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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1248998 times)

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Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3525 on: March 10, 2011, 11:52:19 PM »
EJCR, thanks very much for your kind words. Even at this extremely early stage my knee feels like I will be able to really get my head down and rehab it. Maybe the wire was irritating me more than I had previously thought. I guess only time will tell.

Regards, G.
Complete (aside from a few strands) Ruptured Patella Tendon, disrupted and torn retinaculum medial: 6 Dec 10

Surgery with wire loop inserted: 16 Dec 10
Put in a cast for 7 days, then a velcro brace.
Wire snapped after 2 months post op whilst doing physio.
Wire removed 3 months post op.

Offline KLo

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Re: Ruptured Patellar Tendon Surgery
« Reply #3526 on: March 11, 2011, 01:42:01 AM »
During my PT sessions, I perform

single leg squat

single leg lunge

single leg step-up

single leg step-down

two-leg squat jump

wall squats

My focus right now is on strengthening my left VMO muscle.  When I perform the above exercises, I focus on 100% contraction/extension/flexion and flex/contract my left VMO hard.

My issue is extension.  I have about a 5 degree extension lag.

Once I started wearing my knee brace, most of my knee pain and difficulty went away (just in the last 2-weeks).

I can perform single leg squats and lunges past 90-degrees without problems.  I can bend my bad knee (w/out weights) so my butt touches my heel.  I am not experiencing the same knee pain you are...sorry! :-(

BTW, I did pop/tear something in my repaired knee at month 6.  Since I did that (and taking 3 weeks off), my rehab progress increased and most of the swelling/pain went away.  My O/S thinks I tore scar tissue.


>KLo- How far can you bend the knee with one legged squats (no weights). Also how does your >knee fair with lunges? Im about a month and a half ahead of you and Im having trouble with >those two things. Also I have some pain when sitting against the wall with knees to my chest and >then kicking my leg straight out or just tensing my quad muscles very violently.... you??? >anyone???
Left RPT 31 Jul 2010 - Rock Climbing/Bouldering
Surgery 03 Aug 2010, Dr. Dominic Tse

Offline EJCR

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Re: Ruptured Patellar Tendon Surgery
« Reply #3527 on: March 11, 2011, 06:46:05 AM »
KLo-

Congrats on the progress. Im glad you are not having the same pain I'm having. past 90 degrees with a single leg bend is great. I don't think I can do that with my good leg. What knee brace are you using?

EJ
Full patellar tendon rupture June 11 2010
Surgery June 14 2010

Offline ER

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Re: Ruptured Patellar Tendon Surgery
« Reply #3528 on: March 11, 2011, 02:17:15 PM »
Have followed the tread recently and have found comments and experiences from other people really helpful!

I ruptured my right patella tendon mid section in April 2007, had op and fully recovered and was backing playing ball by September 2007 after alot of rehab and pain. However i unfortuately ruptured my left patella tendon on the 13/02/2011 playing ball again and had op next day. Went well and stiches have been removed. I am to get cylinder cast off on the 12th March and then leg brace and look forward to the joys of been able to strach again.

I am worried though about the wire has with my first op in 2007 no wire was used however this time and a different OS, has insited in using wire. Even with the cast on am certain i can feel it and see by previous  posts that it might restrict the ROM you can obtain.

Is tough knowing what lies ahaed!


Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #3529 on: March 11, 2011, 02:43:59 PM »
It is my understanding that a wire is used if the tendon is ripped away fom the bone and the attachment must be more secure.


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

Complete Ruptured Tendon

Offline ward_ja

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Re: Ruptured Patellar Tendon Surgery
« Reply #3530 on: March 11, 2011, 07:52:18 PM »
ER,

I had a wire (recently removed) and my tendon was not ripped from the bone but a full rupture in mid tendon.

My understanding is that the OS chooses to do this to take the stress and protect the repair.

Depending on your OS, location and condition I believe the treatment can vary greatly.

My advice to you would be to fully understand from your OS why the wire is there and how long it will remain in place.

It will restrict your movement however if it's causing you pain you should tell him this.

My latest OS said it should come out when the cast is removed, if you are unsure you should seek a second opinion.

