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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1249599 times)

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Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2025 on: July 05, 2008, 12:50:05 PM »
Hi Paul

Welcome to this RPT thread  - important that you continue reading this thread, becaused you have sustained a very RARE and serious injury and don`t kid yourself, you are not going back to work for a while and you have quite a long haul to reasonable recovery.

How did you sustain your injury?   Where do you live?

If you let me have your e-mail address, I will send you three very good documents which will help you to understand your injury.

Best  of luck for your op

JohnK/ Manchester UK
[email protected]
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline subail

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Re: Ruptured Patellar Tendon Surgery
« Reply #2026 on: July 05, 2008, 01:46:00 PM »
Hi John. I referred Paul here from a question he posted on another thread and told him you would send him some material. How are you these days?
Dislocation of left patella and as a result left patellar tendon rupture in the medial section/torn at both ends.
3 Previous surgeries-semitendiosis tenodesis
Reconstruction surgery left knee October 10 '07
TKR right knee May 25 '10.....successful!
Limited ROM/TKR left knee May 25 2015...successful.

Offline paulf

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Re: Ruptured Patellar Tendon Surgery
« Reply #2027 on: July 05, 2008, 01:47:07 PM »
John,

Thanks I think ;)

I live in Bornemouth, but did the damage at Lilleshall on a corporate sports day...just jogging after a ball. †No impact injury of any kind unless you include me dropping to the ground like a lead balloon. >:( I'm know back in Bmouth and in the hossie.

email is [email protected]

Thankyou for the offer of the documents which i hurredly accept.

...and youself how far down rehab are you?


Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2028 on: July 05, 2008, 01:59:45 PM »
Hi Sue

I have sent paul all the documents I have, must admit, we have not had anyone yet who has posted from the bed in a hozzy.

My leg after 5 and a half years is still the same,  115 ROM and swells up in the evening.  Dont know of anybody who has recovered 100% - do you.

Best wishes

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

Complete Ruptured Tendon

Offline Kneeds

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Re: Ruptured Patellar Tendon Surgery
« Reply #2029 on: July 05, 2008, 03:44:43 PM »
Paulf,

Welcome to the ruptured patella tendon club!  You will find an amazing amount of useful information here and see the varying results others have.  I donít believe you mentioned what leg you injured and what type of work you do.  This will have some impact on the driving and return to work scenario.
In my case I had a total rupture of my left patella tendon on May 2 (surgery May 6) and was able to drive 4 days post op (automatic vehicle) and went back to work a week after surgery (mostly computer based job).  Driving was uncomfortable due to the Zimmer splint I was wearing at the time and my return to work was a little premature (mostly due to the swelling from not having my knee raised) and the uncomfortable seating position due to the Zimmer splint.
I wish you a speedy (relatively speaking) recovery!

Kneeds
Complete rupture of tendon (May 2008) just below the patella (surgeon indicated tendon was shredded and looked like the end of a string mop)

If nobody moves, nobody gets hurt.† I prefer to move and move fast!

Offline steele31

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Re: Ruptured Patellar Tendon Surgery
« Reply #2030 on: July 08, 2008, 03:46:52 AM »
Almost 7 months post op now after a RPT on my right knee  and here's where I'm at.

At the gym my single leg leg press is up to 50lbs for sets of 10.  When I first tried I did 0lbs for 10 reps - that was a month ago and after approximately 2-3 months of physical therapy.  My lag is just about all gone - maybe 1 to 2 degrees.

The knee still pulls strangely and I tried running the other night but my knee just buckles and gives out - I hope strengthening the leg more makes this go away.

I still have a ways to go and it hasn't been easy,  but I will recover no matter what it takes. 

My kneecap in my repaired leg is about an inch higer than my good leg but I guess it is what is and I have to live with it.  I looked it up and it's called patella alta (high patella).  The only recommendation I found to remedy it is... you got it: more strengthening.

I'll update again soon.

