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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1273742 times)

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Offline kajacos16

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Re: Ruptured Patellar Tendon Surgery
« Reply #5430 on: December 05, 2014, 01:55:51 AM »
Today was my second follow up, 5 weeks post op. Physical assistant was very happy with my progress. I am at 55. degrees flexion and i can do leg lifts no problem. He said no more crutches, i can walk with brace unlocked at the range I am at, and no more sleeping with the brace. I start PT next week. Really good visit, I am excited.

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #5431 on: December 05, 2014, 07:15:03 AM »
Hi Kajacos 16


Good progress - however remember that your tendon has no yet healed - suggest that you use a walking stick/cane and look out for wet leaves, ice and snow.  Listen to your knee - don`t push it - patience.   Ask your PT - have you seen this type of injury before?

Keep posting

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

Complete Ruptured Tendon

Offline manttila

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Re: Ruptured Patellar Tendon Surgery
« Reply #5432 on: December 09, 2014, 02:12:06 AM »
Just wanted to provide an update after the 6 week visit.  It was not typical according to the doctor but he was not concerned and felt things were healing well.

I am at 100 degree ROM!  Very unusual but I will take it.  Now I need to get the quad strength back.  Went to PT also for initial evaluation and have 5 PT appointments scheduled for the next 2 weeks.  4-6 weeks of PT approved.

He wanted me to continue with the 0 degree brace but I asked him for a hinged brace so I could start driving.  Will mostly keep it locked for the next few weeks but preset to 50 degrees for getting in and out of car or when sitting down.  No more crutches but I have an adjustable hiking pole I may use for a while.

Next visit January 19th.

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #5433 on: December 10, 2014, 10:02:31 AM »
Hi Manttila

100ROM at six weeks incredible, but take it very easy - place your carseat right back - try an emergency stop - keep posting

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

Complete Ruptured Tendon

Offline Thomas99

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Re: Ruptured Patellar Tendon Surgery
« Reply #5434 on: December 12, 2014, 01:15:34 PM »
hi,

Just passed the 6 month anniversary of my original patellar tendon rupture, wow hard to believe it's been 6 months. I know everyone says be patient, but I just want to get better.

I was admitted to hospital to have the original tendon repair that failed repaired on the 11th December, but as the surgeon was about to wheel me into theatre, she noticed this tiny pimple on my lower leg where the surgical incision was to be made. I was totally shocked when she advised that she could not operate and the surgery would need to be cancelled, as the pimple would infect the surgery incision. A tiny pimple had cancelled my tendon repair surgery due to the high infection risk. I understand the reasoning, but both me and my wife were devestated.

Due to Christmas closures, surgery postponed 4-6 weeks.

It's been a tough 6 months with the pain, immobility and not being able to sleep through a single night without waking up from the pain. Knee is extremely swollen and painful but as there is still a major partial rupture of the tendon I guess this is to be expected until the tendon is repaired fully.

Dreading having to go right back to the start of the recovery process when the surgery is redone in January.


Offline Kaddydee

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Re: Ruptured Patellar Tendon Surgery
« Reply #5435 on: December 14, 2014, 12:10:36 AM »
Hi Thomas,

So sorry to hear about the delay in surgery. AAAAUGH!!!!!  I feel your frustration!  I had to wait 2 years before I was allowed to have my surgery and then on the day of the surgery, I waited 3 hours in my hospital outfit only to be told that the person before me went over time and there was no time for my surgery.  I had to wait another 3 weeks.  My husband and I were devastated - such an emotional rollercoaster!

Looking back, that 3 week wait was a positive for my family as we really made the most of the time together.

So, even though you're understandably frustrated, I hope that you can enjoy the Christmas season and that some positives come your way because of the delay.

Bring on 2015 with no pain, good sleeps and legs that work as they should!

