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Author Topic: Sarah's Open Wedge Distal Femoral Osteotomy  (Read 6590 times)

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Offline slightfield

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Sarah's Open Wedge Distal Femoral Osteotomy
« on: April 19, 2017, 05:12:07 AM »
Getting ready for my open wedge Distal Femoral Osteotomy (DFO):  Let's see... I rearranged my bedroom, making it much easier to get around on crutches, I'd imagine since I tried to remove any potential trip hazards. I ordered the following supplies from Amazon: bathing wipes, crutch pads and a bottle of hibiclens. At Costco I stocked up on: Saran Wrap, lentils, Whey Protein powder, berries, veggies, calcium/ vitamin D/ vitamin E supplements. At Home Depot I got a shower extension arm and installed it. Feeling pretty good about progress on prep. Oh, for those who are wondering my scheduled surgery date is in 2 WEEKS. I still feel like there is lots to do to get ready and am very glad I found this forum. I still need: a shower chair, possibly a commode (?) Torex Leg cold Therapy (I heard this was a must-have), extra pillows (who doesn't), and possibly a foam roller or hand-held massaging devise. I will post again soon!     
« Last Edit: April 19, 2017, 03:09:04 PM by slightfield »

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #1 on: April 22, 2017, 02:39:01 AM »
Today I found a wheelchair with leg extender and a walker. I also found a shower seat. I called around to local physical therapist offices to narrow down where I will go once I am released to start PT. I was able to interview a physical therapist over the phone who was highly recommended near where I live, which I was thankful for. The PT advised I use a walker for additional stability, for those nights when you're groggy and need to use the restroom in the middle of the night.  I am also considering about getting a cryo cuff or Torex (I saw this was recommended on a previous diary) for swelling. I was also told to get lots of night-gowns, too. So all in all, I am still prepping. I'm only 10 days away from surgery now. 

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #2 on: April 28, 2017, 04:30:32 AM »
6 days from surgery now and I feel more comfortable with it.  I think I just want to hurry and get it over with so the anticipation and nervousness subsides. I almost would rather deal with physical pain than mental anguish. I am still trying to find a Physical Therapist. Most I call and talk to are familiar with the DFO procedure but say they haven't treated one for 2-3 years. Not sure how I feel about that. Still, all will be well and things will fall into place. Wish me luck!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #3 on: April 30, 2017, 03:20:54 PM »
3 days from surgery and I started getting a cold sore from the stress :-\ It's my body saying I can't handle one more thing on top of the anticipation of the surgery. I would have liked to be in 100% physical health when I go in for surgery, oh well. Work has been really crazy this last week, too. I think the pressure I put on myself to get projects to a smooth transition point is really adding to my stress. My co-workers are filling in for me while I'm out, and I want to give them the least amount of work on my projects when they take over.  Additionally, I am working until the day before surgery. I would have liked to have some time off before the surgery to "detox" from the work stress a little bit. As I sit here enjoying my morning coffee at the dining room table, I wonder "how am I going to feel while I drink my morning coffee in a few days", "am I going to physically be able to sit at this dining room table like I'm doing right now?". Lots of questions running though my mind, some more important that others.     

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #4 on: May 03, 2017, 04:15:35 AM »
DFO surgery is tomorrow at 6am in Park City, Utah. Wish me luck!

Offline JPUSMC

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #5 on: May 06, 2017, 06:05:24 PM »
Hi Sara my name is Jake,  and I'm currently on active duty in the Marine Corps. I'm scheduled for the same procedure JUN 27th and trying wrap my head around everything and i hope your surgery went well if you could keep me posted on how everything goes I would greatly appreciate it. any thoughts, experiences or just anything at all that you would share with me might help alleviate some of my concerns thank you for your time and hope all is well

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #6 on: May 07, 2017, 04:13:32 AM »
Hello Jake,

Yes, wrapping my head around this surgery was a huge deal for me as well. I am happy to help you. I had my surgery on May 3rd at 7am in Park City, Utah (about 90 minutes from my home). So I am 3 days post surgery. I committed to the surgery back in January after getting a second opinion due to UFLEXXA injections not producing results after a while. My diagnosis is Full Thickness Grade 4 Cartilage loss, grade 4 chondrosis of the Lateral Compartment. After the diagnosis they confirmed my candidacy by completing a leg length study and took a few more X-rays. The doc explained the procedure. I left the clinic feeling overwhelmed that day. For the next several months I would be doing tons of research. I did a lot of mental exercises as well such as meditation and active visualization. It helped me to go through and imagine each stage of my big day. From waking up and getting to the hospital to checking in and everything thereafter one at a time. It takes time but I found it to be well worth it. I went to a local Physical Therapist and began a home program to strengthen the leg muscles from my hip to my ankle on both legs. Depending on insurance I would say be cautious using your PT appointments.  Check into whether it is beneficial for you or not. Really, all I did were leg lifts and other quad strengthening routines, ride the stationary bike and stretches. I also started taking supplements chondroitin and glucosamine every day.
   So, the day of my surgery was a complete blur starting when I awoke at 4am. I made sure I had showered the night before and packed a bag with some belongings for the hospital since they were keeping me overnight for observation. Upon arriving at the hospital, I checked in and the entourage of nurses, doctors and anesthesiologists starting lining up. They got me hooked up to my IV and rolled me into see anesthesiologist #1, who would be doing the nerve block. Once they had located the nerve to block in my leg I remember being told I would feel a "pinch" in my hip (I love it when doctors say that  ::), "just a little pinch" or "1, 2, ..."). After this, I vaguely recall being rolled into the OR and there being lots of people around. I saw the lead doctor and his assistant nurse, then it went black for me soon after that. When I came out, I was in pain for sure. A different nurse took a while getting it under control which I was not a fan about. Before I went under, I was told to begin deep breathing and ankle pumps right when I came out of anesthesia. So I started those right away. I am a puker as well, fyi so the deep breathing helped. They gave me Vicodin and Dilaudid when I woke up that helped very little. Finally, after an hour of pain I was given Oxycodone 5 mg. The pain wasn't yet completely under control, so I pushed and got another 5 mg tablet. Once that happened, the pain was completely managed. I was much more comfortable then. After that they took my to my hospital room. I stayed there from about 1pm May 3rd till 2pm the next day May 4th. Do you have questions about my first 24 hours after surgery? I am happy to answer any.  Could you tell me a bit about your yourself? I'd love to get to know you better, we might be talking frequently. Looking forward to hearing from you!       

