • Posts: 76
  • Liked: 10
Re: Cycling Patella Fracture.
« Reply #2 on: June 27, 2014, 01:23:34 AM »
Hi.

I just had a fractured patella on the weekend. Saw my orthopedic surgeon this afternoon to discuss the details of the injury. The surgery has been scheduled for next Wednesday (July 2).

I too am an avid cyclist who puts in about 300 miles a month. Naturally, my greatest concern is how soon I will be able to get back in the saddle. My OS told me it would be a good 3 months. @charlottekatt's post seems to agree with that. I at least have a ballpark figure.

Wish me luck. :)
2014:
06-21  Fractured right patella
07-02  ORIF - figure 8
07-29  4-week post-op follow-up
07-31  Started PT - 60 ROM
08-07  90 ROM
08-14  115 ROM
08-21  Started bike trainer - 122 ROM
08-28  132 ROM
09-04  135 ROM
09-08  139 ROM

Offline Cassaroles

  • Regular Poster
  • ***
  • Posts: 56
  • Liked: 32
Re: Cycling Patella Fracture.
« Reply #3 on: June 27, 2014, 02:52:24 AM »
GOOD LUCK!!!  This board is a great resource, with some really supportive empathetic folk on here.  And welcome to the club.   :D

Offline daihard

  • Regular Poster
  • ***
  • Posts: 76
  • Liked: 10
Re: Cycling Patella Fracture.
« Reply #4 on: June 27, 2014, 03:08:33 AM »
GOOD LUCK!!!  This board is a great resource, with some really supportive empathetic folk on here.  And welcome to the club.   :D

Thank you! Already want to start PT, and I haven't even had the surgery done. :D
2014:
06-21  Fractured right patella
07-02  ORIF - figure 8
07-29  4-week post-op follow-up
07-31  Started PT - 60 ROM
08-07  90 ROM
08-14  115 ROM
08-21  Started bike trainer - 122 ROM
08-28  132 ROM
09-04  135 ROM
09-08  139 ROM

Offline Cassaroles

  • Regular Poster
  • ***
  • Posts: 56
  • Liked: 32
Re: Cycling Patella Fracture.
« Reply #5 on: June 27, 2014, 03:15:34 AM »
hahah!  I was the same way!  Sounds like you're a determined mofo - good quality to have for a successful recovery.  Though employing patience will be essential.  Keep us posted!!

Offline charlottekatt

  • MINIgeek (20-50 posts)
  • **
  • Posts: 29
  • Liked: 13
Re: Cycling Patella Fracture.
« Reply #6 on: June 30, 2014, 06:08:14 PM »
Just a quick "one month further on" update --  cycling is wayyyy easier -- can feel my left leg taking on more and more of the work every day.  Getting out of the saddle to peddle up an incline is not a possibility yet, but I think I'm close.  PT guy says that's almost 100% quads and will come naturally.  Anyhoo.... I'm not having to get off the bike to tackle the "killer hill" any more .... (tho I'll be d****d if I'm going to stop at the stop sign halfway up it unless there's a police car in back of me.) And, leg isn't wobbling like jelly at long (non bicycle friendly) traffic lights.   

Offline daihard

  • Regular Poster
  • ***
  • Posts: 76
  • Liked: 10
Re: Cycling Patella Fracture.
« Reply #7 on: June 30, 2014, 06:12:53 PM »
Just a quick "one month further on" update --  cycling is wayyyy easier -- can feel my left leg taking on more and more of the work every day.  Getting out of the saddle to peddle up an incline is not a possibility yet, but I think I'm close.  PT guy says that's almost 100% quads and will come naturally.  Anyhoo.... I'm not having to get off the bike to tackle the "killer hill" any more .... (tho I'll be d****d if I'm going to stop at the stop sign halfway up it unless there's a police car in back of me.) And, leg isn't wobbling like jelly at long (non bicycle friendly) traffic lights.
That sounds great! How long has it been since the surgery? I'm having my surgery on Wednesday and want to know roughly how long it would take me to get back in the saddle. I know it depends a lot on individuals, but if you wouldn't mind letting me know, that'd be great.
2014:
06-21  Fractured right patella
07-02  ORIF - figure 8
07-29  4-week post-op follow-up
07-31  Started PT - 60 ROM
08-07  90 ROM
08-14  115 ROM
08-21  Started bike trainer - 122 ROM
08-28  132 ROM
09-04  135 ROM
09-08  139 ROM

Offline charlottekatt

  • MINIgeek (20-50 posts)
  • **
  • Posts: 29
  • Liked: 13
Re: Cycling Patella Fracture.
« Reply #8 on: June 30, 2014, 07:26:45 PM »
DH -  whoops sorry, didn't put the blurb at the bottom of the last post -- surgery was 3/4/14.  Soo... yes, it takes a while..but I was immobilized for a bit longer than average, I believe. 

