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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1249504 times)

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Offline abros

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Re: Ruptured Patellar Tendon Surgery
« Reply #3780 on: August 10, 2011, 03:44:40 PM »
Hi John K:
Just reading your quote and have noticed you have said this before.  I have read a number threads on this site about people who have full ROM.  I am at 4.5 months and achieved full ROM 140 of flexion and -3 extension at the 3.5 month mark.  I know it depends on age, time to surgery, early ROM rehab protocol and surgery without a wire. By the way I am 47 so you don't need to be 20 something to get your ROM back. I will attach this article for you interest.

http://ajs.sagepub.com/content/36/2/316.abstract

Hi Micky-O

140ROM is excellent - what is the ROM of your other leg?.

I am not aware of anybody who reached 100% preinjury, because the operation itself reduces some of the ROM.

Anything over 120ROM is a bonus ans is tolerable without pain - but consideration should be given to the resumption of some sports.


JohnK/ Manchester UK

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Re: Ruptured Patellar Tendon Surgery
« Reply #3781 on: August 10, 2011, 04:25:41 PM »
Hi Abros

I am of the opinion that the contents of the quoted is over optimistic, but do appreciate positive comments and delighted that you have reached full ROM.   I just wish that the majority of RPT patients were in the same boat.

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

Complete Ruptured Tendon

Offline Tonu1973

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Re: Ruptured Patellar Tendon Surgery
« Reply #3782 on: August 10, 2011, 06:27:49 PM »
Hey All,

Thanks for the update Fast Eddie.  I know everyone's recovery is different but it seems that we can at least benchmark off eachother.

I went to PT yesterday (9 weeks postop) and started some walking without the locked brace.  It is a pretty strange feeling with the leg feeling unsupported.  It actually felt as if my leg would hyper-extend so I kept a slight bend in my leg while I walk.  I was given the thumbs up to walk the house without locked brace, but still need to wear it in the big bad world for a while longer.

I will be allowed to drive and return to work this coming Monday.  I have never been out of work for this long and I never thought I would say this but I am looking forward to going back.  My work will adjust to allow me mostly desk work for a few weeks until I build more strength for standing most the day.

Todd

Offline cabrev

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Re: Ruptured Patellar Tendon Surgery
« Reply #3783 on: August 10, 2011, 08:17:45 PM »
Brief update.† But firstly: welcome, Todd (not a club that you'd want to have to join, but given your circumstances, hopefully you'll find this thread and the people helpful).† I'm now at 15 weeks post-op.† Whatever caused/allowed my dramatic improvement that I had referred to last week, that occurred last Monday seems to be maintained (I'm delighted).† I still have no idea what allowed me such a literal overnight improvement in reduced pain during extensions and such, but it is truly stunning.† The PT said some of these various "overnight" improvements aren't uncommon.† I'm back to making progress on ROM...didn't officially measure, but the phone-camera picture was clearly at about 135 (lying on stomach, which is far and away my worst position).† I transitioned from the ankle weight leg extensions (with ten pounds...which had been killing me), to the weight machine.† Still having a fair bit of chronic pain, especially at night, but that all seems to be on a slow curve of improvement.† Just wondering when that will end.† But, the bad pain upon exercising has eased truly dramatically.† I had been wondering about the wire, and its possible role, but don't seem to have noticed any obvious indication of having having broken it, or anything.† I really felt like maybe it was hanging me up on ROM improvement, but now progressing again.† Would really like to hear from others' experiences with the wire.† Keep us updated, all.