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #7 on: May 07, 2017, 05:25:16 PM »
Day 4 post op! Since I have been at home pain management has been a concern for me.  Not necessarily because my pain levels are too high, but because the Oxycontin and everything else I am taking, including Tylenol 500mg, Celebrex, stool softeners, and abdominal injections have contributed to quite the bout of constipation. This might be TMI for some of you, but not having a BM for 4 1/2 days is a very real issue that I'd like to shed some light on. I have been eating and drinking and moving around much less than normal so my body functions are slowing down with the help of all those meds. A friend of mine who has underwent several surgeries told me to get the constipation under control or else I would be in a very bad situation...she sorta scared me straight. After many conversations with her and more research I'd like to share what finally helped me in case anyone else could use some: Breakfast- 2% greek yogurt with flaxseed a dab of honey and lots of fresh berries, coffee on the side. At Lunch, a snack of 1 cup oat bran, 1 cup applesauce and 3/4 cup of your finest prune juice mixed together into a nice paste if you will. Then I ate brown rice with black beans and corn all mixed together. At dinner I had a few cups of Kale and Quinoa mixed together with some onion salt and pepper to taste.
   My recovery has been smooth other than one major setback the first night home from the hospital when the ice bag leaked all over my leg. Got the brace and dressings soaked. I spent that first night in a panic while my husband had to unwrap everything while trying desperately to dry the bandages and brace with a hair dyer at 3am. We were told specifically NOT to get anything wet, so this was a point of breakdown for me as you can imagine. I am also highly prone to infection and have had two different types of staph inflection within the last year. That might also help you understand why I say it was a panic moment for me. I have been regularly checking my temperature and everything is so far so good. Feeling like I am on pins and needles during recovery is taking a physical and psychological toll. Any cheerleaders are welcome here! I have been keeping up on my exercises 3 times daily in the morning, afternoon and before bedtime. First, are my favorite exercises, the ankle pumps and quad sets. I do a ton of these throughout the entire day since they help so much. The second favorite exercise is the knee bends, these hurt so good when I am doing them and afterwards the benefits are great and last a good hour or more.  My least favorite exercise are the straight leg raises but these too give lasting benefits after the pain of actually doing them. I have been able to get up and out of bed and sit in my wheelchair for about an hour during the day to enjoy the nice weather for the past 2 days. I am down to 10 mg of Oxy every 6/7 hours now and no longer need my nausea meds (Zofran). Any comments or questions are always welcome!     

Offline JPUSMC

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #8 on: May 09, 2017, 02:54:57 AM »
Thank you for your reply, I know you have a lot of other things on your mind. Back in 2006 I tore my ACL  playing rugby it was a complete mess. i had surgery on it later on down the road and made a full recovery from that. Two years later i tore my lateral meniscus, again playing rugby :-\.  that surgery went by fine and i was back on my feet before to long. in 2011 i enlisted into the USMC and have been active duty going on 6 years i have not made it very easy on my knee (oh yea i also tore my right ACL in 2009 RUGBY again) but that one is good and no follow on issues. I have been deployed to Afghanistan  and since 2015 i have had a debilitating issue with my left knee. Im at a point now that i have a 8 degree valgus knee due to  severe osteoarthritis in that knee. When i had my arthroscopic surgery 3 weeks ago the Doc said that my remaining part of the lateral meniscus solidified and was pretty much a rock. here are the results from my last MRI:
FINDINGS:
MEDIAL COMPARTMENT: The medial meniscus is intact. There is mild thinning of the articular cartilage on both sides of the compartment along the periphery. No subchondral edema. Slight osteophytic spurring medial joint line.

LATERAL COMPARTMENT: Probable postoperative changes of prior partial lateral meniscectomy. There is no evidence for recurrent or residual linear tearing but there is mucoid degeneration of the remnant of the posterior horn and body and irregularity along the apical free margin. There is severe chondromalacia on both sides of the lateral compartment with areas of full-thickness cartilage loss on both sides of the joint and frank cortical irregularity and subchondral edema along the central portion of the lateral femoral condyle on series 6, image 6; and series 5, image 6.

PATELLOFEMORAL COMPARTMENT: Smooth articular cartilage along both retropatellar facets and surfaces of the femoral trochlear groove. Slight osteophytic spurring along the medial margin of the compartment.

LIGAMENTS AND TENDONS: Postoperative changes of prior ACL reconstruction. The graft fibers are intact but there is some cystic change within the tibial tunnel which is likely secondary to some degree of reactive osteolysis. The PCL is intact. The collateral ligaments are intact. The popliteus tendon is negative for tearing or significant tendinopathy. The quadriceps and patellar tendons are intact. The medial and lateral patellofemoral ligaments are intact.

BONES AND SOFT TISSUES: Previously described reactive edema on both sides of the tibial plateau. Previously described lucent lesion about the ACL graft in the tibial tunnel. No significant effusion. Soft tissues of the popliteal fossa are negative. There is some degenerative change at the proximal tibiofibular articulation.

CONCLUSION:
1.  Postoperative changes of prior ACL reconstruction and partial lateral meniscectomy.
2.  The graft fibers of the ACL are intact but there is a lucent lesion within the tibial tunnel which is likely secondary to some degree of reactive osteolysis.
3.  Mucoid degeneration within the remnant of the posterior horn and posterolateral corner of the lateral meniscus.
4.  Interval progression of cartilage loss on both sides of the lateral compartment. There are now areas of full-thickness cartilage loss on both sides of the joint with frank cortical irregularity and subchondral edema. Osteophytic spurring lateral joint line.
5.  Degenerative change at the proximal tibiofibular articulation.
6.  No evidence for acute fracture.
7.  No significant effusion.

