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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1248840 times)

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Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6135 on: August 16, 2016, 09:03:28 PM »
Wow those staples look a bit gruesome 😲 I had to keep the dressing on post surgery for 2 weeks and when they took it off at clinic just some fairly neat scars with scabbing. Dressing went back on for a few days then off and never looked back. Must have been soluble stiching?

Good luck with your search Ladeyemi, the good private ones normally work for the NHS too but just in a nicer setting and less waiting. This is how it works across other disciplines too Sports PT may be an exception but the good ones will work with the surgeons. I think I might be possibly a few weeks behind due to early careworkers and PT not following OS recommendations but difficult to say as recovery is slow with this injury.   It has been worth persevering and the wait to see a knee specialist physio today. PT aka wonder woman agreed the double rupture is rare but has seen a case before. She got me to do a short arc leg raise however...yeay! So this is a relief as was starting to worry about it a bit.As thought it is all about getting the muscles and brain to 'remember' how they should work and wake up. To make it work the PT put a large medicine ball plus a towel under my knee . I very tried this with  smaller objects before but needed a really big object  to get this to work. Force equals work times distance I guess.  Smalller objects are more difficult so should progress on to this. So....hard work starts now and have to gradually build up from 10 to 150 reps 🤔 yes it hurts. Also been cleared to use stairs. Try not to use the leg raiser. Join a gym if possible. Hydrotherapy referral is on the cards too. Generally feels like I've been given permission to get on and go do, taken a big recovery stride today. Enjoying watching the onioum at the Olympics and an interesting debate about not icing!
Knees together and take the fall

Offline Norene

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I Hate My Knee
« Reply #6136 on: August 21, 2016, 03:50:31 AM »
So I am about 6.5 months into the healing process and I have a question for those who are further along - for how long did you have pain in your knee?   A couple times now I have thought - "hey the knee feels good, not much pain, this is great" - then two days later I am limping, having trouble standing and my knee aches constantly.   I know - patience - but I feel like my knee keeps playing a cruel joke on me.   Last time it happened I went to my OS & he took x-rays but all was okay - the kneecap was in place, nothing wrong.  It just seems so messed up that one day I can do the stairs okay and two days later I am back to one step at a time.  Did anyone else experience the same issue?   

Thanks for listening to me rant - no one else really understands.   I know some of my friends are wondering why it is taking me so long to heal.

Offline Johanna

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Re: Ruptured Patellar Tendon Surgery
« Reply #6137 on: August 21, 2016, 09:41:54 PM »
Hello RPTers...checking in from SoCal...

Bascat, good going on your leg raise...wonderful development!!  What do you mean 'leg raiser'...? 

Norene, sending you a 'hang in there' hug.  There certainly are days when it seems like knee hassles will never cease, that is for sure.

Well, because the home visit agency and my insurer took their sweet time to process red tape, I never got my last three home PT sessions.  The PT evaluator was shocked at the development.  Wish I could say I was surprised.  I am fighting feeling abandoned.  I know what exercises I am suppose to do.  I liked having one of the fellows on hand when I tried to do something a bit new, like trying to get up from the sofa, or a chair without arm rests.  I don't want to get stuck and be alone with the dilemma. 

I was all set to try to walk the pool the other day, and then I realized I'd better walk around the house more without my brace.  It feels OK but I guess I'd like to feel more stable...yet I know the only way that will happen is with more walking/strengthening the quad.  And, so I can feel a shift towards fall weather and I want at least a couple more heat waves out here so that I can do that pool walk before the end of the season.

Well, I am going to get ready to go see that old time movie classic: Some Like It Hot.  It gets me out of the house and out of the doldrums, at least.  BTW...my family moved out to California from Michigan when my grandmother worked for a costumer in Hollywood.  She made all of Marilyn Monroe's dresses in this movie. 

Best wishes to you all as we journey on to mobility...

~ Johanna ~
« Last Edit: August 22, 2016, 02:24:10 AM by 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 Norene

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Re: Ruptured Patellar Tendon Surgery
« Reply #6138 on: August 21, 2016, 10:53:20 PM »
Johanna - thanks for the hanging in there.   Today was definitely a low point for me.  We are used to going & doing which I can not do right now.

Love Marilyn Monroe & Some Like It Hot.    Big theater & movie people.   