----------------
2/23/14 - Fractured Patella - Transverse/Displaced - Immobilized
2/25/14 - Doc appt, surgery scheduled
3/4/14 - ORIF  - 2 pins, Tension band - cylinder cast NWB
3/11/14 - Follow-up - NWB
3/21/14 - Cast off.  ROM Brace locked in full extension - NWB
4/4/14 - Brace, Full extension - NWB 70% healed
4/11/14 - Physical Therapy start - 38 ROM
4/14/14 - 48 ROM
4/17/14 - 60 ROM
4/21/14 - 78 ROM
4/24/14 - 90 ROM
4/25/14- Doc appt, w/wean from brace instructions/wean from crutches instructions
4/28/14 - 105 ROM
5/1/14 - 110 ROM
5/5/14 - 112 ROM
5/6/14 - Started bike trainer (10/15 min/day)
5/08/14 - 120 ROM
5/12/14 - 125 ROM
5/14/14 - 130 ROM
5/19/14 - 137 ROM - started walking home from work (1.5 miles)
5/25/14 - 4 mile bike ride (flat)
5/27/14 - 142 ROM

Offline daihard

  • Regular Poster
  • ***
  • Posts: 76
  • Liked: 10
Re: Cycling Patella Fracture.
« Reply #9 on: July 01, 2014, 12:59:51 AM »
DH -  whoops sorry, didn't put the blurb at the bottom of the last post -- surgery was 3/4/14.  Soo... yes, it takes a while..but I was immobilized for a bit longer than average, I believe. 

----------------
2/23/14 - Fractured Patella - Transverse/Displaced - Immobilized
2/25/14 - Doc appt, surgery scheduled
3/4/14 - ORIF  - 2 pins, Tension band - cylinder cast NWB
3/11/14 - Follow-up - NWB
3/21/14 - Cast off.  ROM Brace locked in full extension - NWB
4/4/14 - Brace, Full extension - NWB 70% healed
4/11/14 - Physical Therapy start - 38 ROM
4/14/14 - 48 ROM
4/17/14 - 60 ROM
4/21/14 - 78 ROM
4/24/14 - 90 ROM
4/25/14- Doc appt, w/wean from brace instructions/wean from crutches instructions
4/28/14 - 105 ROM
5/1/14 - 110 ROM
5/5/14 - 112 ROM
5/6/14 - Started bike trainer (10/15 min/day)
5/08/14 - 120 ROM
5/12/14 - 125 ROM
5/14/14 - 130 ROM
5/19/14 - 137 ROM - started walking home from work (1.5 miles)
5/25/14 - 4 mile bike ride (flat)
5/27/14 - 142 ROM

Thanks again! I assume NWB means no weigh bearing on your injured leg. Does it mean you weren't even allowed to stand on both feet while your knees were completely straight? I can currently do that and even walk slowly with no crutch as long as I have my brace on and don't bend my bad knee without feeling any pain. The ER doctor never told me I must not do that either, but your log makes me wonder if I'm doing something I'm not supposed to be doing?

Dai
2014:
06-21  Fractured right patella
07-02  ORIF - figure 8
07-29  4-week post-op follow-up
07-31  Started PT - 60 ROM
08-07  90 ROM
08-14  115 ROM
08-21  Started bike trainer - 122 ROM
08-28  132 ROM
09-04  135 ROM
09-08  139 ROM

Offline charlottekatt

  • MINIgeek (20-50 posts)
  • **
  • Posts: 29
  • Liked: 13
Re: Cycling Patella Fracture.
« Reply #10 on: July 01, 2014, 01:38:33 AM »
Nonweight bearing, yes...after surgery all the way to my first PT appt.   In my case it was defined as "toe touch for balance only."    I have osteopenia bordering on osteoporosis...and the doc wanted to make sure there was no chance of the the hardware shifting in what he said was "mushy" bone. 