Kath

Offline carkeltom

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Re: Ruptured Patellar Tendon Surgery
« Reply #5436 on: December 14, 2014, 07:20:53 AM »
Hey all, it has been awhile since my last post, so I thought I would give an update.  Almost 17 months post surgery for a double RPT.  I have found this board most helpful and very therapeutic.  I am still making some small strides and see positive changes every few weeks when I am able to notice myself doing something over and over without thinking about it.  My latest has been my ability to go forwards down steps, without pain and without the fear of falling forward.  I have been using my elliptical machine with the onset of colder weather here in Missouri, after beginning a good walking routine late in the summer.  I still feel awkward walking down slopes and inclines, but without having to reach out with my toes to walk, which was sort of how I progressed after not having a good leg to stand on during my rehab. 

I was able to coach my 5 year-old daughters soccer (football for all the non-Americans out there) team, which of course required me to be on the field with them, moving up and down the field.  I was able to move quite nimbly and only fell once after stepping into a gopher hole.  This small step for me is a big step forward, as I look to the spring and summer softball seasons ahead.  I look forward to being able to coach this year, without having to have an assistant by my side all the time.  I am anticipating a busy time with at least two teams this summer and can not wait. 

For everyone else out there, keep strong.  I have read all the new posts and you guys sound like positive folks with us here to guide you along.  I am dismayed with all the surgeries that are occurring so late after injury.  I know we can be somewhat lucky, especially if you have insurance I guess.  Keep the faith and keep posting.  Hopefully this board can help the next person who finds our club.

Merry Christmas to all and watch the snow and ice.
Tom
Bilateral patellar tendon rupture 7/19/13

Offline kajacos16

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Re: Ruptured Patellar Tendon Surgery
« Reply #5437 on: December 17, 2014, 04:43:33 AM »
Just had my first PT visit. I am now 7 weeks post op. It was not long, i am at full ROM. We mostly worked on things to increase my quad strength cuz it atrophied quite a bit. I am pretty far ahead of schedule and since i have full ROM he didn't have to do any passive ROM exercises. The hardest part it not pushing it since it feels good, but I know inside it is still healing and not good yet.

Offline Kaddydee

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Re: Ruptured Patellar Tendon Surgery
« Reply #5438 on: December 18, 2014, 12:14:10 AM »
It is great to hear some good news stories Kajocos and Manttila!

I'm 5 weeks today and I don't think things are going too well.  I compared my kneecap heights yesterday, in a variety of positions, and my bad kneecap is almost 2cm higher than my good kneecap.  I had this (Patella Alta) before my surgery and it caused all my problems.  The surgeon said that they took an xray of my knees in surgery to make sure they were the same height but from my measurements/comparisons it doesn't look good.  My knee is still so distorted in size and swelling that I may be wrong, or it may settle down, but I am worried. 

I'll be at the hospital to see the physio next Tuesday so I might try to have another xray taken.

The good news for the week is that my heel can finally touch the ground so I can start to weight bear.  It feels good with no pain - I've got to hold on to the positives!

Kath

Offline fishy

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Re: Ruptured Patellar Tendon Surgery
« Reply #5439 on: December 18, 2014, 07:25:22 PM »
Fishy here, and just under 19 months post event.....Carltom you are my mirror double RPT.... and I agree with you, things are definitely going in the right direction.  Stairs are less problematic (though I will forever use the handrail going both ways).  I can stand and sit mostly without pain.  Thanks for the posting.  All Newbies.... man, keep the faith!!!  You will recover....it will be at your own pace (of course) but by reading all the posts on this website you can keep yourself informed and energized.  I keep checking in because I know many look forward to my postings (john42, you too....lol) and I have something to contribute.  We doubles are a rare breed!!!!   Thanks to everyone, keep posting and stay positive.....  Bob

Offline JC55

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Re: Ruptured Patellar Tendon Surgery
« Reply #5440 on: December 18, 2014, 10:17:13 PM »
Op+15 months.  Tom and Fishy great to hear from you!  I really don't know how a double RPT could do it but you guys were a true inspiration to me. I'm well and on "holiday" as my European friends say and at a certain theme park in Florida I hear lots of English accents. Reminds me of john42 and the rest of the bunch. Really the only issue I have is starting to run from a dead stop.  I don't think I trust my knee yet on some level deep down...it's the only time it manifests itself.  Oh well, can't complain...I've gone days without noticing my knee and wish everyone reaches this level of recuperation (or exceed it like).  Peace to all and a very Merry Christmas with good wishes for the New Year!
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline bballkingofnba