-LT

Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3784 on: August 10, 2011, 09:08:54 PM »
Hello Team,

Just thought I'd pop on to answer or help with some of your queries. i am currently at 8.5 months post op. I can do single leg presses on my injured leg (3 x 8 reps) of 60kg, maybe a bit more, but my leg extension exercises still cause me chronic pain trying to get to full extension, but that goes away as soon as I lower the leg. I am currently at 15kg on the leg extension. The leg extension exercises are by far my weakest event but they are very slooooowwwllyy getting better! I am also on the run/walk program which is coming along. Going upstairs is fine, going downstairs is still a little shakey. I have done single leg hops and started plyometrics with my rehab instructor. Have a google of it as you will really benefit when you are able to start them. Still doing hydrotherapy which, again, I can't stress enough how good it is during the early stages when trying to regain the ROM. I don't do a massive amount of leg work in the pool now, though all the exercises I do in the pool generally involve the leg, it is just really good for overall conditioning of the body. I have also been out cycling on my road bike a few times doing between 45min - 60mins. Later down the line, probably in a few months, I will start doing some much more dynamic exercises such as running about and then suddenly chopping and changing direction. So that's where I am currently at. There's probably some more, so just ask if you need more info, I'll be more than happy to help.

Mikey-O, my knee feels exactly like yours does when I am doing the running part of the run/walk prog, clunky and thick is a good description. Mine is also still swollen, but it has gone down over the months.

Cabrev, I think I have mentioned before that I had issues with my wire. By the sounds of it you are doing really well and I wouldn't worry at all about the wire. If there is nothing wrong then you don't need to have it out, unless your surgeon likes to remove the wire (my surgeon protocol called for the removal of wires, but I know others don't).

Tonu1973, I just picked up on something that you said, that you felt like your leg would hyper-extend. My leg doesn't hyper extend but it does sometimes 'go' and lock out. I think its because my muscles aren't strong enough/confidence in the tendon to resist this action. I haven't had any issues with it doing this and the occasions where it does this reduce.

Hope my input has been helpful to people, if you have any more questions then I am more than willing to answer with my experiences.

Keep at it
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 tonestone

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Re: Ruptured Patellar Tendon Surgery
« Reply #3785 on: August 12, 2011, 11:29:44 PM »
First post in this forum Ė† †;D Thank you John Kramrisch for providing the documentation on RPT.
I am now 5 weeks post op and my first week of PT with 3 sessions under my belt, I'm feeling pretty good.† I was to be to get to 84 degree rom and given some good news that I can unlock my hinged brace.† I'm happy with how things are going and will work on my off days, I don't want to move backwards or lose what I have accomplished.† I find it helps getting into the hot tub and giving the knee a nice message.† I know everyone is different but reading some of the post earily on had me worried, I know itís a long road to recovery and will do my part to get there when the time is right.† Keeping a positive attitude is the only way to get by this...
06/27/11 Ruptured right Patella Tendon
07/08/11 Surgery
09/15/11 Rom 125į
10/12/11 Current Rom 137į
10/27/11 Current Rom 140į

Offline cabrev

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Re: Ruptured Patellar Tendon Surgery
« Reply #3786 on: August 13, 2011, 01:11:00 AM »
Hi tonestone, welcome...sounds like you're off to a great start, and have a great attitiude, so I'm sure you'll do very well!† Keep us posted.

-LT

Offline verbal

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Re: Ruptured Patellar Tendon Surgery
« Reply #3787 on: August 13, 2011, 12:24:27 PM »
Hey gutted glad to see your doing well...

Can you advise me about cycling? I'm 6 months post op with 90/100 deg rom and want to get a road bike to rebuild my quads and lose some of my Patellar Belly  :'( Not sure if i'll manage to get around the pedals with my rom.. What you think??? :)
Hello Team,

Just thought I'd pop on to answer or help with some of your queries. i am currently at 8.5 months post op. I can do single leg presses on my injured leg (3 x 8 reps) of 60kg, maybe a bit more, but my leg extension exercises still cause me chronic pain trying to get to full extension, but that goes away as soon as I lower the leg. I am currently at 15kg on the leg extension. The leg extension exercises are by far my weakest event but they are very slooooowwwllyy getting better! I am also on the run/walk program which is coming along. Going upstairs is fine, going downstairs is still a little shakey. I have done single leg hops and started plyometrics with my rehab instructor. Have a google of it as you will really benefit when you are able to start them. Still doing hydrotherapy which, again, I can't stress enough how good it is during the early stages when trying to regain the ROM. I don't do a massive amount of leg work in the pool now, though all the exercises I do in the pool generally involve the leg, it is just really good for overall conditioning of the body. I have also been out cycling on my road bike a few times doing between 45min - 60mins. Later down the line, probably in a few months, I will start doing some much more dynamic exercises such as running about and then suddenly chopping and changing direction. So that's where I am currently at. There's probably some more, so just ask if you need more info, I'll be more than happy to help.

