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Author Topic: Cycling Patella Fracture.  (Read 18684 times)

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Offline Cassaroles

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Re: Cycling Patella Fracture.
« Reply #15 on: July 04, 2014, 01:43:18 AM »
Congrats on a successful surgery.  One word of advice...get in front of the pain with your pain meds and stay there.  Not sure they used a nerve block or not, but they do with a lot of people and when that wears off watch out!!!  It was the most pain I've ever felt in my entire life.  After about 4 days I was able to get off pain meds, but in the first 3 days it can get pretty bad. 

GOOD LUCK and keep us posted!!

Offline daihard

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Re: Cycling Patella Fracture.
« Reply #16 on: July 04, 2014, 01:55:11 AM »
Congrats on a successful surgery.  One word of advice...get in front of the pain with your pain meds and stay there.  Not sure they used a nerve block or not, but they do with a lot of people and when that wears off watch out!!!  It was the most pain I've ever felt in my entire life.  After about 4 days I was able to get off pain meds, but in the first 3 days it can get pretty bad. 

GOOD LUCK and keep us posted!!

Thank you!

About the pain, I've learnt it the hard way. Yes, they used local anaesthesia on my knee. I was relatively comfortable in the evening after the surgery, so I didn't bother to take additional dose of Hydrocodone before I went to bed. I definitely should have! :)

Did you take two doses at a time when the pain was merciless? I've only been taking one at a time so far, but it's only because that's what the prescription says.
« Last Edit: July 04, 2014, 01:59:08 AM by daihard »
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 Madyakker

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Re: Cycling Patella Fracture.
« Reply #17 on: July 04, 2014, 11:03:05 PM »
Oh yes I remember that pain! I was kept in for 4 days after the op but the pain was truly awful in those first 2 days. Unfortunately I tend to pass out when I get a lot of pain and my blood pressure drops right down. The poor nurses had to wheel out an ancient blood pressure machine since the digital machines couldn't measure my blood pressure as it was so low!
As a word of warning though, do be careful with self medicating when you get home. Looking back I should have got my husband to do it but I thought I was fine.  In the hospital I had been on maximum doses of tramadol and just continued with them when I got home. However I didn't realise how confused I was in the first week home and ended up taking an overdose in error (Thought 4 hours had passed and only 1 hour had passed. My husband was out so my poor kids had the joy of phoning the emergency doctors system on Christmas eve and checking me for symptoms since I couldn't even get out of bed to get to the phone. I felt so stupid and useless)
15/12/13 Kayak accident trap under by leg diag. depr. lateral TPF
20/12/13 ORIF 8 screws
21/12/13 Vasovagal episode
22/12/13 Walk + frame
24/12/13 Home
02/1/14 stiches out vasovagalattack sono physio
16/1/14 1st phys  crutches
27/2/14 PWB
20/3/14 FWB
29/4/14 no crutch occ stick
08/5/14 1st step up

Offline daihard

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Re: Cycling Patella Fracture.
« Reply #18 on: July 05, 2014, 06:18:35 AM »
As a word of warning though, do be careful with self medicating when you get home. Looking back I should have got my husband to do it but I thought I was fine.  In the hospital I had been on maximum doses of tramadol and just continued with them when I got home. However I didn't realise how confused I was in the first week home and ended up taking an overdose in error (Thought 4 hours had passed and only 1 hour had passed. My husband was out so my poor kids had the joy of phoning the emergency doctors system on Christmas eve and checking me for symptoms since I couldn't even get out of bed to get to the phone. I felt so stupid and useless)

I've been trying not to take the pain med too much. Constipation is my No 1 enemy. I'm on Day 3 since the surgery and I've only had to take one Hydrocodone the whole day. Looks like I will be able to dispense with it from tomorrow on.
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 Madyakker

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Re: Cycling Patella Fracture.
« Reply #19 on: July 05, 2014, 06:08:48 PM »
Its good that you are on lower doses now. Are you taking anything for the constipation? I was given a lot with the tramadol and did end up feeling quite sick for the first 2 weeks when nothing was moving until they kicked in. I think lying down a lot doesn't help. How much are you up out of bed now?
15/12/13 Kayak accident trap under by leg diag. depr. lateral TPF
20/12/13 ORIF 8 screws
21/12/13 Vasovagal episode
22/12/13 Walk + frame
24/12/13 Home
02/1/14 stiches out vasovagalattack sono physio
16/1/14 1st phys  crutches
27/2/14 PWB
20/3/14 FWB
29/4/14 no crutch occ stick
08/5/14 1st step up

Offline daihard

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Re: Cycling Patella Fracture.
« Reply #20 on: July 05, 2014, 06:27:33 PM »
Its good that you are on lower doses now. Are you taking anything for the constipation? I was given a lot with the tramadol and did end up feeling quite sick for the first 2 weeks when nothing was moving until they kicked in. I think lying down a lot doesn't help. How much are you up out of bed now?

