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Quadriceps Tendon Rupture, Repair and Rehab - Page 22

post #631 of 10797
My heavens, Luck. I'm sure we all hope your worst fears are NOT confirmed. I fell off a folding chair at a backyard engagement party yesterday, 26 days post-surgery. Tried to push the chair back w/ good leg and it tipped over. I could feel the strain on my repaired knee, but the ol' immob is still set at 0 deg., so no damage, except to my sensibilities.

I've never used crutches. From day 1, I've been marching around w/ immob only. When I shower, my wonderful wife insists on being present. So I follow the script and use a walker to/from the BR. But lately, I'm sort of carrying the walker and walking mostly stiff-legged, w/ just a bit of flex on my wounded knee.

We'll be lookin' for good news in the next day or 2, Luck.
post #632 of 10797
Luckey soft tissue injuries are better treated right away. Doppler ultrasound can see right through inflammation. get it looked at now.
post #633 of 10797

quadricep tendon repair

Hello everyone,
I stumbled (excuse the pun) upon this site as I looked on the internet to research quadricep tendon injuries. I am like many of you, very active (running, interval training, weight training, jumping rope, hitting the heavy bag ocassionally) and tore my quadricep tendon on 7/26/08 as I was running to catch a football, tripped over a rock, stumbled and tore the quad tendon on the way down as I planted with my right leg.
I may unlike many of you in that I am an orthopedic physical therapist with 13 plus years of treating orthopedic injuries in the outpatient setting.

All I can say is being on the "other side" of the table is a humbling experience. I am the guy that people go to for advice and encouragement and now I am the one who must pick himself up, motivate myself to do my own rehab from this debilitating injury.

My surgery was on 7/30/08. My orthopod got a great repair, no tissue retraction. Used two large sutures to anchor the tendon to the patella through the use of drill holes through the patella.
I was instructed to partial weight bear initially for about 2 -3 weeks, but in reality I was more like weightbearing as tolerated.
No ROM at all for 3 weeks, locked in IROM bace for all activities and no active quad contraction for the first 3 weeks.

My second visit with the orthopod, we agreed to open my brace to 20 degrees and increase by 20 degrees each week until I get to about 80 degrees by my next follow up which will be this Thursday.

I have been working on controlled, ROM about 4 -5 times per day, currently at 105 degrees with no pain. Electric stim to the quads 30 min per day. Straight leg raises, and short arc knee extensions with no weight for 2 sets of 25 reps twice a day
Just added weight to the SLR of about 5lbs but done with no lag!!

Work the calf and hip exercises 2 -3 days per week with theraband side steps with the brace on.

I just started driving myself back to work this week. I have been at work since about 2.5 weeks since my surgery with my wife driving me to and from work.

I have the brace open to 60 degrees now and I use it only when the clinic gets real busy or if I am out of the house or work.

Basically, it is a long process, tendons need gradual controlled stressed placed on them. Tendons are not highly vascular and they do heal along the lines of stress that is placed on them but not to overdo. Paying attention to swelling initially (weeks 0-8 weeks or so) lets you know if you have pushed it too much even in the absence of pain.

In an earlier post, I read that someone was interested in prevention of these injuries and there has been a lot research done on eccentric (or negative) exercises that emphasize the lowering aspects of a weight (like step downs off a small 3 inch step) starting off slowly then progessing the speed of the lowering exercise. Talk with your physician about these kind of exercises, however they should be done in the later portions of you rehab (like 4 months) as they place a lot of stress on the tendon.

That is about all I got, I wish you all much success in your rehab. Be patient, it will come back.

post #634 of 10797

6 & 1/2 Weeks Post Re-Repair

Lucky - in response to your possible re-injury, I believe I’m your guy. I had an accidental slip on a wet porch on day 19 post-op. Fully collapsed the knee, left a depression on the upper edge on my patella where all of the repair failed and most of the outside connections were compromised. I continued my rehab efforts for another 8 weeks before throwing in the towel and asking my OS for an MRI. I had my second surgery on July 24th and I thought it was much easier than the 1st. I discontinued the pain meds after less than 24 hours and I don’t even use Advil because it can interfere with healing.

