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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1427084 times)

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Offline abros

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Re: Ruptured Patellar Tendon Surgery
« Reply #3675 on: May 27, 2011, 11:32:15 PM »
I am week 9 post-op today. No brace, no crutches. no cane. My limp continues to improve and I am moving at a better walking speed. Biking on the spin trainer 40 minutes to an hour most days now. Starting strengthening and balancing with bands. Doing one leg stands, starting open chain exercise (my patella pops on those no pain just freaky). Walking upstairs no railing and just started down stairs with railing (the key to this is angle yourself towards the bad knee then as you go down start to straighten up). I felt good this week with lots of functional ROM improvement. I over did it by yesterday and my knee let me know it at night time (swelling, warm and stiff). ROM at 125-130.

My goals for this week are to ride my mountain bike on the road around my very quiet neighbourhood, continue with improved strength and ROM (particularly fucntional ROM).

When should I see improvement on the end of the day swelling, redness and warmth? Wow my VMO has shrunken. When does that start its way back?

I will post an update week 12 update because I think now the gains will progressive but slower. Good luck to everyone and keep your chins up. From 5 to 8 weeks you will notice a big change and get your freedom back.

Offline tassiejim

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Re: Ruptured Patellar Tendon Surgery
« Reply #3676 on: May 29, 2011, 12:13:37 PM »
Hi all
My first post I have been reading the forum for about a week I ruptured my tendon in my left knee 01/03/2011 when a step broke under my foot and i found myself lying on the path with my keft leg at a odd angle the tendon still had a piece of the knee cap attached had op 03/03/11 it was wired and a screw put in was in splints for 10 weeks bit longer than should have been as i was rushed to hosp 5 weeks after op with blood clots in lungs in hosp 10 days had no pyso till 16/05/11 had 2 sessions so far no more for 3 weeks hes on hols at 1st one given 4 exercises to do (1)sit on high chair/table bend left knee back using the right ankle on left to push it back hurts like hell (2) leg straight out with towel under knee pull toes up and push back of knee down on towel (3) sit on high chair etc pull up toes and straighten knee (4) take a step forward and bend knee have to do 10 reps for each one 4-5 times a day at last pyso had ROM of 89 he said i might not get much more i suppose my age of 72 might be against me get more ROM even though I was walking/jogging Miles a day before accident and was able to touch back of thigh with my heels its a NHS pyso i have is it worth trying a private one and is there any other excersise i can do sorry if this is a bit hard to read writting was never my strong point.
Jim B
Jim B

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #3677 on: May 29, 2011, 12:33:52 PM »
Hi Jim B

Welcome to the RPT thread - read through some of the previous posts - ask questions - lots of buddies to give you advice - it might take up to twelve months to reach a decent ROM, say 110 will be enough for you to walk without discomfort.

I have e-mailed you some documents, which will give you an idea of your injury and rehab procedure.

Remember    PATIENCE.

I see that you dont live too far from me, as I live in North Manchester.

Best wishes

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

Complete Ruptured Tendon

Offline doug-runner

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Re: Ruptured Patellar Tendon Surgery
« Reply #3678 on: May 29, 2011, 05:52:57 PM »
Hello all - been reading the forum for the last two weeks and finally decided to join in the elite club.

My injury was sustained 09-April, slipped off a low deck onto icy sloped ground,all weight on right leg, basically dislocated the knee.  Into the Urgent Care Centre on 10-April, took xrays, sent home with no apparent structural damage to bones.  Received call to go see so-called Othopedic specialist on 14-April, went in and prescribed full ROM brace and an MRI to confirm internal damage.  I ask to geo see specialist who has performed other arthroscopic repairs to knees previously - and am ignored in my request.  Wonderful medical system that we have in Alberta, 3-4 week wait for MRI, so paid to get private MRI next day.  Then, I had to wait another 3 weeks to get back into see specialist to review MRI results.  02-May finally get in and he says yes - torn patellar tendon, torn AC, damaged MCL, damaged ligaments and torn meniscii, agrees to finally provide referral to specialist of choice.  Surprisingly get informed that no, he has referred me another specialist within the health region on 09-May.  Get in to see specialist on 09-May, he seems pissed off, who prescribed full ROM brace, how long since injury, shredded tendon below knee cap, etc...  So moving things around he gets me in for surgery on 11-May after informing me that typically surgery should be done as soon as possible after injury, should have totally immobilized joint and some other uplifting information - great!

So cutting short, now 2.5 weeks post op, totally immobilized in Zimmer splint for 4-6 weeks, non-weight bearing up to now and going to see OS on Monday for update and see where we are and what is going to happen going forward,  I did get the wire inserted but not sure if the intent is to stay or not.

