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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1249528 times)

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Offline John42

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  • Complete Ruptered Patella Tendon 9 Jan 2003
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Re: Ruptured Patellar Tendon Surgery
« Reply #5280 on: April 12, 2014, 10:07:43 AM »

Hi Jonathapeacock

Welcome to the KneeGuru RPT thread - You need to place pressure on your OS to get that Tendon repaired - a long haul to recovery, PATIENCE is the keyword.   As SellaVee stated, read as many of the previous posts on the RPT thread - ASK questions - many buddies out here to help you on this long road to 100% fitness.   Where do you live?

Read the undermentioned thread - contains a number of documents which I have collated together with KneeGuru - it will give you an insight of your injury and the rehab procedure.

Take care
JohnK/ Manchester UK




https://www.facebook.com/QuadricepsPatellarTendonRupture
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline jonathanpeacock1522

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Re: Ruptured Patellar Tendon Surgery
« Reply #5281 on: April 12, 2014, 03:17:22 PM »
@Sellavee, @John42
well the reason of my delayed surgery is lack of insurance. It kicks in May 1st. :(
I see a specialist Thursday. This will be the first time meeting him. 10yrs experience. Read his patient reviews and all exclaimed his passion and that he seemingly truly cares..hopefully no surgery is required. Will keep y'all updated!
@John42, I live in Houston, Texas, hence the "y'all"  :D


BTW this is awesome that you guys do this. Taking time out of yall's day and everything. I will be sure to record my progress!
Mar 12 2014- Torn Patellar Tendon

Offline dtr42

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Re: Ruptured Patellar Tendon Surgery
« Reply #5282 on: April 12, 2014, 08:04:35 PM »
thank god for the NHS i can not believe that someone would wait for an op that is so essential to get back to full fitness and health ,it's like someone covering a limb loss with a sticky plaster and saying I will see you in a month I hope you jonathanpeacock1522get the medical treatment you require so much quicker than the 1st of May,the road to recovery is a long and tiring road and I wish you well on your journey .

Offline SellaVee

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Re: Ruptured Patellar Tendon Surgery
« Reply #5283 on: April 12, 2014, 09:49:17 PM »
Oh heck, Jonathan, I'm going to have to tell it like it is.

When I had to wait 31/2 weeks for my surgery I had a great deal of worry during that time because previous posters had said that delayed surgery led to poor progress.  Phrases like ''the tendon was like cream cheese'' were used and I felt I could have done without the worry. When my op was scheduled a week after my ultrasound I asked the surgeon if it was OK to wait that long.  He replied ''Yes, but I wouldn't want to wait any longer.''

If you have a ruptured patellar tendon, and your symptoms and MRI scan suggest you have, surgery will be required.  No matter how good your surgeon is, if the tendon has deteriorated his task will be that much harder.

This is a really serious injury.  I thought it would leave me permanently disabled.  One of my closest friends said. ''Throw money at it.''   I took her advice and saw an excellent private physiotherapist at my own expense.  At your age it's even more important that you make a good recovery.  Please don't take your mobility for granted.

I'll be interested to hear what your specialist says.  You take care.
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline Stuart Rulka

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Re: Ruptured Patellar Tendon Surgery
« Reply #5284 on: April 12, 2014, 10:02:18 PM »
JP1522. Listen please to what has been said about  promptness of surgery. Longer wait, longer recovery. I would also suggest you check now to see if your insurance will in fact cover what they may, with some validity, claim to be a pre-existing injury!
  Insurance companies are your best friend until such time as you actually try to make a claim! For heavens sakes don't try to fudge dates because records already exist regarding the injury. Don't mean to cast doubts on your integrity but you could be in a desperate situation. To wait till May and be denied coverage would be the worst possible outcome.

Good luck, you have a long road ahead of you but we have all been there and come through it!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline jonathanpeacock1522

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Re: Ruptured Patellar Tendon Surgery
« Reply #5285 on: April 12, 2014, 10:38:42 PM »
well i cannot be dropped for a pre-existing condition as per Obamacare( as much as I didnt like supporting it, i needed it.) I enrolled after March 15th, 2014, so my coverage cannot start before May 1st. Im sure the surgery would be very costly out of pocket and i would prefer not to go into debt, hence the waiting. I feel the urgency and as much as I don't want to admit it, im scared. I don't want this to haunt me for the rest of my life :(
Mar 12 2014- Torn Patellar Tendon

