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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1428266 times)

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Offline redspudder

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Re: Ruptured Patellar Tendon Surgery
« Reply #4065 on: February 02, 2012, 06:36:37 PM »
Frankie

Ditto as above,chin up fella sounds like youve had a horrid time but as the song goes things can only get better,i had days at the beggining when i was really down (although sounds like youve had a much worse time) at those times friends and family are there to pick your spirits up they did me and most of all dont loose belief.
Where in the world are you mate?

Andy
RPT 24th October 2011
Surgery 2nd November 2011

Offline Zlou58

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Re: Ruptured Patellar Tendon Surgery
« Reply #4066 on: February 03, 2012, 05:03:47 PM »
Having some problems with ROM. 8 weeks post op. I'm at 60 degrees easy. 65 is rough. I have started CPM machine yesterday. 65 is a lot of stretching. They want me to gain 5 degrees a day. Seems a lot bc 65 feels so rough. Not terrible though. Also is there advice on use???wanting to ensure I use it correct. Have a little swelling after as well. Normal?  Advice would be great!!!!!!


LOU

Offline cabrev

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Re: Ruptured Patellar Tendon Surgery
« Reply #4067 on: February 03, 2012, 05:23:29 PM »
I have a question...as we have all discussed often, the surgical procedures tend to vary quite a bit from OS to OS, and in my case the wire was left in permanently (or so, unless or until problems arise at some point down the road). Are there any of you out there that also have the wire left in? I'm at ten months and doing pretty darned well (ROM back to normal, probably even better than my "good" leg...I suppose due to the constant attention to work on the bad one). Any of you with the wire, what are your thoughts and experiences? Does it bother you, or do you think it is what is bothering you if you have any issues? I'm overall very happy with where I am, but the knee does still feel "funny", and there is often a low degree of pain, which actually does better after workouts than when not, but seems now to be more on the sides where the wire is than around the tendon. I am now running on the treadmill, with most of my focus on strength exercises. I feel like I'd like the wire to be out (can't really say why), but certainly don't want to go through another operation for nothing. Curious of any thoughts of others that are living with the wire in. Thanks in advance for any comments.

Frank: Sounds like you've had a bit of a rough time (I still recall having some pretty tough mental times early on, and you certainly have been dealing with some greater challenges)...hang in there and focus on your rehab, and don't get caught up in how long it takes. Nobody can tell you your time-table, but please believe in your ability to progress, and you will see it down the road. It's hard to see the progress day to day, but down the road reflect on the where you were weeks and months before. Sometimes you will see breakthrough progress, too. I can tell you that you'll see that even many months down the road. They thought that I'd never get near my full ROM back, and I ultimately did, with much of that progress happening in spurts months down the road...I definitely had to work very hard for it. I believe that you can achieve far more than they'll initially tell you. Don't do things they tell you not to, but constantly work on it to the degree that they'll allow, and never give up. Keep us posted as to your progress.  I want to say that the people on this board are in a large part responsible for getting me through the early stages and through what I was ultimately able to achieve, and I am very grateful for that.

Offline frankie83

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Re: Ruptured Patellar Tendon Surgery
« Reply #4068 on: February 03, 2012, 05:26:08 PM »
Thanks for all the awesome words of encouragement people. Having one of those today when I can barely see anything at the end of the tunnel let alone the flicker of light. PT was pointless today, just a general assessment and because my leg was soo stiff because it hasnt been bent for over 3 months i couldnt do much. So he told me to put a towel underneath my knee and let gravity do its thing. Got a letter from my specialist this morning, no idea what a lot of the technical stuff means but none of it sounds good:


Patella tendon is somewhat atrophied and irregular. Significant loss of patella cartilage on the medial facet.

Great risk of recurrent rupture, in particular without the fixation remaining in situ, and there is a risk of extensor lag as well

Sorry for bringing anyone down with my misery. Friends haven't really been there of late and mum and little brother really don't understand and writing on hear seems to make me feel a tad better. Anyway hope everyone is getting on okay with their progress.

Frank

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #4069 on: February 03, 2012, 06:45:39 PM »
Hi Frank

Welcome to the RPT thread - you are indeed having a rough time, and I wonder if your OS or Pt has seen this type of rare and serious injury before.

Reading between the lines, I cannot see how the pt expects you to increase the ROM by 5deg each week and I would questions his actions.

How did you sustain your injury in the first place?   where do you live?