Good to see all the information and progress reports of others - I have some idea now where I should be and what is likely to occur during PT - which I am actually looking forward to.  Thanks

So
RPT, torn ACL, torn menicus, damaged MCL 09/Apr/22
Surgery 11/May/11

Offline subail

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Re: Ruptured Patellar Tendon Surgery
« Reply #3679 on: May 29, 2011, 06:37:14 PM »
Hey there fellow Canadian doug-runner

I waited 10 MONTHS to be diagnosed!!!!!!!

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 #3680 on: May 29, 2011, 07:18:23 PM »
Hi   Doug Runner

Welcome to the RPT club - you have found the best source for information on your rare and serious injury.

You are taking a positive attitude to recovery.

I am sending you some documentation which will outline the rehab procedure - read with care and keep posting on this thread.  Lots of buddies out here to help you.

Ask questions - PATIENCE is rewarded.

Best wishes

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

Complete Ruptured Tendon

Offline NHS

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Re: Ruptured Patellar Tendon Surgery
« Reply #3681 on: June 01, 2011, 11:27:43 AM »
Hello all - been reading the forum for the last two weeks and finally decided to join in the elite club.

My injury was sustained 09-April, slipped off a low deck onto icy sloped ground,all weight on right leg, basically dislocated the knee.  Into the Urgent Care Centre on 10-April, took xrays, sent home with no apparent structural damage to bones.  Received call to go see so-called Othopedic specialist on 14-April, went in and prescribed full ROM brace and an MRI to confirm internal damage.  I ask to geo see specialist who has performed other arthroscopic repairs to knees previously - and am ignored in my request.  Wonderful medical system that we have in Alberta, 3-4 week wait for MRI, so paid to get private MRI next day.  Then, I had to wait another 3 weeks to get back into see specialist to review MRI results.  02-May finally get in and he says yes - torn patellar tendon, torn AC, damaged MCL, damaged ligaments and torn meniscii, agrees to finally provide referral to specialist of choice.  Surprisingly get informed that no, he has referred me another specialist within the health region on 09-May.  Get in to see specialist on 09-May, he seems pissed off, who prescribed full ROM brace, how long since injury, shredded tendon below knee cap, etc...  So moving things around he gets me in for surgery on 11-May after informing me that typically surgery should be done as soon as possible after injury, should have totally immobilized joint and some other uplifting information - great!

So cutting short, now 2.5 weeks post op, totally immobilized in Zimmer splint for 4-6 weeks, non-weight bearing up to now and going to see OS on Monday for update and see where we are and what is going to happen going forward,  I did get the wire inserted but not sure if the intent is to stay or not.

Good to see all the information and progress reports of others - I have some idea now where I should be and what is likely to occur during PT - which I am actually looking forward to.  Thanks

So


Sounds like the Canadian NHS is as inconsistent as the British NHS. I too got X-rayed and sent home with a stick and a sock bandage. Seems if you haven't broken any bones they think you are ok.
Unfortunately the NHS is full of incompetent (foreign) doctors, I'm  now wiser after the event.
When my GP sent me back to hospital a few days later the consultant made some rye comment that my injury isn't going to repair itself and I would be a cripple without an operation, I was kept in and had the patella tendon repair the next day.

Just be patient the healing process for tendons is slow, you'll get there in the end.

Nige





Date of Injury - 5th March 2010
Repair date - 12th March 2010
Right Ruptured Patella Tendon Repair
Cast removed - 14th April 2010
Wire loop
ROM 130

Offline Capt. John

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Re: Ruptured Patellar Tendon Surgery
« Reply #3682 on: June 02, 2011, 03:16:50 AM »
Hi All,
I'm about 5.5 mos post-op and thought I would give you an update. I've continued with my 45 mins of cardio (stationary biking, cross trainer, treadmill) 3xweek. The Monday and Friday cardio workouts are followed by 15 mins of strength/weight training. I've increased resistence gradually and added weight exercises - the knee continues to improve. I gradually introduced jogging and going up/down stairs holding dumbells about a month or so ago with power walking on the treadmill. Now, I can jog 4+mph comfortably for a couple of miles, however, I don't push it because I incorporate other cardio work.

The weights involve inverted leg presses, 3-4 sets both legs together working up to around 230lbs for 15 reps, unassisted sets of high rep squat no weight, followed by high rep lunges...I end with a couple of sets of single leg (rehab knee) leg presses with around 150lbs...emphasizing the negative repetition.

I'm moving up each week with the weight, but I'm not overly concerned with how much - only to the extent that I'm gradually forcing the rehab leg to do a bit more and gradually get stronger, which is very noticeable. I skip steps when doinG my stairs and notice remarkable improvement. Going down stairs is no longer an issue. I've recently forgotten several times I'm injured and started running to grab something, only to catch myself mid-way and warn myself to be careful.