I read your original posts and I’m going to be surprised if your original repair failed. You had 4 anchors in the kneecap and this happened 7 weeks (?) after surgery so the repair should have been at 60-70%. However, if it did fail, I’m going to blame length of time you spent in the immobilizer. I don’t see how it’s supposed to heal if there’s no weight bearing, bending, strengthening or PT for 6 weeks. The tissue isn’t being stimulated to rebuild.

The difficult part for me has been convincing myself that the re-injury was an accident and not because I was aggressive with my rehab. I have been a little more cautious this time but at 6 & ½ weeks, I have 124 degrees ROM and maybe 50-60% of my muscle strength back. I just got back from a week in Yellowstone N.P. where I was able to do most of the hikes I had planned before the injury. I ended up putting in about 25 miles over 3 days and reminded that there are no flat hikes in the Rockies. I kept my brace on and set to lock at about 80 degrees for protection. Knee feels even better now than before I left.

GatorJersey – welcome to the club! I love your attitude and I’m sure you will have one of the more successful and speedy recoveries. I missed 3 days work with both surgeries, total. Unless you have a job that involves some kind of athleticism, I don’t see how people are getting weeks and even months of paid sick time or disability (?) for this injury. Kinda makin me sick thinking about it. When one person abuses the system, the rest of us pay.

If the knee keeps improving as quickly as it has, I am going to start working on my jump shot and kick serve pretty soon so I can compete again at maybe the 3 month point. Best to all.

post #635 of 10797
Thanks, Will. I'm fortunate to have retired 13 months ago from my job of 30 years. Now I work p/t from home, mainly at my computer. I'd hoped to do more running, in spite of arthritic (both have been scoped) knees. But I probably upped my mileage too fast and developed a neuromuscular problem in my left leg that caused me to stumble and fall on occasion. So I'd been self-confined to my elliptical for several months (a very hard hr./day) while trying to rehab the leg. And now the right leg QTR. Maybe it'll give my left leg time to heal. I'm still doing the exercises that're supposed to help because they're all calf-related and can be done w/ straight leg. I simply hold onto something while I'm doing 'em, w/ the bottom half of the brace loosened.

Best wishes,

post #636 of 10797
Will...First, please do not take any offense of my post...But, I have to address this issue. I truly do admire your "Aggressive Recovery" attitude, but... not all of us here on this forum are or were "athletic" to begin with... We all work-we all led normal lives-could do for ourselves and a few by "all by" themselves (meaning do not have spouses or significant others to assist in their recoveries)- and in most cases, our injured knees were as good prior to injury as our non-injured knees are today!

I think it is important to FIRST understand that each and every single one of us have different degrees of injury-perhaps, our body type and the life styles we led prior to injury may play a part in our recoveries as well....??? I was very active. Always on my feet-gardening-push mowing-weeding flowers (I gave that idea up and refuse to make it an issue because my husband has more than his share to do now)-splitting firewood, as that is how we heat our home through the entire winter season, so we have to split and store a BUNCH of firewood, as we refuse to pay the high cost of fuel-taking care of my mother (she's 86 yrs old) and she needs help with her meds-oxygen-meals-bathing..etc)-plus my own housekeeping and then on top of all of that....my husband and I are self-employed.

SECONDLY, We all had a surgery....but each of us had a different surgeon, and with that comes different recovery instructions and care plans. There is no way in this world I could have come along as fast as you as it was just too painful for me. My surgeon said a good 6 to 8 weeks for the tendon to re-attach to the patella. I believe him and you yourself are a good example of that as, you were unable to come thru your fall at 20 days without a second repair to your knee. Maybe wearing the immobilizer would have prevented the need for a second repair...???....just a thought.

LASTLY, my main concern is that new people who join this forum and who decide to stay seeking advice and support, will read your post and maybe put themselves at risk for re-injury. I hope not and trust each one will listen to their "bodies" and take it easy and as directed by their surgeons. All I Know is, when I push too much I usually end up taking a day to get back to where I was before I pushed too much.

