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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1425848 times)

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Offline Nigel

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Re: Ruptured Patellar Tendon Surgery
« Reply #210 on: July 22, 2004, 01:10:39 PM »
Hey Kim, great to hear from you and great to hear you're mending well. Know what you mean about the size of the pills, those glucosamine are like small landmines. But not as bad as getting our youngest (8 yrs) to take his antimalarials every day (we're off on a trip in a week's time).

Incidentally,I came across an interesting thread, on www.chiro.org about glucosamine. It looks like it has never been shown in studies to improve joint regeneration...although it HAS been shown to reduce pain in knee arthritis. Anyone seen any first-hand research to show that glucosamine actually benefits tendon regeneration?

Andy - yep, it's a shocker when you see how quickly your quad has turned to blancmange. It's frustrating when you start PT as the quad won't "boot up" at all at first so it's hard to get things started, but it does come. As soon as you're allowed to, start tensing the quad muscle (without actually moving the joint) as I think this at least gets the nerve pathways woken up (any physiologists out there?).

They'll probably give you a range of exercises as you have to get overall strength around the leg, obviously the main quad muscle but also the VMO which (I think) is on a separate bood supply.

My injured side thigh is still 3cm less in girth than the good side, but improving now that I can do more exercise on it. My missus looked a bit bemused when I got the tape measure out the other evening!

Cheers, Nigel
Left patellar tendon break and repair with wire loop mid-Mar '04.
Full recovery, signed off by OS in September.

Offline Rosbif

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Re: Ruptured Patellar Tendon Surgery
« Reply #211 on: July 22, 2004, 05:43:23 PM »
Hi Guys, nice to see this forum still going nice and strong and even a few new members.

My knee is still improving slowly but surely. Just the odd buckle, but nothing too painful. Been very lazy on the physio side. Just spent a week in Italy with a private pool. Swimming really seemed to improve things. Think I was a liitle over optimistic on getting back to play hockey. Think there are a few more months ahead before that happens.

Tony
Patella Tendon rupture when a drunk fell on my leg.
Open surgery repair with disolvable wire loop 29.01.04

Offline Andy___H

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Re: Ruptured Patellar Tendon Surgery
« Reply #212 on: August 03, 2004, 07:12:39 PM »
Hi all,

I returned to hospital yesterday for my 2nd appointment post op. I finally had my full cast removed to be replaced by a "cricket-bat splint" to keep my leg straight. I should be starting physio next week.

I finally did confirm that in my surgury, no wires were used. I did have holes drilled through my patellar and tibia, with only sutures used through them, and connected to my ruptured patellar tendon. Maybe a first for this board, no wires used for a full rupture.

Regarding PT, get this, it will take 4 working days for my notes to get through the hospital system from my clinic to the PT department, which are part of the same hospital. Then I have to phone PT to get my first appointment. This makes a mockery of the exact words of my doc, "you require urgent physio to get the knee moving again"! You can't beat the NHS  :D

Anyway, its good to get out of the cast at last.   ;D

Cheers,

Andy
(UK, Portsmouth)

Patellar Tendon Rupture 9th June 2004 playing Volleyball
Surgury 18th June - NO WIRES
Placed in full leg cast 21st June, Removed 02 Aug.
Staples out 5th July

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #213 on: August 03, 2004, 07:18:08 PM »
Hi Andy

Glad that you are now at stage two.

According to my Consultant, they only use wires if you are tall and well built !!!!!!!!!!

Four days for your file to walk from one clinic to another clinic in a NHS hospital is quite normal, so get ready for the next stage.

Did they measure bend having taken the cast off???

Best wishes   JohnK/ Manchester :D
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Andy___H

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Re: Ruptured Patellar Tendon Surgery
« Reply #214 on: August 04, 2004, 01:08:29 AM »
Hi John,

Well, given I am 6'7" tall, and around 17.5 stone, it was surprising to me they did not use wires.  ???