I will send you a set of documents which explains in detail your injury and the rehab process, and suggest that you read some of the previous posts on this thread to get a better understanding what is in store. 

I think that you should be able to reach 90/120ROM, although this is going to take some time, and you can live with this slight difference to your good leg.

Please kindly let me have your e-mail address.

Take care - PATIENCE - listen to your knee

JohnK/ Manchester UK
[email protected]
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 #4070 on: February 03, 2012, 10:29:21 PM »
Zlou,

When I started on the CPM machine I found it a really weird and sometimes quite painful feeling. The mistake that I made was that I pushed through a lot of pain and found i could make some quick gains in ROM. However, like I said they were quick gains. After I had finished, my knee would be very painful and then next time I was on I would have to work hard to get to my last ROM or increase it. The best I found was to spend a few days consolidating a particular ROM before increasing it. Doing it this way meant that you could definitely reach that ROM and surpass it. I think I mention this in my previous posting record. Its a great piece if kit so keep at it!

Cabrev, although I have had my wire out, my knee still feels funy and I also have a low degree of pain a lot of the time, particularly after a a gym session. In terms of the surgery to have it removed, it was a really simple procedure. It was a quick op under general anesthetic. When I had took the dressing off, I honestly could not even see where the surgeon had gone in and removed the wire! So don't worry about the procedure if you get it done.

Frank, these are very early days and it will seem like a painfully slow process, but it does get better. The first couple of PT visits were similar to yours where nothing much happened, just a lot of questions and note taking. Dig in for the long run, and keep that stiff upper lip. We are all here to help you.
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 DErickson

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Re: Ruptured Patellar Tendon Surgery
« Reply #4071 on: February 03, 2012, 11:25:46 PM »
Hello all.  Thought I'd post an update on where I am with things.  I've been weight bearing the whole time and in an immobilizer.  Its getting old not being able to drive, etc.  the scar looks great, no issues so far.  Went to the Dr. Yesterday for my one month checkup and got the green light to start therapy.  Went to my first PT session yesterday afternoon and my second again today.  She measured me at 45 degrees yesterday on my back on the table as a baseline (no real attempt to push it at all).  Today on a few different exercises I got to about 68 degrees with me pushing it as much as I could at this point.  The swelling isnt too bad... The outside of the knee is swollen a bit more.  She said the injured knee is about 4cm bigger than the other which will cause some of the discomfort.  The Dr. Wants me to hit 90 degrees ROM In the next two weeks.  I'm excited... I finally feel like I'm getting somewhere... I need to as we are going to Disney World on the 17th of March.  I've looked into scooters just in case but I hope I won't need one.  Any good tips or words of encouragement?

Dave

Offline dieselcut

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Re: Ruptured Patellar Tendon Surgery
« Reply #4072 on: February 04, 2012, 04:30:07 AM »
Hello everyone,

I have been reading this forum for about 10 days now and have found the information invaluable. I thought it only right to contribute my own story, and hopefully find some support along the way. For some background, I am 63 and 185 pounds. For those on the metric system (it does not seem that we will ever get it here in the US), that is 1.9m and 84kg.

1/22 TPR of left knee while playing basketball
1/28 Repair with one drill site to knee and several sutures (so I am told)
Placed in hinged knee brace at full extension and told to wear 24/7, use crutches but may weight bear as tolerated and
http://www.breg.com/products/knee-bracing/post-op/t-scope-post-op-knee-brace

2/7 Will be my first day back to work (do not want to lose my job)
2/8 First follow up with OS

Anyways, I look forward to the journey and am encouraged by the success stories I have read about here. I know it will be a VERY long process.

AD
PTR (infrapatellar) 1/22/2012
Repair without wire 1/28/2012, single drill site
6 week visit 3/13/2012 cont immobilization with 40 flexion
Released from PT at 16 weeks, 142 degrees flexion

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #4073 on: February 04, 2012, 07:53:51 AM »
Hi AD and welcome to the exclusive RPT club.


If you let me have your e-mail address, I will send you some useful documents which will give you a full understanding of your injury, and will outline the rehab process.

Essential that you read some of the previous posts on this thread - ASK questions - Don`t push it and the keyword is PATIENCE.

Take care

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

Complete Ruptured Tendon

Offline Republic

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Re: Ruptured Patellar Tendon Surgery
« Reply #4074 on: February 05, 2012, 01:22:59 AM »
@redspudder

haha -- You're probably right about the 100-110 thing... but I've been bugging my PT every week when I can jump on the bike and pedal (I'm an avid cyclist).  He said when I get to 90 I can try. I've seen a number of places that a floor cycle works wonders -- but you've convinced me... I now have one on order! 

