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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1261449 times)

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Offline JC55

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Re: Ruptured Patellar Tendon Surgery
« Reply #4950 on: September 16, 2013, 09:33:31 PM »
Update:
Op+1 week: leg in immobilizer, no real pain, still swollen and tight.  Able to take first shower last night.  My attitude has improved over last three days (mainly from reading comments on this site).

Ive been reading posts from early on in regard to this hread and was wondering if anyone who is a year or more out from surgery could give us their outcome...John? 

Hope all are progressing well in their respective stages of recovery.
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline carkeltom

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Re: Ruptured Patellar Tendon Surgery
« Reply #4951 on: September 17, 2013, 02:38:59 PM »
JC55, congrats on one week post op.  Get used to that immobilizer.  Even though I hated my two at first, after reading the entire contents of this thread, 6 weeks of immobilization for the healing is probably the best thing.  But, that being said, when they give you the green light, do the passive range of motion.  It is really tight with the staples.  Also, get your rest, read a book, watch a movie, troll the internet(taking everything said there with a grain of salt) and RICE.  Congrats on the shower too.  I am jealous.  As for the year post op people, there are quite a few who followed along on this thread a year out, plus people who reinjured their legs and had previous experience.  QUAD Sets when they let you.  Atrophy of the quad is horribly fast.  Faster than I had thought possible.  Have a good day.
Bilateral patellar tendon rupture 7/19/13

Offline JC55

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Re: Ruptured Patellar Tendon Surgery
« Reply #4952 on: September 18, 2013, 02:17:33 AM »
Tom, thanks for the advice and kind words...it means alot.
John, I have been trying to read all of the previous posts...wow, there have been lots of interesting people who have come and gone.  I want to personally thank you for your time and efforts on keeping this thread running smoothly.  It has been a great source of information but even a better source of encouragement. Thank you!

Hope all are progressing satisfactorily.  Peace
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline ih8bigots

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Re: Ruptured Patellar Tendon Surgery
« Reply #4953 on: September 19, 2013, 06:33:53 AM »
So, I just got some bad news from my orthopedic specialist.

I ruptured my patellar tendon roughly 3.5 years ago.  I received surgery and underwent rehab; today I am able to walk, run, climb stairs, and do most normal day to day activities.   My only hang ups are that the repaired knee has a high riding kneecap, some extensor lag, and it is limited to about 70 to 80% the strength of my good knee.

I originally made the appointment for a thumb injury, but the specialist also wanted to see how the knee was doing.  He grew concerned when he saw the extensor lag and kneecap height, so he ordered xrays.  After reviewing the xrays, he told me told the surgery essentially failed, as it did not restore proper patella height.  His suspicion is that the sutures near the patella failed, and the tendon did not heal properly to the bone.  Additional surgery to correct the problem was not recommended due to expected risks and complications, and because of my current functional state.

I felt pretty good about the knee prior to learning about these new findings; I now fear re-rupture, and I am pretty disappointed that in my current state, there seems to be no chance the knee can recover anywhere near full strength or active ROM.

Has anyone else on this forum been in this situation?  Am I just out of luck?

I should also mention there was a delay in my surgery of  about 3 weeks from the injury.  I can blame that on both myself and the specialist's scheduling dept for not recognizing the urgency of repairing the tendon quickly.  Could the delay be responsible for the failure of the surgery?
« Last Edit: September 19, 2013, 07:08:59 AM by ih8bigots »

Offline mxbigd17

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Re: Ruptured Patellar Tendon Surgery
« Reply #4954 on: September 19, 2013, 08:31:46 AM »
Ok guy, I'm back after a long break for an update. Sorry to hear about the high riding knee cap. I only hope my doctor did a great job, but only time will tell. That and and a little prayer.
I'm 16 weeks post op. a very very long 16 weeks I might add. My flexion is at 120, and still getting better everyday. Doing a lot of strengthening of the quad muscle in PT. I'm able to walk up and down stairs pretty normal, although down is a bit harder. I know the saying goes, up with the good an down with the bad when it comes to stairs. But I do the complete opposite, trying to make myself walk normal and not favor my injured leg to much. It has helped a lot, even though it hurts a little and takes more effort I feel my injured leg getting stronger everyday. My pain levels that I talked about in the earlier post has gone down so much with more and more use of my leg. Today was the first day I walked really normal without a limp, I thought I was going to limp the rest of my life at one point in time with this recovery.

