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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1200460 times)

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Offline Bri

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Re: Ruptured Patellar Tendon Surgery
« Reply #6555 on: November 20, 2019, 08:35:14 AM »
First time posting, have read through quite a lot of the thread some really useful info here.

I'm 35 from Manchester uk and am now 7 weeks post op, ruptured right patellar tendon playing football, was a bad rupture and have a history of patellar tendonitis.  I attended a and e the night I was injured (wednesday), misdiagnosed with ligament tear, put in a cricket splint and crutches and sent home. Appt to see knee consultant following thursday who immediately diagnosed rpt, arranged MRI friday, operated Monday- 12 days after rpt.

Due to the state of the tendon, it was repaired as well as it could be and reinforced using a hamstring tendon autograft, and (as far as I am aware) a 'wire' which 'should break down' once I begin to get more ROM - not been told if this will need to be removed or not.  Released from hospital after an overnight stay, pain was at its peak the first night home - wow let's just say it was pretty bad. 

Orders from surgeon was conservative in comparison to what I have read on here - non weight bearing for 3 months, hinge brace fitted after 3 weeks set to 30 degrees, then increased to 60 at 6 weeks and will be 90 at 9 aiming for 90 degrees at week 12.
 Started physio at week 4 where I was basically given a sheet of non weight bearing exercises - quad sets, SLR, towel pull on ankle to flex, lateral leg movements.  Whilst non weight bearing, physio and os appt every 3 week, then physio will be 2 times a week Group sessions.  No mention of exercises to increase ROM in the meantime, or any patellar mobilisation/massage, or any knee manipulation by pt - should I be doing these? reading through this thread it seems the majority of people were attending pt numerous times a week with these exercises involved.

I am now at week 7 and knee still swollen albeit not as much as originally, hard to touch on the tendon and outside of knee, and warm to touch. Is this normal?  I can now do sitting leg raises 3 sets 10, but my main concern is ROM. I can currently get 50 degrees, but every degree of movement gained I am really working for and struggling to push through - is this normal?  Is it just a case of pushing through the pain/discomfort to obtain rom? Is there a point post surgery where getting ROM speeds up or gets easier? (I hope so)

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6556 on: November 20, 2019, 08:53:02 AM »
Hi Bri

Welcome to the RPT thread on KneeGuru - I will respond later this morning on more detail in response to your queries.

Which hospital treated you? NMGH? as i was a volunteer in NMGH for 15 years working part of the fracture/Orthopedic clinic. Which part of Manchester do you live? I am in Higher Broughton -
Best/JohnKManchester UK 
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6557 on: November 20, 2019, 10:00:58 AM »
Hi Bri

Right, have had time to read your post - a RPT injury is a typical football injury, in the UK it is normal to place the leg in a plastercast for 3 months - I think that the recovery time is conservative but time will tell.

The wire in most cases is removed at a later date, but kep an eye out in case it snaps and peeps through the skin.

On your next visit to the pt, ask him/her, have you seen this type of injury before? it`s very rare. You can forget football for the next 12 months.  Remember it takes a long time for the tendon to heal.  The object of the pt, it to stretch and stretch and pt will continue until you reach about 120 rom - anything over that will be a bonus.

Have your good measured as a guidence.  Further tip - sleep with a cushion between your legs - takes the pain away from the injured leg.

Any help/queries etc, give me a ring  792 4798.

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Bri

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Re: Ruptured Patellar Tendon Surgery
« Reply #6558 on: November 21, 2019, 07:43:02 PM »
Thanks for your reply john - south manchester, was treated at stepping hill hospital stockport. The surgeons were great to be fair.

My main aim is to get my ROM back as much as possible, I understand I may never reach how it was before but just enough so I can go hill/mountain walking (snowdonia/the lakes etc) - I have already made the decision to hang the football boots up!

Offline SellaVee

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Re: Ruptured Patellar Tendon Surgery
« Reply #6559 on: November 24, 2019, 03:29:04 AM »
Hi Bri, I'm also from the UK (Wirral) and was sent home from A&E with a crepe bandage and crutches and told to come back in a week!  The male nurse asked the doc if I needed a splint and was told no as they thought my cruciate ligament was fine.  Iíd fallen awkwardly at home and was nearing retirement so I didnít really fit the demographic, especially as Iím female.

Went back in a week and a different A&E doc (young woman) spotted what was wrong straight away.  She sent for the orthopods who told me to come back in 10 days for the next available appointment.  Meanwhile she put me in a cricket splint. 

Returned in 10 days and saw the consultant (old bloke) who told me that arthritis was the problem, but agreed I should have a scan - the following day.  A week after that, and 3 1/2 weekís after the injury I finally had surgery.

I was really worried.  The good news is that although the extension on my right leg isnít as good as my left I have completely recovered ROM for flexion and can touch my backside with my heel when stretching.

I eventually read this thread from post no. 1 and another woman write that she did a lot of walking to improve her ROM, so I decided not to worry about numbers, especially since, like you, I was started at 30 degrees.

Doctors in the UK are VERY conservative and I found the NHS physiotherapy to be poor.  So we abandoned plans to go on holiday and I went to a private physiotherapist, who was fantastic.  I credit her with my recovery.

I also had a wire.  It broke in two places eventually and I had to nag the same consultant to have it removed.  Once again he said the problem was arthritis!  I could feel the sharp ends digging in and GP had sent me for an X-ray, which he had in front of him.

I had my surgery in July 2013 so you can go back and read my story if you like.  I think if you click on my name you can read my posts.  Iím pretty sure my knee was hot and swollen at 7 weeks.

This injury is depressing and frustrating and worrying.  This board will do wonders for your morale and will give you the information you need to keep the NHS on their toes.  They do a great job, but sometimes you need to be proactive.

Good Luck.

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

Offline Bri

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Re: Ruptured Patellar Tendon Surgery
« Reply #6560 on: December 01, 2019, 09:58:24 PM »
Hi Sella

Thank you for your reply, it sounds like you have made a good recovery.

Reading back through your posts, I seem to have had a similar experience to yours with regards to a misdiagnosis and delayed surgery, and issues with the physio received.  Interesting to read about your issues with the wire, and the length fron surgery to wire removal, sounds like you were waiting a while for that.  My surgeon hasn't said if it will come out, just that they may need to snip it.

I'm at 9 weeks tomorrow, with just about 70 degrees ROM.  I had my surgeon and physio appt last thursday and the brace was opened to 90 degrees, I will be returning in another three weeks when my brace will be opened fully and the surgeon will allow me to start weight bearing physio.  I went through a load of questions with the surgeon, and have gotten into the habit of writing things down to ask.

Physio at the moment is every three week 10 min appointments and I'm doin my exercises daily.  I did have to take a couple of days off last week as I strained around my hamstring/back of my knee where the graft has been taken from.

Progress is there, but it's slow.  However this doesnt bother me as long as eventually I can make as good a recovery as possible.

Thanks again for your advice, I have started to read the full thread to get some more insight into the recovery process.

Bri