Thankfully the PT just told me yesterday that I can start walking full time -- albeit in the brace, locked at 80 degrees.  It's not really shaky like I thought it would be, but still very stiff and awkward when my bad leg is going back towards the toe-off. That's where it's stiff, but it's getting a lot more natural.  Whenever anyone of my friends needs to go grocery shopping, I go -- a chance to walk and use a cart for balance just in case! Helps that much more to perfect re-learning to walk. Anyway, walking seems to help me get anywhere from 2-5 degrees every other day. Seems so long ago when I could only get to 40.

Seems like the key is loosening up the quad, because the patellar tendon doesn't seem to be holding it back much.

Offline Tehtoo

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Re: Ruptured Patellar Tendon Surgery
« Reply #4075 on: February 05, 2012, 08:52:18 AM »
Greetings from sunny AZ,

It's the start of week 13 Monday. I have progressed to agility drills, transverse plane movement with dbells while performing a step up, and running. The knee is tolerating it well. I still have some swelling but it is subsiding slowly. The next marker for me is jumping and sprinting. Maybe in a month or two. No hurry.

For those experiencing less than ideal circumstances please have patience. I don't post as often as I did when I ruptured my patellar tendon but I check in and read posts frequently.

My next doctor visit is Feb 16th. Keep good cheer. This doesn't last forever.

Tehtoo

Offline tassiejim

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Re: Ruptured Patellar Tendon Surgery
« Reply #4076 on: February 05, 2012, 01:25:26 PM »
Hi All
I am now 11mths post op and its been awhile 6 months since my last post but i have tryed to keep reading up on what has going on with you all and glad to see so much improvement you are all making some of us slower than others but we will all get there at ourbody'ss own time and welcome to all the new members to the RPT club.
Since my last visit my OS signed me of in Sep only go back if any serious problems occur then my PT signed me of in Nov he was happy with my  ROM 124 doing heel slid 119 sat on edge of table and 116 lying on my front unassisted 132 assisted Im not sure which of them is the true ROM I was happy with them anyway now Im at the gym 3 days a week and seeing improvement very little pain in all that i do except leg extension can only just manage 3x5 5K with a lot of pain outside and bottom of knee I feel my quads can do more but the pain wont let them not sure if its the wire thats causing the pain but shall keep working on it till 03/03/12 thats 12mths post op if still same will go see OS if any of you have tips in the meantime please pass them on.

cabrev

I also still have my wire and screw still in my OS said he is inclined to leave them in for stability and the wire should not break its a new type and 10 times stronger than the old one everytime i bend knee iexpectxcpect  the screw head to pop through my skin  ::)daft i know all the best to everyone.
JimB
Jim B

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #4077 on: February 05, 2012, 04:29:02 PM »
Hi JimB



Did you ever get the good knee measured, which should be in the region of 135/140ROM????


Take care, and keep posting

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

Complete Ruptured Tendon

Offline cabrev

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Re: Ruptured Patellar Tendon Surgery
« Reply #4078 on: February 06, 2012, 12:57:34 AM »
Hi JimB, thanks for the feedback on the wire...imteresting.

-LT

Offline ward_ja

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Re: Ruptured Patellar Tendon Surgery
« Reply #4079 on: February 06, 2012, 11:42:17 AM »
I am 19 months post opp, had the wire out back in Feb 2011. I had a mid substance full rupture which means they had to sew both bits together in the middle. I get tendonitis at either side where the tendon joins the shin and knee when exercising. This has hampered my recovery as there is the possibility that the tendon is now stronger where it's been repaired (because of scar tissue) than where it joins the bone. So on advice of the PT I have been taking it very slow and trying to manage the exercises so they don't aggravate the tendonitis. All in all I'm fit and well can walk an cycle without much problem, building the lost muscle back has not been possible because I am unable to do the required exercises. I think this whole experience is as much mental as physical. You need to understand your own situation so you can set goals within your limitations. If you are pain free and can participate fully in exercise then there should be no real limit, but if you have issues then I believe you have to be realistic and have smaller achievable goals. It's great to read those accounts from people who have bounced straight back and are doing well. To those others who are struggling I would encourage them not to give up but to be realistic. Don't read posts from others and think you should also be at that level. Remember everyone is different, everyones injury is not the same and your OS and PT will also have their own ideas. Good luck all

John W (UK)