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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1250566 times)

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Offline diane72

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Re: Ruptured Patellar Tendon Surgery
« Reply #5985 on: March 18, 2016, 12:29:11 AM »
Hello Everyone,

Rodd, 'welcome' to the RQT/RPT club!!! Wow that was a quick turnaround-I waited 12 days for my surgery (the joy of the the UK NHS!). I LOVE Vancouver,  my husband and I got engaged there and had an amazing engagement trip to Jasper, Lake Louise afterwards-sooooo beautiful! Good luck in your recovery, looking forward to sharing the journey with you!

Brett, how is your recovery going? I half expect you to be running a Marathon by month 4 so I have high expectations of you  ;D

How is everyone else?

As for me, I had another physio session today. I can get to 75 degrees on my own but she can get me to 90 degrees-so somehing to work to for my consultant appointment on 30th March! I also managed to be able to lift my leg straight out in front of me from sitting position for the first time without the help of the scarf, which has led to lots of new found useful purposes such as getting my leg on and off the bed without the scarf (although mentally I still feel very nervous on the way down, going up is much less stressful!).  7.5 weeks post-surgery, the whole series of Outlander, 5 whole series of Game of Thrones later and determined to get to 90 degrees in the next few weeks! I also have resigned from my job, as I was offered a really exciting new job and I decided if I didn't take it this leg injury would genuinely become a 'life-transforming' injury, which I didn't want to happen. I have a 3 month notice period, so I now really have a stong incentive to get back to functionality and walking well in 3 months as I will have a new job. I'm also planning to go back to work 'online' next week. Lots going on!

I hope everyone is well!

Diane  :)
Patellar tendon complete rupture,
12/01/2016,
Didn't notice my 4 year old's microscooter,planted my foot and went flying, schoolbag, workbag, catbowl, BANG!

Offline Cdn_Forces_Blown_Quadtend

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Re: Ruptured Patellar Tendon Surgery
« Reply #5986 on: March 18, 2016, 04:06:50 PM »
Thank you Stuart, your right I'm based out of comox. My incident happened in Naniamo but had them transfer me up to Campbell River as the ortho was there waiting for me. wow 6 weeks that's pretty amazing. I'm seeing my surgeon on Monday. First time since before the procedure.  Looking fwd to hearing what he has to say.  Herd he's very blunt and to the point.

Hello Diane, 
I am fortunate to live in such an awesome part of Canada.

Well time to get up and move to the couch lol.  How the simple things in life are not so simple right now.

Rodd



Offline LondonNiall

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Re: Ruptured Patellar Tendon Surgery
« Reply #5987 on: March 19, 2016, 09:01:43 PM »
Hi all, did my rpt in 2009.  Just occurred to me today that I used to welcome hearing from ppl further down the road on this site (and thanks to John42 for his help at the time in particular).

So to be honest I'm fixed, or as good as makes no difference. I can do whatever sports I want, I have played football regularly since for example. I don't do as much exercise afterwards as I did before though. Partly that's down to not wanting to risk things but as much about having young kids now and settling into middle age (I'm 42 now).

Bad knee is still a good deal larger below the kneecap. It does feel different to the 'good' knee and I get twinges sometimes as the tendon tissue feels tighter, less flexible or dexterous as the natural state. However, I have no complaints at all. Never thought I'd get here back in the early days after surgery.

My advice? Gives yourself a year to get right. You could be back jogging within 6 months but 7 years on I'm glad I didn't push too hard. To put it mildly I get the feeling it's much much much better the get it right first time.

Anyway folks, focus on the next week, the next month but not beyond that. Know that most people do seem to recover very well.

Good luck and thanks again to those that helped me, incl the NHS (who were excellent).

Ps) let's hope this message isn't a jinx!
25th Aug 09; Complete rupture of right patella tendon with surgery the following day;
18th Oct 09; Snapped the wire support whilst exercising;
21st Dec 09: Surgery to remove screw and wire support.
28th Mar 10: Played football again

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #5988 on: March 21, 2016, 07:29:35 AM »
Hi LondonNiall     

Nice to hear from you - just be thankful for each day - live with what you have achieved - enjoy playing with the kids -

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

Complete Ruptured Tendon

Offline Bmcnamara417

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Re: Ruptured Patellar Tendon Surgery
« Reply #5989 on: March 24, 2016, 01:37:16 AM »
Alright....its been a few weeks. Going through the low points of this injury.  Really made a turn for the better the last few days.  ROM up to 108 degrees.  Not wearing brace around the house much (5 weeks post surg).  Been using an electo Shock muscle stem unit to build the quad muscle.  Seems to really be helping.  PT says I can unlock to 20 degrees at all times starting tomorrow.  Leg is ready gaining strength, but it is still pretty stiff.  Need to do better job stretching the knee out.  Doc says golf by May!  Let's hope!