I haven't gone out since the surgery, but I've been walking inside the house since Day 2. When I lie down, I typically sit in an Ekornes reclining chair throwing my legs on the ottoman. I make a habit of standing up and walking a bit every half hour or so. I take stool softener to fight constipation, but it doesn't seem to help much. My stool is pretty stiff, causing me to try very hard to do my business each morning. (Apologies if you didn't want to read such details.) Now my worry is that, as I posted in another thread, my excessive bathroom effort, which puts some force on the injured leg, might cause the repaired patella to break away again. I hope the wires are strong enough...
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 Madyakker

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Re: Cycling Patella Fracture.
« Reply #21 on: July 05, 2014, 10:45:59 PM »
It sounds as if you are pretty active compared to how I was so that will be helping. I think it is just a question of waiting until your body clears enough of the drugs to function well again. When I had the same problem I was lucky and my parents came to visit and fed me a constant diet of very small meals (lots of vegetable soup and fruit) eaten often. The regularity seemed to help kick start my system again and meant that I started to regain my appetite which I had completely lost during my 2 weeks in hospital. Hope this helps.
15/12/13 Kayak accident trap under by leg diag. depr. lateral TPF
20/12/13 ORIF 8 screws
21/12/13 Vasovagal episode
22/12/13 Walk + frame
24/12/13 Home
02/1/14 stiches out vasovagalattack sono physio
16/1/14 1st phys  crutches
27/2/14 PWB
20/3/14 FWB
29/4/14 no crutch occ stick
08/5/14 1st step up

Offline daihard

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Re: Cycling Patella Fracture.
« Reply #22 on: July 07, 2014, 12:43:31 AM »
It sounds as if you are pretty active compared to how I was so that will be helping. I think it is just a question of waiting until your body clears enough of the drugs to function well again. When I had the same problem I was lucky and my parents came to visit and fed me a constant diet of very small meals (lots of vegetable soup and fruit) eaten often. The regularity seemed to help kick start my system again and meant that I started to regain my appetite which I had completely lost during my 2 weeks in hospital. Hope this helps.

You are right. My system started to work last night - literally all of a sudden. It's still not as good as usual, but I feel much better now. The incision is still a bit sore from time to time, but other than that I feel no pain. I've been off Hydrocodone for about 30 hours.
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

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Re: Cycling Patella Fracture.
« Reply #23 on: July 10, 2014, 01:20:51 PM »
By now, you're way past all this and are bored out of your mind ---  ;)

I should have also warned you of the constipation situation.  I had such a terrible reaction to the hydrocodone as well and was anxious, constipated and threw up like crazy on the 4th day.  Hope you got through all of that ok... 

No worries about the hardware moving around.  I worried I'd shift the bone out of place as well, one time the elevator gate hit my leg and I swore it all broke again...but apparently that hardware will keep it in pretty good.  Everything turned out fine.

Just get some good TV going and wait until PT.  Keep us posted!

Offline daihard

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Re: Cycling Patella Fracture.
« Reply #24 on: July 11, 2014, 10:39:28 PM »
By now, you're way past all this and are bored out of your mind ---  ;)

I should have also warned you of the constipation situation.  I had such a terrible reaction to the hydrocodone as well and was anxious, constipated and threw up like crazy on the 4th day.  Hope you got through all of that ok... 

No worries about the hardware moving around.  I worried I'd shift the bone out of place as well, one time the elevator gate hit my leg and I swore it all broke again...but apparently that hardware will keep it in pretty good.  Everything turned out fine.

Just get some good TV going and wait until PT.  Keep us posted!

Just came back from the follow-up appointment with the OS. She says the X-ray looks pretty good, with the back surface of the patella looking smoothly flat. I am going back next week to remove the stitch. She was going to do it today as well, but my incision hadn't healed enough. No X-ray next week... she says I will start gentle PT at the end of the 4th week after the surgery. That's 3 more weeks. TV will be my friend. Tour de France and the World Cup! :)
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 daihard

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Re: Cycling Patella Fracture.
« Reply #25 on: July 15, 2014, 06:53:26 PM »
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.

I just saw your updated signature that said you'd graduated from PT on the 7th. Congrats!
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

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Re: Cycling Patella Fracture.
« Reply #26 on: July 16, 2014, 12:49:04 AM »
Ahh Thank-you!  Now, the wait to see the last insurance statement from doc, hospital, and PT.   

note:  graduated, but left holding a sheet of 14 exercises to keep up with and the advice... "when they get too easy, increase the reps or increase the weight"   :o
-------------------------
------------------------
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
7/7/14 - 150 ROM - Graduated from PT

Offline daihard

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Re: Cycling Patella Fracture.
« Reply #27 on: July 16, 2014, 02:01:27 AM »
Ahh Thank-you!  Now, the wait to see the last insurance statement from doc, hospital, and PT.   

note:  graduated, but left holding a sheet of 14 exercises to keep up with and the advice... "when they get too easy, increase the reps or increase the weight"   :o

I'm looking forward to the day when I can start PT. :)

For my future reference, how often did you go to the therapist's office? I'm torn between two PT offices - one near home and one quite a bit further. The latter requires driving, which I don't think I'll be able to do for another while, but I'd prefer going there because they are directly affiliated with the surgeon's office.

Thanks!
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

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Re: Cycling Patella Fracture.
« Reply #28 on: July 16, 2014, 12:46:59 PM »
My prescription for PT was for  2 - 3 visits a week (at the PT's discretion).  I think I only did the 3 visits a week once and that was because the PT was needing to take some time off the following week.  Can't give any advice on the driving - I'm firmly stuck in the 1800's transportation-wise! Handicap transport is a blessing tho (usually available free if where you live has a public transportation system).

Offline mjeffrey

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Re: Cycling Patella Fracture.
« Reply #29 on: July 16, 2014, 08:31:09 PM »
Hi Daihard
I had my PT at home for the first 6 weeks, you should definitely ask if will they do that. It was only a few euros more expensive and the PTs didn't mind, most of their patients can only come in the evening, with me they could come anytime that suited them, I was there all day :).
p.s. ask what exercises you should do on the non-PT days. Mine had me doing exercises 3 times a day.

Hope you are at least getting to see the tour :)
2014:
20 Feb: Comminuted patella fracture, 4 K-wires, Cercalge, Figure of 8
11 Mar: Staples removed Flex 50
22 Apr: Control Xray, flex 80, progress stalled
09 May: MUA: flex 120, 3 weeks CPM
23 Jun: Slow Running, Flex 135
06 Jul: Flex 140
08 Aug: Hardware removed
10 Sep: full flexion