All the best

John W (UK)

 

Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3531 on: March 11, 2011, 09:13:57 PM »
Hi everyone,

I feel that I am partly to blame for all this interest recently about the wire in the knee!

Still just a day since having my wire removed and my knee feels okay, but I won't be able to tell exactly how it is until I get back into physio in a couple of weeks time.

I'll jot down my experiences of the wire.

The reason the OS gave for the insertion of the wire was to support the repair. It essentially takes some of the pressure off the tendon whilst it heals. The wire snapped as I was doing some physio and, strangely, it allowed more movement immediately after that. However, one day later I tried going on the CPM Machine and found that I was limited in ROM as the wire was now digging in.

Owing to the new pain and not being completely sure what had happened I stopped all physio. I went to see an NHS specialist, who I thought wasn't particularly special. He wasn't even going to remove the wire, even though I explained that it was limiting my ROM and causing pain. He finally agreed to take the wire out, but 6 weeks post the consultation, which was unacceptable for my job.

I sought a second opinion and my GP was able to sort things out and I was under the knife 2 weeks after seeing the specialist.

In the couple of weeks leading up to the surgery (after the wire had snapped) I was starting to experience pain in areas around the knee cap that I hadn't done even when I was doing physio. My knee was also beginning to stiffen up and I was losing the ROM that I had built up to prior to the wire snap. As I have already mentioned, since the wire has come out my knee has felt better, but I won't be sure until I do some physio.

It's important to remember that each of these injuries are different and every surgeon will probably have a different protocol. The surgeon I saw removes the wire at the 3 month point, but he also explained that many surgeons leave the wire in, sometimes even if it breaks, as many people on this forum will attest to.

I hope this sheds some light on the wire?

Keep up the good work one and all. I hope the rehab continues to go well.
Complete (aside from a few strands) Ruptured Patella Tendon, disrupted and torn retinaculum medial: 6 Dec 10

Surgery with wire loop inserted: 16 Dec 10
Put in a cast for 7 days, then a velcro brace.
Wire snapped after 2 months post op whilst doing physio.
Wire removed 3 months post op.

Offline Capt. John

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Re: Ruptured Patellar Tendon Surgery
« Reply #3532 on: March 13, 2011, 06:21:41 PM »
KLo,

I'm just at 12 weeks and have very good rom. I've been stationary biking the last two weeks (currently up to 30 mins, level 7) and just introcduced treadmill work directly after biking (10 mins at 3.2mph). I do this every other day, which seems to be just right for now. It's weird, but after a session walking feels effortless and I feel like I'm floating while walking. I have zero pain while doing the above, and just wear a patellar strap when on the treadmill, but nothing while biking. On the off days, I've been doing just few sets of step ups, emphasizing the down step, and assisted wall squats with a large ball.

Saw the OS at 11 weeks - ask him if I could start doing light leg presses, squats, etc., and he said to wait at least 3-4 more weeks, which will put me at 4 months. He simply seemed only pleased that I was walking unassisted. My OS has been very conservative, and I probably would not be where I am now if it were not for my own min-rehab/PT sessions - which have been by trial & error. Swelling seems less pronouced with the increase in cardio. However, I have some serious scar tissue bumps on each side of my knee.

My questions is how many sets, reps, and times per week are you doing the strength training exercises? When did you introduce the squats, lunges, etc. to your rehab.? Was it in between biking/treadmill sessions or on off days?

I just feel like I need to nail down my strength building, but again, I don't have a PT. I don't see my OS for another couple of months...I think that will be his final "check" with me...

ER - sorry to hear about your rupture on the other leg. I'm so done with any sudden impact sports that can put me in that position again. From all my college football and other activities, I know my tendons are "ripe" for another rupture, so I'm reassessing everything I do. Fortunately most of my activities do not require a quick jump, landing, etc.

Barro - how's it going?

Gutted - I'm sure things will accelerate with that wire now removed.