How are you coming along?
Pain?
moblity?
Range of motion?
Hope all is well keep me posted 
It will all heal in time
PS. thank you for your thoughts and time

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #9 on: May 09, 2017, 09:18:18 PM »
Hi Jake,

After all you've been through it seems you're a great candidate for the procedure. I want to also thank you for your years of service, you are a hero already without even beating this monster surgery!  ;D Not completely certain but your doctor may scope your knee just before performing the osteotomy to "clean out" anything left behind. That's what my OS did and he trimmed some prior to. So not only do I have the 10 inch incision on my thigh with the 30 staples, I also have two cute little holes in the front of my knee. Has your doc mentioned that he will scope before?
   Today is day 6 post op for me and I have some good hindsight! Never let the pain get away from you. What you read from many others is very true. If you allow the pain to "get away from you" or in other words don't take the necessary dose you know your body needs to be comfortable, then this son is an uphill battle that is tough to get the W. Some advise, figure out the pain meds schedule in the hospital and have a plan for when you arrive home so you remain comfortable. I had a 90 minute car ride home from the hospital on a bumpy and windy mountain road, so I made sure to take 10mg of Oxycontin and my anti inflammatory right before we left. Even then when I got home, I was about a 4-5 pain level when I left the hospital about at a 1-2. I was able to get back to about a 1-2. Although, right before my next dose of pain meds I'll usually be about a 3. Overall, really not bad.
   I am pleased with my mobility so far. Some high points are that I use my walker at home for stability. The walker is great and helps me to get around with more ease than crutches. There are several carpet to hard surface transitions in our home. The walker has wheels on the front two legs and those cute tennis balls on the back two legs. I can slide it around or do modified shoulder dips on it if I'm feeling silly. Honestly, the crutches the hospital sent home with me I haven't touched. Just don't feel safe on them yet. I put the crutch wrist pads on the walker handles since they fit. This helps my hands/wrists that were beginning to hurt from the back and forth to the bedroom, bathroom and dining-room table. If I transition from the walker to the wheelchair, I will prop my leg up in the leg extender. I use the wheelchair when I am up and about for longer than 10 minutes. I was able to sit at dinner last night and even watch a bit of TV! After about an hour of being up, I was exhausted and ready to lay back down in bed. Transitioning onto and off of the toilet was difficult for me the first several days since I did not have a commode or extender to raise the toilet seat. I was using my husbands arms for leverage and he was having to quickly prop my leg up with a small cardboard box underneath my foot once I reached the seat. It was an uncomfortable series of events anyway you want to look at it. Since purchasing a toilet seat extender with the handles on the sides for 30 bucks on Amazon, my mobility in the restroom has improved significantly and needless to say my husband is happier I am much more confident and independent. I am able to "scoot around" while in bed, so if I need to change my position slightly or little things like adjust the pillow height or reach for my water, I can do this independently. I almost always have my entire leg propped up on a big wedge (30 degrees incline) when laying in bed. I feel this has helped a lot with pain management, swelling and overall body comfort. As I said, I do my exercises 3 times a day in the morning, afternoon and evening. These are really helping with overall comfort as well. I was told to do quad sets pushing my leg straight so the quad muscle tenses in isolation sending the knee down as far as possible without discomfort, these act a bit like a massage for my knee joint and I enjoy quite a bit. Also, knee bends holding each for about 5-10 seconds, then I do straight leg raises. I can do about 8 straight leg raises with minimal assistance before getting really tired. I measured my ROM today. I can get to 40-45 degrees while bending from a straight leg position while laying on a bed with my upper body propped up sitting against some pillows. For your reference, I began these exercises in the hospital when PT came to visit and do them with complete fidelity daily ever since. I will sometimes do a few here and there if I start to get that "stiff" feeling. Anyway, I hope I can transfer from my bed to the lazy boy to spend the majority of my recovery days on soon. Cheers!       

Offline JPUSMC

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #10 on: May 10, 2017, 07:30:26 PM »
Hello again, I underwent the scope 3 weeks ago, and I already got my apts for the next 2 months scheduled out. My main concern is what the outcome will actually be like how high of impact activities that your surgeon said you would be able to do when all is said and done or how long you will be able to go without a pkr, or tkr I'm at a point that my career is kind linked to the outcome of this surgery and that coupled with the long difficult recovery I'm a big stress ball. On top of all that I will be taking orders to camp Pendleton in California effective Jan 1st which would be right at my 6 month mark hahaha hope all is well and keep me posted

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #11 on: May 19, 2017, 05:53:55 PM »
Hi Sarah,

I hope you are doing well.
My name is Gabriel, I'm 30 years old and after some digging I found this discussion on knee guru.

I hope you don't mind that I share my knee story. 

My knee issues started in childhood when my legs didn't straighten as expected so I got myself a genu valgum deviation ?n both (knock knees). The deviation angle in each limb is between 5 and 10 degrees, so I'd say it's not severe.

I didn't pay attention to that issue , as it was more of aesthetic concern at that time. I was able to walk and run with no restrictions or pain.
 And I kept wearing long pants so it wasn't noticeable. :)

In college, while playing soccer(occasionally),  I got some injuries on my right knee which were mainly resolved by icing and resting for a couple of days.
Last episode happened 7 years ago. Since then,  I quit playing soccer and other sports with high impact on knees.
I kept however taking long walks and a couple of times a year I enjoyed mountaineering (medium difficulty).
A couple of months ago, the right knee got swollen and painful. So I had it checked it and had an appointment to an orthopaedics and also had an MRI scan.

It was scary to read the findings on the MRI: 4th degree chondromalacia in the lateral compartment of knee on the tibial plateau with associated edema.  Due to the valgus deviation, the medial compartment was OK and wider than the lateral one.
There was also an old small meniscus tear shown on the scan.

Three weeks ago I went to hospital and had a arthroscopic surgery on my right knee with debridement and partial meniscectomy.

However, the surgeon outlined that my condition will probably keep getting worse due to the valgus deviation that puts pressure unequally on the tibia . The treatment he recommended, given the age  was distal femoral osteotomy.
As the deviation is equally present in both legs,  he recommended that it should happen in two steps,  first on right leg,  then on the left one,  which hasn't shown pain symptoms yet.

However, this will not fix the knee, it'll just postpone the need for a TKR with at most 10 years,  he also said.


Sorry for my English, I am not native. I'm from Eastern Europe :)

How are you doing with your recovery?