Brett
Left Patellar rupture May 2012 and right in Febuary 2016

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #5990 on: March 24, 2016, 02:28:45 PM »
Hi Bmcnamara417

Don`t think that anybody would be happy reaching 108 ROM in only a few weeks - The tendon is not fully healed until about 10/14 weeks, so listen to your knee and take care.

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

Complete Ruptured Tendon

Offline madvillain

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Re: Ruptured Patellar Tendon Surgery
« Reply #5991 on: March 24, 2016, 07:46:59 PM »
Wheel: I do the scraping myself I watched a couple youtube videos of PTs doing it on the knee / quad area and really think the only critical thing is to not scrape too hard / often and to always scrape in the same direction -- down and from outside of the knee cap to center over the scars.

Did some 225lb deadlifts the other day -- yikes.  Used to be able to rip off 10 of those puppies no problem for 3-4 sets.  Was struggling to finish 2 sets of 5x reps but got them done with good form in the end.

Knees are feeling better and better as I build the muscle back up.  Did a single 36" box jump and measured my vertical at a whopping 14 inches!  Hey, that's about 14 inches better than it was 15 months ago!

I climbed on the rowing machine for the first time in 6 months or so as well -- crazy how that thing still helps loosen up the ROM 15 months after surgery.  Really enjoy that machine for a gentle warmup on the knees. 

best wishes to everyone as always work works.

Offline diane72

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Re: Ruptured Patellar Tendon Surgery
« Reply #5992 on: March 24, 2016, 08:13:17 PM »
Hi Brett,

Sorry to hear you had low points. I think it is one of the things people don't always appreciate-how much mental power all this takes. Glad you have made a turn though. They don't use the electroshock units here, so interesting to hear you have found it useful. 108 at 5 weeks is amazing-is that on your own or with help of the physio? You are doing a great job, keeping fingers crossed for some May golf!!!

I find first thing in the morning the stiffness is worst and you really need to work on it to get the bend back in-I'm getting closer to my 90 degree target that I had for next Thursday from my consultant. Although the hospital have always said to unlock it permanently to whatever my allocated ROM goal is, I've generally only unlocked it while walking to what I know I can bend it to and I felt I had the strength for, but my leg has now caught up, so the two are now in sync! Also progressing well with the leg lifts, both straight and lifting the leg straight out in front from knee bent in a seated position and I can get my leg on and off the bed fairly confidently without a scarf anymore.

As we have no shower in our downstairs bathroom I invested in a removable electric bath chair that raises you up and down and so I had my first proper bath yesterday-bliss!!!! It was complicated in that I got into the bath with the brace on and once secure on the seat I then took the brace off and filled the bath up followed by lowering. Then when getting out I let the water away and dried all the bath before raising the seat and putting the brace back on to get out! Oh how I wish I had a step in shower in my house, but I'm happy to move out of the washing out of a sink phase! 

I am now officially 'back at work' but working online and on the phone for now. Just need to make sure I stick to the physio exercises with the distraction of work which I have found challenging while getting back up to speed, but need to prioritise it and not lose my momentum on recovery.

LondonNiall, madvillain, thanks for the updates-really useful to hear the long term experience

Rodd, how is it going?

John, Stuart, I hope you are both well!

Lots of out of the house activities planned for Easter, like cookie decorating at the garden centre with my 4 year old and a drive through safari park where she gets to meet Peppa Pig (don't worry I'm not the driver!!) and lunch at our local pub. Wish me luck!!!

Diane  :)
« Last Edit: March 24, 2016, 08:15:23 PM by diane72 »
Patellar tendon complete rupture,
12/01/2016,
Didn't notice my 4 year old's microscooter,planted my foot and went flying, schoolbag, workbag, catbowl, BANG!

Offline lenkev70

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Re: Ruptured Patellar Tendon Surgery
« Reply #5993 on: March 27, 2016, 01:07:30 PM »
Hi Kath, I am new to this forum and have read your posts with interest. I have a similar situation to you and have patella Alta. The surgeon has said he will perform a procedure to shorten my tendon and re attach it using an allograft. He is however reluctant to do this.

How are you getting on now, I have noticed you have not posted anything for a while now.

Hope to hear from you.