Offline jgow

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Re: Ruptured Patellar Tendon Surgery
« Reply #2031 on: July 08, 2008, 04:10:03 PM »
RPT in my planting foot just prior to kicking a ball on May 13, surgery May 15th...just about 2 months post surgery.

It has a been while since I posted and hope all is well.  I have achieved 90 degrees ROM, full weight bearing (I can walk...doesn't look pretty, lets call it a hobble), started landscaping around the house and most importantly hobbling after the kids...feels great to be mobile.  I have been very careful not to push it and extremely cautious in all activities.

Pain meter ranges by day and as you can imagine...today is one of those days that it very sore.

My question - I have a DonJoy Post-Op Competitor brace; link - www.donjoy.com/index.asp/fuseaction/products.detail/cat/2/id/46
set at 90 degrees ROM and recently began messing with a bit for comfort and cannot seem to get it right.  If you have any insight on best practices in properly wearing a brace or other braces in general...it would be much appreciated.

Also, knowing the extensive recovery time...any feedback for exercises that have worked well for the RPT crew to establish/rebuild the quad would be great.  I am currently, placing a small towel under my knee and pushing down which does fire the quad a bit (I stress a bit) and undergoing electrotherapy.

Unfortunately, I'm unhappy with the results and value this forums recommendations.

All in all...I am mobile, loving being outside (not watching TV) and need to do a better job of doing my exercises outside of PT...

Thanks for your help on my questions and look forward to hearing from you all.

Best regards,

Jim


Ruptured patellla tendon on May 13, 2008
while striking a ball (planting foot - left leg).

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2032 on: July 08, 2008, 04:16:57 PM »
Hi Jim

Having reached 90ROM in two months is very good going - can only suggest patience - but this injury is one which you cannot haste....Keep working at it, but don`t push it too hard as your Tendon is still very weak and not healed.

Best wishes

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

Complete Ruptured Tendon

Offline rob2278

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Re: Ruptured Patellar Tendon Surgery
« Reply #2033 on: July 08, 2008, 05:46:53 PM »
With all due respect to this forum's resident PTR 'guru', John42's information isn't always accurate, and frankly, can be downright wrong at times. I want to set the record straight for all you first time forum readers who are taking all this info in.

When I ruptured my patellar tendon this spring, I consulted this board, and was put in a mild state of depression with the misinformation John42 was relaying. But after speaking with two respected specialists, my own PT, and a family member who is a PT, my fears were put to rest.

I want to mention that I do thank John42 for helping people out and always being there to answer questions. I just feel the need to set the record straight on some things he has stated as fact..


MOST people in otherwise good health recover from this injury 100%.
Full (or close to full) ROM is not only possible, but expected.
 It's not an extremely 'RARE' injury. (okay, well relative to an ACL or MCL tear, I guess).
 It does not take the tendon months to heal.
It does not take years for a full recovery.


I sympathize that John42 has traveled a long, hard road with his personal PTR.. but his circumstances aren't the norm. Five years post op, with a swollen knee and a 115 degree bend? I'd be suing my doctor!

A patient's age and physical health play an important role in recovery. While I certainly understand that not the same guidlines apply to each patient, here is the outline I was given as a 30 year old male in good physical condition (who, in ADDITION to the ptr, also tore my quad AND had a lateral release performed all in the same surgery!)

As long as you have not had a tendon graft, the patellar tendon heals approx 8 weeks post op. Expected ROM is 90 by 6 weeks, full ROM by 10-12.
Quad strengthening can usually begin once the tendon is healed, and the needed ROM is reached.

 John42 is right - patience is required, but a full recovery can be expected 6-12 months post op.



Knee History:

01/1990 - R Knee - removal of bone chips
05/1990 - L Knee - dislocation
Fall 1991- L Knee - 2 dislocations
12/1991 - L Knee - LR/MR
1992-2013 L Knee subluxations
04/2008 - R knee reconstruction (torn patellar/quad tendons)
04/2013 - L knee - dislocation
01/31/2014 -MFPL reconstruction

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2034 on: July 08, 2008, 06:50:48 PM »
Hi Rob

Sorry to disagree with you, but in the five and half years I have been peddling with my own RPT, I have been in touch with many RPT`s, all over the world. 