Take Care All,

John
« Last Edit: March 13, 2011, 06:25:16 PM by Capt. John »
49 yr. very athletic male - Complete rupture of the lower right patellar tendon after partner stepped on foot durring sparring Dec. 18, 2010. Surgery using permanant sutures on Dec. 21, 2010 (no temporary wire) and placed in a Velcro Leg immobilizer.
Surgeon was Dr. Hanna, Riverside Kaiser Hospital

Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3533 on: March 14, 2011, 02:30:33 PM »
Hey all,

Hope you have found the place for the thread. I didn't realise there were so may other threads going on the same subject, I'm glad I found this one! Capt. John, its really good to hear about your progress.

I'm itching to get back to physio, about a week or so and I'll be able to resume it again, but this time with the added bonus of hydrotherapy. I can't wait.

Keep it up everyone.
Complete (aside from a few strands) Ruptured Patella Tendon, disrupted and torn retinaculum medial: 6 Dec 10

Surgery with wire loop inserted: 16 Dec 10
Put in a cast for 7 days, then a velcro brace.
Wire snapped after 2 months post op whilst doing physio.
Wire removed 3 months post op.

Offline playshardgetshurt

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Re: Ruptured Patellar Tendon Surgery
« Reply #3534 on: March 15, 2011, 02:38:01 AM »
Capt John as far as weight and sets.  I would go with low weight and a lot of reps to start off.  My PT had me doing leg press after week  8 with a low weight and started at 15 reps and I have built up to 30 and will prolly add a little weight next time.  I also after week 9 started with leg extension and seated leg curl machines with the lowest weight and 20-30 reps.  Also have been doing front step ups and latteral step ups with a small box 9 inches tall about 30 reps of each.  Also keep doing the straight leg raises all ways and add an ankle weight if you can.  I actually did leg extension and curl with ankle weights about 2 weeks before I did the machine.  I also do squats but only bend about 45  degrees.  Also try some proprioception and start balancing on the injured leg for 10-60 seconds and build up your time.  I am trying to build up strength do lunges and eventually one legged squats.   I was also able to bend to 90 degrees this week and today is my 10th week.  I see the Dr. tomorrow.  Hope everyone continues to heal.
11/27/10 ruptured 80% of patellar tendon with the other 20% described as wavy, ACL rupture, MCL tear, retinaculum tear, and 3 meniscus tears.  Surgery to fix all this on 1/3/11.  Patellar rupture fixed with sutures. Hamstring graft for ACL, 1 meniscectomy, 2 meniscus repairs

Offline smarsh

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Re: Ruptured Patellar Tendon Surgery
« Reply #3535 on: March 15, 2011, 06:03:48 AM »
Ruptured my patellar tendon 3 weeks ago playing basketball and had surgery the next day.  I was in the immobilizer brace for a week and then the doc put me in an adjustable brace with instructions to bend it with the brace locked to 30 degrees every hour or so.  I'm at 50 degrees now and the doc said he'll adjust it to 60 at my next appointment in 2 days.  He certainly seems to believe everything is going well, but my only concern is that the swelling on the inside of my knee seems out of proportion with the rest of the swelling around my knee and hasn't really gone down in the last few days.  Have any of you had similar issues?  How long does the swelling last?  My older brother tore his patellar tendon a little over a year ago and told me it would take a year before my leg felt normal, but the doctor seems to believe that I'll be fine in less than 6 months.

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #3536 on: March 15, 2011, 07:47:36 AM »
Hi and welcome to the RPT club.

I am surprised that your OS is giving your knee so much freedom after only three weeks.

Your knee needs time to heal - DON`T push it, otherwise you risk a rerupture.

I have sent you a collection of documents covering the rehab procedure - rad with care.

Keep posting.

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

Complete Ruptured Tendon

Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3537 on: March 15, 2011, 01:57:41 PM »
Smarsh,

Sorry to hear about your ruptured patella tendon, even more so that your brother had the same problem too. Your brother, having had the same injury, is going to be your best source of information. The protocol that your surgeon has given you sounds very similar to the one i was given. He told me that 2 weeks post op I should start flexing the leg up to 45 degrees and then start building upon that. I actually started at week 3 and to be honest I don't think I have had much of a problem. I would certainly say though that, if it is painful then treat that pain with respect and don't push it. I am at week 12 and had 110deg ROM, but have had to stop for the last few weeks for an op to get the wire removed, but I'll be straight back into the ROM exercises and I am confident that I will progress well.

