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The WAITING ROOM
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GENERAL KNEE QUESTIONS and comments (good for new threads)
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OATS 7 weeks ago, ROM very limited, I'm starting to get very worried
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Topic: OATS 7 weeks ago, ROM very limited, I'm starting to get very worried (Read 472 times)
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SamFM
MICROgeek (<20 posts)
Posts: 3
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OATS 7 weeks ago, ROM very limited, I'm starting to get very worried
«
on:
August 02, 2017, 06:11:23 AM »
Hi I'm new here, thanks in advance to anyone nice enough to help me because I'm really worried about my situation. I'm 26, I had a condylar condral lesion, an intrarticular free body and 13° of valgus in my right knee. I had surgery 7 weeks ago, they removed the free cartilage, did an OATS and osteotomy to correct the valgus defect in my femur. I have to say I never did great at PT, the doctor was always saying I was behind schedule with my bending but I never thought it was that bad until now. I'm bending around 100°, not active extension and I'm very scared I might develop an arthrofibrosis. My next appointment is in a week, I've been working really hard on therapy and I've read some threads where people get better even after 4 months. I'd appreciate hearing about you experiences, am I really that behind?
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vickster
Administrator
SuperKNEEgeek
Posts: 4954
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Neelie knee!
Re: OATS 7 weeks ago, ROM very limited, I'm starting to get very worried
«
Reply #1 on:
August 02, 2017, 08:31:40 AM »
You had major multiple surgery procedures just 7 weeks ago, be patient and keep at it. It'll likely take you 6-12 months to feel back to normal after OATS and osteotomy.
How can you do badly in physio, everyone is different and heals at a different pace? Rehab is not a sport. It's also easy to overdo it. If your physio is pressurising you or pushing you excessively, find another
Good luck
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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
SamFM
MICROgeek (<20 posts)
Posts: 3
Liked: 0
Re: OATS 7 weeks ago, ROM very limited, I'm starting to get very worried
«
Reply #2 on:
August 02, 2017, 10:03:41 PM »
Ok thanks! I do understand it was quite a big surgery but I'm worried about not gaining more ROM, although I do notice improvement it hasn't been that great in the past weeks (that's what I meant with not great at PT lol,
.)anyway thanks, I just really hope I can go back to a full ROM in a reasonable amount of time, because honestly before the surgery it didn't even hurt that much and I had "a normal life", now I can't even ride a bike normally.
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vickster
Administrator
SuperKNEEgeek
Posts: 4954
Liked: 420
Neelie knee!
Re: OATS 7 weeks ago, ROM very limited, I'm starting to get very worried
«
Reply #3 on:
August 02, 2017, 10:13:32 PM »
Why did you have the surgery if limited symptoms?
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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
jackson7
Regular Poster
Posts: 112
Liked: 7
Re: OATS 7 weeks ago, ROM very limited, I'm starting to get very worried
«
Reply #4 on:
August 02, 2017, 11:58:46 PM »
What do you consider "full" knee ROM? It only takes about 0 ext/120 degrees flexion to walk with a normal gait.
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12/2015: slow speed bicycle crash
1/16: many x-rays & 2 MRIs only show tendinosis
3/16: bone scan shows uptake in all compartments
8/16: cortisone jab (no effect)
3/17: diag scope (part med meniscectomy, med fem chondroplasty, full synovectomy)
4/18: Pain finally diminishing. 65% function.
SamFM
MICROgeek (<20 posts)
Posts: 3
Liked: 0
Re: OATS 7 weeks ago, ROM very limited, I'm starting to get very worried
«
Reply #5 on:
August 03, 2017, 02:14:42 AM »
It didn't really hurt but the chondral lesion was quite big and there was this piece of bone/cartilage floating inside the joint, so it was very likely I would develop arthrosis very young and would probably need a full knee replacement at a very young age.
Yeah, I can probably walk, but full ROM is around 135°, walking is not all you do with your legs. Anyways, thanks for your help, I'll keep doing my best at Pt, hoping it'll get better soon
. I'll attach a picture of the arthroscopy so you can see the defect.
«
Last Edit: August 03, 2017, 02:22:17 AM by SamFM
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