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Author Topic: Acl reconstructed and now my patella is fractured  (Read 1265 times)

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Offline mgirl9231999

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Acl reconstructed and now my patella is fractured
« on: March 11, 2015, 10:12:01 PM »
I had ACL reconstructive surgery on October 21st 2014 and my recovery has been so slow. Two weeks ago my knee twisted a little bit as I walked around a chair at work. I went to my doctor and he said to do an MRI. After two weeks of waiting for the MRI my kneecap started being very odd and when I would straighten my leg and then go to step it felt like something was lodged in there and it would pinch so bad and I couldn't put weight on my way leg. So I would have to bend and straighten my leg a few times to get whatever was lodge in my knee to move around before I could walk. This morning I went to get the results of my MRI from my orthopedic surgeon and he says that my patella is fractured and he wants to do an arthroscopy and try to find whatever is floating around in there that's making my knee lock up and check the fracture and I'm not sure what else he said about that and what he was going to do with that but he's also wanting to look around at my ACL reconstructive areas because of the fact that my recovery has been so slow that I'm still walking with a cane and this was before the twisting of the knee. I'm not sure if I should get a second opinion or if I should just trust this doctor or what I should even be thinking about right now. I'm a little traumatized after dealing with this ACL being torn for so long and trying to walk but now having this problem before I could even walk again is difficult to handle and I can't even think straight because I'm so traumatized. Other than should I get a second opinion my other question is has anyone else ever had a patella fracture while recovering from an ACL reconstruction using the patella tendon? And the fracture is on the opposite side of where the patella tendon graft came out of my knee cap. The fracture is on the back top of the patella. Also, my dr has me continuing to walk, PT exercises at home, etc. Due to not wanting the recovery from the acl surgery to go backwards, but should i have some brace on or anything??? I don't know what to do, how to proceed, what to think, or anything. I'm just wondering if anybody has had this experience before and can give me some sort of support, feedback, insight, suggestions, or anything. I'm new so please excuse my naive self. Thanks everyone!

Offline Kaputt_Knee

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Re: Acl reconstructed and now my patella is fractured
« Reply #1 on: March 12, 2015, 06:15:36 AM »
My sympathies for the extra problem, I've been there too. My surgeon fractured my patella while harvesting the graft. This is a risk but usually they do actually tell you about it immediately. I found out 6 or 8 weeks later as I was evaluated by a doctor at the in-patient rehabilitation centre. Whilst I accepted the fact he had not done it deliberately, I was furious that I was not told. For the period between my operation and the beginning of my rehabilitation, I tried to carry out a normal rehab protocol as far as I could.

The first day after the operation I was asked by the nurses on my ward to go to the X-Ray department for a follow-up X-ray. As no-one came with a wheelchair or offered to help me, I used my crutches to get there. The radiographer thought I was having a heart attack when I got there as the pain was so bad I collapsed in agony.

In your case your confidence in your surgeon has been compromised, so getting a second opinion is probably not a bad idea. I could not as the surgeon was the second Workers Comp doctor I had had and there were no more locally for me to use. I'd only been able to switch to him because I was able to prove that the first doctor was actually milking the system and not actually treating me.

My fracture was close to the graft harvest point and I still have a lump on my patella which makes kneeling on that knee impossible. So I would advise you to undergo an arthroscopy if the second opinion feels it is necessary in order to tidy up the patella and prevent further damage to it or the structures around or in the knee. Remember that the patella itself is a sesamoid bone which means it is completely embedded in the tendon over the knee (quadriceps and patella), so treating it is not straightforward. They also have very poor blood supply so the healing process is often very slow.

Good luck
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline mgirl9231999

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Re: Acl reconstructed and now my patella is fractured
« Reply #2 on: March 13, 2015, 12:05:04 AM »
Have you heard of PRP? Plasma rich platelets? It's supposed to help healing and my pain specialist  (not my orthopedic surgeon) said he wants to do that.

Offline Kaputt_Knee

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Re: Acl reconstructed and now my patella is fractured
« Reply #3 on: March 13, 2015, 07:27:12 AM »
I've heard of PRP being used for soft tissue injuries and problems but not for bone healing.

If you do a search on here for topics on PRP you can maybe find someone who has had the treatment for bone fractures.

I would be wary of any treatment for bone/soft tissue injuries being carried out by non-orthopaedic doctors. The knee is an incredible complex joint and requires careful treatment by someone who specialises in that particular joint. See if you can get a second opinion from a knee specialist. If you ask here for recommendations you may find someone in your area.

I'm in southern Germany and I only go to one clinic where the guys are acknowledged as being excellent specialists in their field. The doctor who messed up my knee is a general orthopaedic surgeon (his speciality is actually upper limbs), the guy from my clinic who finally was able to put it all right (6.5 hours in surgery) is the best in the whole of southern Germany and one of the best in the whole country. I was only able to switch to him when the Workers Comp system here excluded the meniscus damage from my treatment plan. My current specialist spoke with the Workers Comp people after he had evaluated my knee and told them that their surgeon was a butcher and that he would support me if I wanted to claim both against the original surgeon for the damage he'd done and against them for their incompetence in handling my case (the meniscus damage was a direct result of the original injury and the subsequent mismanagement). I was in his office as he spoke to my caseworker, he did not mince his words at all. Even now, 6 years later, he still asks me if I want to sue them!

1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline mgirl9231999

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Re: Acl reconstructed and now my patella is fractured
« Reply #4 on: March 15, 2015, 04:22:18 AM »
Wow! You've been through a lot! My pain specialist wanted to do the PRP before we knew about the broken patella to assist my VERY SLOW recovery from the acl reconstruction.

Offline mgirl9231999

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Re: Acl reconstructed and now my patella is fractured
« Reply #5 on: March 15, 2015, 05:00:44 AM »
My dr has me continuing PT exercises, walking, and no brace at all with this fractured patella.  Is that normal?!?!?!















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