Advertisement - Hide this advert





Author Topic: Trochleoplasty, MPFL Reconstruction, TTT and Derotational Osteotomy?  (Read 1640 times)

0 Members and 1 Guest are viewing this topic.

Offline Georgie28793

  • Regular Poster
  • ***
  • Posts: 72
  • Liked: 2
Hello everyone,

I am a 21 year old female from the UK, and like everyone on this forum, I have terrible knees/legs in general!

I'm hoping someone may be able to give me some information on their recovery for these four operations, as I have just had my final consultation with my surgeon and these are the 4 operations he will be performing on me in late March 2015.
Although he has done all of these operations before, apparently I am the first person he has done all four on, all at the same time! I am quite nervous as he said it will be a major surgery and will take a long recovery, so if anyone has any advice or has even had all four of these operations before, I would be very grateful to hear from you!
2000/14 - multiple dislocations of both knees
August '14 - bad LK dislocation
April '15 - LK MPFL reconstruction, tibial tubercle osteotomy and supramalleolar derotational osteotomy

Offline ema_b85

  • Regular Poster
  • ***
  • Posts: 85
  • Liked: 6
Re: Trochleoplasty, MPFL Reconstruction, TTT and Derotational Osteotomy?
« Reply #1 on: December 21, 2014, 08:00:46 PM »
Hi there.
I'm a 29 year old female from UK.
I'm currently recovering from Ttt, mpfl reconstruction, Microfracture of the lateral Trochlea & arthroscopic chondroplasty of the patella. Not quiet the same procedure as yours but I have had all 4 in one go and they said mine was major surgery with a recovery time of upto 12 months.
I was none weightbearing for just over 4 weeks, and then began weightbearing slowly, I'm currently 13 weeks post op tomorrow, I'm still on crutches when I go out but at home I'm now managing with no crutches.
I know it's Alot of surgery your going to be having in one go but I know I'm glad i had all mine done in one go as you only have to go through recovery once then, the recovery is very hard and intense and its a lot of hard work to get your leg bending and lifting again on its own and you tend to loose a lot of muscle quad and vmo whilst none weightbearing, maybe worth considering build up these muscles pre op then hopefully you won't loose as much as I have.
I had a spinal for my procedure even tho I was having a Ttt Id much rather stay away, I don't recall hearing a great deal noise wise, I spoke with nurses and anethatist in theatre and they took my mind off what was happening the worst bit was the microfrature were they use a tool and a hammer to make small holes to stimulate cartledge growth( but it's not actually cartledge that forms it's more like scar tissue to try and protec the exposed bone) this was the worst bit not pain wise but because they bang with a hammer thing and obviously you move on bed slightly - no pain at all tho during the procedure.
I didn't really have much pain post op, regular pain relief for 1st day and then gradually I had less and less to the point were at 3 days post op I wasn't taking ibuprofen or paracetomol regularly but I know everyone is different.
I hope this has helped slightly even tho it's not completely the same procedures x
« Last Edit: December 22, 2014, 08:08:22 PM by ema_b85 »
Fall whilst kickboxing aged 14yrs (2000)
subluxations >10 over 15 yrs
MRI scan: 12/13
Diagnosis 02/14: trochlea dysplasia, lateralisation of the patella, patella Alta, mpfl rupture, damage to back of knee cap ++
22/09/14 - Fulkerson osteotomy, MPFL Reconstruction, Microfracture, chondroplasty

Offline Georgie28793

  • Regular Poster
  • ***
  • Posts: 72
  • Liked: 2
Re: Trochleoplasty, MPFL Reconstruction, TTT and Derotational Osteotomy?
« Reply #2 on: December 22, 2014, 07:15:56 PM »
Hi ema_b25,

Thanks so much for your replying! Sounds like you had some major work done!! Can I ask what was wrong with your knees in the first place? All this knee talk it new to me!

It Is comforting to know someone else has gone through a similar procedure; I had been reading everything I can on this website and it seems like a lot of people have had one surgery at a time, then another surgery if it didn't work, so whilst I am glad I should (fingers crossed) have just the one recovery, it's still quite daunting!

Do you mind if I ask if you had private health care or went through the NHS?

To be honest I am still in shock with the surgery route! I have fully dislocated both my knee caps around 10 times in maybe the last ten years, but always thought I just had 'dodgy knees'. Dislocated my patellar again in August and suddenly I'm having four surgeries?! Its all happened so fast.

I cannot believe you were awake!! Was that your choice or was it reccommended by the surgeon? I think I would really struggle with that :-(

Do you mind if I ask what happened in the run up to your surgery? I am slightly confused with mine - I was sent to a&e because my knee cap wouldn't go back in like it always has before, it was stuck out for about 50 mins before I got to the hospital, then they sent me home after an X-ray with a cricket splint, and an appointment at fracture clinic. At the clinic I got referred to a specialist knee surgeon, had one appointment with him, sent away for CT scan, went back on the 18th and he briefly went over the procedures, signed a form for my surgery and told me I'd get a letter 8 weeks before the op??? It all feels very vague for what seems to be quite major surgery?

Sorry to ask so many questions, the site is great for reading people's experience but I really appreciate you messaging me back, makes it a bit more real!

Thanks in advance and I wish you a successful recovery!!
2000/14 - multiple dislocations of both knees
August '14 - bad LK dislocation
April '15 - LK MPFL reconstruction, tibial tubercle osteotomy and supramalleolar derotational osteotomy

Offline ema_b85

  • Regular Poster
  • ***
  • Posts: 85
  • Liked: 6
Re: Trochleoplasty, MPFL Reconstruction, TTT and Derotational Osteotomy?
« Reply #3 on: December 22, 2014, 08:29:44 PM »
Hi Georgie28793.