Again Will, please don't take this personally. And try to understand where I am coming from....
post #637 of 10797

Info, info

Connie, I agree, there are no "threads" running through this thread. No way I see myself in any of my fellow posters. And no one else should naively adopt another's regimen. There are only lessons for those of us seeking to educate ourselves, plenty of questions that jump right out for us to pose to our MDs and PTs, and a cathartic component that comes with telling our stories to those who can truly emphasize. Lessons and questions are invaluable. As is catharsis. That's why, IMO, we're not only all here, but also keep coming back.
post #638 of 10797
Morning all,

First thank you for your responses and information. My OS was very specific to me regarding weight and crutches after surgery. She stated that due to the size of my quads (no bragging but at 45 i am able to do sets of 10 squats with 350lbs at 80 degrees comfortably and my leg press was at 1200 lbs to 90 degrees no cheating) she abolutely did not want the quad muscles used as she was sure it would rip everything out pretty quick. Even after she removed the mobiliser, she insisted that i only put 30-50% weight on the bad leg to begin and no weight bearing exercises from the PT for 6 weeks, only stretching and tightening.
Will/Helmut- I am giving it until tonight and if things don't improve, i'm going back for an MRI and review. The bruise is extremely dark and very sensitive to the touch.
Connie- I'd like to temper your comments with something you said in that we all have had different experiences and surgeons as well as lifestyles. I would hope that any new joiners would take ALL of the invaluable information here and make sound judgements based on their specific injury. I don't think that 1 particular post makes the whole "cake" per se. I know that reading through here has helped me understand the severity and complexity of my injury as well as the recovery process.
thanks again (woops gotta put the ice pack back on)
post #639 of 10797

14 weeks post op

greetings all,

Welcome to the new fellow quad rippers,sorry about your injuries but you will be ok!

Walking without the brace all the time for couple of weeks now,feels great!Leg is weak but getting stronger everyday,doing leg presses,leg extensions(very light),bike,treadmill, elliptical 15-20 min each ,every other day,still some pain at the patella area,rom 102,not great but working on it

WILL-everyone is entitle to their opinions and I certainly respect yours but I have to agree with connie on these one .
Keep us informed on your great recovery,just be careful and do not over do it.God bless you.

good luck to everyone!
post #640 of 10797

Defending the Caveman

Lucky – after my second surgery, my OS told me to go ahead and contract the quad muscles as hard as I could in sets for the 1st two weeks. I did not do so as I too felt the force could rip the connections and push me to a 3rd surgery. I don’t understand how we are released after surgery with instructions to do things like that but do little or no weight bearing for 6 weeks. Perhaps they’re just trying to protect us from accidents like the ones you and I had. BTW, I’ve done my share of time in the weight room over the last 30 years, but I don’t recall sharing the BB floor with someone who could handle the kind of weight on squats or leg presses as you did. I’m thinking you own the boards. I’m also praying your luck returns.

Connie – I do appreciate your gentle (…???....) reminder of my stupidity in my accident at the 19 day point. I was honest with everyone in my admission of guilt in that situation and had hoped it would serve as a warning to others about spending time outside in dangerous conditions without the protection of our hinged braces. I did anticipate that some would use that incident to discredit my aggressive approach but once again, the fall had nothing to do with my rehab. If we all wanted to follow our OS’s and PT’s instructions to the letter, this site would be of no value at all. Just do what you’re told and shut up.

Since you and CQP have been dominating this space over the past couple of months, I have felt an obligation to continue posting my renegade ideas solely for the purpose of giving people a reason to question your great unquestionable authorities. You probably missed my post a while back when I questioned the quality of repairs from OS to OS. If there were standard methods used for the repair, and machines doing them, wouldn’t the ideal protocol for rehab be identical except for differences between patients?

You seem angry at me for suggesting there might be a different or even better approach to this injury and it’s rehab. So little study has been done due to it’s rarity, your OS can’t possible know everything about it. (he’s not God…??...is he?) I’d finish with some comment about getting off the meds, but you had to know that was coming. Let’s just try to get along and respect each others right to use this site to share and gain information. This is not a permanent disability, and keeping a positive attitude can make a difference.

Thanks for the support, Gator and Lucky. I love the elliptical trainer and have been able to use it for aerobics since 2 weeks post op. Which reminds me to ask, has anyone else reading this forum found that aerobic activity has sped their recovery and maybe helped them through ROM sticking points? I’ll bet there’s been some research done on that…

post #641 of 10797

Regarding aerobic activity.

Willthethrill: I haven't been as aggressive as you with the rehab but my progress has been a surprise to my OS... I have been getting my aerobic fix with weights and my old Schwinn Airdyne, only using my arms. I do think there's something to getting the blood flowing and the healing process. Maybe it's the base prior to the injury though.. just a thought.