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #12 on: May 19, 2017, 06:30:44 PM »
I had my 2 week post op appointment. Whew, being up and moving around all day really tired me out! I was able to sit in the front seat of the car instead of having to ride in the back with the seats laying flat like the ride home from the hospital. That was nice. The drive to the hospital is about 90 minutes from my home so I was already somewhat tired when I arrived at the hospital. Then I turned down the offer for a wheelchair when I entered the hospital and instead chose to use my walked to hop down the long hallway. I don't remember this hallway being that LONG! I was a sweaty mess by the time I got to the front desk to check in so resting in the lobby for a few really felt good. When I was called, I had more "walker-hopping" to do to get to my room. Sweating, I sat in a chair and was assisted to prop my leg onto a step stool looking thing. The assistant removed all wrap and dressing and said my incision looked good. I was surprised how good it looked too! Although there were a couple skin flaps noted. Oh well. I've had two different forms of staph in the last year so I was anticipating the removal of the wrap and my incision looking much worse than it did so I was happy about that aside from the skin flaps. Then, all 39 staples were removed at the speed of light. Only one or two staples were "sensitive" when they were removed, the rest I could hardly feel when they were pulled out. Hurt less than stitches! I was pleasantly surprised because I wasn't sure what to expect since I've never had staples before. My incision runs along the outside of my right leg starting at the knee and working up about mid thigh. After the staples were removed, I was taped up with little steri-strips to cover the incision and assisted to hop down another long hallway to Xray. I gave it a go without my brace! I was nervous not having it on. Thus my sweating continued. Two standing Xrays one straight on and the other a side shot. I was tiring out quickly being up and moving about and standing for so long. The Xray tech also had to retake the side view to get the correct angle. As a side note: My suggestion is work on endurance on your crutches or using a walker for the first 2 weeks after surgery as much as you can tolerate. It helps to be up as much as possible... loosen things up, reduces chances of blood clots and just helps overall with mood, etc. Plus it will help when you have to go to the 2 week post op appointment, so you're not such a sweaty mess like I was ::)

The OS said the Xrays looked good. We could see where the osteotomy was, where they inserted the wedge (bone from my hip). The plate was formed almost perfectly to my femur just above the knee to the outside. There were no gaps between the plate and the bone. Doc said that he corrected at 9mm. In other words, the osteotomy gap that was needed was 9mm in width to correct my leg to neutral axis. The Xray showed that the cut was made almost all the way through the femur, very close to the other side. The hope is to slowly open the wedge to the necessary degree without breaking the bone completely through. The doc explained how they try to keep the bone in tact, but as you can imagine, when something hinges that far there is a good chance it will snap.  When they opened mine to 9mm, it "snapped" all the way through. That was one thing I was hoping didn't happen during surgery. The doc said that whenever there are significant corrections, chances are likely that it will happen. I could see where it "broke" on the other side in the Xray, although it lined up well, and I could hardly tell unless I really looked hard. 

After going over the Xrays, the doc said I can shower let soap and water run over the incision. The steri-strips would fall off in a few days and after that I don't need to have it covered. They fitted me with a compression stocking over my leg. It goes from covering my foot to as high up on my thigh as it can reach. I was told to keep it on at all times except for showering. I was also told that I cannot fully submerge my leg in water. The doc said I don't have to wear my brace unless I am leaving the house. The incision MUST stay out of direct sunlight. I think I will need more capris! My next appointment is June 13th and I was given a Rx to begin Physical Therapy ASAP.

I'm completely off Oxy except for before bed. I sleep with my brace off but still have to use the wedge to elevate and ice. Curerntly, my flexion is at 90 degrees and I can do 40 straight leg raises. Progress!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #13 on: May 19, 2017, 07:10:11 PM »
Hi Gabriel,

I am happy you found me and no need to apologize for your English. Thank you for sharing your knee story. That is what this is all about, helping each other through difficult times. It sounds like you are in the midst of deciding whether to undergo the same surgery that I just had done 2 weeks ago? Correct me if I'm wrong. I am more than happy to help however I can.

I'm sorry to hear that you have been dealing with this issue since early childhood and I can only imagine how limiting it must be for you. Is your misalignment still between 5 and 10 degrees? Yes, it seems that as we age if we want to continue to be active there are limited options for us before we are "TKR age". I looked into several articles and made several doctor appointments even with second opinions to talk more about my options before landing here. With that said, I previously inquired about meniscal transplant and have tried Uflexxa knee injections for over 2 years before making the decision to commit to the open-wedge DFO surgery. I too lead an active lifestyle that consists of skiing, hiking, mountain biking. I am very outdoorsy. I came to a point where sadly anything active I did was met with significant pain levels limiting me on what I could do. This affected my self-esteem and daily mood. If you're anything like I am you aren't willing to let that happen. The way I rationalized it in my head is the upside to the surgery being that my active lifestyle could remain minimally negatively affected in the long run and hopefully alleviate the pain. Aside from the fact that this is a significant surgery and recovery time, I weighed it all and was willing to sacrifice a little in the short term to gain a lot long term, God willing. My OS was confident that the surgery would "buy" me about 10-15 years before I, like yourself, would inevitably need to have a TKR.

Any questions you have, I am happy to try and answer. Anything I can do to help I am more than willing. Best of luck in your decision and I know you will make the right one. 

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #14 on: May 20, 2017, 08:58:11 PM »
Hi,

Yes, I'm 30 years old now and misalignment is between 5 and 10 degrees. I need to have some x-rays done to find out the exact angle.
 I'd say I'm short of 3 inches to get to touch my feet straight while standing.
L.E. It looks as though the gap is about 4 inches but this may be because the right leg is still swollen following arthroscopy
 This misalignment did not increase over the  years, but once the OA in the lateral compartment progresses it may get worse in a few years time.
However, I had no pain when walking short distances or doing not very hardcore activities that  involved putting  pressure on the knees.
Will see if pain becomes an issue once I get back full weight bearing after this arthroscopic surgery. The surgeon took out some of the cartilage on the debridement of the joint, so things may change as I resume activities. 

I still think I should get a second opinion or even third before getting into the DFO. I see people mostly get to the point of surgery when they are in great pain which affects their life and have no other alternative and are too young for the TKR  procedure.

Indeed,  I had limited mobility in the knees, but the pain was not there and I was happy with that because I'm not very comfortable with constant pain, even if it's mild.
I need to pay attention to my body weight to keep it around 80 kgs or below, but I had no issues keeping it constant until now.