Offline Johanna

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Re: Ruptured Patellar Tendon Surgery
« Reply #6139 on: August 22, 2016, 02:31:05 AM »
Norene, I hope you have one of those ice cube machines...it sure has helped me through all of this and I imagine even more so when I begin out patient therapy.  Being sedentary is sure tedious...I am trying to make my way through stacks of reading material I've accumulated in recent years.  I've got two years worth of New Yorker magazines to wade through...not willing to throw them out when I was too preoccupied with the RPT diagnosis among other things.  Even on my retiree's budget, I find books pretty irresistible, but at least now I'm willing to part with most of them...donate them to our cash poor libraries.
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 Norene

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Re: Ruptured Patellar Tendon Surgery
« Reply #6140 on: August 22, 2016, 03:27:15 AM »
Johanna - have a great ice pack - sometimes makes my knee too cold!   Like you I have piles of magazines I could go through but I am tired of the 4 walls in my living room!! 😃 😄 😊 
« Last Edit: August 22, 2016, 05:48:21 PM by Norene »

Offline Johanna

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Re: Ruptured Patellar Tendon Surgery
« Reply #6141 on: August 22, 2016, 04:30:36 AM »
I 'hear' you! Just the other day I decided I had to get out and took a drive.  I ended up on a very poorly maintained road full of pot holes and the like. I thought good grief all I need is a flat tire out here in no man's land. So I returned home.   

~ Johanna ~
« Last Edit: August 22, 2016, 11:41:56 PM by 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 John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6142 on: August 22, 2016, 07:53:54 AM »
Hi Johanna

Have you been cleared by your OS to drive?

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

Complete Ruptured Tendon

Offline Johanna

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Re: Ruptured Patellar Tendon Surgery
« Reply #6143 on: August 22, 2016, 05:07:24 PM »
Yes John.  I was cleared at 10 weeks post op. I had 95 degrees ROM and with it being my left knee and an automatic vehicle it was manageable. It helps that I bought a mini SUV before I had the surgery. It's so much easier getting in and out of the car.  For the next month, I just drove a few miles for errands around town. About a week ago I drove back to my OS and that was 80 miles one way. But, it's mostly freeway driving so it wasn't too difficult. I was prepared to take a break if need be. I scheduled my visit during an off traffic period too.

 ~ 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 ladeyemi

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Re: Ruptured Patellar Tendon Surgery
« Reply #6144 on: August 23, 2016, 01:07:49 PM »


Thanks Vickster, I've gone private well kind of, I'm still on the NHS books whilst they move to a hospital closer to home in the meantime, I've gone private and will compare and contrast then decide which one will get my full attention. Although my private physio has experience with RPT and has worked with sportspeople before. So we'll have to wait and see.

Thank you Johanna for the warm welcome, the site has already been immensely useful to me!!  :D

Thanks Bascat, it's not so much the NHS, it's just all a little bit too inefficient my physiotherapy so far. I was discharged from the fracture clinic roughly a couple months ago, they're happy with the repair, doesn't seem to be any evidence of anything else in there (touchwood) it stays that way. I can't fault the physios all been amazing but just feel like the way it's run at my now old hospital isn't very helpful to a long term ish structured rehabilitation programme with constant personnel changes. Glad to hear your making big steps on the road to recovery!!





Offline Bascat

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Re: Ruptured Patellar Tendon Surgery
« Reply #6145 on: August 23, 2016, 10:14:53 PM »
Johanna.  Leg raiser is a very sophisticated modern wonder of the medical world 😆. It is basically a wire covered in corded material and a loop at either end to lug my dead weight legs about, particularly from sitting to lying down. Gives my upper body a good work out but not the legs. PT says no to leg rasier.

Some days you think what, how and why has this all happened 😣

☺ Wishing you all some positivity in your recovery 🙃

Knees together and take the fall

Offline Norene

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Re: Ruptured Patellar Tendon Surgery
« Reply #6146 on: August 23, 2016, 11:31:07 PM »
ladeyemi - wishing you luck with your care.  I am lucky that I have a fantastic physical therapist.   He is really knowledgeable and spends time working with me. 

Bascat -  my heart goes out to you!  I am dealing with just my left knee - not sure how I would handle both of them being injured.   I do agree - I go over my slip & wonder "why me?"

Good PT session today.   The intense pain I am feeling is due to floating scar tissue which has landed on top of my knee cap over the site where the patellar tendon was reattached.   My knee is very "crunchy" right now.  I can hear & feel it when I bend it.   Had a longer session with ultrasound in an attempt to break up and move the scar tissue.   Will start using heat on my knee instead of ice since I have no swelling and the heat may help break up  the scar tissue.

