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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1248662 times)

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Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2070 on: August 14, 2008, 11:18:57 PM »
Hi Paul


ROM is Range of Movement .....
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 #2071 on: August 15, 2008, 12:07:44 AM »
14 week post op update:

Iím back from the first part of my holidays where my family and I had a great time hanging out at a beach in British Columbia.  Even though I was on holidays I still dedicated time everyday for knee rehab.  The best part now is I can do things I enjoy that are also good for my knee.  Every day I rode my bicycle (mostly with my kids) and had no issues with my knee.  Cycling in one of my favorite hobbies and even when pushing the pace (still being conservative) my knee didnít protest (my slump in physical conditioning due to the knee injury was more of an issue LOL).  I managed to maintain 35 km/h (on a dirt/gravel road) for several minutes when experimenting with my leg performance.  Swimming, walking and some mild running (chasing my kids) in the sand didnít bring any knee issues either.  My knee still doesnít always feel ďnormalĒ however the performance is coming back.  My quad is also starting to take form again (smaller version of my other leg) with the visible separation of all the muscle groups (even the VMO is decent).
My ROM is still improving although at a snails pace now.  I havenít been to physio in the past two weeks due to holidays but Iím guessing Iím at about 143 degrees.  Iím not sure when Iíll be returning to the more aggressive sports I love (i.e. dirt/motocross biking) but Iím estimating in about a month.  When I do return to the aggressive activities it will be at a reduced intensity and I will be babying my knee until my confidence returns.
My leg workouts are now back to normal as far as the exercises I do.  The weight used for the exercises is certainly not at pre injury levels, that will take some time (I may never use excessive weight again for some exercises that are patella unfriendly such as leg extensions).
Iím ambivalent regarding my future physio.  During the early stages of physio they were doing things that I couldnít do myself so it was worth going.  My physio work now is mostly focused on improving my leg and knee strength.  With 20+ years of bodybuilding behind me I know a thing or two about leg conditioning and strength building so I may decide to proceed with self directed physio.  The reality of my situation was I pushed myself far more during the early stages of recovery than my physiotherapist did or would have.  I was willing to push through the pain during the stretching on my own more than if I was letting someone else push me (opposite to some people who need to be pushed by someone else to get through the pain).  Iíll plan on a few more physio sessions then make my decision.

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 John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2072 on: August 15, 2008, 08:10:43 AM »
143 ROM at 14 weeks is exceptional - well done - keep it up.

Best wishes

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

Complete Ruptured Tendon

Offline itsbeenayear

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Re: Ruptured Patellar Tendon Surgery
« Reply #2073 on: August 20, 2008, 09:55:36 AM »
Hi

Wow I wish i had known about this site a year ago, when I fell over and ruptured my patella tendon. Unfortunately I am on life time warfarin due to a number of PE's and the patella ruptured at the tibia, adding to the complications. As my blood was so thin the internal bleeding was horrendous. Anyway I had the repair operation on October 3 2007, and spent the next 3 months on the sofa in a straight leg donjoy. I was told that recovery could be anything up to 6 months (god that was optimistic) - Physio started but I could never get to more than 15 degrees, so then the MUAs started (x4)  the first one got a complete bend - but my blood was too thin so internal bleeding halted my progress, and the story continues. After the 4th MUA and five days about five tries at with epidural i was not even getting a 40 degree bend. My surgeon and pain specialist and myself decided to try an operation which had not been done many times before in England (scary I know), but he bascially as he called it filletted my quads and got rid of everything he could - quadroplasty - although I cannot find anything about this on the web. Where am I now??? Spending four hours a day on the CPM maching which the hospital very kindly lent me (i think after 16 weeks spent in there over the last year they were pleased to see the back of me!) - physio once a week - insurance company will not pay for any more - still unable to drive - and on a good day getting 85 degrees. My quads are crap - excuse the expression, but will be because of the final op - but what is the hardest thing at the moment is the change in weather. I can wake up and without even looking outside I know its raining, all due to the pain i have in my leg = even the morphine patches/tramadol/and gamapentine dont help.

Mentally it has been v difficult, although I have really found my true friends. Before my accident I was never home, running my son here and there, working full time, etc etc. Hopefully I will try to start to drive soon, as I need to get back to work desparately, although I think this week I have finally accepted that my leg will never be right, and will just have to learn to live with it !!

It feels good just being able to write about it.


Its Been A Year

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #2074 on: August 20, 2008, 01:20:08 PM »
Hi Emma

You have had indeed a very rough time and am afraid you have to hang on for a much longer period.    Having reached 85ROM is some progress, and the next milestone is to reach 90ROM.

Very important that you read up some of the postings on this thread and dont fail to ask questions.


Have you applied for a car disabilty badge, because it will be essential once you feel fit to drive again - but dont try to drive until you have enough strenght to depress the clutch and brake pedal.

In the event that you require any further information on the rehab exercises, I have several documents which I could send to you - please do then let me have your e-mail address.

Which part of London do you reside in?

Best wishes

JohnK/ Manchester
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 #2075 on: August 20, 2008, 04:30:50 PM »
Emma,

I'm so sorry to hear that your rehab has been a disappointment, to say the least. I also know how difficult it is mentally with this injury. If there's anything I can do for you, even just chatting send me a message and I will give you my email....

Sue  :-* the Canuck
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 itsbeenayear

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Re: Ruptured Patellar Tendon Surgery
« Reply #2076 on: August 20, 2008, 10:42:15 PM »
Sue And John

Thank you both so much for your replies - in fact John I applied for my blue badge today - after finally having to admit i will need one. I will now be spending the next few days reading through all the posts, some of it is quite daunting to be honest - but it whiles the hours away whilst on the CPM as well as trying some of the new exercises I have seen on this site.