By the way, I saw my OS yesterday for my 5 week post-op visit. He's very impressed with my healing. I've contributed it to the straight leg lifts and CPM 4-5 hours a day. I'm schedule to visit him in 3 weeks. He's already told me I'm going to loose the immobilizer then and go to just wearing a neoprene sleeve. Needless to say I was very pumped.

5 Weeks posts op here's where we are at this point.
- ROM at 70 degrees
- Walking without immobilizer only in the house.
- Pool therapy.. here's where I've become somewhat of a maverick. I'm very careful right up to the pool wearing the immobilizer. It comes off only when I'm in the water. I purchased an additional one just for this reason.
- at 8 weeks no more immobilizer. Rubber sleeve on the knee and the official start of PT.

I will say that this has been the longest 5 weeks I can remember.

Connie P. stick with what you feel comfortable with. For some the healing may take a bit longer, it will happen. Some day we'll all only be reminded by the scar..

post #642 of 10797
Well all just got done my 3 PT appointment. The PT is using electrical current to bring down the swelling and for pain relief. Today he actually hyperflexed the knee a bit to get the full 0 degree flexion required. ya it hurt but it worked. I had mentioned to him I would like a plan on the treatment not just day to day work. He told me today his plan and it is very slow and non aggressive. I like it and he has even done research while i was in the immobilizer to help him deal with it more effectively.

If you recall my injury started with a 20% tear for which PT was the order of the day. My own stupidity(30km cycle trips) caused it to tear to 90% thus the surgery. For this reason the PT decided to do more research on treatments for this.

I told him today I really appreciate that and the he is a good guy for not being to proud to admit they don't do a lot of this and he needed some info to carry on treating me.

Will- If you read back in the last 22 pages you will find you are not the first reinjury nor the first to try and push too fast.
I don't think the docs give this issue enough respect nor do they give enough info without being questioned extensively.

Connie-you forgot to mention how you are doing
post #643 of 10797

3 months 2 weeks since injury update

Injury: May 28
Surgery: June 5
Staples out: June 17
PT started: June 18
Doctor visits monthly: 3rd visit 9/9/08

Doctor examined leg and said strength was about 50-60%.
Range: Almost full range of motion

On a scale from a world class athlete (highest) to average person (lowest), he said my recovery is in the middle and he is very pleased so far. He knows I'm working out hard and it shows. Physical Therapy will continue at facility 3 times a week for a month. Then back to doctor for evaluation.

He said he probably would not measure my strength on a Biodex machine for another month as he can tell I don't have that much strength and to test on that would only discourage me at this point.

Here is what a Biodex machine looks like:

The photo and this description are from
worldcupway dot blogspot dot com slash 2007 slash 02 slash feb-7-biodex-balance-and-isokinetic

The Biodex Isokinetic test is a machine which looks at a players' strength in his hamstrings and quadriceps - both right and left and in comparison to each other. It gives an idea of peak torque, which is the total power of the leg.

The machine measures the leg at three different resistance and speed levels, after measuring the players range of motion in his knee. So for example, the machine can test if a player has a stronger hamstring, compared to his quad. The ideal practice for strength in each of these muscles is said to be about 60-40; meaning, that if a person can lift 100 pounds with his quad, that person should ideally be able to lift 40 pounds with his hamstring.

One such reason this is beneficial to monitor is in the case of a player running or balancing himself. If a player starts squatting with one leg, and has a week hamstring, the strain on keeping him balanced lies solely on his ACL or other knee parts. The stronger the hamstring, the better he can use that to remain balanced, thus possibly preventing injury to his knee.

The PT facility I go to is used by lots of local athletes--in fact several athletes that made it to the Olympics had PT at this facility.

The doctor's opinion as far a "do or don't do" list for this injury is to just use common sense. He said he wouldn't recommend skydiving for example. He doesn't recommend long distance running either. He also said each person has to weigh the risks of an activity and how important it is to them and if a person is willing to pay for taking the risk. He says everyone takes a risk just getting in their car to go to work. He himself admits he takes quite a risk in his activities (motorcycle racing). But, I guess he would get a discount on ortho surgery

So, he isn't a Doctor "No" or a Doctor "Yes". He seems pretty sensible to me. He has repaired several quad ruptures in addition to many types of ortho repair (and he redoes bad repairs like knee replacements) and teaches at a well respected university. He mentioned a risk example for a professional athlete. One professional basketball player (sorry, name escapes me) was playing softball for a charity. Of course he had a quad rupture while playing softball and it ended his basketball career. He took the risk and paid.