I felt pretty confident today and got my street bike out, it turns out the bending of the knee next to the heat of the engine made my knee feel really good tonight. I have not ridden my street bike in 5 months, and man was that a morale booster. Being laid up on Memorial Day with a ruptured patellar tendon, surgery, saving my job, dealing with insurance companies, depression, hating life, oxycodone withdraw, and almost pushing away the person I love the most who took care of me during this whole ordeal to,,,,,,,,,,patellar tendon is healing great, fixed my relationship, saved my job, insurance is squared around, oxycodone is a thing of the past, back walking normal (somewhat), and riding a bike again. It was the longest summer of my entire life.

It's not over yet but everything is looking better everyday. More PT tomorrow, more stationary bike, more treadmill, more elliptical, more leg presses. There is still going to be bad days, but its nice to know that there are still a lot of good days ahead.
5/27/13. Complete RPT (shredded) left knee, torn ACL left knee, dislocated Right Shoulder.

Offline SellaVee

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Re: Ruptured Patellar Tendon Surgery
« Reply #4955 on: September 19, 2013, 07:12:00 PM »
I've enjoyed hearing how everyone is getting on.  Oscar, your English is brilliant, though you mention walking with crunches and the rest of us use crutches.  I very much enjoy reading about your progress as I also think muscle strength is really important.

I hope, ih8bigots, that the delay in surgery didn't cause your repair to fail as I had to wait 31/2 weeks for my surgery.  Recently bballkingofnba was asking who else had a high riding patella as it seems to be quite a common side effect of this surgery.  If your leg is functioning and you can lift it I would question whether your repair had failed altogether.  You said yourself you were feeling pretty good about it.  Is it worth getting a second opinion?  That news from your OS must have been devastating.

Well done, mxbigd17, and Tom and Jerry keep up the good work.
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline JC55

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Re: Ruptured Patellar Tendon Surgery
« Reply #4956 on: September 19, 2013, 07:13:19 PM »
Hey All,
Finally got thru most of the posts...whew!  If I had to pick one poster that I found most sensible (at least to me) about his outlook and PT it would be kneeds.  If anyone is interested you can go to the member section and look him up and read his threads.  I'd be interested in your thoughts.  I would summarize all of the posts as follows: We are all different, listening to your body and patience is key, be informed, and know that it will get better!  Some will achieve full ROM, others not; some will have no complications while others may suffer setbacks; and some have higher expectations due to age, prior health, etc.  But as John says, it's a VERY serious injury with some having more damage than others so different outcomes are to be expected.

ih8bigots
Sorry for your situation...maybe someone on thread has advice...good luck

mxbigd17
Loved your Aug 11h post to Cooper44...very encouraging.  Also loved the pix of you on your bike...sweet!  I have 17 staples so maybe that's a good sign.

Fishy
On Aug 9th you wrote about calf pain at night.  I am experiencing this same thing and it is ruining any chance of sleep...have you found a solution?  Someone wrote about a "Tubi-grip"???  Also, I found your Sept 7th post very uplifting.

SellaVee
I too suffered terribly from depression early on.  Mine has improved mainly from reading all the encouraging words from our fellow sufferers.  Also, I'm not using a leg-lifter (can you give me more info on it), but rather supporting my injured leg with my good leg...anyone else doing this?

Carkeltom
Thanks for re-posting UMASS quad/patella injury protocol.  Found it very informative.  QUESTION to ALL: does anyone have information about differences in PT between those of you with wire sutures and those us without?  I'm assuming that is why my OS is a little more conservative.