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Re: Ruptured Patellar Tendon Surgery
« Reply #5441 on: December 19, 2014, 09:16:37 AM »
Hi KaddyKee, a little bit of a patella alta is very common after a repair. Mine is about a cm higher from the surgery but my surgeon said it is because the tendon heals with scarring and the scar tissue is not pliable enough like regular tissue. Therefore, to start bending the knee again, it stretches out a bit more in the process. I do not think my patella alta has any effects on my knee as I can do everything. My main issue is pain and  stiffness whle extending my knee but those arose from the fact that i had a very traumatic injury to my knee in a car accident. If you can keep your knee mobile and build quad strength, things should improve. 2 years later I am still improving and my most improvement came after the 18month mark because until that point my knee would hurt even with just planting my heel.

Offline madvillain

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Re: Ruptured Patellar Tendon Surgery
« Reply #5442 on: December 20, 2014, 03:33:22 AM »
Hi guys I wanted to chime in here and just tell you where I'm two weeks after surgery for bilateral ruptures after years (ugh, wish I would have known this was a sign of weakness in the tendons) of tendonitus and sports activity. (3 sport athlete in HS, played DIII Baseball, total weekend warrior as an adult, I enjoy hiking the mountains around Seattle and playing tennis).

I had surgery to repair my tendons after blowing them out playing tennis two weeks ago (actually 13 days ago but close enough).  I went up to the net full sprint, jumped to hit a volley and came down crumpled.   I am an extremely athletic 31 year old male and this was a major bummer to say the least.  I suspected immediately dual tendon rupture (just looking at where my kneecaps were and having a bit of sports medicine experience).  Confirmed on xray and surgeon came in on his days off to look at the images and do the surgery.

Surgeon told me I had a relatively "clean" rupture in both knees with no other damage and only minor bone chipping.  He had me in surgery 24 hours after the rips (crazy) and told me everything went well after surgery and that I should try and get out of bed as soon as possible and start moving around on the walker.

One day after surgery I took an incredibly slow journey to the bathroom in full locked braces.  I took me literally 5minutes to cover the 10 feet.  I could not remember how to walk, even with the braces.  I had to scrunch my toes up to even move forward.  I was leaning heavily on the walker.

My PT and Surgeon encouraged me to give it a try so I did, it was not easy but I was happy to have been able to do it.

13 days later the progress I have made is unreal.  I attribute it to getting a great ortho (he's top rated in the PNW US) and coming into surgery as an athletic, relatively young person and hard work with PT immediately after surgery.  I can now load bear on the legs fully and even can walk with a cane slowly from place to place.  I have (this is crazy) zero pain, only the slight inflammation response feeling in my knees.  I have been off all pain meds since day 3 after surgery.  I ice as much as possible and even bought an icemaker.

I have down light ROM stuff (maybe to about 30 degrees) and have no pain.  I am waiting for the followup with the surgeon in 3 days to get the sutures removed before attempting to go further.

I know I am not even close to fully healed and will be reliant on the braces for the next 8 weeks or so but I am thrilled to just be moved back into my apt and working again and in no pain.

Leg power is returning ever day.  I do 30 minutes of PT, circuit style, every morning.  I then do another 30 minutes to 60 minutes general weight training in the evening (again mostly circuit style, low weight high rep, to try and keep my cardio up).

During my quad sets I can feel them really starting to activate and I can now lift by legs up onto the bed and lower them with no assistance.   I've been doing that for 3 days actually.

I am very careful to stop PT or load bearing at any indication of pain but I have been encouraged to work if I am pain free from my PT guy (I met with him before I left the hospital and will meet again after seeing the surgeon) so I try and do as much as possible throughout the day.

In a way, getting better as quickly as possible (without foolighly rushing) is now another full time job.