Offline JC55

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Re: Ruptured Patellar Tendon Surgery
« Reply #5286 on: April 14, 2014, 04:35:51 AM »
Hello everyone (Sella, good seeing you).  Jonathon, sorry about your accident.  I too was quite worried about my injury.  Here's my story:  I injured my left leg jumping as well, however I had a complete tear...meaning my patella retracted up into my thigh.  In the process I tore my medial and lateral retinaculum and had lots of soft tissue damage.  Surgery was the ONLY option and I had it the day after.  I'm seven months post-op and recovering nicely.  At 50 years of age and very active I do not notice my injury unless I try to move quickly.  I have creaks and pops with some numbness and there may come a time when I may need more surgery to "clean out" some excessive scar tissue but not there yet.  If you have to wait until May 1st, at least protect it from further damage.  I'm not a doctor, but I would think you'd want to stay off it, wear a brace, and ice it down to reduce swelling.  Good luck...try not to be scared, you will get better.  Peace to all my fellow RPTers.
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline Sreavis73

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Re: Ruptured Patellar Tendon Surgery
« Reply #5287 on: April 14, 2014, 04:50:55 AM »
Obamacare makes me want to vomit. Sorry you are having to wait. Waiting just adds to the anticipation of what's to come. I'm on post-op day 8 of my second RPT surgery. Had my first one on opposite knee back in 2001.  Either it was just that I was much younger or my memory has faded but after the nerve block wore out......... Holy Crap!!!!!  And percoset sucks and Tramadol is useless. I haven't had a pill in 2 days and I'm just now stopped itching. Lol.  Get staples taken out in 3 days. Can't wait. Not much pain anymore but the spasms get old and the uncontrolled jerk of my knee in the middle of the night are sometimes breath taking. Had one the night of the surgery that woke me up damn near in tears. I guess pt will be soon to follow and hopefully back to work ASAP. My instance is a work comp case so we will see how that goes as times moves forward.  Good luck all!!!
Full RPT 10/10/2001 Left Leg
Full RPT 03/26/2014 Right Leg

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #5288 on: April 14, 2014, 09:40:14 AM »
Hi and welcome to Sreavis73

Second time round for you, so you know what is in storefor a long rehab.

Read some of the previous posts on this thread, and have a look at the underneath thread which contains a lot of uptodate documentation which I have collated with KneeGuru.   As you are aware - PATIENCE is required.  Ask questions and keep posting.

Where do you live>  how did you sustin your injury?

Take care
JohnK/ Manchester UK



https://www.facebook.com/QuadricepsPatellarTendonRupture
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline fishy

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Re: Ruptured Patellar Tendon Surgery
« Reply #5289 on: April 14, 2014, 04:16:38 PM »
JP1522 & S73 welcome to the club.  This forum will go a long way to keep you informed, and as you read you will see our passion for your recovery.  Regardless of your outcome keep us informed.  With all the ups and downs that can occur you can bring us insight unique to your journey.  And we will keep you in our prayers.
Week 49 for fishy here.  I have coupled my diet with my recovery of double RPT.  For me my weight was a contributing factor in my injury (I believe).  I am an active 67 yo male, but weighed 195 at the time of my injury.  My ideal weight is around 174 lbs, and I weight 198 lbs when I started my diet 7 weeks ago (February 24th).  I have lost 14 lbs down to 183, and in conjunction with my workout regime has me feeling real good about my recovery.  I am heading to Hawaii May 13th.  Did I mention I'm also tanning?
Take care all my RPTers.  Bob

Offline Stuart Rulka

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Re: Ruptured Patellar Tendon Surgery
« Reply #5290 on: April 14, 2014, 04:49:16 PM »
Bob . Tanning in Alaska in April? Careful if you're using tanning beds . Not very healthy!
  S73 , I'm not  an American  but  vomiting over Obamacare seems odd when  Jp1522 feels it worth waiting an extra month for surgery to receive it's benefits
  Just sayin!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline Sreavis73

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Re: Ruptured Patellar Tendon Surgery
« Reply #5291 on: April 14, 2014, 11:04:11 PM »
Obamacare has caused my insurance premium to almost triple. The fact that JP has to wait because of the government is quite disturbing. Especially when having to wait that long is detrimental to his recovery. Won't get political here  :) just hope he gets the treatment he needs ASAP.
Full RPT 10/10/2001 Left Leg
Full RPT 03/26/2014 Right Leg

Offline Beasman

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Re: Ruptured Patellar Tendon Surgery
« Reply #5292 on: April 15, 2014, 07:20:42 AM »
Greetings all, I haven't posted in awhile as I've been busy pursuing another opinion of my on-going knee saga. Today marks one year for me since my misfortune at the Boston Marathon. Early on, I had every expectation I would be recovered to the point I would run again in this years event. Never did I imagine that one year later, I would be unable to run at all! My recovery has not gone well and I have come to the realization it is due to improper procedures performed on my initial surgery. I have traveled to Colorado to the Steadman Clinic for  consultation with a leading patella-femoral specialist Dr Richard LaPrade.