The only issue is the scar tissue being very pronounced around the top of the lower kneecap and outer side of knee when I bend the leg pass 90 degrees. OS said it is bone, and there is nothing I can do. I should mention it's cosmetic and not affecting rom, which is about 95 percent and very functional. Knee is still warmer than other knee, but not as bad as earlier. I do not get swelling after exercise. Funny thing is that standing in one place too long bothers it more than staying moving!

Size wise, I'm now 1 inch difference between mid and vmo when measured against other knee. Although I'm feeling stronger and most of my life is back, I still have a ways to go before I'll be satisfied.

This is a very tough rehab - hang in there and be ready for the long haul! Don't be satisfied with just getting back to "walking."
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

CSM4thCAV2014

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Re: Ruptured Patellar Tendon Surgery
« Reply #3683 on: June 06, 2011, 04:48:30 AM »
I experienced the rare event of bilateral ruptured patellar tendons(lower side) about 5 weeks ago. I've been searching this site for info from anyone else who had the unfortunate experience as I to rupture both and have found very little. Everything is about single knee ruptures which of course is plenty bad enough, but I've been told that a bilateral recovery and rehab is completely different than had I just done this to one knee. The doc is planning to remove my two full leg fiberglass casts next week at just past the 6 week post surgery mark. He will evaluate my knees then and perhaps put me back in the casts for a little while longer?? What about these knee immobilizer braces? Could that be an option for me also? I'm curious as to how much different my rehab may be and when I can safely begin weight bearing etc. Any thoughts or similar experiences shared would be much appreciated.

JC

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #3684 on: June 06, 2011, 06:55:23 AM »
Welcome JC to the RPT club -

As you have stated, a double RPT is very rare, maybe only four or five have posted in this thread in the last eight years.

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

Ask questions, lots of budies will give you advice.

I have sent you by e-mail a set of documents, which will give you an idea of the rehab procedure - read with care.



Best wishes

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

Complete Ruptured Tendon

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Re: Ruptured Patellar Tendon Surgery
« Reply #3685 on: June 06, 2011, 03:41:18 PM »
Thanks John for the reply and the pm w/documents and all the good info included.

I live in the the bluegrass region of central Kentucky. I'm 57 and soon to be medically separated from the army with over 33 years service. During that time I've incurred of a lot of wear and tear on the knees(and other parts of my body!), but nothing as serious as this. I have had some degenerative arthritis resulting in 3 scope jobs since 1992, the most recent in June of 2010 for a meniscus tear. Each succeeding scope seemed to show lesser improvement afterwards than the previous.

The way this injury occurred remains a mystery to me, but I have a theory about it. I was back on the "south 40" of the small farm i live on and was drilling holes into a tree stump so as to fill it with chemicals to expedite it's decomposition. I was squatted down on my knees for about 10 minutes when I decided to stand up to stretch. As soon as I stood up, I noticed just to the left of me about a 3 and a half foot water mocassion looking right at me. There was short mown grass all around me and this spooked me as it is unusual for a snake to approach a human in that fashion. Perhaps the drilling attracted him as I know snakes sense vibrations in the ground. At any rate, with this snake nearly in striking distance and not being a snake person at all, I foolishly took off running in the opposite direction at full tilt speed. I went about 20 feet and suddenly fell down and that is when the damage happened. Initially, I thought I'd tripped, but there was nothing there that could have tripped me, nor any holes in the ground...just smooth, level ground covered with grass. The more think about it, I believe it's possible the tendons ruptured as I took off running and that is why I fell. Afterall, I had just stood up from having my patellar tendons stretched to the max by squatting and sitting on my ankles for at least ten minutes. I think perhaps the tendons being stretched for so long and then trying to run so hard so quickly, may have been the culprit...just my theory.
 
JC











Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #3686 on: June 06, 2011, 04:09:00 PM »
Hi JC and welcome to this thread once again -

Must say, that in all the years I have been punching the keyboard on this thread, I have never come across somebody sustaining thair injury, because they were being chased by a snake.
Make a good tale for the grandchildren.   

We all hope that you have a a speedy recovery - keep posting and best wishes

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

Complete Ruptured Tendon

Offline NHS

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Re: Ruptured Patellar Tendon Surgery
« Reply #3687 on: June 07, 2011, 09:18:34 AM »
Wow, there has been a lot of activity here since I was on last.  For that reason, I won't try to respond to some of the posts that I would have liked to.  Instead, I would refer everyone to EJCR's post on page 223 - very informative.