I will keep you updated as to my recovery - and I am sure along the way I will find out about both of your injuries - I hope you are both doing well


Emma
Its Been A Year

Offline itsbeenayear

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Re: Ruptured Patellar Tendon Surgery
« Reply #2077 on: August 21, 2008, 07:48:45 AM »
Tis me again  I am trying to send individual messages to both of you with my email address - not sure how to do it and dont know if I can post it on here !!! - I would be really appreciative John if you could send me the excercises - I have put my email on my profile (I think it shows now!) and Sue if you have any pearls of wisdom it would be great !!!

Thanks and have a lovely day
Its Been A Year

Offline subail

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Re: Ruptured Patellar Tendon Surgery
« Reply #2078 on: August 21, 2008, 03:29:20 PM »
Itsbeenayear

You need 20 posts to be able to send an IM (message). The easiest way is to play a few of the games in the games section. When you have 20 posts click on John's name or mine and at the bottom it will say send a post to ..... Click on that and write your message. Send it.

Hope this helps....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 #2079 on: August 21, 2008, 04:07:55 PM »
Hi -  Likewise, we have already exchanged e-mails - just bear in mind that we have all gone through the RPT saga, and we are all here to help you with any questions.

Best wishes


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

Complete Ruptured Tendon

Offline itsbeenayear

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Re: Ruptured Patellar Tendon Surgery
« Reply #2080 on: August 21, 2008, 11:42:46 PM »
Thanks Sue for that infor - i presume this is another post !!! - and i will go play some games now !!

John info was very interesting - thank you - going to take it with me to PT tomorrow and tell him off for not telling me about this site before !!! - Got my forms through for me badge application - i wont hold my breath - cant beleive I have to pay two quid even if they turn me down!

Have a good day
Its Been A Year

Offline Clos509

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Re: Ruptured Patellar Tendon Surgery
« Reply #2081 on: August 22, 2008, 07:36:49 PM »
Hello   Im new to the forum and just had ruptured patella surgery 2 weeks ago.  I also have a torn ACL. I just got the staples out yesterday and my OS told me she wants me to be able to bear all my weight on it in 4 more weeks does this sound right?  She also adjusted my brace to 45 degrees which is pretty painfull and now every time i use my crutches I can feel the bone above the knee push forward past the bottom bone which feels awkwardly bad is this normal?  any info would be much appreciated.

Offline subail

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Re: Ruptured Patellar Tendon Surgery
« Reply #2082 on: August 22, 2008, 09:18:17 PM »
My surgeon told me I could weight-bear as tolerated on my knee as soon as I felt I could....I was probably full weight-bearing within 3-4 weeks.

I was in an immobilizer for awhile but ditched it as soon as I felt confident enough to do so.

The pain you are experiencing, I can't comment on because I never noticed what you are describing.

When is your next OS app't? Ask your surgeon if what you are experiencing is normal for what you're been through.

Hope this helps...if you read a significant number of posts on this thread you will have a better idea of what to expect...let us know how you're doing...../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 #2083 on: August 22, 2008, 09:53:31 PM »
Hi Clos

Welcome to the RPT thread - trust that you have realised that you have sustained a very serious injury -  I have sent you some documents which will give you some information on the rehab process.

Please do not hesitate to ask questions - we are all here to help you and reduce your worries.

Best wishes

JohnK/ Manchester UK



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

Complete Ruptured Tendon

Offline CMP21

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Re: Ruptured Patellar Tendon Surgery
« Reply #2084 on: August 23, 2008, 12:47:34 AM »
Figured I might as well add my story to the list.  Unfortunately, I am not as far along in the process as many of you.  On July 31st I had surgery to repair my patella tendon, medial collateral ligament and lateral meniscus.  Unfortunately, I have at least 5 months of rehab to go before I will undergo reconstruction of my ACL as well.  Who would have known a game of basketball could shred a knee this badly?  Anyway, I am 3 weeks post op.  I spent the first week on the couch and went back to my desk job part time in week two. 

I have been in a locked brace since the surgery and will be for three more weeks.  I am at about 75-85% weight bearing and stopped using crutches for the first time today, although the brace saves me regularly as my quad often buckles from a lack of strength.  I am at 65 degrees ROM, although the amount of scar tissue and general hardness surrounding my patella makes me nervous that arthrofibrosis is a real possibility.  I have been doing ROM stretches, light calf exercises with a theraband, e-stim on my quad, and patella mobilizations for the last two weeks, three times a day.

I must say I really struggled with boredom after this injury.  I have had my ACL reconstructed on my other leg and that surgery was not nearly as bad.  At least with an ACL, you can start going with rehab the following day and can get back to walking normally much quicker.  I have done my best to stay positive, but has been challenging at times.  It might sound crazy given the extent of the injury but my goal is to be as strong as I was pre-injury and to compete in the same sports I did before.  (basketball, softball, tennis, racquetball, skiing, etc....)  I am 28 years old.

Reading the stories and tips on this site have helped me out.  If anyone has any tips for me please let me know.  My current goals are:
10-15 degrees of ROM a week till full motion is achieved
Unlock brace to 90 degrees at week 6
Active quad strengthening exercises(i.e. leg raises) at week 6
Stationary bike at week 6
No brace at week 8 or 9
Treadmill walking at week 8
Full ROM by week 10-12
Enough quad strength to undergo ACL surgery at 5 months post op.

Alright, time to do some more rehab.















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