Also, I played college basketball and currently coach girls high school basketball and I noticed you coach softball.  While I'm probably out for the early part of the season I wish you all the best in your rehab so you'll be ready come spring! They certainly keep me young.  PS: our girls won state in Bball in 2010 and our softball team won state in 2012... Which is saying something since KY doesn't divide into classes...so it is truly a state championship.

vbtaz
What is closed-chain?

Cooper44
I noticed you had surgery on July 31st...that happened to be my 50th birthday.  I wouldn't wish this on anyone.

John42
I noticed you use to keep count as to the number of members.  Any idea what number I am or what we are up to?  Also, I mentioned earlier, any info on wire v non-wire repairs?

Well, sorry for the long post...hope all are progressing nicely and excited to be among friends who really know what we are going thru.  As for me, staples come out tomorrow (OP+11 days).  Peace!
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline JC55

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Re: Ruptured Patellar Tendon Surgery
« Reply #4957 on: September 19, 2013, 07:17:35 PM »
SallaVee,
Thanks.  Were you trying to make a funny with the "Tom and Jerry"?  ;).
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline SellaVee

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Re: Ruptured Patellar Tendon Surgery
« Reply #4958 on: September 19, 2013, 07:38:25 PM »
I wondered if you guys would get the joke  ;D ;D!  I was just including people's names but I thought if I put you and Tom together it might make you smile!

If you go on 'amazon' and search for leg lifter they have one on there for about $12, or just Google it for other suppliers.  I find it handy for getting in and out of the car, when I need my good leg to stand on and also for lifting my foot onto the stool in the bathroom.  I use my good leg to support the injured one when I'm doing exercises.

Tubi-grip is a tubular compression bandage - like a stocking with no foot.  Might the calf pains be cramp?  Are you drinking lots of water?  If not it might be worth a try.

Closed-chain is when you exercise with your foot on the floor or bed, that is, stuck in one spot.  Open-chain is when it's free to move in the air.

Hope this helps and hope I made you smile.

Sella
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline SellaVee

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Re: Ruptured Patellar Tendon Surgery
« Reply #4959 on: September 19, 2013, 11:57:36 PM »
Update, 11 weeks post op tomorrow.

I saw the orthopaedic consultant today and he cleared me to ditch the brace and go down to 1 crutch.

I feel I'm making progress.

I've to continue with physiotherapy but the OC has discharged me.
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline carkeltom

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Re: Ruptured Patellar Tendon Surgery
« Reply #4960 on: September 20, 2013, 06:43:15 AM »
Holy Cow!  Get busy for a day and forget to check the board and there is all kind of action.  So, 8 weeks post injury and surgery this week and feel like I am doing well.  Straight Leg Raises are still a bear as are the squats.  The braces are unlocked to 90 degrees now, but when doing the squats, the tops of my knees/the quad tendon area are just tender and sore.  I still feel like I have no control of the knees and if they bent to far, my legs would buckle.  Doing a ton of quad sets while sitting at my desk at work and using the muscle stimulator machine I have.  My regular PT was off all week, so explaining the story of my double injury, is getting old.  I need a better cover story for my injury.  Slipping in the garden is just not good enough.  Any hints?

Sella, glad to hear you are doing well.  Keep up the at home exercises.  Ditching the brace, man, I just do not know about that.

Tubi-grip is great for both the swelling and holding up the straps on the braces so they dont dig into my skin.

Jerry, you must have spent some serious time reading.  I did the same thing, clicking on posts that interested me and reading all of their posts, especially the double rupture people.  John used to keep track I think, of the numbers on this board and another board.  The other board had lots of people too, but I think it got hacked or the website was taken over.  Most of my Physcial Therapists have worked with at least one person who suffered an RPT, but none a double. 

MXBIGD17, that is awesome.  5 months is a long time.  Glad you have conquered some demons and gotten back to what you love.  Takes a big person to see a fault and correct their behavior.  That is coming from someone with a history of substance abuse too.  I have found my body did good with the percocet as opposed to the straight morphine I was taking right after surgery. 