My input is based on their experiences, and would only be delighted if everybody had the sames thoughts as yourself.

Patience is rewarded with good hard work, but bear in mind that no two RPT are the same.

Keep up the good work

Best wishes

JohnK/ Manchester UK

p.s.  I am still waiting for somebody in this period to declare that they have returned to 100% preinjury, and I would be the first to congratulate them.
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Godz_bratt

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Re: Ruptured Patellar Tendon Surgery
« Reply #2035 on: July 08, 2008, 07:25:36 PM »
Life has no guarantees,
† †Hey John, I am one of the many here who appreciate both you and Sue caring for us the way that you do.† † I'm the one with the "Quad" tendon injury, my Dr. informed me early on that THIRTY per cent of Quad injury recipients do not walk again.† † †The knee is an extremely complex joint system, and everyone heals ...... or doesn't heal differently.† † †The key words are "Patience", "Persistince", and "Prevention".† † †Those of us here are members of the "Knee - Fami-lee", and we try to stay at each others' sides, if for nothing at all, just to be a friend who understands.† † Can I get an "Amen".† † †The one thing that this injury has done for me is that it has slowed my life down to a point to where I can actually "be" more of a person than I was before this tragedy occured in my life.† † †I now walk at a much slower pace, (well, when I feel good enough to walk, that is), and I take the time to "smell the roses".† † †It isn't anyones fault that my life took a left turn, yet I look to the heavens and ask our Creator just what the heck is going on for cryiing out loud, grrrrrrrrrrrrrrrrr!† † † The next 20 years, or so of my life changed in an instant, I now have the task of managing my life in a way that I can be a blessing to myself, and to others.† † †It's great to have friends here in this blog site to .......... walk ............ right here next to me, and pick me up when I fall down.† † † Without the help that I have received here, I would feel even more alienated than I already am, so thanx you sooooo much.† † †You acquire the sense that life is far greater than our injuries, and that even in our semi-crippled coditions, we are still blessed to be able to walk at all.† † †John and Sue, thank you sooooooooo much for your dedication to bringing aid and comfort to those of us who have been blessed to be your "Knee - Fami-lee" members :).† † †I could easily be your worst critic, or I could embrace your compassion, and allow our mutual concerns to produce a better lifestyle for ALL of us, I choose the latter my friend(s).† † †
† † † † † † † † † † † † † †Frank the Fun-knee Guy ;D
« Last Edit: July 08, 2008, 07:43:04 PM by Godz_bratt »
1/4/08† †† Ruptured Left Quad tendon, stepped wrong
1/14/08†† Surgery, thx Dr. Secor :)
3/3/08† †† Began PT 2x weekly
All of April, couldn't use my (right) leg
5/1/08† †† Post-traumatic Arthritis on Right Ankle/Knee
5/27/08†† At 130 rom, difficult to walk, (ouch)

Offline subail

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Re: Ruptured Patellar Tendon Surgery
« Reply #2036 on: July 08, 2008, 08:17:06 PM »
Well, fellow RPTers, I am now about 10 months post-op. Rehab has continued well past what my province will pay for and certainly it has been worthwhile to continue. My VMO has come back nicely and I am feeling more confident every day. Actually, one of the last frontiers for me has been the escalator and I finally worked up the courage to get on it without breaking my neck. ;D Next, my treadmill; even at the lowest setting it is still too much for me.

Was I in top shape before I fell? Not really. I am certainly not a thirty-something 6 ft. guy who's into body-building and rugby. In my youth I was a decent athlete, participating in and teaching track and field, volleyball, touch football, road hockey, canoeing and rock climbing.....none of which I can do now. My knees, yes both, are severely arthritic and....well, we won't go there now right now.† :(

Am I back to 100% of what I was...no. Did I achieve a solid range of motion? Yes, because I have really worked at it. Am I still recovering? Yes.