Mikey-O, my knee feels exactly like yours does when I am doing the running part of the run/walk prog, clunky and thick is a good description. Mine is also still swollen, but it has gone down over the months.

Cabrev, I think I have mentioned before that I had issues with my wire. By the sounds of it you are doing really well and I wouldn't worry at all about the wire. If there is nothing wrong then you don't need to have it out, unless your surgeon likes to remove the wire (my surgeon protocol called for the removal of wires, but I know others don't).

Tonu1973, I just picked up on something that you said, that you felt like your leg would hyper-extend. My leg doesn't hyper extend but it does sometimes 'go' and lock out. I think its because my muscles aren't strong enough/confidence in the tendon to resist this action. I haven't had any issues with it doing this and the occasions where it does this reduce.

Hope my input has been helpful to people, if you have any more questions then I am more than willing to answer with my experiences.

Keep at it
31/01/11 Fell Downstairs Ruptured Left Patella Tendon
10/02/11 Surgery Pinned And Repaired
22/03/11 Plaster Removed & T-Scope Brace Fitted
6 months post op, Current ROM 90-100į

Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3788 on: August 13, 2011, 02:03:37 PM »
Hi Verbal,

I'm just trying to think what ROM I was at when I first started to try the spinning bike at the gym. If memory serves me correct I would say I was about your stage, ~ 90 - 100deg ROM. I was frustrated at first because I couldn't do a full rotation, my knee was too tight/too painful. However, the way I progressed was to pedal forwards until the limit was reached (almost a revloution) then I would pedal backwards until my knee reached it's limit again. I would continue this rocking forward and back motion and eventually I could make a revolution. It happened peddling backwards at first! Once you can do that, and it does come quickly, you'll be flying. I use a spin bike a lot during the early stages and I've started to venture out on my road bike again: I feel like it's doing me the world of good.

One word of advice. If you try using a spin bike then it doesn't free wheel, so if you stop peddling it will force your leg round if you have your feet in clips, which can be extremely painful!

It made me laugh, your comment about patella belly! It's hard to shift but I'm doing more phys now then I ever have and that will definitely continue to keep the muscle strength around the knee.

You'll love getting out on a bike, I only took up road biking a few months before my accident but I think I'll be doing much more now. I'm already pricing up a nice new bike!

You can have a look back at my posting history to see if you can find any info to help. If you want any more info then don't hesitate to ask.
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.

CSM4thCAV2014

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Re: Ruptured Patellar Tendon Surgery
« Reply #3789 on: August 13, 2011, 11:02:43 PM »
tonestone-sorry to hear of your patella injury, but it sounds as though you are holding up pretty well with what is a most painful injury along with a difficult and extended period of rehab. Welcome to this board and I trust you can learn from it and be encouraged as well when those tough times flare up. You said it all when mentioning a positive attitude. Donít be too bothered by some of those earlier posts you mentioned. Iíve read thru many of them myself and concluded a number of them had a much more difficult time than most or had other extenuating circumstances. I remember reading about a young teenage girl named Patricia who was posting about 6 or 7 years ago who had such a difficult time, it would bring tears to your eyes. She posted for quite awhile. On the other hand, many who have done quite well, post briefly and then you donít hear from them anymore as they have obviously returned to normal life and there is no need to post anymore. This is at least a year long recovery period. Iím just a little over 3 months in to mine and there isnít a day go by that performing simply everyday tasks donít remind me that I have seriously injured knees. Yeah, thatís right, I tore up both knees and it is hard at times to stay positive and not think that thereís no end to it, but Iím determined to overcome and get back to normal. The old saying of ďthis too will passĒ is appropriate here as well, with the exception that it will take quite awhile to pass compared to most other challenges.

