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by The_KNEEguru
Sun Apr 14, 2024 8:26 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Strange knee
Replies: 26
Views: 5960

Re: Strange knee

Good research.
by The_KNEEguru
Sun Apr 14, 2024 8:22 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Patellar dislocation
Replies: 3
Views: 108

Re: Patellar dislocation

@A_sure_sky - I am just checking to be sure we are discussing the same thing. You refer to dislocating your knees - did you mean a knee dislocation or a patellar dislocation?

/KNEEnotes/knee-dictionary/dislocation-knee
/KNEEnotes/knee-dictionary/dislocation-patella
by The_KNEEguru
Thu Apr 11, 2024 12:33 pm
Forum: Bone breaks around the knee
Topic: Patella Fracture non-OP Rehab
Replies: 1
Views: 86

Re: Patella Fracture non-OP Rehab

That was a really unfortunate incident. So sorry. But it is possible to have non-displaced patellar fractures and they usually heal well. You will need to avoid any loss of range of movement as the area under the patella (anterior interval) may develop adhesions - https://www.kneeguru.co.uk/KNEEnote...
by The_KNEEguru
Thu Apr 11, 2024 12:23 pm
Forum: Ligament damage
Topic: Pain around knee ligament sprain
Replies: 1
Views: 42

Re: Pain around knee ligament sprain

Probably hiking was not a great idea as tissues really take a year or two to fully heal. Now you will just need to take things easy and 'wait and see' but try to keep the joint mobile with gentle ROM exercises and patellar mobilisations. See here - https://www.kneeguru.co.uk/KNEEnotes/knee-dictionar...
by The_KNEEguru
Thu Apr 11, 2024 12:18 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Partial weight bearing - HELP
Replies: 3
Views: 65

Re: Partial weight bearing - HELP

A lot of things in medicine fall into the 'this is the way it has always been done' category! From the actual research to the formal review of that research, to the acceptance for publication, to the actual publication, and then having that work cited by other authors may take years! The real messag...
by The_KNEEguru
Wed Apr 10, 2024 1:59 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Miserable malalignment
Replies: 9
Views: 152

Re: Miserable malalignment

OK - so you are in a little 'waiting space' for a couple of weeks?...
by The_KNEEguru
Wed Apr 10, 2024 1:58 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Strange Knee Injury - got MRI results update
Replies: 2
Views: 157

Re: Strange Knee Injury - got MRI results update

Knee problems have this way of reminding you of old injuries! But at least this acute episode is all resolving for you... Just a quick mention - there is no 'R' in chondromalacia (it is not 'chRondromalacia') - I am just noting it as it will affect any online searches you might do. Chondro=relating ...
by The_KNEEguru
Wed Apr 10, 2024 1:51 pm
Forum: Bone breaks around the knee
Topic: Metal removal after tibia Plateau fracture 2 years ago
Replies: 4
Views: 364

Re: Metal removal after tibia Plateau fracture 2 years ago

This article is discussing intramedullary nail removal after tibial plateau fracture - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2552942/ and the authors say There is no consensus regarding the criteria and indications for removal of tibial IMNs after healing. The only consensus within the litera...
by The_KNEEguru
Wed Apr 10, 2024 1:45 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Lateral pain continues six months after TKR left leg.
Replies: 4
Views: 1447

Re: Lateral pain continues six months after TKR left leg.

This paper https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134884/ - discusses chronic pain after TKR, and they caution that the cause of pain is usually multifactorial - but they mention - Biological Sensitizing impact of long-term pain from osteoarthritis Complex Regional Pain Syndrome Pain originat...
by The_KNEEguru
Tue Apr 09, 2024 9:33 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Strange knee
Replies: 26
Views: 5960

Re: Strange knee

I hope the next couple of weeks clarifies things for you. And 'yes' your considered response is sure to be helpful to others. We are all on a learning path here.... I am sure your night sedation is just making your brain less aware of the discomfort, rather than affecting the actual situation... Tha...
by The_KNEEguru
Tue Apr 09, 2024 9:27 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Partial weight bearing - HELP
Replies: 3
Views: 65

Re: Partial weight bearing - HELP

You are right - not much has changed !! See https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3313526/ - "Current Advances in Training Orthopaedic Patients to Comply with Partial Weight-Bearing Instructions" where the authors conclude that "there continues to be a lack of level I evidence ...
by The_KNEEguru
Tue Apr 09, 2024 9:22 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Miserable malalignment
Replies: 9
Views: 152

Re: Miserable malalignment

At least now you are able to discuss the surgery from a more informed position... Let us know the outcome of your consultation...
by The_KNEEguru
Mon Apr 08, 2024 4:25 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Miserable malalignment
Replies: 9
Views: 152

Re: Miserable malalignment

Putting together your symptoms, the fact that you have had two assessments from experts, and the imaging results it certainly looks as though surgery might benefit you. It is not, however, a minor surgery....
by The_KNEEguru
Mon Apr 08, 2024 10:34 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Miserable malalignment
Replies: 9
Views: 152

Re: Miserable malalignment

....a clear consensus has not been reached regarding the torsion threshold to indicate surgical correction. In recent studies, the mean extent of torsional correction ranged from 11° to 25° for the femur and from 11° to 36° for the tibia.39 Therefore, torsional osteotomy might be considered in symp...
by The_KNEEguru
Mon Apr 08, 2024 9:58 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Miserable malalignment
Replies: 9
Views: 152

Re: Miserable malalignment

It is possible for some people to have objective measurements that seem way off, but to have no symptoms, so you must take that into account when looking for information, as de-rotation osteotomies are significant surgeries. See https://www.kneeguru.co.uk/KNEEnotes/knee-dictionary/miserable-malalign...

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