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  1. #1
    Junior Member
    Join Date
    Jul 2005
    Posts
    2

    Default Patellar Tendon Rupture.....

    Okay here goes...

    On May 9th I was playing basketball with some friends, lost my footing on some wet ashphalt and felt a "snap" in my knee. It hurt immensely. I looked down to see the kneecap about 3-4 inches higher than what it should be. I went to the hospital, xrays were done, and the ER doc said that I had ruptured the patellar tendon. They put it in a Zimmer Splint. (foam and velcro wrap with metal re-inforcing on the back and sides)

    I saw an Orthopaedic Specialist 2 days later (this was the soonest I could get an appointment). He took a look at the knee and the xrays and said that I had likely ripped the tendon off of the bottom of the kneecap as opposed to tearing it mid tendon. He said that it was a good thing as it is a stronger fix when it tears off of the kneecap.

    Surgery was scheduled for the 18th of May. (9 days after the injury) The surgery was delayed due to swelling and the fact that I had some exams to write for my schooling. It was the first time ever for surgery. Everything went well. The Orth Surgeon came into the recovery room after I came out of anesthetic and explained what he had done. The tendon was sutured and passed through 3 bone tunnels in the kneecap and anchored above the kneecap into some muscle tissue. He said the procedure went well....no complications.

    The knee was locked in extension for 2 weeks using the Zimmer. During this time I was not to do anything. At 2 weeks the staples were removed and I was switched over to a hinged knee brace (still locked in extension).

    I started PT 6 weeks post-op. Our goals were 30 degrees flex and full passive extension for the first 2 weeks, and 45 degrees flex and full passive extension for the next 2 weeks. Weightbearing was allowed as tolerated. PT consisted of passive range of motion exercises, ultrasound, high voltage stimulis, and ice. Our goals were met with quite a bit of screaming on my part to get the 45 degrees.

    On June 30th I had a check up with my Orth Surgeon. He said that thing seem to look OK, and that we can proceed with full active flex and active ext to 120 degrees. He did express some concern about the amount of scar tissue. I told him about the pain experienced during PT and he stated that it will be rather painful trying to get the range of motion back because we literally have to tear through the scar tissue that has formed. I asked if it was wise to take my painkillers left over from after the surgery before PT. He said to go ahead.....at this point he is confident that the repair will hold, and any pain experienced will be from scar tissue only, not to worry about re-damaging the tendon.

    Over the past 2 weeks we have gained about 15 degrees more...so up to about 60 degrees. It has been extremely painful trying to get more range. I am "walking" with almost no weight on the single crutch. I am able to do straight leg raises with no extension lag with some pain. I am also able to do leg extensions while hanging the leg off of a chair...also some pain. I can bear full weight while balancing without the knee brace. PT now consist of the same as before, but with added quad strengthening excercises. We are hoping to have enough stabilization next week to discontinue the use of the knee brace.

    I was wondering if there was anyone else out there that has had this injury and what their experience was like. Does anyone have any secrets to being able to bear the pain of ripping through the scar tissue?

    Thanks....

    Peter

  2. #2
    Unregistered
    Guest

    Default

    Well on July 5 I was playing basketball and went up to dunk the ball. I heard a pop in my right knee and then a pop in my left knee. I looked down and noticed that my knee cap rode up by my quaracipes. I automatically thought I had torn an ACL or something. I was rushed to the emergency room and was diagnosed with a bi-lateral ifra-patellar tendon rupture. I was operated that night and came out with good news of the operation. I am now on my third week and can bear weight on my feet. I wear knee emobilizers and just stay home all day. I have to wait for the third month to start my PT. I did get my staples removed and the doctor did try to bend my knee a little bit and boy was it painful. Atleast you have one knee to worry about but as for me I have both so I guess there was a two for one special that day. But I'll have to get by. What doesn't kill me won't hurt me, well maybe a little bit.

  3. #3
    Unregistered
    Guest

    Thumbs up Patella tendon rupture

    I ruptured mine (right knee) about 3 years ago and had a similar experience, altought rehap started about week 5. I was particularly frustrated by the lack of 'aggressive' treatment in re-hab; I didn't care about the pain because I knew that each round of streching and pain just meant more movement in the future.

    I recently had the same injury occur in my other knee, so I'm back at it again. I'm starting week 4. There was more post-op pain with this one - I think because the rupture occured at the tibia (point of tendon insertion), rather than along the tendon itself.

  4. #4

    Default

    Pretty unlucky for you to rupture at the tibial end. Normally the patellar tendon is very strong there.