I wish you well my friend. 84 ROM at 5 weeks ainít half-bad. Stay diligent at PT, do the home exercises your PT gives you and stay positive and youíll be fine. Time is your friend.

JC

Offline verbal

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Re: Ruptured Patellar Tendon Surgery
« Reply #3790 on: August 14, 2011, 10:13:16 AM »
Gutted cheers for that, just spent an hour reading your posts and feel like I was with you all the way!  :)

It's nice to read that i'm not the only one taking 'forever' to get better, it is sometimes disheartening when you read how well others are doing so soon after their ops..

Saw my PT yesterday and he wants to speak to the specialist to see if they can get a camera in, or even put me under a general and 'manipulate' the scar tissue.. All this because i'm the same rom 2 weeks running. I'm now really stretching at home because I don't want anymore operations, really want to get back to work..

What age are you gutted if you don't mind me asking? I'm 35 so would be expecting a full recovery, even if it doesn't feel possible right now haha..

Thanks for the support :)
31/01/11 Fell Downstairs Ruptured Left Patella Tendon
10/02/11 Surgery Pinned And Repaired
22/03/11 Plaster Removed & T-Scope Brace Fitted
6 months post op, Current ROM 90-100į

Offline Gutted

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Re: Ruptured Patellar Tendon Surgery
« Reply #3791 on: August 14, 2011, 09:59:27 PM »
Hey Verbal and the gang,

I'm glad that you had a chance to read my posts and that they struck a chord with you. As I've found out many a time reading this forum, the recovery timelines vary wildly from person to person. It is frustrating and sometimes dissapointing when you read what other people can do. Don't worry, as although we all have the same type of injury, every repair/rupture will be subtly different. Try not to worry though, it's all about you and the pace (with some pushing!) that you are comfortable with and that your injury can handle. Believe me you are doing fine. I think from my experience of this injury and reading what others have written, there comes a point where you really start to accelerate through the recovery process and will be able to do more. That point occured at about the 6.5 month point for me. Much sooner for others.

Have you tried hydrotherapy? I found it really helped with my overall fitness conditioning and also my ROM. I'm 32, so I'm about the same as you! I too am expecting a full recovery(ish). I know I will be more careful though and I won't throw myself around with reckless abandon like I did in the past!

Keep sticking at it everyone, it does get better. If anyone has any questions then just fire them my way. Take care.
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 verbal

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Re: Ruptured Patellar Tendon Surgery
« Reply #3792 on: August 14, 2011, 10:35:18 PM »
Thanks again mate for the reply.. I had a course of 6 weeks hydrotherapy which I found very beneficial! After the 6 tho they don't give you anymore, maybe its a Welsh nhs thing.. I forgot to mention earlier that my PT has started taping the top of my kneecap across, strange it is as it doesn't actually move the patella but I can visibly get 5-10 deg more rom.. I do it myself now and it feels awesome when I walk (awesomeish anyway lol)..

What you said about the recovery accelerating at different points is so true.. I had a nightmare at the beginning and then went fast, now i'm up against the wall again. I'm impressed by the amount of work you manage every day, where on earth do you get the motivation!!! I'm currently working on the missus to let me buy a road bike, our thoughts on cost are massively apart so wish me luck lol..

Thanks again.
31/01/11 Fell Downstairs Ruptured Left Patella Tendon
10/02/11 Surgery Pinned And Repaired
22/03/11 Plaster Removed & T-Scope Brace Fitted
6 months post op, Current ROM 90-100į

CSM4thCAV2014

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Re: Ruptured Patellar Tendon Surgery
« Reply #3793 on: August 15, 2011, 08:24:31 PM »
Hey fellow PTR sufferersÖnow at 15 weeks and update on my progress at this point.† After a few weeks of each knee going back and forth on ROM, now the left knee has emerged as clearly the better knee at this point. My PT didnít measure today for some reason, but last Thursday I went 134 on the left and 128 on the right. I hope to have increased a degree or two from that over the weekend. There is still a stark difference between each knee on execution of various PT exercises, most significant on the step-up/downs and the one legged squats on the total gym. Over all, hereís the good, bad and ugly:

Good-the ROM has steadily increased; the pain at night has subsided a good bit and Iím taking less pain meds now;† my mini-squats are going much deeper w/o the sharp pains I once had; Iím walking much nearer to normal and pretty much have put the cane away(I credit Reginaís relentless efforts to force me to do gait training and shed the accessories, i.e. knee braces, walker, cane, etc);† and finally, although with a long way to go on steps, I have noticed improvement in my leg strength as I climb steps-pulling my body weight up each step with a little less effort now.