What has been determined is that the offset between the tibia tubercle and the trochear groove(TTTG) is about 28mm. Normal is 10-15mm. X-rays taken at about 30 degrees flexion reveal considerable patella alta. Both conditions will have to be corrected which will involve surgery...not too crazy about that idea, but given my current condition one year out, I need to do something. He also said my "Q angle" is off a good bit, but I can't remember what that is. He said all these things trace back to the initial surgery. So right now I'm trying to work on the logistics issue of traveling to Vail for surgery. Given the altitude there, one has to also consider the weather factor. They get lots of snow, even when it's warm in most other areas...hence the ski mecca it is! The good news is that I have sustained full ROM(almost 140 on both knees) and I can fully squat(something my OS said I'd never be able to do again). But the crepitus, buckling and subluxing is as bad as ever. I try not to bend or extend my knees in public because the unbelievably loud popping that comes with it always draws those the "what the ----" looks from onlookers!

Sreavis, I know what you are saying about the ACA...my new insurance co-pays have gone thru the roof. I'm quite fortunate that I am in a position to afford the mammoth increases, but I have concern for so many that aren't that fortunate and I wonder what they will do.

Looking back, I wish I had been in position to be more selective as to who did my surgery. I know now that my OS had never performed a bilat RPT surgery and less than a handful of singles. That is not the prescription for success as I found out. My surgery was done quickly after the rupture-less that 24hrs, but the kneecaps were not properly positioned. I wish though I had waited until I returned home to select an OS for the surgery as the two or three day delay likely would not result in excessive tendon shrinkage. In Bean-town, I feel I was relegated to an also-ran(no pun here) surgeon due to the chaos of the terror event at the time. Just a bad situation all the way around. Anyway, what's done is done. Now I have to try to see if I can get some function back and if I can't run again it will be an emotional disaster for me as that was my life...it will be hard to give up. Perhaps by Dr LaPrade's skillful hands, my dream can come true! I'll update as things progress, wishing best to all.
04/15/2013 ruptured patella tendons

Offline bballkingofnba

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Re: Ruptured Patellar Tendon Surgery
« Reply #5293 on: April 15, 2014, 08:40:23 PM »
Hi Baesman,

I am so sorry to hear of your situation. I also have a high riding knee cap in my knee but it isn't high enough that I feel unstable. I had a horrible PT who also stretched out my tendon too early (90 ROM at week 4 and 115 by week 6) whereas the surgeon had stated not to cross 90 until week 6. I told my surgeon this and he wasn't too concerned as he said sometimes depending on the surgery and how tendons heal they elongate regardless of how conservative / aggressive we are. The surgeon tensions the tendon in a way so if they tie it too tight then it could cause a lot of problems. In your case I am guessing the surgeon tied it too loose. How much higher are your kneecaps? Do you have pictures of x-rays that show their height? I would be curious to see how they compare to mine because sometimes patella alta can be controlled with quad strengthening. It would suck to go through another surgery and be worse off. A lot of other users here have higher kneecaps as well so maybe they can chime in as well.

I hope things really work out! Best of luck.

Offline fishy

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Re: Ruptured Patellar Tendon Surgery
« Reply #5294 on: April 17, 2014, 04:34:36 PM »
Hey Beasman, Fishy here;  been there, done that....except I have elected to give up the running (double RPT) and concentrate on walking normally, and being able to go up and down stairs "normally".  I am 67 years old and past my marathon days (I had literally worn out my legs even before the RPT's) so I am not traumatized by the loss....but I can understand the passion and drive to continue running.  My anniversary is May 27, surgery done at a VA hospital with combat doc's that have also "been there, done that" countless time on other soldiers.  I still get pain in the quad just above the knee when going up/down stairs or rising from a chair.  But it is getting better.  I hope the follow up surgeries (if you go that route) give you the results you hope for.  Keep posting so we can follow your journey to recovery.  You and all the other members of this exclusive "club" are in my prayers daily....  Bob















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