I am watching my Diet and I am hoping to drop from my current 20% BF down into the 15% range permanently to take stress off my knees.

I don't know if I will ever squat 400lbs again or return to a tennis hard court but I know that I will walk again, do stairs, jog, and enjoy life until proven otherwise.  I can't wait to see the look on my surgeons face when I show him my progress.   
« Last Edit: December 20, 2014, 04:10:34 AM by madvillain »

Offline Stuart Rulka

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Re: Ruptured Patellar Tendon Surgery
« Reply #5443 on: December 20, 2014, 05:13:36 AM »
Madvillain, condolences on your injury, but it does seem that if one has to sustain an injury of this type the Pacific Northwest is the place to be. I sustained a relatively straightforward RQT in BCs  Gulf Islands, was evacuated by Coast Guard hovercraft to Vancouver Island and was in Surgery 16 hours later. Back at work in 3 days, on a bike, under supervision of my PT, at 3 weeks and hiking Vancouver's Grouse Grind at 6 weeks.
   I liked your comment about wanting to see your Surgeon's face as it seems that  in the UK the Surgeon's word is law. Like you my recovery was supervised by my PT, and our progress seems to bear out the merits of that approach.
  We were also both fortunate in not experiencing the severe pain ,typical of these injuries, so were not burdened by taking painkillers. I certainly could not have returned to work under the influence of Opiates.
  I guess my point is that our shared experience shows that people should not be afraid to push the boundaries, while listening to their own bodies. My Sports Medicine Specialist, Dr Jack Taunton says it comes down to being "Driven".
  Obviously I am trying to elicit a response here and keep the discussion on early return to activity going!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline madvillain

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Re: Ruptured Patellar Tendon Surgery
« Reply #5444 on: December 20, 2014, 05:34:01 AM »
Most definitely Stuart!  I was inspired by the community of people that have undergone the full rupture, both single leg and bilateral.   There was a period of a few days feeling very sorry for myself but I immediately switched into "get it done" training mode when the pain really subsided on day 3 after surgery.

Sleep was very hard for the first 4 days of the injury as was eating and as we all know those are critical to quality of life and mental health.  Well, I'm now sleeping on my sides again (thank goodness) in great comfort, and my appetite has returned and I'm enjoying food again.  (and a beer now and then!).

Frankly IMO the way the US docs give out hardcore narcs like Oxy is ridiculous.  I have 55, 5mg pills (I took 5 after leaving the hospital just to get any sleep the first few nights) that I now do not know what to do with.  I have no desire to use them (I'm lucky that way, I certainly get addiction but opiates aren't my thing).  I will probably just flush them, even though it goes into the sound :(

The PNW is an inspiring place with tremendously talented people.  I was at Swedish Issaquah and I was blown away by the quality of the care.  I had a nurse or two I didn't care for but overall it was top class.  I feel my surgeon used state of the art repair (wireless) and did a great job.  The proff will be in the pudding but I have no signs of infection or pain two weeks out so that can't be a bad thing.

I can't help but think though that all those "sore knees" after coming down a particuarly rocky trail slowly deteriorated the tendons but you know -- whatever.   The PNW is a special place and most people that live here do so because they find solace and contement in nature.   If you're an athlete (or fancy yourself one!) you are always trying to climb higher and seek more remote places.  The jolts the knees add up over time but I wouldn't trade it for not doing it, it's just part of what I find enjoyment in.

One thing that I have noticed (on a negative) is just general lower energy level.  I am lucky to own my own business and have only been working a 4 hour shift daily.  Although I have energy in the morning and evenings to do my PT I find myself taking a nap, something I rarely if ever did previously, for about 2 hours ever afternoon -- or at least laying down.

I think this is my body telling me to rest so I go with it. 

Your story has helped me understand that even though I am reading about slower recoveries online that it is possible to go faster safely.  Thank you so much for your reply and i hope we can help other people in their recovery.

Mobility is god damn precious.  You learn that after something like this.  It's a cliche, but man, we are all blessed.















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