As for measuring bend. When my cast was taken off in the plaster room, I put on the cricket bat splint (which I had been given when I was waiting for my op 6 weeks previous), and waited to see the doc back in the clinic waiting room. When I saw him, he didn't even take the splint off, so no bends for performed at all. He bearly even looked at the joint, which to me looks a lot different to my good knee, with swelling on the inside of the joint  >:(

But hey, he's the doc, and they always know best, right? Even though he was the 6th or 7th doc I have seen in the same hospital, and doesn't know me from Adam.  ???   ::)

One piece of good news though, this afternoon, a small step was taken closer to normality. After lots of practice, and courage (with little to hold onto and no splint on!), I managed to step into the bath to have a shower, for the first time in 8 weeks. It was tense, but rewarding in the end. Hopefully thats one step forward, just waiting for the 2 steps back next   ;D

Cheers

Andy
(Portsmouth, UK)
Patellar Tendon Rupture 9th June 2004 playing Volleyball
Surgury 18th June - NO WIRES
Placed in full leg cast 21st June, Removed 02 Aug.
Staples out 5th July

Offline EngKnee

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Re: Ruptured Patellar Tendon Surgery
« Reply #215 on: August 04, 2004, 04:27:34 AM »
Hi All, it's great to see that the vets are still around this thread and that they are doing well.  I too have good news to report since the last post, my knee is finally starting to feel semi-normal;  that is, what I remember to be normal some four months ago, my memory isn't the greatest after all.  I just got back from a week at the beach in NC ( where the hurricane is currently hanging out) and I found a two mile walk on the sand surface was just what I needed to strengthen my knee muscles to the point where my pt thinks I can go without my brace and I've gotten almost full ROM to boot.  It's been a long road but I now see the light and fully expect to be brace-less soon, as soon as the doc gives the OK. 8)  Might just keep it around for some nostalgia just the same ::) The knee cap area is still swollen compared to the good knee and the cap itself seems to be riding somewhat higher but I'm gaining confidence more and more each day.  John C.
Ruptured Patellar Tendon lower left leg 3-30-04 while playing basketball
Open surgery to repair 4-12-04 , sans wire loop
Brace removed/heavy PT since 8-11-04
Able to dance w/o complications 1 yr. post-op

Offline Fisnik

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Re: Ruptured Patellar Tendon Surgery
« Reply #216 on: August 04, 2004, 08:49:36 PM »
Hey guys,

A quick update from me.

Just over 12 weeks post-op and things seem to be going really well (knock wood).

3 days ago I officially reached full active ROM, without assistance, and can now bend the injured leg the same as the healthy one. That was a great relief.
;D

Been crutch-free for the past 10 days and I'm really getting around quite easily with the brace, including going up the stairs unassisted (leg still a bit shaky, but getting stronger every day). Going down the stairs is harder and I still ned to hold on to something for that.

Been doing straight leg lifts for a while now and can actually see my quads getting their shape back (used to have quite an impressive quads) and I can manage lifting 2.5kg (that's about 5lb) in straight leg lifts. Lower leg lifts are still a bit hard and a bit painful, but I can manage about 10 of those whenever I try. Physio says that will improve as quads get stronger. She also says that I can remove my brace when I'm capable of lifting 1.5kg in lower leg lifts (active extension). Been doing okay with walking carefully brace-less around the house.

Physio says I don't have to go see her any more since I got my ROM back and my quads have started improving, and has instructed me to visit a swimming pool every day, do a set of exercises and get on a stationary bike as often as I can. Need to take out a 15 year old bike from my dad's attic, fix it a bit and bring it to the office. :)

Swelling has considerably gone down and the difference compared to my other knee is very small now. Need to take the tape measure out and see. 3 weeks ago my swollen knee was 3cm bigger in perimeter than the healthy one, and my left quad was 5cm smaller than the healthy one.

Overall, I am very pleased with the development so far (knock wood again) and it's up to me now to improve this, so I intend to get on with it slowly and carefully, hoping to remove the brace by the end of this month. To be honest, it looks quite cool on my leg and everyone's calling me the Terminator, so I might wear it until the end of the year just for the fun of it.  ;D ;D ;D

Great to hear everyone's doing well, and I really wish all the newbies fast recovery. Fells weird to be considered a veteran on this board. Still remember the days when I admired Nigel's recovery and wished for those days to come. They eventually did and you'll be surprised how quick everything will go once you start the rehab. So hang in there!

I wonder how John (Omaha) is doing. His rehab was so aggresive, he's probably preparing for the Olympics or something. John, if you're still reading this board, do drop us a line or two.

