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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1266984 times)

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Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6075 on: June 18, 2016, 06:13:22 PM »
Hi , been browsing for a while now. Tried to join before but couldn't register but seems to be working now. Did a bilateral patellar tendon rupture on the 5th of May playing touch rugby. Should of stuck with the safer contact version. Operated on the next day and seem to be recovering OK apart from a few setbacks more to do with referrals. ROM is 50degrees at the momment. Biggest issue now is lack of mobility. Locked in extension for walking despite conflicting advice from OS, PT has erred on the side of caution. Wondering how soon things like being able to sit at a desk, use the train, return to work etc. is away. Have clinic on Tues with OS so hope to know more by then. Working my way through the previous posts. Some familiar sounding things so must be progressing OK! So far keeping optimistic without thinking the worse. Will deal with any complications as and when they happen. Obviously huge inconvenience, frustraction etc. all part of the territory. For all you single PTRS it could be twice as bad😆
« Last Edit: June 18, 2016, 06:28:07 PM by Bascat »
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Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6076 on: June 18, 2016, 06:30:13 PM »
Welcome to the RPT thread on KneeGuru - you will have realised that you have sustained a very rare injury with a long rehab - will be a long time before you recommence playing rugby again.

Doing well to read previous posts - ask questions - we are here to help you.

Where do you live? which hospital did your operation?

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

Complete Ruptured Tendon

Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6077 on: June 18, 2016, 07:33:40 PM »
Think my rugby days are over! Can't think the Mrs will let me. 😉
Live in Wiltshire and had surgery in the RUH Bath. Know it is uncommon to do both but strangley there is an elderly gent in the same town we live in who has done something similar at the same time . The PT and care workers are at least getting some practice in. Cheers J
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Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6078 on: June 18, 2016, 08:07:01 PM »
OK care worker comes to do some passive flexation reps each day once initiated by PT. They are happy for me to do these on my own 3 or 4 more times a day. I manage this by propping straight extended legs under some pillows and then releasing the locks. I lower my leg with use of a leg lifter and then swap legs. Any alternative suggestions anyone?
This ain't easy and gets increasingly difficult as the flexation increases.

Cheers J
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Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6079 on: June 20, 2016, 10:51:12 PM »
Feeling a bit apprehensive. Clinic tomorrow to see OS 7 weeks nearly post op..  PT has been good in fairness and has emailed a list of questions mainly asking what will I be allowed to do. They will be increasing my ROM to 90 degrees is what they said last time. My left leg at those moments has reached its 60 limit so good and ready. Right leg is a little behind at 50 but think it will get there. Right knee also very tight over the 1st couple of degree on passive flexion. Once it loosens up it seems OK but sometimes refuses to budget.  Is it best to just grin and bear the tightness. Its not really pain but just feels very tight across the kneecap. Sort of internal like it wants to shoot of. Or is it best to ease off? Don't know what else to expect them to say . They will be doing some xrays so guess this will help to check things are settling ok. Would like to be able to sit down and walk with flexion as getting a bit feed up of tottering around in extension. Is it too soon for this? Thinking I might try catching a train this week as we live a short walk from the train station. Think the gap might be too big to straight leg it across (I'm 6ft6 so might be an option). Don't know if the walking up wheelchair ramp is an option. Wondering if anyone has tried it. Very few I suspect. Anyway realise there's no one really on here but helps  to get it out of my head at least. Cheers j
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Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6080 on: June 20, 2016, 10:51:53 PM »
Feeling a bit apprehensive. Clinic tomorrow to see OS 7 weeks nearly post op..  PT has been good in fairness and has emailed a list of questions mainly asking what will I be allowed to do. They will be increasing my ROM to 90 degrees is what they said last time. My left leg at those moments has reached its 60 limit so good and ready. Right leg is a little behind at 50 but think it will get there. Right knee also very tight over the 1st couple of degree on passive flexion. Once it loosens up it seems OK but sometimes refuses to budget.  Is it best to just grin and bear the tightness. Its not really pain but just feels very tight across the kneecap. Sort of internal like it wants to shoot of. Or is it best to ease off? Don't know what else to expect them to say . They will be doing some xrays so guess this will help to check things are settling ok. Would like to be able to sit down and walk with flexion as getting a bit feed up of tottering around in extension. Is it too soon for this? Thinking I might try catching a train this week as we live a short walk from the train station. Think the gap might be too big to straight leg it across (I'm 6ft6 so might be an option). Don't know if the walking up wheelchair ramp is an option. Wondering if anyone has tried it. Very few I suspect. Anyway realise there's no one really on here but helps  to get it out of my head at least. Cheers j
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Offline Johanna

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Re: Ruptured Patellar Tendon Surgery
« Reply #6081 on: June 20, 2016, 11:54:33 PM »
I am on here, Bascat...and I was just reading about tightness on and about the kneecap on page 77/8 of this thread.  (I've been reading both the back pages of the thread, while keeping up with the current posts). Perhaps you will find those posts helpful, too.

Back in time, GeorgeI beat me in age...he was 76 years old then, I'm 70 now.  While we are significantly older than most posters here, we all do have common experiences in recovery it seems. (However, George was still an active athlete...wonder how he's doing.)  As for me, as I've previously posted, I've suffer from knee defects all my life...so, even though my siblings were/are very athletic I've never been able to engage in such activities...I turned my attention to the fine arts...play a mean piano, if I do say so myself, and draw/paint/write. 

