Seems that Bilateral Ruptures is quite uncommon and the specialists here in the UK are not too familiar with the injury.
I tore both of mine whilst coming down stairs on the 17th July over in Bolton UK. Had surgery the next day, they used ther anchor method and stapled the incision.
A week later was back home with the leg braces locked straight. I live by myself (Huddersfield, West Yorks) and manage only just. The stairs are the hardest thing to overcome. Walking has never been a problem even if I looked like a 'robot', walking with straight legs, crutches, and braces, waddling along!.
I managed to ditch the crutches and braces at week 8 and started phisio pretty much at the same time.
The phisio guy is not too familiar with this injury and basically gives me excercises for the Patella injury, which I suppose in a sense is pretty much the same rehab.
I'm pretty much left to myself now with phisio every 2 weeks and 'specialist' appointments every 4 weeks. Pretty poor in my opinion.
Pain can be intolerable in my knees and they still swell up at the end of the day. Sleeping is a major issue and I can honestly say that I haven't had a good nights sleep since the injury, other than when on prescription sleeping pills which I can only get from my GP. As these pills are supposed to be addictive I can only have them every 3 nights!
I can get spasms in the leg and basically use pain killers to help me relax but this effect only lasts for a few hours and then it's wide awake again!
I'm into week 13 now and can walk quite well. Upper leg strength is pathetic compared to what it originally was. (I'm a self employed builder and ride an adventure motorbike)
I try to do the exercises each day but sometimes my legs are too painful. I feel constantly tired and cannot rest for a quality amount of time.
I am not that impressed by the interest or quality of post op treatment here in the UK. I have not had a thorough 'hands on' knee examination since the injury and repair, the phisio spends perhaps ten minutes with me and has printed out a booklet with a variety of excercises to do. Neither have in my opinion got any reference points of improvement ie some form of measurement of the muscles.
I do know what I am talking about because in previous professions I used to be a Design Engineer with BAe (Military) and would certainly not have used old drawings, (specialist used old x-rays!), I would have researched the problem, I don't think he's familiar with this injury. I was also a Teacher for 10 years, this is also a profession where recording and testing to show evidence of progression is most important. I believe that they should be doing this, but what do I know!.
Anyhow that's my story so far. I have a 'Specialist' appointment this Thursday in the am and a Phisio appointmernt in the afternoon so we shall see how things are improving.
Will post outcome later that day.
@Biquad, you can measure progression based on:
1. ROM after phase II, III...etc (UW GUIDE) - Is it increasing? You can measure it yourself in the mirror or have the same person measure it on a weekly basis. Use a goinometer or device similar.
2. Your pain level in the tendon area - should be decreasing week to week
3. Your strength - how easy is it to do the exercises in the UW guide today compared to last week
4. Your ability - what more can you do - how is your gait this week compared to last, are you still falling or uncertain of your footing when in a stride...etc?
5. Inflammation/swelling...after exercises or in general - is there inflammation in the tendon area post exercises this week compared to last...etc
6. You should have zero lag in a full extension
Technical Progressions tests
1. MRI - There is no better test to see if your tendon is actually healing to your patella other than surgically opening you up again. Not many places will EVER do this for you unless you are a professional athlete.
2. Ultra sound - They can tell if there is inflammation in your tendons and compare to the previous week. Again, not many places will EVER do this for you unless you are a professional athlete.
I am sure there is more here that I will add. I feel your pain as I have been through it for the past 1.5 years.
@Eric, yes...my 8 soon to be 19 year old THINKS she is smarter than me. In many ways, our kids are. Thanks for the terror! Good to see you are still alive and kicking.
@MiketheBike, I asked the same thing when I was in the ER the day it happened. Why not an MRI. The OS told me the patella is low when you rupture the quad tendon and high when you rupture the patella tendon. Of course I could not move my legs at all. I wished they had still done the MRI to make me feel better. I still had to wait a few days for my blood to become thicker as I was on blood thinners.