Cheers everyone, and thank you for all the support you've been giving me in the past couple of months. Wish I had a chance to buy you all dinner sometime.

Fis
Ruptured Patellar Tendon while playing basketball on 07 May '04.
Open surgery to repair immediately.
Two wires because of large body frame (2m tall 130 kg)
Completely immobilised for 6 weeks.

Offline kdhfrank

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Re: Ruptured Patellar Tendon Surgery
« Reply #217 on: August 05, 2004, 04:01:44 AM »
okay guys

two glasses of wine....and i am ready to type!!! so glad to hear that everyone is making progress...baby steps count! i am so glad that our friend from albania? slovakia? fisnik? is doing great! i really was worried about him being such a big teddy bear with a soul...it is okay to cry once in a while you guys! and being the only female i have no problem admitting that once in a while i let my armor down and rust out the face plate.

cant wait to hear how nigels trip to sri lanka? was...where in the hell is sri lanka???!! guess you can tell i grew up in the usa! are there alligators? crocodiles? anancondas? army ants?....oh god...i hope nigel can limp fast!!! i swear i was swetting bullets (and i am an antigun liberal KERRY fan)on those bike trails on sanibel...you guys....there were alligators everywhere!! and not the kind that you see on national graphic home pets....these guys were the kind that stalk the water wells in sub? africa...sri lanka? just waiting for a ""slim"" athletic beautiful blonde to come walking by with a walking stick of course! (and yes, i am all the above) but you know....they did not want me....I WAS TOO FAST!!!! thanks to my husband and the cool bike we rented that had a wheel  chair slapped on the front! i was....lance...for a week.

anyways....i am doing great also! i can walk again!!!! i know i may never be able to match you guys in a squat match! wait a minute,,,,hmmmm....think this is worth investigating.

my knee is still a little swollen....but i can bend to 114 degrees (remember 122 is my max thanks to that talented surgeon last august) and no one stares at me when i am at the pool...dammmn i am doing good. went back to work part time on monday (love my pediatric patients) and i can do a squat!!!! it has been years since i could do that. i truely believe that dr. l in ohio has a gift when it comes to surgery. i can even sit on the toilet....

anyways i am so happy you guys are doing so well...keep up the good work! and come visit if in georgia (sorry about the politics here) though...and i am coming back to europe next summer with my niece! italy! again! cant wait...maybe some of us can meet up

bye

auntie kim
L pat. dislocation, 1977;  run over by a car, L pat. dislocat., multiple burns & fxs, 1981; L knee scope, 8/03; L knee MUA, 10/03; L knee MUA & patellar tendon rupt; 6/22/04 lysis, debride, pat. baja!

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #218 on: August 05, 2004, 10:33:08 AM »
Welcome back Aunty Kim to the land of walking - we are all delighted that you will now be able to chase all!! us young men.

I`m afraid it`s back to school for you......... Sri Lanka is the Island south of India, used to be called Ceylon. A wonderful place for holidays, although a little hot spot in more ways than one at the moment :'(

I am still still suffering (after 18 months) with Venus Insuffency - non technical term means that some of my veins below the Ruptured Tendon have sealed up causing a restriction in the circulation of fluid in the leg.

Ooooooh it`s painful, but should clear up in a few weeks.

By the way you are not the exclusive women with a RPT - I am in touch with a female who lives in Acton - Antelope Valley, Southern California who has Ruptured her Patella Tendon TWICE.

She has running in her back garden raccons, great horn owls, golfer snakes and rattlers :-[ :-[

Can you beat that!!

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

Complete Ruptured Tendon

Offline wingnutwillie

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Re: Ruptured Patellar Tendon Surgery
« Reply #219 on: August 08, 2004, 01:15:34 AM »
I wish I had found this page a year ago, I ruptured my Inrfrapatellar tendon (June28/03) and had to get it reattached to bone as well as mended back together above the patella. I'm wondering if anyone else is having trouble with scar tissue build up. I was just told by my OS that'll I have to go back in in Sept to get some of the scar tissue removed. Also can anyone kneel properly or is it just something that'll be uncomfortable for good. It's a tough injury and I'm glad everyone here seems to be recovering well.