PT progress at facility:

- treadmill set from max of "5" to "10" incline since last Friday
(usually do 1.8 mph max)
- wall slide (weight from two 5 lb. to two 8 lb.)
all table exercises (side-to-side, leg lift, quad sets, heel raises) out (but I still do them when not at facility)
- Step exercise for going down - instead of doing the "knee dips" on floor, now doing from Fonda step (just the step, no risers--holding onto hand rails)
- All sets increased from 3 to 4.
- Total Gym - 4 sets of 10 from "level 8" hook. This is really helping me to do that final stretch of the legs for total rom.
- Balance on one leg bouncing ball off wall - 4 sets of 15. Can almost do 15 without putting leg down.
- Fonda Step increase from one riser to two risers for side-to-side step and forward step (go up on injured leg, then down on injured leg).

Hopefully in a few weeks will be:
- Increasing leg weight (currently 12.5 lbs).
(the one where I'm sitting and pushing the weight back with my leg).
- increasing weight on machine where I push down with both legs
- walking down a steep incline
- increase balancing to standing on a 2-3 inch foam pad with just my injured leg while bouncing ball against the wall 15 x 4.
- and whatever else PT cooks up for me as they are always monitoring my activity. When it looks a little too easy, they change something in the routine--keeps it challenging and gets my strength and balance up.

Basically, my doctor and PT facility work in connection to adjust my PT schedule for me as an individual. They have been quite aggressive in my PT and make it challenging. Everyone has a slightly different injury, repair, and all kinds of other different factors. I wish everyone could have my doctor and PT team.

Even with the same injury, we all have individual factors that need to be taken into consideration. I would hope your doctors and PT people are looking at your individual progress and not just going down some list or guessing. Because it is a rare injury, I'm sure a lot of professionals are not up to speed depending on the area you are in.

Best wishes to everyone on their recovery.
post #644 of 10797

Steady recovery at 16 weeks

Hi all,

I've been on the moderately aggressive side of recovery, but was very cautious for the 1st 8 weeks. I'm now running about 3 times per week (total miles 12-1) and biking about an hour per day to and from work.

Motion and weight bearing exercise are crucial, but you have to listen to your body and not overdo it. My knee gets a little tight after a run but it doesn't really swell up at this point -- just slightly sore and a little tigher than normal. This is gradually diminishing but my OS says it is going to take a full 6 months to really get back to my pre-injury status.

I think it is key to get a good doc, proper diagnosis, and then a smooth transition from immobilized leg to PT to regular exercise. Over time, it does seem to come back, or it at least appears that way so far. My injury was mid-May, and for the first few weeks I never would have imagined that my leg would be feeling so generally trustworthy and stable at this point. Good luck to all who are in the track behind me. It does get better over time.

post #645 of 10797

Surgery #2 Friday

Oh the joy of more surgery. Just too much scar tissue under the quad tendon to get broken down and OS worried about developing arthritis on my knee cap so we are going back in to clean out the scar tissue (lysis of adhesions) and bend me to full range of motion (manipulation under anesthesia) to free me up.
From what I am reading this is going to hurt like hell and be sore when he is done, but going to be much better in the long run. So going to take a week and a half off work and hang out at home icing and doing gentle PT all day long.
post #646 of 10797

Why'd it happen

As my late grandmothers woulda said, In2, "oi". Over the past week, I've read all 21 (now 22) pages of this most useful and compelling (at least for fellow QTR people) thread, and taken notes, but I must admit that I can't recall the specifics of your case. Did your OS have anything to say about why the excess of scar tissue formed, In2? I'm especially interested in genetic vs. environmental (e.g., coming back from the surgery too quickly) causes. Thanks.
post #647 of 10797
GatorJersey: Think the scar tissue is from a number of factors. I was VERY swollen and think I had a lot of blood (I suspect a bone bruise that was bleeding) at the time of surgery, my OS said he did not want to do the surgery when he first saw me because of the swelling, but I pushed him to do it. Second I think I ran back to work to quickly and was a little too aggressive early on and was pushing a swollen knee when I should have been taken it more slowly. Third I think I am may be a little bit geneticly disposed to lay down more scar tissue than normal.