Someone recently suggested that people with good recoveries stop posting here while those who are still stuggling continue to post causing the thread to be swayed in the negative.  I agree with this.  If you begin reading the posts from the beginning (you better have an extensive amount of spare time) you see this trend all along.  It doesn't mean the thread is all about negativity, it's just normal for fully recovered folks to move on and stop posting.  However, there are many who post positive things and hopefully those who reach full recovery remember to post final thoughts prior to leaving.  They are there - you just have to search for them.

Now, having said all of that, I will share my own update.  I am at 7 months and 1 week.

Like many others here, I was very active prior to injury - I was an avid triathlete and weightlifter.  I am 38 years old, 6'00" and 250 lbs.  And I was a police officer.

Unlike many others here, I severed BOTH patellar tendons rather than just one.  In addition, I had rather bad arthritis prior to injury.  Luckily, my arthritis was mostly asymptomatic due to my strength and fitness - my surgeon's words not mine.

Unfortunately, because of the bilateral injury coupled with the prior arthritis my progress is not good.  I am currently walking with a cane, but trying to transition away from it.  ROM in my right knee is 120; left knee is 125.  Right knee looks mostly like a regular knee again, but since I don't have a good knee to compare it to I cannot tell if it is completely back to preinjury form.  Left knee has considerable swelling still and it's causing some pressure in the knee.  I have lost some extension in the left knee and no longer straighten it when walking creating a limp.  It is unknown if that will resolve or not.  My right quad is nearly nonexistant even though I began weights at 10 weeks.  Left quad is strenghtening, but a long way from preinjury form.

My surgeon does not believe I will ever reach the strength, flexability, or level of activity I had prior to injury.  To me that means I have lost my career which is bad enough alone, but I will also have to make a major lifestyle change and give up triathlons.  Life seems pretty bad right now.  That's why I haven't posted here for several weeks.  My situation is not typical which should be good news for new people reading this.  That's all I have to offer for good news.

I will continue reading others' posts and wish everyone well.

JC,

See the quote from MKCx2 who had both PTs repaired last year
Date of Injury - 5th March 2010
Repair date - 12th March 2010
Right Ruptured Patella Tendon Repair
Cast removed - 14th April 2010
Wire loop
ROM 130

Offline NHS

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Re: Ruptured Patellar Tendon Surgery
« Reply #3688 on: June 07, 2011, 09:28:37 AM »
Hi to all! Wish I'd found this board a few months ago!
I ruptured both my patellar tendons in May 2010. I stumbled and sat back on my haunches thus causing (and having a ring-side seat for) the 'explosion' of the tendons.

Op went well - scars lovely; 6 weeks with both legs in straight-leg casts were a real pain and rehab painful but I was well on the road to recovery until mid-December when my right knee wire snapped. There was a bit of discomfort until just before Christmas when the pain was so intense I could hardly walk. This was very depressing as I'd had no weight-bearing issues until this point. After a pretty immobile Christmas I saw my consultant again and X-rays showed that a piece of the wire had broken off and was 'wandering about' my knee - hence the pain.

I'm awaiting an operation to have both wires removed (the left wire has snapped too - in two places - and the view is it may as well go as I'm going to be 'under' anyway).


JC
Here's another with both PTs ruptured
Date of Injury - 5th March 2010
Repair date - 12th March 2010
Right Ruptured Patella Tendon Repair
Cast removed - 14th April 2010
Wire loop
ROM 130

Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3689 on: June 11, 2011, 11:03:44 AM »
JC,

I know somebody that had a bilateral patella tendon rupture. obviously, he said that it was hard work and the recovery took longer than only doing one. The good news which we should focus on is that one year after his ruptures, he managed to go snowboarding, albeit for half a day. 2 years after the injury (when I spoke to him recently) he is snowboarding on week long holidays and is, for all intents and purposes, completely fixed. You wouldn't know it to look at him move about that he had a single rupture never mind both!

I'm just passed the 6 month point and I'll put a different spin on things, I don't mind being honest about my progress. It's not as good as I would have liked by this point. I started the run walk program but the physio has taken me off it again. Apparently, to start running, your bad leg should have 80% of the strength of your good leg. I can do 3 sets of 8 reps on my bad leg lifting 25kgs (which is a little under 50% of my good legs strength). I have fairly strong legs and I can only press about 75kg on my good leg.What I'm trying to say here is that don't feel that you are behind if you can't press the impressive weights that others can.

My walk is good, I don't have a limp and I can generally do steps well enough. Though some larger steps going down pose a slight problem.

All things considered, I would say that I am doing okay, not as fast a recovery as anticipated, but okay. I suspect that give it 2 more months (8 month mark) and I'll be getting back to normality.

Keep it up everyone and don't lose faith.
« Last Edit: June 11, 2011, 11:19:55 AM by Gutted »
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.















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