I fell whilst kickboxing aged 14 years attended a & e with a swollen knee and not able to put weight on it.
They took an X-ray and said id torn a ligament, I then for ages had sublubluxations if I fell off a curb or slipped in snow/mud ect. I eventually saw an os and have just been fobbed off by os in the past sayin it was a growth spurt and I'd grow out of it. I had several courses of physio. And been back and forth to os. To the point were i wasn't gettig anywere so I just put up with it for years. Then in 2013  I decided I couldn't put up with it anymore as it was now starting to crunch and grind when going up stairs and going from sitting to standing. Was re refered to an os had Xrays and an mri scan and was told I'd have to wait and see a different os as I was a complicated case.
Eventually saw new os feb 2014. He advised that I had mpfl rupture, severe cartledge wear behind patella and that my tibial tubercle was to far to the outside of my leg causing knee caps to dislocate and sublux easily.
He advised all the procedures I've undergone and we had approx 5 minutes discussion about it then he wanted papers signing. Whilst waiting for a surgery date I went back for a further discussion as I had some questions I needed to ask him, the wait for aurgery was approx 24 weeks as he's extremely busy and as I was an nhs patient couldn't really complain.
I'd had several courses of physio in the past and the os I saw said tbh it wouldn't help as there was that much wrong.
The pre op appointment was approx 5 days before surgery at which they discuss about more about the procedure to you and about anesthetic with you.
I attended on the morning of the procedure 7:30 arrival. anethatist came to meet me and we discussed anesthetic - I had a cough on morning of surgery so he advised spinal anesthetic I was abit worried when he said this but he said I would be fine. Tbh recovery is a lot quicker, I had my surgery at 8:30am and by 2 Id been to have rom brace fitted and seen physio to get my crutches. I've had a ga and it took all day to feel right were as with a spinal I felt as though I could of gone home in the evening but had to stay in as they needed to give me Iv antibiotics as its classed as major surgery.
I also had a blood thinner to come home with as there's a high risk of dvt.
Fall whilst kickboxing aged 14yrs (2000)
subluxations >10 over 15 yrs
MRI scan: 12/13
Diagnosis 02/14: trochlea dysplasia, lateralisation of the patella, patella Alta, mpfl rupture, damage to back of knee cap ++
22/09/14 - Fulkerson osteotomy, MPFL Reconstruction, Microfracture, chondroplasty

Offline Georgie28793

  • Regular Poster
  • ***
  • Posts: 72
  • Liked: 2
Re: Trochleoplasty, MPFL Reconstruction, TTT and Derotational Osteotomy?
« Reply #4 on: December 22, 2014, 08:49:34 PM »
Ema,

Your knee history sounds a lot like mine concerning the doctors fobbing you off with you knee!

Am I allowed to ask who your surgeon was? My OS has told me I won't have a brace, which surprised me considering I will be having a TTT, MPFL reconstruction and trochleoplasty.... My ankle will also be in a plaster cast but I still find it strange not to have any sort of brace on?

How long did you have to stay in hospital?

Probably a bit of a stupid question but was it all worth it? The amount of surgery my OS has advised seems crazy for a problem I've got used to, and after reading a lot of replies about failed surgeries, I am a bit worried!

Thanks again for your reply!

Georgie
2000/14 - multiple dislocations of both knees
August '14 - bad LK dislocation
April '15 - LK MPFL reconstruction, tibial tubercle osteotomy and supramalleolar derotational osteotomy

Offline ema_b85

  • Regular Poster
  • ***
  • Posts: 85
  • Liked: 6
Re: Trochleoplasty, MPFL Reconstruction, TTT and Derotational Osteotomy?
« Reply #5 on: December 22, 2014, 10:05:19 PM »
Hi Georgie
I'm from Derby - My os was mr robert straw, ex professional footballer, specialises in sporting injuries & complex knee reconstruction,  mine was sports related but also how I was born.
I had a full leg brace from my thigh to my ankle locked at 0-90 degrees and I wasn't allowed to take it off I had to wear it 24 7 for 4 weeks & was also none weight bearing.
I do know some surgeons prefer leg cast think it's personal preference.
I was admitted Monday morning and was home Wednesday afternoon. Whilst in hospital that put me on a cpm machine for 24 hours to bend knee to 90 degrees,
My surgery was an open procedure for the trt and I have approx a 4 inch scar.
I'd say yes it is worth it, not walking properly yet as I'v only just ditched the crutches at home but when out I'll use them. I had got used to the subluxation but it causes significant wear to patella and then causes cruntching and pain. So I'd have operations before it gets to that point.
I should say if your surgeon is experienced in the procedures & they are nessasary then u should be fine.
I was left with no option but to have surgery as they said in 5 years Id probably need a knee replacement but I'd be to young to have one.
I researched my os and found that at just one hospital he was doing between 40 & 50 Ttt a year, and he works at 3. I don't ever think a consultant would do a procedure if they wouldn't be successful, I did ask my os if I could end up worse than what I currently was and he said no.
Have you tried googling your os and ur procedure? Just to see what it says.
Hope all this helps.
Emma xx
Fall whilst kickboxing aged 14yrs (2000)
subluxations >10 over 15 yrs
MRI scan: 12/13
Diagnosis 02/14: trochlea dysplasia, lateralisation of the patella, patella Alta, mpfl rupture, damage to back of knee cap ++
22/09/14 - Fulkerson osteotomy, MPFL Reconstruction, Microfracture, chondroplasty