OK...now for my question/comment.  Did/do any of you do straight leg raises while still wearing your hinged brace?  I am suppose to do two sets of 10 two to three times a day.  I also do heel slides that often and I am unlocking my brace frequently while sitting trying to improve ROM that way and also acclimate my leg to bending for longer periods each day.  I am required to lock my brace while walking with my walker.  I feel little pain with the knee by and large except a bit of an unusual sensation with my knee cap while completing straight leg raises.  I am certainly hopeful that doing the raises now will prove beneficial once I start exercises without the brace.  FYI, I am 7 weeks post op today.

Another thought...did you all go from wearing a locked brace to nothing at all?  I wonder if any of you wore a simpler brace as a transition to going without?

Best wishes and hopefully pain free days everyone...

~ Johanna ~
Patella Tendon tear in middle sometime after TKR. TKR surgery 12/16/14; PTR diagnosed 10/23/15. Patella Tendon only 3/4 inch long - noted during surgery. Birth defect (?) 3 prior surgeries on  (2)LK (Kerlan/Jobe) 1 RK performed in late 70s. Patellas 1/2 reg. size subluxed - age 6

Offline Downstairs

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Re: Ruptured Patellar Tendon Surgery
« Reply #6082 on: June 21, 2016, 05:41:03 AM »
I ruptured my left PT on May 6. Surgery May 7

Saw OS on June 16
He suggests 6 more weeks of brace in full extension
SLRs.  Which I find very easy
Heel slides.  Which feel really tight on the outer part of my knee.  I would say I am about 70 degrees (but how do you measure?)

I see physio for first time tomorrow

Walking easily without crutches

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6083 on: June 21, 2016, 07:41:14 AM »
Hi Downstairs

Your PT has a special measuring instrument , but have both knees measured - this will give you guidance for the future.

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

Complete Ruptured Tendon

Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6084 on: June 21, 2016, 09:44:09 AM »
Thanks Johanna- Will check out those pages. Have been reading through too. I play piano but can't sit down at the momment. Get what your saying though and perhaps some sketching might be therapeutic. The footy result last night has given me something to smile about being a proud Welshman.


Downstairs seems like a long time to have gone with no physio. Don't know if I'll cope with a further 6 weeks in extension if I have to will have to I guess. Last time I saw the OS he verbally advised I could walk around at 30degrees flexion however the PT advised they should be locked. I will try to insist the OS follows up with something in writing today if possible.  PT has told me strictly no leg raises and can only do passive flex extension. My leg braces have adjustable locks at the ROM limit so wouldn't this tell you how far the flexation is?

Good luck both with your recovery.


« Last Edit: June 21, 2016, 09:46:26 AM by Bascat »
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Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6085 on: June 21, 2016, 07:33:02 PM »
Clinic went good. OS increased ROM to 90 and was quite gung-ho how. Said I  Need to be moving about unlocked and be more aggressive with the physio but obviously not do anything silly. He seemed quite critical of the PTs softly softly approach and was concerned that the the inactivity and muscle wastage was not good. The lack of communication between the departments is worrying though.Xrays were showing things were technically fine and the braces can come offaltogether hopefully in a month. Cheers J
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Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6086 on: June 23, 2016, 07:32:26 AM »
Hi Bascat

On your next visit to the physio, just ask him/her - have you seen this type of injury before?

I doubt it - a double RPT is so rare and must be treated with the highest respect.

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

Complete Ruptured Tendon

Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6087 on: June 23, 2016, 09:34:52 PM »
Don't doubt that. Lack of joined  up thinking is frustrating.  No reason to doubt the OS as is part of a specialist team and believe is headed by a good senior surgeon. There seems to be failing in communication as part of the system and the PT has been understandably cautious. Lack of movement that could of been done as guided excercise at an earlier stage has not helped and now recovery will be slightly harder.Getting to the stage where I can do even normal every day things will take longer. Particularly so as I don't have a good leg to work from. Thats not 'disrespecting' the injury. Every case is individual and think I have every right to be frustrated. J
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Offline Johanna

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Re: Ruptured Patellar Tendon Surgery
« Reply #6088 on: June 25, 2016, 03:53:27 AM »
Reading past posts of late...can some one share what lag means in reference to walking?  Also, may I have a description of leg extension exercise, too? TIA

BTW:  JohnK (or?), I tried to PM Subail. She's not posted in recent years.  I'd hope I might be able to contact her to hear how she's doing...her surgery and late diagnosis, age etc. is so similar to mine.  It would be helpful to check in with her if possible.

Hope everyone is feeling on the mend...as for me, time is sure dragging...I should resume home PT next week...ins. authorization tied up my visits...I believe I'll feel more productive having such support...scary trying to keep going and make progress on my own.  Recovering from this sure brings on ups and downs...wonder if my OS understands what it is like.
Patella Tendon tear in middle sometime after TKR. TKR surgery 12/16/14; PTR diagnosed 10/23/15. Patella Tendon only 3/4 inch long - noted during surgery. Birth defect (?) 3 prior surgeries on  (2)LK (Kerlan/Jobe) 1 RK performed in late 70s. Patellas 1/2 reg. size subluxed - age 6

Offline subail

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Re: Ruptured Patellar Tendon Surgery
« Reply #6089 on: June 25, 2016, 07:16:08 PM »
Johanna, I would be glad to chat with you...have sent a couple of responses. Did you get them?
Dislocation of left patella and as a result left patellar tendon rupture in the medial section/torn at both ends.
3 Previous surgeries-semitendiosis tenodesis
Reconstruction surgery left knee October 10 '07
TKR right knee May 25 '10.....successful!
Limited ROM/TKR left knee May 25 2015...successful.