Thanks,

Kevin

Offline Bmcnamara417

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Re: Ruptured Patellar Tendon Surgery
« Reply #5994 on: March 29, 2016, 09:48:25 AM »
5.5 weeks post surgery and I am rarely wearing my brace.  Especially around the house.  My quad strength has come a long way in the last week.  I give credit to the early PT and not letting my quad wither away to nothing.  Also have a very nice NMES electric shock therapy unit that has really helped add quad strength.  The knee is still pretty stiff....I have that good old rubber band feeling while walking.  I know the continued exercise and therapy will fix that.  I am at 108+ ROM at this point.  At this point...I see no reason I won't be back to work as a firefighter by mid May.  Below is think to the NMES unit I have...

http://www.neurotechgroup.com/us/products/kneehab-xp
« Last Edit: March 29, 2016, 09:51:09 AM by Bmcnamara417 »

Offline diane72

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Re: Ruptured Patellar Tendon Surgery
« Reply #5995 on: March 29, 2016, 09:24:01 PM »
Hi Brent,

That is amazing news! Wow! So do you use no brace and no crutches in the house? I do think stemming the muscle atrophy and speed to surgery makes a big difference for speed of recovery for this injury, it is logical. What exercises do you do at home for the ROM? I feel like I'm not making the same progress with the heel slides as my leg is up at my chest as you get closer to 90 degrees when in the sitting on a flat bed position and the sofa is a hard block so can't see how you can bend more than 90-looking for ideas and tips! Thanks for the info on the NMES. I'm rooting for you to get back to your life as a firefighter, certainly you deserve to get back to it with your determination.

Hope everyone else is doing well?

Diane
Patellar tendon complete rupture,
12/01/2016,
Didn't notice my 4 year old's microscooter,planted my foot and went flying, schoolbag, workbag, catbowl, BANG!

Offline diane72

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Re: Ruptured Patellar Tendon Surgery
« Reply #5996 on: March 31, 2016, 11:42:00 PM »
Hi All,

So I had my hospital consultant appointment today. I am now 9.5 weeks post-op. I demo'd I could comfortably do straight leg raises and demo'd that I can reach his 90 degree target on bending fine. He said to 'take the brace off now'that I can reach 90 degrees, progress to 50% weight bearing with the crutches and then progress to 100% in the 3 weeks after that and then give up the crutches. Seems to be a different approach from others on here?

I also questioned him about the metal wire in my leg and taking it out and he said 'Oh there is no need'. I'm not convinced and asked him wouldn't it impact my ROM and he said it was set at 100 (!?) but should stretch a bit and if it snaps and bothers me then we could take it out. Not feeling very happy about this approach has anyone else had this?

Diane   :-[
Patellar tendon complete rupture,
12/01/2016,
Didn't notice my 4 year old's microscooter,planted my foot and went flying, schoolbag, workbag, catbowl, BANG!

Offline Bmcnamara417

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Re: Ruptured Patellar Tendon Surgery
« Reply #5997 on: April 01, 2016, 08:49:00 AM »
I'm not familiar with the wire situation.   But I have to say he is being way, way, way too conservative!   If I were you...I would get to full weight bearing ASAP.  Then unlock to 30 degrees and start walking.  Before long....you have brace totally tossed aside.  You have read every thing on here I'm sure.  I have read most....I'm not sure ai have seen anyone that conservative.....

Offline Stuart Rulka

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Re: Ruptured Patellar Tendon Surgery
« Reply #5998 on: April 01, 2016, 10:17:35 AM »
At a lecture last month I learned that the average physician receives about three hours of instruction on PT. Your OS may receive more but I suspect he/she largely draws his/her own conclusions as to what is appropriate.
I have long maintained a that your PT is the recovery professional!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline diane72

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Re: Ruptured Patellar Tendon Surgery
« Reply #5999 on: April 02, 2016, 09:09:15 AM »
Hi Brett, Stuart,

I have to say I agree with you, I think unless you have someone that specialises in your type of injury (I've googled my surgeon he is an ankle specialist not knee) it's unlikely they know that much about the recovery process and even then the physio knows more as that is what they do. I suspect particularly with the NHS they don't have much time to keep up to date with the latest academic literature.

I saw my physio yesterday and she is getting me to improve the form of my straight leg lifts and has given me exercises where I stand up from a high chair on both legs equally while crossing my arms on my chest and standing in front of a table with my hands on it doing very shallow slight squats followed by moving my weight from leg to legl-I see her again next Tuesday for more....sounds more promising.

Diane  :)

Patellar tendon complete rupture,
12/01/2016,
Didn't notice my 4 year old's microscooter,planted my foot and went flying, schoolbag, workbag, catbowl, BANG!















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