I have had two other surgeries on my other knee. First was a failed meniscus repair by a rookie OS (big mistake), this was done on a swollen knee also 1 week after the injury. I had a bit of scar tissue issues with it but not this bad and was on the side of my knee. Second surgery was a ACL repair 2 years after the meniscus repair on the same knee and had no issues at all with scar tissue or recovery.

I think the marjor factor was doing the surgery on a swollen bleeding knee. Reason why most knee surgeries are put on hold until knee swelling has gone down at least this what I have been reading. But everything I read on this surgery was that it needed to be done ASAP before the end of the tendon starts dying off.

I am sure given more time I would get most of the scar tissue broken down and eventually recover but would be doing so at the expense of damaging the articular cartilage inside my knee.

I never ask him why the scar tissue, but we both knew that I was in trouble around week 6 or week 8 when he said he was probably going to need to go back in later and clean out scar tissue.
post #648 of 10797
In2falling- sorry you have to go to surgery again. I also have a bump at the top of the knee cap and the os said that is due to excess of scar tissue,lets see what happens.I found a forum that talk some about MUA.Go to google,type quad tendon rupture,click on KNEEguru Forum Archives

best wishes,
post #649 of 10797
Don_jp: Thanks for the link, I think I have already read that one a while ago along with most of the arthrofibrosis (scar tissue) horror stories on kneeguru website.

I told my OS if he breaks or re-ruptures doing the manipulation, I get to rupture his and I will get to do the surgery to fix it . He is acutally a very good knee surgeon, one of the best for meniscus/cartilage and ACLs and does hundreds of surgeries a year. So have complete trust in him to go in and get the scar tissue crap cleaned out good.
post #650 of 10797
in2falling: Good luck with surgery #2. Although surgery is never appealing I predict this one will be far less traumatic than surgery #1 since there is no tendon re-attachment required. With your proven discipline and perseverence I think you will be back up and running in no time.
post #651 of 10797


I echo Duncan's comments, in2. My knee blew up almost insantly. There was no bleeding. We iced it through the night, but it was humongous at the time of the surgery, 22 hrs. after the fall.

My OS, who had previously scoped both my knees, is considered one of the best in the business in NYC. So maybe I'm benefiting from his skill, although the procedure does seem to be relatively straighforward from a tech perspective.

I reach the one month milestone tomorrow. Have been keeping the brace off a lot of the time; walk without it, holding my walker off the ground but ready to lean on it if my knee starts to buckle - which it hasn't. Also doing plenty of calf exercises as well as straight leg lifts (in the A.M., five sets of six from a semi-recumbent position, hold for 6 secs. each time; repeat again in the P.M.) and, of course, upper body.

On Mon., I see the OS for the first time since I left the hospital 2 days after the surgery. Hopefully, I'll get the good feedback I fully expect.
post #652 of 10797
Infalling- you are right,that kneeguru site is a very scary place ,good thing that we have this site.Good luck with your surgery,I,m sure you will be ok.Let me know how it goes ,maybe because what my os said,I could be the next in line.

GatorJ-you are doing great for one month,I think your os will be very pleased.

Wyopapa-Did you have your mri done? What the doct said about the "popping" in your knee? I also have developed that popping sound at walking.Sometimes the area around my knee cap feels very tight at walking and when the knee pops it loosens some and I can bend the leg more,weird stuff!!???
also my injured knee feels a lot warmer compared with the good knee, but I guess that have something to do with the swelling .Anyone else have any idea what that 'pop' means? I have to see my os in couple of weeks.

best wishes to everyone,

post #653 of 10797
I have no good idea about the "pop", don. My guess is that it's friction from scar or some other kind of tissue pulling or rubbing against something else.
post #654 of 10797
Don_jp: The popping could be what they call patellar clunk. The suprapatellar is the pouch right under the quad tendon and more than likely scar tissue under the tendon close to the patellar (knee cap).


"They noted suprapatellar fibrous tissue was responsible for the patellar clunk on knee extension. This fibrous tissue lodges into the intercondylar notch of the femoral component during flexion and dislodges on extension with an audible and often painful clunk."
post #655 of 10797

7 Weeks Post

Don & in2 – I’ve had that clunk or clicking of my patella after both of my surgeries. At this point it’s the only complaint I have. I bought a really nice Bregg brace over the internet and I’ve been able to get around the problem by setting the extension to 10 & sometimes 20 degrees lock. I sound like a horse when I walk but it does eliminate the pain from the patella tracking problem. I’m sure it’s not a long term solution and It’s the first question I’ll be asking my surgeon when I see him next Tuesday. The standard answer from most PTs is that it’ll go away when you get the muscles built back up but I’m not seeing much improvement yet.

