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Author Topic: Hto hardware removal  (Read 3833 times)

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Offline Code girl

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Hto hardware removal
« on: February 28, 2015, 09:09:06 PM »
im two days post op from my hardware removal and my foot and leg are frozen is this normal ??

Offline Code girl

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Re: Hto hardware removal
« Reply #1 on: March 01, 2015, 08:28:45 PM »
Also getting an excruciating pain in my tibia .. Is this also normal not really been given much aftercare on pain and what can and can't do ..😐

Offline Code girl

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Re: Hto hardware removal
« Reply #2 on: March 01, 2015, 08:29:15 PM »
Also getting an excruciating pain in my tibia .. Is this also normal not really been given much aftercare on pain and what can and can't do ..😐

Offline vickster

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Re: Hto hardware removal
« Reply #3 on: March 01, 2015, 10:06:15 PM »
Call the hospital in the morning. Talk to the sister on the ward you were admitted to (assuming you are in the UK) or the surgeon's secretary. Pain management wise, what did you use after the original HTO? Use the same medication and icing protocol. GP wil help you out with required prescriptions presumably
« Last Edit: March 01, 2015, 10:21:06 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Code girl

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Re: Hto hardware removal
« Reply #4 on: March 01, 2015, 11:18:59 PM »
Thanks I've been onmy same pain meds since hto as didn't help as expected with the articular damage on my tibia and femur , but was told that it's due to having very large area of damage  on both weight bearing parts , so been on crutches ever since , only had plates removed as standard for my surgeon to do so , will try phone in morning to get more info on after care but do find it hard to get hold of someone as normally not available til Wednesdays ..so just was trying to find out if the pain and cold feet normal as don't want make a fuss
Thanks for help though
😆

Offline vickster

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Re: Hto hardware removal
« Reply #5 on: March 01, 2015, 11:28:38 PM »
Make a fuss, that's what they are there for, their patients like you.

Pain probably isn't to be unexpected when you've had the bones disturbed. Cold feet, I can't imagine that's normal and should be checked

Is a TKR your next step?

Good luck :)n
« Last Edit: March 01, 2015, 11:30:17 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Code girl

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Re: Hto hardware removal
« Reply #6 on: March 01, 2015, 11:38:42 PM »
That's what I need but won't do it cause I'm to young need to be near 50 and I'm only in 30s... So trying every thing else had injections ,braces,physio,arthroscopy ,chondroplasty I think that's what called microfracture and hto..still no better 😐

Offline vickster

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Re: Hto hardware removal
« Reply #7 on: March 02, 2015, 11:08:45 AM »
Did you get hold of the hospital?

Ref the TKR, I expect they can be done at a young age if indicated (for example after a serious RTA).  Have you spoken to your surgeon about whether there is a specialist in doing these, perhaps at one of the orthopaedic hospitals.  Assume you are using the NHS?  There are good reasons for not doing them young (as they wear out and you can only have limited revisions) but there are also good reasons for doing them, i.e. giving you quality of life, enabling you to work, bring up a family etc

Perhaps a partial replacement is an option, if only one part of the knee is damaged (a group of surgeons in Oxford are the experts in the UK at these)

I'd be doing some research, and then talking to your surgeon about a referral
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Code girl

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Re: Hto hardware removal
« Reply #8 on: March 02, 2015, 01:22:20 PM »
I think a hto makes a partial knee replacement more difficult..., but I'm on third consultant now and they have all said they won't do knee replacement , only look at maybe other trials that may become available , but not sure I can put myself mentally and physically through another invasive op ..it gets harder every time for the rehabilitation putting strain on home and work ..😟

Offline vickster

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Re: Hto hardware removal
« Reply #9 on: March 02, 2015, 01:31:30 PM »
Are you under a pain management team?  I would think that should be the way to go if the surgeons can't help at this point?  Are you under different doctors but at the same hospital?  Might be worth getting an opinion elsewhere :)  Where in the UK are you?  There is work going on in Southampton I believe where they resurface the worn out bits rather than a more radical replacement of (part of) the joint

The article's a couple of years old, but it might be worth discussing with your consultant

http://www.uhs.nhs.uk/AboutTheTrust/Newsandpublications/Latestnews/2012/Surgeonshalverecoverytimewithpioneeringkneerepairoperation.aspx

http://www.professordavidbarrett.co.uk/
« Last Edit: March 02, 2015, 01:35:31 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Code girl

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Re: Hto hardware removal
« Reply #10 on: March 02, 2015, 04:23:08 PM »
Thanks for link , but apparently I'm not a good candidate for the partial as , I'm over weight , have severe stiffness in joint , obviously alignment problem as my knee still slightly bows in , but thanks for help , my next step I believe is full knee or another trial that may come available apart from that is management , physio pain relief etc , I'm in bristol area , I am on the maximum dose of pain meds I can take as I have an allergy to morphine and codeine , so very limited on pain relief ...😆

Offline Code girl

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Re: Hto hardware removal
« Reply #11 on: March 02, 2015, 04:24:43 PM »
Sorry forgot to say the link u supplied is pretty much same as a partial so I still don't meet criteria ..sorry thanks















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