If I decide to go for the DFO, I'm more concerned about getting an experienced surgeon to do the procedure, it's not a common procedure around  here, few surgeons agree to do it.
Also, the most important thing is a successful recovery and the family  support required  is important in such cases (it would be for me, at least).

I hope you are doing well. Keep being positive!
« Last Edit: May 21, 2017, 08:45:41 AM by Gabisv »

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #15 on: May 21, 2017, 06:43:22 PM »
Gabriel,

Great to hear you don't have significant pain and the misalignment has not increased over the years. Also, I am hopeful that the recent arthro will help.  When are you back to weight bearing? I am non-weight bearing for 6 weeks. This week I will be halfway through the scrutiny of being confined to my walker, crutches and wheelchair. So, I am almost there!

I got a second opinion. That is a great idea. Also, confidence in your OS is crutial. I did some research and was fortunate to live somewhere that enabled me direct access to surgeons with experience doing this procedure. So, I completely understand your reservation. If you are willing to travel, that may expand your options but I don't know your specific situation. Indeed, weight management is one way to manage the symptoms. I was also taking Glucosamine and Chondroitin supplements daily. This helped the joint. I would wear an "unloader brace" when I would ski and this also helped significantly. But it is big and bulky.

Agree also that recovery is the main thing with this surgery. It is a very long process and one must be mentally prepared for that. I know I thought I was mentally ready, but this is going to be a true test. I find myself thinking about walking and watching others around can become depressing, but I quickly shift my thoughts back to "training" mode. I look at my status and situation as an opportunity to train for things to come. I tell myself that this is just my training regime and there is a reason it is the way it is right now. It will not last forever. Lots of people forget how much of the healing process is mental. I am trying to keep this in perspective everyday. I do a little more independently each day and those moments, no matter how small and insignificant are "triumphs" for me.

Best of luck to you as well and thank you for the positive thoughts!  They are always welcome!   

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #16 on: May 23, 2017, 10:09:14 AM »
Hi Sarah,

Great to hear from you. I hope you are progressing well towards the 6 weeks milestone.
I'm now almost 4 weeks after surgery and the knee still has some amount of swelling around patella and on the inner part.

The doctor allowed me to go to a 30-50 % weight bearing on it, that means when I move around in both crutches I can rest the leg with entire sole against the floor and take pressure off my hands. Still, I am not allowed to walk in one crutch just yet.

This may look a bit unusual, as the artroscopy is a walk in the park compared to what you had as a surgery. But he said to take it slow, so I won't argue.

Around here is difficult to find good quality healthcare services. I live in Romania and the national programme is  quite unreliable when it comes to receiving quality treatment so the only option is to go to private hospitals where costs are quite high compared to average earnings of employees.

So,there are limited options for regular workers and it's also not very convenient to travel and receive treatment due to high costs and besides that you can only get home by car on discharge and the  roads are in less than average condition so you need to get ready for some bumps.

 I'll sure get a second opinion on the need for osteotomy as I am really reluctant about it.
 Also, mentally I'm not very good now as I spent a lot of time indoors. I live in a flat and now it's quite difficult for me to walk down and up the stairs to get out for some air.

Still trying to stay positive and I'm glad you do that as well.

Best wishes

P.S. Are you using a CPM machine for your  recovery?

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #17 on: May 26, 2017, 11:19:04 PM »
3 weeks and 2 days post op. I am happy to share that my progress toward the 6 week mark is going well. I am completely off pain meds. I have had two physical therapy appointments so far. I will come back to my thoughts about the physical therapy in a bit.

It was great to hear from you, Gabriel! Thanks for the well wishes from Romania. I'm also glad to hear that you are progressing well after your arthroscopy. Just keep doing what the doctors are telling you. They have your best interest in mind. As far as the surgery being a walk in the park, I'm sure you are having to endure just as much discipline and perseverance as I am, maybe just not for quite as long.  ;)  A friend of mine just had the arthroscopy surgery to her knee yesterday and she said she was "in and out". She is doing well, mainly just itching all over, which I told her could be a side-effect from the pain meds. I hope you can make a full recovery very soon and get out into the fresh air to enjoy your days more. Are you going to physical therapy to help your recovery or doing any exercises/home program? I am not familiar with a CPM devise. When I looked it up online it resembles the mechanical version of a manual exercise I am doing called "heel slides". Are you using a CPM machine? It looks interesting. 

I likely will be trying out a different physical therapist this week. The reason being that I don't think the one I am currently going to is doing enough. Let me explain, when I arrive at the physical therapists office I am greeted by the receptionist who usually greets me and lets me know which room is ready for me. Then that same receptionist will bring in a heating pad and set a timer for 10 minutes. Once the timer goes off, the same receptionist will come in, remove the heating pads and give me 2 exercises to do. She usually says, ankle pumps and straight leg raises 3 sets of 15. Then she will leave. About 10 minutes later she will show up and give me another 2 exercises to do usually being the heel-slides and side-ways leg raises, again, 3 sets of 15. Then after that she might give me one more exercise depending and then let me know that the actual PT will be in shortly. Which is never short. I usually end up waiting about another 10 to 15 minutes for him to come in.  Once he comes in (and I have timed this) only works on me for approximately 8 minutes. Then tells me that I'm going to get some ice and leaves. The receptionist comes back in with the ice packs and sets the timer for 10 minutes. Once the timer goes off, she tells me that I am "free to go, my dear". That's really it. Does anyone else think I have a right to be wanting more from my PT appointments?  It just feels wrong. I really would like to see more progress and work with the physical therapist, not taking orders from a receptionist and doing exercises on my own without any form of supervision. Hmmmm.
« Last Edit: May 26, 2017, 11:34:01 PM by slightfield »

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #18 on: May 27, 2017, 04:30:33 PM »
Hey Sarah, great to hear from you
I'm glad that you are progressing well, now past the half way milestone.

I am still at home but will have a follow up with the doctor next week to check the knee and why it's still quite swollen.  As for PT, I am not doing any and I think I should. The doctor din not recommend it, just gave some plain advice not to keep the leg in extension too long . I am going to ask it again as I don't want to loose flexion,  I need to go from  90 to 130 degrees

 I followed the advice to go with  50% weight bearing and boy, it sure feels good standing on both feet, putting minimum pressure on crutches. I am able to stand for a while without pain but I still feel stiffness around the knee, more to the back side when bending it.