Offline Johanna

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Re: Ruptured Patellar Tendon Surgery
« Reply #6147 on: August 25, 2016, 08:02:18 PM »
Hi RPTers,

Hugs to you all, especially those of you struggling with pain.  Glad you have more of an understanding what was causing it for you, Norene.  Somehow, for me anyway, I feel better if I know what's happening and have an action plan to address it.  And, I share Norene's sentiments, Bascat.  As difficult as it has been dealing with my left leg, holy moly dealing with two...especially when you've been so active.  I'd had to give up on most activity while still a child, so the contrast isn't quite as great.  And...I spent years ruminating 'why me' since I felt left out of so many fun pursuits.  Finally, my spiritual mindset kicked in.  I had to stop being angry, and recognize I had a different path to walk, a different lifestyle to experience.  I have to continually reframe how I consider all of this.  I do get comfort in working with children. (I am tutoring a young man of late.)  It lifts me out of my isolation reaching out to young ones, helping them build upon their abilities, strengthen their hopes and dreams.

That being said, I came on board to share a bit about last night.  I've read more than a few posts, here about how few understand.  That is hard for me.  I don't know why empathy is in such short supply.  At any rate, I managed to get out of the house and attend my book discussion group.  We meet to discuss our assigned book, enjoy some tasty treats and socialize.  I wore some shorts this time, it's warm out here and I decided to be comfortable.  It is a casual affair.  Well of course that meant that my brace was fully visible.  Now, I had previously shared about this rare procedure I had to undergo and how careful I had to be in recovery.  This one gal exclaimed that I sure had to wear a heavy duty brace.  Ah yes, indeed. (Hello!)  Shortly after that, a dominant personality in the group was going over the meeting schedule.  She asked me about taking a turn to host it in September.  I turned it down...saying not yet.  She immediately responded that I had not hosted it since June of last year.  (Last September, it was clear to me that something had gone wrong with my TKR, and in October I was diagnosed and walker and brace dependent from then on.)  This exchange took place in front of everyone.  I felt like they didn't have a clue about this ordeal.  I was going to email them a description of my recovery process, and my best friend and I talked it out.  I had to agree with her that they clearly were not interested in any of the actual details, in spite of earlier obligatory offers to assist me, or they would have asked for updates and been in regular contact.  I have been careful to accept help only from those with whom I have an actual friendship. I am grateful for those in my life who sincerely wished to support me. 

Wishing you all mobility liberation...

~ Johanna ~
« Last Edit: August 25, 2016, 11:14:10 PM by 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 madvillain

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Re: Ruptured Patellar Tendon Surgery
« Reply #6148 on: August 30, 2016, 07:34:21 PM »
Norene:  the pain never really clears up fully in my experience.  Especially if you're going hard in rehab.  That said, in the first year you're going to have fits and starts in your recovery and what you're experiencing is normal.  Keep icing it as much as possible especially after rehab.  Any sharp pain or anything above a "3-4" on the pain scale I'd worry about but the general aches and soreness won't be going away any time soon unfortunately.  You're healing but you're also getting the nerves back and with that comes the pain.

If anyone has any specific questions about how to accelerate rehab or setting markers in the first year don't be afraid to ask.   I always encourage people to learn as much about the injury as possible via this forum and the Internet and to take control of their recovery as much as time allows.  A good surgeon and a good therapist are important but your own attitude and willingness to work are invaluable. 

Quickly, if you find that you are having a lot of problems with ROM in the first year of recovery I encourage cycling and the rowing machine to gently work the knees.  Heel slides are very critical for the first 4-12 weeks but then you should be able to progress to the rowing machine and bike.

hang in there everyone.

Offline Norene

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Re: Ruptured Patellammr Tendon Surgery
« Reply #6149 on: August 30, 2016, 08:29:01 PM »
Thanks Madvillain - since last week's PT I have been doing really good.   I fully expect that I will still have bad times but when times are good it is so great to feel "normal" again.   Looking forward to cooler morning temps so I can get some long walks in.  We also have weekend trips to New York City and New Orleans planned for next month.   They are both "walking" cites.  I will bring my ice bag with me.

Johanna - I meant to reply to your post right away but life happened and my mother-in-law ended up in the hospital.  All is okay now - she is elderly with dementia.

I am so sorry members in your book group have no empathy or compassion for what you are going through.  I often start a discussion about my knee by saying "this is an injury I would not wish on my worst enemy!"  Kind of helps put things in perspective for someone.   Many of my friends have compared my injury to something that happened to them not understanding exactly what my injury is - frustrating.  Try to keep a smile on your face, remember only you know exactly what you are going through - it will get better.   Sending you hugs!