OSCARSAN, I kept waiting for you to get back on.  Can not believe that you are out of the braces.  That is awesome.  Like I said above, I still feel weak and unhinged.  My equilibrium is getting better and I have pretty much ditched my crutches, except for uneven terrain.  The crutches are always in my car and when we have some wet weather, I am still using them.  I think I am just seeing myself slip again since the memory of my injury just keeps popping back into my mind.

Jerry, I coach my daughters team for traveling, U14.  I let the middle school coaches have them in the fall, since that is when our area does softball.  After 3 years of year round softball, I have been enjoying sitting on the sidelines and keeping my mouth shut, even though my daughter hears my critique of her performance on the ride home.  But I am in no way the coaching dad.  I just like to pass on knowledge of the game.  If my girls ever hear me yell, I doubt they would play for me.  Walk tall and carry a big stick.

Well, softball tourney this weekend close to home and then, back to work.  I want to find a local gym and start some water training.  Gotta get on that.

Keep the faith.

Tom
Bilateral patellar tendon rupture 7/19/13

oscarsan

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Re: Ruptured Patellar Tendon Surgery
« Reply #4961 on: September 20, 2013, 08:05:55 AM »
Hi Everyone

Thanks for all the answers, wednesday i had PT and i'm on amazing 115 on left leg and 105 right leg, so we tried the exercise bike, probably i wasn't so exited from the first time that i was able to take a stand up shower. It seems that the right one is a bit more sore, also it gets much more swallow when exercising and you can definitely see and feel some liquid moving inside when moving, but PT said that everything normal, just taking a bit easier this week as the improvement has been really good.

I thing for the people that has just got operation or even for Tom, i have been practicing at night before sleep in the bed what is called "imagery healing" (here is on link with some info http://www.podiumsportsjournal.com/2007/04/23/using-mental-imagery-to-improve-the-return-from-sport-injury/). The idea is to concentrate, almost meditate and create an image on your mind practicing some sport that you loved or even waling in some beautiful place before the injure happen. With this, the brain will activate those legs of ours and it seems improving the healing, professional sport people use it when injured also to not forget their technics and feelings, i recommend it, usually a take a wild bike ride each night before sleep.

Good luck with everyone tubi-grip was actually good stuff, but the only way that i had to sleep with those DonJoys was to loose them a bit in the places which are not that important, i know is very bad, i had myself learn to sleep on my back again as i usually do it on my stomach, but you will get used.

Tom, i think is ok if you use the braces if you don't feel comfortable enough, it seems that the rupture happen with you falling somewhere so i understand.  i'm a bit afraid also from the autumn that is coming as it can be quite slippery, hopefully i have more strength on this two before that!

A big applause also for MXBIGD17, it takes courage to see when you have been doing wrong, myself i also had some very down moments with the ones that love me and take precious care of me, is very hard not to as you see you life change in a dramatic way. luckily in my case i was able to leave the morphine based painkillers soon enough. But keep pushing and congratulations!

At the moment, don't have any more recommendation, a bit worried still that the doctor has forbidden flection over 90 but with the PT i'm way over that, i thought to write him an email, let's see what happens!

Cheers to everyone and have a great weekend!


Offline SellaVee

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Re: Ruptured Patellar Tendon Surgery
« Reply #4962 on: September 20, 2013, 08:41:37 AM »
Regarding the braces, my consultant said he thought I'd had mine on for too long and that had made my leg stiff.  It's a pity he didn't think to share that information with his registrar who I saw 2 weeks ago or the physiotherapist who I saw last week and who kept my brace locked at 80o.

I'm 11 weeks post op today so I could maybe have had the braces off at 9 or 10 weeks if the communication had been a bit better.

Coming out of hospital with no brace and only 1 crutch onto a wet pavement was nerve wracking but I managed it and although I'm slow, I'm getting better every day.

