TKR and Patellar Tendon Rupture Repair Same Surgery

[CindyC]

I had a left patellar tendon rupture about 5 years ago with two failed surgeries to repair.  I now need a TKR on the left.  The orthopedist is doing the tendon repair (cadaver graft this time) at the same time as the TKR.  I'm am trying to understand the recovery process.  Tendon repair requires immobiliation and no weight bearing for 6-8 weeks while TKR typically requires early bending and other movement to improve mobility and outcome.

Has anyone experienced this?  I just can't reconcile the post surgery recovery.  The orthopedist claims he has done several of these surgeries at the same time and I have asked to speak to a few of these patients about their recovery. No physical therapist I have spoken with has experienced this situation.

Any input would be helpful!!!

CindyC

[Brandon123]

Yes, the post op protocols sound a bit contradictory indeed. You should ask the OS for more detailed info on the recovery/rehab. Tell him that you don't understand how it will work, and that you need to know this before moving forward with surgery. Also, let him know that you haven't found a PT with this experience. Maybe he can put you in touch with the PTs he has used for his previous surgeries. In short, don't settle and keep asking until you feel comfortable about the procedure knowledge-wise. Good luck!