Offline imnotpunk

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Re: Ruptured Patellar Tendon Surgery
« Reply #220 on: August 08, 2004, 07:32:30 AM »
Hey all, I'm new here. I'm a 19 year old girl who has been suffering knee pain for a year and a half after twisting my knee playing sports. My doctor decided to to arthroscopy after multiple MRI's came back inconclusive. He found a torn meniscus and also did a partial lateral release. However, the pain persisted and I began to rapidly form scar tissue. I would then have two MUA's and another arthroscopy, to no avail. He eventually sent me to a pain management specialist who put me on multiple medications including Actiq (a breakthrough-cancer pain medication), Neurontin, Skelaxin, Bextra, and also did multiple lumbar sympathetic blocks (he had thought I was suffering from RSD). None worked, and I was still in severe pain. Physical therapy also did not work, it only made the pain worse due to aggressive stretching to maintain range of motion (which was my biggest problem).

Finally, a couple weeks ago I got a second opinion and found out that both my menisci were torn, my kneecap was dislocated, AND my patellar tendon was COMPLETELY ruptured! My doctor said it probably occured during aggressive stretchfing at PT or during one of the manipulations, but now I'm facing open knee surgery this coming Tuesday (the 10th) to repair the tendon and meniscus, while sliding the patella back into place. He also said he's going to insert pins in my tibia to prevent scar tissue from forming. I will also be in a full leg cast for 6-8 weeks which makes me a little nervous about the possibility of scar tissue redeveloping (  :o )

While I've had a couple knee surgeries before, they were all athroscopy and this is definitely more on the "major" side than a scope or MUA. For anyone who's had this type of procedure happen, could you give me any tips or advice for post-operative care? I don't want to have the same thing happen again (go another long period of time in severe pain and frustrated due to lack of answers from doctors). Also, I want to make sure I can rehab correctly and effectively for a 100% recovery. I would like to live a normal life again, my knee has taken away that liberty for too long now (ugh).

Thanks!

Patricia
« Last Edit: August 08, 2004, 09:52:05 AM by imnotpunk »
R knee:
08/03-meniscal repair, LR
01/04-MUA, LOA
03/04-MUA
08/04-patellar tendon reconstruct. w/hamstring, menisci repairs, lateral/medial releases
10/04-MUA, LOA, debride., marsupialization, lateral release
12/04-MUA, LOA, meniscectomy
L knee:
09/05-meniscectomy, chondroplasty, microfracture

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #221 on: August 08, 2004, 12:45:04 PM »
Hi Wingnutwillie & Patricia - welcome to The Ruptered Patella Tendon club----- A pity that you did not find us earlier.

You are the 29th and 30th member on two message boards since December 2002 - so you will realise that a Ruptured Patella Tendon is a very RARE injury.

To Wingnutwillie - kneeling is a problem area because as you will realise the Tendon has been sewn or fixed by wire back onto the kneecap and one cannot put their weight on the knee when kneeling.   I kneel on my good leg and then pull myself up using both hands.

What ROM (range of movement) do you now have in your injured leg?, how did you do your injury? which part of the world do you live in? and most importantly how did you find the experience of your Consultant/Physio?


To Patricia, I am suprised that your Doctor/Consultant,Surgeon did not pick up that you had Ruptured your Patella Tendon - but this may due to the rarity of this injury.  You now have a very long road to go after your operation and suggest that you read all the posts on this board to get an idea whats in store for you and your rehab process.  One thing that you do have in your favour, is that you are very young and the healing will be quicker.

Which part of the world do you live in??

Wishing both of you a speedy recovery and look forward to your replies.

JohnK/Manchester UK

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

Complete Ruptured Tendon

Offline wingnutwillie

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Re: Ruptured Patellar Tendon Surgery
« Reply #222 on: August 08, 2004, 06:30:52 PM »
Hi John,