Bad-very painful rising from a chair or exiting the car; leg extensions quite poor still; unable to bend right knee when stepping down stairs with the left foot leading(left knee progressing well in this area); very noticeable double ďpopĒ in left patella when performing short arc lifts or mini-squats, right knee pops once and very softly on same exercises; my herniated L4 and L5 discs are interfering with various PT exercises; either knee at times is prone to hyper-extend(thankfully, still no falls!).

The ugly? Well, that would have to be my swelled, knobbly knees and my skinny quads and Iíll spare you guys that dreadful sight and not post any pics!

Things that have helped me have been continuing to ice my knees after exercises. I use my recumbent bike a lot. I plan to deviate from that a bit soon as Iím working on getting my daughterís 10-speed back in commission so I can ride it down our dead end road and enjoy the fresh air and actually pedal against the resistance of the road.† Iím sure Iíll get some ribbing from my neighbors about riding a girls bike though! Last week I picked up a great deal on Craigslist for a total gym XL and now have incorporated the leg squats into my home exercise routine. I also continue to massage my knee joint; particularly the patella area with vitamin E lotion and that has helped a good bit. I think most of all though, the bike has helped the most, at least in the area of increasing ROM. Iíve used it 2 or 3 times a day 20 minutes at a time ever since I had enough ROM to cycle (105-110).

I guess the thing that concerns me the most right now is the knee popping. Especially after I had a follow-up appt with my OS a week ago. He was quite pleased with my progress but when he had me lie on the exam table and go into extension, he seemed concerned about the very noticeable knee pop, especially in the left. He held his hand over the patella as I went from bending to extension several times and seemed surprised about the popping. He didnít say it was any concern right now, but we would watch it over the next few visits to see if it lets up any. I asked Regina about it and she basically said if there isnít any significant pain associated with it, not to worry about it too much. Both of my patellaís are riding much higher than pre-accident and I pointed that out to the OS. That seemed less concerning to him than the popping. I had pretty much gotten used to the popping and wasnít worrying too much about it, but when I saw his concern about it, it got me wondering again! Anyway, all things considered, I feel pretty good about where Iím at right now. Only 3 and half months into this, I realize I have a very long way to go yet. Other than my ROM, improvements have come at a snailís pace. Iím starting to see that as a double rupture, my recovery time may exceed by a good bit that of a single, if for no other reason than there are 2 knees to rehab and I donít have a good leg to fall back on.

As always, I wish my best to all. Itís a great thing finding this forum, Iíve learned a lot and the encouragement is helpful as well. Hang in there yall! (sorry, a little Kentucky speak there!)

JC

Offline Tonu1973

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Re: Ruptured Patellar Tendon Surgery
« Reply #3794 on: August 18, 2011, 08:14:14 PM »
JC I am glad to hear that your progress is going so well.  I just talked to a fellow worker today who three years ago ruptured both of his quad tendons. (tripped over a small stone wall while on vacation)  He says that occasionally he still has trouble walking down stairs.

I am at week ten post op on my PTR and all seems to be progressing nicely (knock on wood) My ROM is up to 115-120 and I can now get full rotations on the execise bike.  I have lost the large bulky lockable brace for the sleek neoprene one that fits better under clothes but is actually harder to walk in and is more uncomforatble.  I can walk up stairs almost normally now but downstairs is still very shaky.  I am doing closed chain strength work like bridges and squats.

I started driving again over the weekend and I started work this past Monday.  Part time days (4-6 hours) and light duty for a while.

Todd