GatorJ – I think your OS is going to kill you if you tell him what you’ve been doing when you see him on Monday. And for that you are my new hero!

Helmut – I didn’t mean to imply I was the only one to need re-repair. I too, had a diagnosis of a partial tear in the QT about 5-6 years ago. At the time I didn’t even think about possibility of rupture. Since that time, the pain has been debilitating enough to keep me from being able to workout for months at a time. For that reason I felt from the start that my QTR surgery was really a blessing in disguise. I can’t possibly have as much pain going forward as I was having. Did you have ongoing pain from your 20% tear? I read back through some of your posts, and your 90% tear sounded a lot like how mine was behaving before my second surgery 7 weeks ago.

Buford – A lot of the guys at the beginning of this thread were into pool walking and getting great results. Seems like I remember some of them starting within a few weeks of surgery. Even the personal trainers at my gym tried to get me to try it. Unfortunately I don’t like water and when I tried it a couple of times, couldn’t get my heart rate up much.
My gym has 5 different types of elliptical trainers, some of which require more ROM than others. I believe the styles which require less ROM should be standard protocol for QTR rehab. Nice gently movement and added safety with the use of the arm poles.

It’s great to get positive reports from guys like Paulsenw and Wbrewer. Gives us hope and inspiration. My PT guy told me that with sites like this one, patients with good results tend to move on which unfortunately leaves us without the input of those who’ve been successful. The KNEEgeeks site is a good example. That site is depressing and I had to quit reading as it was giving me a negative attitude.
post #656 of 10797

Where's Connie P?

Hey all, where the heck is Connie P. I'm hoping she's just laying in the weeds ready to jump...
post #657 of 10797
Will- My partial tear started at about 20%. When it happened I felt like my leg had broken for sure. Even the medics thought so. It quickly died down and I walked out of hospital. after a couple of weeks the pain was gone. Stiff and swollen but pain free I was able to ride my bike 30kms at a time no problem. Actually felt better. This being said I still could not climb stairs, doc found that strange and redid the ultrasound. They found that it had increased to 90% tear so surgery was done. The odd part was that I had no indication of the increase. Doc said I should have been in very bad pain but was not. So this does show that we all have very different pain transmissions i guess.

I would not call this a blessing but I guess if i had kept going I surely would have had a catastophic fall at some point without warning. And at my work that could have been a real bad thing. So I guess blessing is the word of choice for lack of a better word.
post #658 of 10797
Thanks, Will. What I tell the OS depends on whether or not Dr. GatorJersey insists on accompanying me into the exam room. At the least, I'm gonna get ratted out for mowing the lawn (hey, it's a small one, & I do wear the brace). Keep your fighting spirit!
post #659 of 10797

2 hours post op surgery #2

Wow, that was an easy surgery! Took him a whole 22 minutes and think he numbed up the knee with lidocaine or something to numb it because there is really not much pain at all. My quads muscles are really swollen though, guess that is why he gave me some muscle relaxers.

Nice thing is that this was a different surgical center and they where not throwing me out the door 2 minutes after I woke up, I acutally had to tell them I was ready to leave and wanted to go get something to eat. Bad thing is that the nurses did not have much of a sense of humor .

Talked with my OS briefly after I woke up and he said he got the my heel bent to my ass. Which I am completely relieved that I will get my full ROM back. But I am sure its going to take me a few weeks before I am able to do that on my own.

So now I am going to keep this sucker moving via the CPM machine and recumbant bike today. Going to ice every 20 minutes every hour and stay on crutches over the weekend. OS stated he wants me doing rehab on it starting tomorrow, so going to start my planned out rehab tomorrow.
post #660 of 10797
Gator,In2,thanks for the knee pop response,In2-thanks for the patellar clunk link,very interesting,and by the way,welcome back from your surg. Heel bend all the way to your behind!,oouuch!,glad everything went ok.

Will,let us know what your surgeon says about that patellar pop or clunk

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