No two people are alike and certainly recovery levels may differ dramatically.

I had a good chat with my OS who is the best in the city a few months ago. He said that this injury is indeed pretty rare for the AVERAGE person. It is seen more often in elite athletes. It has taken several months to get back some semblance of normal life and probably that will continue.

For those of you out there who get back to normal (whatever that is) in a short period of time and in wonderful shape, I applaud you. For those of us who will struggle for the rest of our lives, this club of RPTers on this thread will be here for you to encourage and support you for as long as you need it.

I was one of those people who will always be grateful to John for the material he sent and the encouragement he gave me during a tough time in my life....he has gotten through it and knows what we are feeling and that's the biggest form of support anyone can give.

Thank you, Frank, for your kind words...I'm just trying to emulate someone who did the same for me. 8)

Enjoy your week, friends!† ;)

Sue
Dislocation of left patella and as a result left patellar tendon rupture in the medial section/torn at both ends.
3 Previous surgeries-semitendiosis tenodesis
Reconstruction surgery left knee October 10 '07
TKR right knee May 25 '10.....successful!
Limited ROM/TKR left knee May 25 2015...successful.

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2037 on: July 08, 2008, 11:05:17 PM »
Thank you my friends - a smile - words of comfort cost nothing - let`s keep loads of harmony .

Best wishes

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

Complete Ruptured Tendon

Offline Kneeds

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Re: Ruptured Patellar Tendon Surgery
« Reply #2038 on: July 09, 2008, 01:05:22 AM »
The first rule about the internet is donít believe everything you read and see!  Take an average of the vast information you find.  This forum is proof that everyone heals and recovers from this injury differently and they shouldnít be judged by their opinion or healing status.
Recovery is a subjective topic.  What is full recovery?  Is it the ability to do 100% of everything you could do pre injury or is it the ability to do everything you need and want to do?  In my case I will be happy if I can do everything I need and want to do.  If I canít do 12 reps with 1000 pounds on a 45 degree leg press like I could pre injury then who cares, I donít need to do that again.  I sympathize with the individuals who are struggling with the ability to do the things they want to after significant healing time.
My goal is 100% recovery but the fact is once something has been operated on due to an injury itís rarely as good as the original state.  Quite often though it is good enough to be considered completely recovered and functional.

Kneeds
Complete rupture of tendon (May 2008) just below the patella (surgeon indicated tendon was shredded and looked like the end of a string mop)

If nobody moves, nobody gets hurt.† I prefer to move and move fast!

Offline rob2278

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Re: Ruptured Patellar Tendon Surgery
« Reply #2039 on: July 09, 2008, 04:46:00 AM »
I apologize to John42 if i came across as condescending. That wasn't my intention.

Like I wrote, I appreciate the time and effort he puts into this board. There are very few resources on the internet for people going through a repair or a patellar tendon.

My main point, which I think most picked up upon, is that people do heal very differently.  It's no surprise that our more senior members have had a longer go at rehab.. while younger members in athletic shape do generally recover more quickly.

My main reason for my post was for newly injured people who came to this site to find out what they were in for- that's what I, and many others, have done. As I said, I read John42's posts about lengthy timetables and the inability to bounce back to "100" percent and it scared the  :o out of me! Just as some people have dealt with those timetables, there are many others who, given an aggressive rehab program, bounce back much more quickly.. it definitely is possible.

I think Kneeds post summed it up much more effectively than mine, but I just wanted to follow up and add my two sense.
Knee History:

01/1990 - R Knee - removal of bone chips
05/1990 - L Knee - dislocation
Fall 1991- L Knee - 2 dislocations
12/1991 - L Knee - LR/MR
1992-2013 L Knee subluxations
04/2008 - R knee reconstruction (torn patellar/quad tendons)
04/2013 - L knee - dislocation
01/31/2014 -MFPL reconstruction















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