As for your PT appointment, honestly I would feel frustrated too about the 8 minutes. But have you thought that it may get better as you close on the 6 week moment? Maybe the time he works on you will increase progressively. It's just a thought really :)

 Around here,  they advertise a appointment takes around 50 minutes,   but you're just being given the exercises and then the physio nurse would check on you every 10 minutes or so. As for the time with the therapist, I wouldn't know exactly how much is it as I didn't try it.

I'd say you should look for another PT if things stay like this, to get better value from the money you're paying.

I'd like to hear from you soon. Where did you say you live in The States?

Best wishes and speedy recovery!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #19 on: June 01, 2017, 12:42:06 AM »
Today was 4 weeks post op and my third physical therapy appointment, this time at a new office (which I was very pleased with by the way). He stayed with me the entire duration of the appointment, which was 90 minutes! WOW! ;D

I am excited to share my progress is continuing to go very well with overall pain, healing and ROM. I am keeping up doing my exercises at least three times a day everyday, no matter what. The new PT gave me additional exercises to start along with the ones I am already doing at home. Excited to start them! I believe it is more of a mental challenge at this point to be completely non weight bearing. The more I think about it, 6-8 weeks is a long time, so I try not to think at all. During the PT appointment today, I said I was hopeful to be released to partial weight bearing status after my 6 week doctor appointment on June 13th. My new PT said he would be hopeful for me also, but also added that it wouldn't be a complete setback if that wasn't the case since I am making such good progress as is. So we'll see.

It was pleasing to hear his measurements and assessments (whereas my previous PT never did any assessments). He told me I look better than 90% of his patients. He also said I am "leaps and bounds" ahead of where he would expect me to be right now. I was all smiles as you can probably guess since I have worked SO hard. His assessment concluded my flexion 113* degrees right now and he would like to get me to 130* degrees. My surgical leg extension he measured at 2* degrees, wow! He said he would like to get me at -2* degrees extension due the amount I like to hike and my needing that amount of extension. I am convinced the wedge I used the first 2-3 weeks post surgery to elevate my leg while in bed made that possible for me so quickly. It kept my leg completely straight while elevating, unlike using pillows that allow your leg to bend and for scar tissue to develop while in that position. Overall, he also noted I have a 4 cm difference in my thigh circumference because of muscle atrophy which I can really see.  It kinda looks funny! All the more reason to work harder when doing my exercises to get back to "normal". He asked if I had a stationary bike at home. Nope. So, I will probably go online to see if I can find a relatively inexpensive stationary bike somewhere nearby where I live this week sometime. I am very pleased with the way things are going thus far, considering the long road still ahead of me. Thank you all for the well wishes they mean more than you know! 
« Last Edit: June 05, 2017, 05:50:47 PM by slightfield »

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #20 on: June 02, 2017, 05:55:44 PM »
Last night after showering, I noticed the incision site looked odd at my hip where they took the bone for the wedge. There was a white-ish, what looked like a bubble in the middle, but no pain or additional swelling or redness. I simply applied minimal pressure around the bubble and it oozed a tiny bit of thick milky white liquid. Uh-oh...   :-\

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #21 on: June 03, 2017, 04:22:52 PM »
Sarah, great to hear you're doing such good progress.

I  wouldn't worry about the side incision. As long as it is not reddish/painful you're safe from infection. To be on the safe side ask your doctor. Maybe give him a call?

My knee is better now, I am able to apply full pressure and walk on it. Though still dependent on both crutches.
It's still swollen but I'll get to PT next week. Hopefully I'll be down to one crutch after one more week of PT

What kind of wedge did you use to keep the leg elevated? It is something you bought? I saw something on Amazon tbh.

Did your doctor tell you that you may encounter increased pattelar pressure after the surgery/recovery?  Mine raised this issue at last appointment, so the osteotomy is kind of on hold for me as I have some cartilage damage on the back of the patella as well :( Turns out the deviation is 15 degrees as he said.

Best wishes and speedy recovery!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #22 on: June 05, 2017, 06:26:42 PM »
Just shy of 5 weeks post op! The incision site at the hip is fine now but I went ahead and called the doc anyway to let them know. Most likely it was a "spitting" stitch/suture. It's gross, look it up. I was told keep an eye on it. But really, after it oozed, it was gone! No issues after that so that was a big relief.

In case some of you are wondering what I mean when I refer to the "wedge" I propped my leg on for elevation the first 3 weeks after surgery... I am not referring to the bone wedge they took from my hip. I am referring to a large physical therapy tool, see below. Hopefully, the hyperlink I inserted works so you guys can see what I mean.
https://www.amazon.com/dp/B00QSGBS8S?th=1

Update: At my most recent PT appointment last Friday, I did different exercises this time. One where I roll over to my right side while laying on the table. Then, bend my left leg and place my foot on the table in front of my right leg (still extended straight out on the table). Next, I lift my right leg off the table while keeping it completely straight. What a workout! Then I did some additional exercises with the EMS (Electronic Muscle Stimulator) which was fun. I can describe all of my exercises thus far for anyone who would like to know, just send me a message and ask, I would be happy to do that for you.

After the exercises, my PT asked me to come over to the stationary bike. I was both excited and a little bit nervous. He helped me onto it, then asked me to SLOWLY try a rotation. At a slow but sure pace, I went around to feel a good stretch the first try. While he stood beside the bike, I attempted the next rotation and went completely around no problem! No pain! I was the hit of the room, which made me feel great! I went around and around both frontward and backward for about 10-15 rotations each way before he had me return to my room.  Once back to my room, he took measurements to compare to my previous visit (which was my 1st visit there). First measurement, I fully extended my leg that I was at 0* degrees! Woot, Woot! The second measurement, I flexed/bent my leg and held while he measured. While he was measuring he told me, if I could guess the number I was at I could release my flexion. I smiled and... I began to guess the degree of flexion. I remembered I was 113* degrees the time before so I started my guess at 118* and worked up slowly only skipping 1 or 2* since I was confident it was right around there (I mean, how much could it really change in a couple days, right??) WRONG. I was getting tired and achy once I reached 126* degrees! When I finally guessed that number, he chuckled and allowed me to lower my leg to the table. Wheww! Tired, achy, but very pleased, I was given some ice, which felt really good.  My next PT appointment is tomorrow morning! We'll see what he has in store for me then! Keep you all posted. P.S. It is SO worth it to find a really good PT. Thank you for your thoughts Gabriel, it helped a lot as I was making my decision whether to find another PT. You rock!!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #23 on: June 07, 2017, 06:25:29 PM »
At 5 weeks post op. Went to PT appointment yesterday. He said my incision looks good and is healing well. After more exercises and some stationary bike time, I was measured.  My ROM is 0* extended to 130* flexed! My PT has officially qualified me as FULL ROM!!!! I am super happy!