I injured myself playing baseball, I collided with another player and there was knee (his) on thigh (mine) contact. From what the doctor told me my quadracepts spasmed and ripped the tendon in half above the patella and off the bone at the base. This was all just over a year ago. I was in full extension with no weight bearing for 9 weeks (good times). I now have full ROM, with the exception of some bad days. I was fortunate to be living close to Banff, Alberta, Canada at the time of the injury, my OS is one of the surgeons for the Canadian Ski Team and knew what he was doing. He will be performing the next routine in September to clean up some of the scar tissue that has built up in the joint and is causing me quite a bit of problems. I was interested in reading some of the other peoples cases in here and it seems that recovery time varys so much, I can't imagine even trying to flex my knee let alone weight bear after only a couple of days. On a interesting note I'm from a small town (Golden B.C, 3500 people) and we had two of these injurys in a matter of months, my friend did his in snowboarding shortly before I did mine in. We went to two different Physiotherapists and had two totally different recovery times, I actually regained full ROM before he did. Thanks for the follow up I appreciate it.
Doug

Offline imnotpunk

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Re: Ruptured Patellar Tendon Surgery
« Reply #223 on: August 08, 2004, 11:21:02 PM »
John,

I was both frustrated and relieved when I found out about my patellar tendon being ruptured; on one hand I was very disappointed in my original doctor for missing it all this time, yet I was relieved to know I'm finally on the right track now. Many people have told me to consider a lawsuit against the original surgeon, but I don't think I'm going to take it that far. While it's true that I've missed a year of school (and haven't been able to work) and have suffered depression due to the whole situation, I feel like this does seem a little out of the ordinary (the injury itself and HOW the injury occurred), so who knows.

Now that surgery is merely two days away, I'm starting to become very anxious about post-op care and the pain/discomfort itself. I guess I shouldn't get myself worked up too badly because I've already dealt with a lot of pain this past year and a half (I'd say walking on a ruptured tendon for months(??) was pretty crazy!), so maybe it won't be as bad as that. I'm also very nervous about lying down a lot of scar tissue again. My doctor (who is a knee specialist) told me to remain as calm as possible, nervousness does lead to more scar tissue forming (ugh!).

I've spent the past year in and out of a CPM, I'm wondering if my doctor will put me in one again post-op. I've read through many of the posts in this thread (which really calmed me, made me feel better to know I'm not alone and many people HAVE had success)  and it seems like each case is different in regards to the use of a CPM or not.

I do have another question though for anyone who's had the same injury -- how long had you been injured before being operated on? I've read a few articles online that state surgicial treatment is neccessary between 2-6 weeks after the injury for best results. This worries me because I may have been walking on the ruptured tendon for up to OVER A YEAR (the doctor compared MRI images from May of 03 and July of 04...it happened between that time frame) and I've been told there IS the possibility that the tendon may not be able to be salvaged and that there is the potential for many complications to arise during surgery. Has anyone had a similar experience, and if so what happened and how is your knee now?

Thanks, and I'm glad to be in the club (I guess! I'd rather have a good knee, but I'll take what I can get :P )

Patricia

I'm from New Jersey, btw :)
R knee:
08/03-meniscal repair, LR
01/04-MUA, LOA
03/04-MUA
08/04-patellar tendon reconstruct. w/hamstring, menisci repairs, lateral/medial releases
10/04-MUA, LOA, debride., marsupialization, lateral release
12/04-MUA, LOA, meniscectomy
L knee:
09/05-meniscectomy, chondroplasty, microfracture

Offline Andy___H

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Re: Ruptured Patellar Tendon Surgery
« Reply #224 on: August 09, 2004, 07:05:05 PM »
Hi all,

And a big hello to the newbies Patricia and Doug. Sorry I can't really ask either of your specific queries.

I haven't got as far as kneeling yet, far from it, haven't even got the go ahead to straighten the leg yet!!  :-[ And I thought I had it bad having 9 days in between injury and surgury, but Patricia's injury puts that well into perspective. Good luck Patricia with the surgury, I am sure I speak for the board in saying we are all thinking of you in there.

A quick update from myself. I rang up this morning to get my first physio appointment from the NHS and initially got given a date of the 25th Aug, meaning 2 more weeks of in-capacity, and 11 weeks in total since the injury. Anyway, I managed to argue them down to an appointment of the 19th Aug. Makes a mockery of my doc's words, "you need urgent physio to get your knee moving again".

Hey ho, things can only get better    ;D

Cheers

Andy
(Portsmouth, UK)
Patellar Tendon Rupture 9th June 2004 playing Volleyball
Surgury 18th June - NO WIRES
Placed in full leg cast 21st June, Removed 02 Aug.
Staples out 5th July