Sella
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline JC55

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Re: Ruptured Patellar Tendon Surgery
« Reply #4963 on: September 20, 2013, 07:11:07 PM »
Glad to see the board lighting up for many reasons not least of which is to relieve my boredom.. :).  Good to hear from coach Tom...My daughter didn't play basketball so I didn't have a dog in the fight while coaching.  Our preseason conditioning has begun but practice doesn't start until late next month.  I'm 1st assistant on bench but we have two other coaches who can take care of things for me til my return.  As far as a better story...I'll have to think on that...maybe running with the bulls in Pamplona?

Sella, congrats on ditching the brace, awesome!  In regard to my calf pain, I drink LOTS of water so my calf pains are from swelling which is putting pressure on nerve running along outside of lower leg.  I slept in compression hose last night and my calf was much better.  Does Tubi grip go from foot to above knee?  Also, I'm getting a leg lifter soon...thanks!

Oscar...keep up good work but be careful...full tendon healing takes 12 weeks. Okay...this may be weird...but I have two sisters-in-law whom are very much holistic.  One is doing remote healing on me and the other has sent me some supplements and ointment.  I'm appreciative of their efforts and I'm open to anything if it helps.  So, Oscar, visualization (imagery healing) is a valuable tool in the sports world so why not in helping ourselves heal?  I'll be sure to visit the link you provided.

As for me, I got the staples out today...ahhhhh!  I also made a call to the PT and she was happy to contact my OS so that we can have a game plan ready to implement next Friday at my appointment.  The PT has already called me back and cleared me to do quad sets.  Also, I'll get fitted for a brace and maybe released to 30 degrees.  She wants to hold off a little on leg raises since OS wants the tendon to heal more.  Remember, I didn't have wires so I'm very much ok with being on the cautious side.

Anyway, great to hear from y'all...keep the positive attitudes!  Peace
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline copper44

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Re: Ruptured Patellar Tendon Surgery
« Reply #4964 on: September 20, 2013, 07:45:02 PM »
Glad to see all the activity on the board.  I am back working (from home of course) but will try to do my part with regular updates.  My wound site looks MUCH better.  The actual incision looks pretty good, but where the steri-strips were is butt-ugly.  It will be a shame if my allergic reaction causes my knee to look a mess.  I am continuing to do passive flexion to 40 degrees.  It's still a little tight, but I have another week at 40 so I should be good by then.

Carkeltom - I think your cover story should be that you injured yourself skydiving.  I, myself have decided to fabricate a new cover story as well because "I fell at work" just doesn't have a good tone to it.  I am leaning towards "I fell doing bike tricks on my Harley" (no I do not have a Harley, but I can just say that I was traumatized by my fall and sold it if anyone tries to verify my story)  ;)

SellaVee - I know how you feel about doctors not being coordinated. I have only seen my Doctor's Nurse since I had my surgery.  I will finally get to see the Doctor in about 10 days.  The Nurse is really good, but I always question whether or not she is giving me the same answers I would get if I asked the Doctor directly.  It's only this board and all of the helpful posts that put my mind at ease that she's probably right. Plus the fact that I only have one more week to go until I hit six weeks.  I'm told that's when I hear all of the really interesting stuff starts to happen.  Woo-hoo!  Congrats on ditching the crutch.  One down, one to go!

Oscar - I am definitely practicing imagery healing.  I am (note I said "I am" and not "I was") an avid runner and visualize myself in upcoming 2014 races all the time.  I am also a person of faith and believe everything happens for a reason so while I don't know why my tendon ruptured, I have faith that it was for some greater good.  Doesn't always help my bad mood, but I do okay.

ih8bigots - Me too!  Now about your knee, I am sorry to hear that it might not be in tip top shape, but I agree with Sellavee and you should get a second opinion.

mxbigd17 - Glad to hear you are limp free and bike riding!  Hooray!

JC55 - July 31st will live as a significant day in my life for a long time, but I am used to it.  September 11th is also my birthday. 

Take Care everyone!
7/31 Right Patellar Tendon Rupture
8/16 Patellar Tendon Surgery