As far as the swelling is concerned, mine is still really swollen, but it has reduced since the op a fair amount. Reading the posts on here, it would seem that the swelling continues for well in excess of 6 months and beyond a year in some cases. Its just one of those things and you'll get used to it. I did ice mine as much as I possibly could and that certainly takes the heat out of the knee and reduces the swelling a lot.

I hope this provides some useful information. Keep on posting as this is really good community of people all willing to share their experiences and advice.
Complete (aside from a few strands) Ruptured Patella Tendon, disrupted and torn retinaculum medial: 6 Dec 10

Surgery with wire loop inserted: 16 Dec 10
Put in a cast for 7 days, then a velcro brace.
Wire snapped after 2 months post op whilst doing physio.
Wire removed 3 months post op.

Offline Barro

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Re: Ruptured Patellar Tendon Surgery
« Reply #3538 on: March 16, 2011, 09:37:03 PM »
Welcome aboard smash.... Its not a fun club to be part of but this forum will help and if you're determined you can make a good recovery as Im sure your bro has. The different OS protocols are ridiculous, you're bending your leg already whearas I was in a full cast for over six weeks!

So it's three months tomorrow since my op. I am now back at work and I can see Im making good progress. My last ROM measurement last week was 115. My PT has given me lots of exercises to do and for the last two days i have been in the gym on a stationary bike. I ride with the seat high on high resistance to build up muscle, and lower the seat and ride on a low resistance and very slowly to help get that ROM back (Warning - this can be pretty painful if the pedals slip...!). Im signed up to a weekly 'kneehab' session which is really for those with ACL injuries but a lot of the excercises are the same so my PT has told me to come along. They are essentially sessions where a group of knee divs do excercises individually with some PTS on hand to advise, so that should be helpful. Amazingly a friend of mine has an ACL and is in the same class! Ive also bought some 5lb adjustible ankle weights to work on the quads at home when i cant get to the gym etc.

I'm walking fine now and Im finding walking down slopes and stairs is getting easier with every day that passes. My knee is still hugely swollen although its gone down a bit, and theI dont get much access to the PT so am thinking of paying for a couple of massages to try and break down some of the scar tissue, which helps the ROM alongside stretching regularly.

Playshard - for all your injuries, to be at 90 at week 10 is brilliant!

Capt John - sounds like you're doing amazingly. Maybe you should see a PT and get some individual advice? Even though I see the PT every fortnight I still feel like I dont know how hard to push the excercises. I suppose listening to the pain is the best thing in the meantime.

Gutted - good news about the wire mate, its all downhill from here right. The wire worries me and I often think i might have damaged it so to have that worry gone is probably a bonus for you long term.

Keep going everyone - theres definately light at the end of the tunnel!
Full RPT playing football - 14 Dec 2010
Repair with wire - 17 Dec 2010

31 year old male, London, UK.

Offline Lokinen

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Re: Ruptured Patellar Tendon Surgery
« Reply #3539 on: March 16, 2011, 10:56:29 PM »
Three and a half months in and i've done two sessions of hydro therapy with four to go. Definite improvement generally with about 110 degrees of rom whilst static, sat on my backside, but still struggling past 60-70 when walking. sometimes when having got out of car, for first few steps, knee feels almost normal with none of the tight mechanical movement feelings inside, but then after several steps it stiffens up again. swelling has reduced on parts of the knee and almost all knumbness has gone.I do now have various areas of tenderness and pain, especially in the bones and about the area where the wire goes into the shin bone.Can also really feel the wire running down the tendon just under the skin. being lent a static exercise bike this week and hope to start building up my terribly wasted away quads  with a high saddle so that i can hopefully get a full spin. Because i drive a truck, i wont be doing that for quite a while so hoping to get back to light office/ warehouse based duties ,if work will let me, but physio says its a no-no at present because i need to concentrate on proper walking and not hobbling around a warehouse concentrating on other things and walking badly.   
Slipped on ice 30th Nov 2010. RPT
Surgery to Repair and loop wire fitted 2nd Dec 2010
2 weeks solid brace, 3 weeks  0-30
4 weeks 0-60
PT started  9th Feb 2010.Brace at 0-90















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