Now to keep up with the exercise program at home to maintain ROM for my 6 week follow up doc appointment...I hope my bone healing is progressing as well!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #24 on: June 09, 2017, 11:35:06 PM »
Three days until my 6 week follow up appointment with the OS...

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #25 on: June 12, 2017, 11:43:36 PM »
I had a good day at PT today. He measured me and I am at 134* flexion! Tomorrow I go in for my 6 week follow up. I hope after the Xrays, I will be released to partial weight bearing or as tolerated. My PT says that is when I can start the "fun" exercises.

I am very happy with the way PT has been progressing. I no longer take pain pills, even before bed. Sometimes, in the middle of the night I will wake up and the knee is stiff and there is some pain when bending or moving it around to get to a comfortable position. I am not sleeping with the brace on, which is nice since that means I can sleep in any position without restriction. I am still doing my exercises everyday, not as much as I was before at three times daily, but once or twice to maintain the range of motion.  My PT did mention that he was liking how my quad muscle is firing. He mentioned he would be writing a brief letter for the OS tomorrow stating the progress and current functioning. I was very impressed that he offered to do that. Do they normally offer to write letters regarding patient progress like that? Anyway, it impressed me, coming from the other PT office that didn't even take measurements!  Guess it doesn't take much to impress me. 

I managed to make it in to the local home improvement store today. Granted I had to resort to riding those fun little "granny skooters" around. Still it was nice to get into an actual store. We are rebuilding our deck and went to look at materials. It'll be nice once the rebuild is done so I can go out and enjoy the outdoors. Speaking of outdoors, I will be going to Yellowstone next week. I've never been and am excited to see the animals! Looking forward to getting out a bit more and enjoying my summer before it's over. 

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #26 on: June 23, 2017, 06:45:40 PM »
I am now 7 weeks post op. At my 6 week follow up appointment, i was given weight bearing as tolerated so I am now walking, tolerating a good amount of weight using only one crutch. I can take a few steps without crutch assistance, but very slowly. I even managed to walk into the grocery store and get milk and curry seasoning without my crutch! There is still some swelling and soreness, which I was told to "listen to", so when I feel it, I will rest and ice. Still going well at PT. He added mini squat sets to my exercise program. I will go back for a follow up at 12 weeks, which is around the end of July. So glad I will be able to enjoy some of my summer now!

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #27 on: June 25, 2017, 02:19:40 PM »
Sarah,

It's been a while since I posted here. I've replaced my phone and didn't get my bookmarks right. I hope you are allright.

Great to hear you are now down to one crutch. Hopefully in not too many days from now,  you will be able to put it away and walk freely :) 


Myself, I need to keep doing PT as my quads are pretty weak.
I started to walk now, but as time goes, I need to get to do that DFO in order to be active again.

I have that cartilage badly  damaged still on top of tibia (about 2 square centimeters)  and no doctor will attempt reconstruction surgery as long as the leg bones are not correctly aligned. I have a lot of restrictions, basically everything but walking short distances (must avoid hills) . Standing more than 15-20 minutes starts to give me some sharp pain in that area where cartilage is damaged and I need to take weight off the leg as soon as possible to wean off the pain. 

Best wishes and I hope you had a great time at Yellowstone!
« Last Edit: June 25, 2017, 02:24:45 PM by Gabisv »

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #28 on: June 25, 2017, 06:46:11 PM »
Hi Sara my name is Jake,  and I'm currently on active duty in the Marine Corps. I'm scheduled for the same procedure JUN 27th and trying wrap my head around everything and i hope your surgery went well if you could keep me posted on how everything goes I would greatly appreciate it. any thoughts, experiences or just anything at all that you would share with me might help alleviate some of my concerns thank you for your time and hope all is well

Hi Jake! I am eager to know how you are doing so close to your DFO surgery. I know it will go very well and you will have many moments of triumph and despair. Just know that I am here for you along with several others to help in your time of need. Good luck and the worst part will be over very soon!! Keep in touch please.

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #29 on: June 25, 2017, 06:53:45 PM »
Gabriel,

It is great to hear from you and glad you are doing well. Yellowstone was wonderful, got to see several animals in their natural habitat which was an experience! Even though other parts of my life are neglected, I am in good spirits about my recovery and have been focusing my time and energy there. Thank you so much for the well wishes as they come at the perfect time. I am sorry to hear that you are limited right now. It must be hard to consider the effects if you were to remain in the state you are in now. The pain is no fun to live with. I say do all you can to fix it now while you are young and can be active. I know it is an extremely huge decision to make.

Keep going with the PT, it will make all the difference in the short and long term. Stay positive! It will get better!
« Last Edit: June 28, 2017, 09:09:51 PM by slightfield »

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #30 on: July 01, 2017, 06:35:46 PM »
Hey Sarah,

Thanks for the good wishes and for encouraging me. It means a lot to me.

I'd say that the decision to have the DFO is probably more difficult to take because just as I finish recovery from the first one, I would need to get the other leg done. So I can't think about it like: I do this leg and all I need to worry is recovering, then I will be done. It's more likely that if I start this, I need to get all the information about the benefits vs the shortcomings.

Anyway, this week I have an appointment with another OS for a second opinion, I need to travel quite a few hours to get there.

As a kind of bad news somehow I hurt my other knee at PT and it became very painful behind the patella. It gets pretty bad when I am doing stairs, especially descending. I am worried about it to be honest. Because I am nowhere near recovered with the right knee. What are the odds to get the other hurt :(

Just wanted to ask you, will you consider having the hardware removed once you have had full recovery (probably  after 1 year follow up) ?