 



Offline daihard

  • Regular Poster
  • ***
  • Posts: 76
  • Liked: 10
Re: Cycling Patella Fracture.
« Reply #11 on: July 01, 2014, 05:35:48 AM »
Nonweight bearing, yes...after surgery all the way to my first PT appt.   In my case it was defined as "toe touch for balance only."    I have osteopenia bordering on osteoporosis...and the doc wanted to make sure there was no chance of the the hardware shifting in what he said was "mushy" bone.

Thanks again! My OS (orthopedic surgeon) did tell me that the pins and wires they'd use on me might move during the recovery period, which may or may not be an issue depending upon how. I got a fractured wrist back in February and had a surgery followed by 2 months of no bike riding, but the wrist has healed well. I hope my knee does as well.
2014:
06-21  Fractured right patella
07-02  ORIF - figure 8
07-29  4-week post-op follow-up
07-31  Started PT - 60 ROM
08-07  90 ROM
08-14  115 ROM
08-21  Started bike trainer - 122 ROM
08-28  132 ROM
09-04  135 ROM
09-08  139 ROM

Offline fsugirl

  • Regular Poster
  • ***
  • Posts: 64
  • Liked: 19
Re: Cycling Patella Fracture.
« Reply #12 on: July 02, 2014, 03:08:58 PM »
You know, I hadn't really thought about it, but...  I, too, was able to (and did) walk straight-legged pre-surgery - even when I initially went to the hospital.  As you mentioned, DH - as long as it didn't bend, I was fine; however, the slightest bend caused the most excruciating pain!

My recovery was much longer (again, it's different for everyone), but I was in an immobilizer for 6 weeks as well.  I think my long recovery is less common, if that helps.
3/17/12 patella fracture
3/22 ORIF - 3 screws, wire, immobilizer
4/2 - sutures removed, crutches, nwb
4/30 new brace-locked, referral for pt ~20/25ROM, pwb
5/9 started pt 30ROM
5/18 45ROM
5/25 50ROM-brace to 30
6/1 60ROM-brace to 50
7-MUA
More PT
Dynasplint fullROM
10/30-PT release
4/30/14-HW remova

Offline fsugirl

  • Regular Poster
  • ***
  • Posts: 64
  • Liked: 19
Re: Cycling Patella Fracture.
« Reply #13 on: July 02, 2014, 04:01:29 PM »
Oh and.... Good luck with your surgery today!!  Here's to quick healing and recovery!!!
3/17/12 patella fracture
3/22 ORIF - 3 screws, wire, immobilizer
4/2 - sutures removed, crutches, nwb
4/30 new brace-locked, referral for pt ~20/25ROM, pwb
5/9 started pt 30ROM
5/18 45ROM
5/25 50ROM-brace to 30
6/1 60ROM-brace to 50
7-MUA
More PT
Dynasplint fullROM
10/30-PT release
4/30/14-HW remova

Offline daihard

  • Regular Poster
  • ***
  • Posts: 76
  • Liked: 10
Re: Cycling Patella Fracture.
« Reply #14 on: July 03, 2014, 03:16:44 AM »
Oh and.... Good luck with your surgery today!!  Here's to quick healing and recovery!!!

Thank you! Had a successful procedure this morning. They bound the patella together with wires. I don't recall the OS telling me she was going to use pins, but I'd imagine she did. Anyway, came out around 9 AM (yes, it was an early morning one) and spent a couple of hours in the recovery room. Somehow the pain was exuberant - I never experienced anything like that. The nurse said it was on the bone. Took the pain med, managed to get dressed (with help of wife and nurse) and came home around noon. Took more pain med and dozed off for a few hours.

Fortunately, the pain wasn't nearly as bad when I woke up in the early evening. I have soreness now coming from the incision, but it is manageable. Whew. :)
2014:
06-21  Fractured right patella
07-02  ORIF - figure 8
07-29  4-week post-op follow-up
07-31  Started PT - 60 ROM
08-07  90 ROM
08-14  115 ROM
08-21  Started bike trainer - 122 ROM
08-28  132 ROM
09-04  135 ROM
09-08  139 ROM