Take care and speedy recovery!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #31 on: July 08, 2017, 04:31:46 PM »
Hello Gabriel,

You are welcome! I'm sure it will seem like a huge sacrifice at the moment and a significant amount of time to dedicate to the healing. It will go by quickly. I am already 10 weeks post op and walking without crutches. My progress at PT is going well and I reached my goal ROM of 140 two days ago. Although I am still a bit sore from the exercise program my PT has me on both in the office and at home, I continue to be a bit reserved. I am so sorry to hear about the patella injury. It may not be as bad as you might think, though. Stay positive and listen to your body at PT. About a week ago, my PT was pushing on my leg to stretch it in the extension position. I felt like it was too much weight to be putting on my leg and it started to hurt. I did not hesitate to tell him to stop. It was like my body was screaming for me to do something! Please keep me posted on your healing as well. How id the second opinion go?

About the hardware, yes. Since it is proving to be more discomfort now that the swelling is reduced and my PT program has me doing more. I find that there are times when it can be significantly uncomfortable for me. My OS said that I will likely have the hardware removed depending on the healing, but as soon as 9 months after surgery. My next appointment for Xrays is Aug. 1st. By then I should be seeing the progress of bone healing very apparent. Should I say as I cross my fingers and toes.

Be well!


Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #32 on: July 09, 2017, 05:40:34 AM »
Hi Sarah,

I feel that I am going out of my mind here. I actually got 2 second opinions and both OS consultants said that an osteotomy must be performed before worrying about the cartilage repair thing. Or a procedure can be done at the same time with the osteotomy.

I am not ready to make this decision as it may be the one that changes my life forever with no turning back.
I wanted to get in touch with people that had the procedure here but couldn't find one.  I've gone through tens, hundreds of forum pages. Apparently, the procedure is quite uncommon here, they do mostly the total replacement which I said I should try to avoid. Just found that a very good OS for this procedure can be found in Budapest but is out of my reach.

 I honestly don't know. I know that I am young (turning 31 today)  and won't be able to cope with being unable to move around too much. 
I even forgot about the other leg issue at PT. I feel like the knee is getting no better, some days are better, some days are the same even if I don't go out and move just around my place.

The most difficult thing seems that I need to be NWB for such a long time,probably 8 weeks. I don't have a lot of support, seems very bad that I won't even be able to touch my heel on the floor when getting up and sitting on the bed side

The more I think about, the more it scares me. Sometimes I feel like just to let go, don't seek other ways or surgeries  and accept that everything has a reason.

Take care!

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #33 on: July 21, 2017, 09:11:06 AM »
Hi Sarah,

How are are you? You haven't posted in this thread for a while.
I hope everything is going well

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #34 on: July 30, 2017, 05:54:48 PM »
I am 12 weeks post op and walking/getting around fine. I started my Yoga classes again about 3 weeks ago. It really helps when I go, even if it's only once a week. I am still going to PT twice a week. However, I missed all of last week due to being out of town. It was a 2100 mile road trip over 9 days, so much fun. Lots of camping and visiting with family and friends so I was in good spirits the entire trip. The leg was ok although would tend to get really stiff while in the car for long. I admittedly wasn't doing my home exercise program while I was out of town and because of that, I feel as though my range of motion has decreased slightly. Scary! How your body can do that. Well, I guess it ain't a joke when the docs say the most important part is keeping up with the PT after the surgery.  Now that I am back home, I am starting the exercises again.

My next scheduled OS appointment is coming up 8/1. At that time I will have the Xrays that will show the progress of the bone knitting so I am eagerly anticipating.  I think I will wait to reschedule PT appointments once I hear from the OS then.

Offline Gabisv

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #35 on: August 04, 2017, 05:21:59 PM »
Hi Sarah,

I hope this message finds you well. How did the follow-up appointment go? I hope everything went exactly as it should.
How is your leg feeling now?
Has your gait changed since you decided to wean off crutches? Is it much different than before the surgery?

Take care,
Gabriel

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #36 on: August 06, 2017, 06:14:31 PM »
Week 14 post op and the follow up appointment at the OS office went very well!

He said that the Xray should show some beginning healing of the bone at the osteotomy site. Then, upon reviewing my Xrays, he explained that I am almost completely healed!! He then went on to say I have no restrictions besides running and jumping.

At my next follow up, at the 6 month post op, will be my next round of Xrays. We should have a real good idea whether at that point the hardware can come out!  I am probably not going to be on here much before then, will likely be too busy doing all the fun things in LIFE! 

I AM SUPER STOKED!!!!!! THANK YOU ALL!!!!

Offline slightfield

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #37 on: October 08, 2017, 02:50:23 PM »
Hi Sarah,

I hope this message finds you well. How did the follow-up appointment go? I hope everything went exactly as it should.
How is your leg feeling now?
Has your gait changed since you decided to wean off crutches? Is it much different than before the surgery?

Take care,
Gabriel

Hey there Gabriel,

Sorry I have not been on here very much lately. Since my doc gave the all clear I have been spending lots of time enjoying what was left of my summer by hiking and mountain biking. To answer your question though, no I don't feel that my gate has changed too much since weaning off crutches. But my PT and I worked on that since he said that could be an indication that one may not be ready to wean off support. I made every effort to walk slowly and make sure that my gate was correct before speeding up and walking normally. My leg feels good. I have some soreness around the break and when I hike downhill with a steeper slope the front of my kneecap tends to bother me some.  But I am happy overall, it is much better than it was before the surgery. My next appointment is 10/31 and I will hear whether I am ready for the hardware to be removed then. Looking forward to that!

How have you been?

Offline chfa1128

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Re: Sarah's Open Wedge Distal Femoral Osteotomy
« Reply #38 on: May 29, 2018, 10:13:24 PM »
Hi Sarah, hope your are doing well! please keep us updated on your post op recovery.  I am currently debating DFO i dont have pain but the degree of misalignment is about 8 degrees in my right leg and about 5 in my left.  This misalignment bothers me when i walk as my thighs touch due to my gait and also looks bad in pants as the outsides around my knee bunch up since both legs are not straight.  MY friends and Family think im crazy to get such a big surgery done for "vanity purposes". What are your thoughts? am i crazy? do i go through with it?

Male, 27 180 lbs.....My name is Christian By the way...















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