  5. #5
    Junior Member
    Join Date
    May 2006
    Location
    Manchester UK
    Posts
    2

    Default Ruptured Patella Tendon

    Hi Peter

    Just read your posting of a year ago and wondering how you got on, have you fully receovered or still having problems

    JohnK/ Manchester UK 1/5/2006
    Jkramrisch@aol.com


    n May 9th I was playing basketball with some friends, lost my footing on some wet ashphalt and felt a "snap" in my knee. It hurt immensely. I looked down to see the kneecap about 3-4 inches higher than what it should be. I went to the hospital, xrays were done, and the ER doc said that I had ruptured the patellar tendon. They put it in a Zimmer Splint. (foam and velcro wrap with metal re-inforcing on the back and sides)

    I saw an Orthopaedic Specialist 2 days later (this was the soonest I could get an appointment). He took a look at the knee and the xrays and said that I had likely ripped the tendon off of the bottom of the kneecap as opposed to tearing it mid tendon. He said that it was a good thing as it is a stronger fix when it tears off of the kneecap.

    Surgery was scheduled for the 18th of May. (9 days after the injury) The surgery was delayed due to swelling and the fact that I had some exams to write for my schooling. It was the first time ever for surgery. Everything went well. The Orth Surgeon came into the recovery room after I came out of anesthetic and explained what he had done. The tendon was sutured and passed through 3 bone tunnels in the kneecap and anchored above the kneecap into some muscle tissue. He said the procedure went well....no complications.

    The knee was locked in extension for 2 weeks using the Zimmer. During this time I was not to do anything. At 2 weeks the staples were removed and I was switched over to a hinged knee brace (still locked in extension).

    I started PT 6 weeks post-op. Our goals were 30 degrees flex and full passive extension for the first 2 weeks, and 45 degrees flex and full passive extension for the next 2 weeks. Weightbearing was allowed as tolerated. PT consisted of passive range of motion exercises, ultrasound, high voltage stimulis, and ice. Our goals were met with quite a bit of screaming on my part to get the 45 degrees.

    On June 30th I had a check up with my Orth Surgeon. He said that thing seem to look OK, and that we can proceed with full active flex and active ext to 120 degrees. He did express some concern about the amount of scar tissue. I told him about the pain experienced during PT and he stated that it will be rather painful trying to get the range of motion back because we literally have to tear through the scar tissue that has formed. I asked if it was wise to take my painkillers left over from after the surgery before PT. He said to go ahead.....at this point he is confident that the repair will hold, and any pain experienced will be from scar tissue only, not to worry about re-damaging the tendon.

    Over the past 2 weeks we have gained about 15 degrees more...so up to about 60 degrees. It has been extremely painful trying to get more range. I am "walking" with almost no weight on the single crutch. I am able to do straight leg raises with no extension lag with some pain. I am also able to do leg extensions while hanging the leg off of a chair...also some pain. I can bear full weight while balancing without the knee brace. PT now consist of the same as before, but with added quad strengthening excercises. We are hoping to have enough stabilization next week to discontinue the use of the knee brace.

    I was wondering if there was anyone else out there that has had this injury and what their experience was like. Does anyone have any secrets to being able to bear the pain of ripping through the scar tissue?

    Thanks....

    Peter[/QUOTE]

  6. #6
    Junior Member
    Join Date
    May 2006
    Location
    Manchester UK
    Posts
    2

    Default

    Hi Peter

    Having just read your posting, noted that you had a RPT some 9 months ago. What is todays situation?? did you recover 100% or are you still having problems.

    Best wishes
    John Kramrisch Manchester UK
    Jkramrisch@aol.com

  7. #7
    Unregistered
    Guest

    Default Dee - Pensacola

    I to join the band with this injury. I am due to have surgery May 8th (unsure) I cannot bend my knee @ all much discomfort. Drs visit I could not extend my any means. With searching online I found this site and I see I am not the only one. Wish me luck all that read this.

  8. #8
    Larry
    Guest

    Default Had surgery in March of 2005...

    Had a complete rupture falling down a flight of stairs and had surgery 4 days later.
    I started PT 4 weeks after surgery and was released from therapy 4 months later.

    By August of 2005 I was jogging, playing softball, and weight lifting. I am 40 years old.

    This morning I ran 5 miles on the treadmill and played softball in the evening after a full day of work.

    The knee still doesn't feel "right"...not painful, but not "right". It probably never will
    with all the scar tissue involved with the healing. But I'm as active now as I've ever
    been. I guess I could describe the feeling as if you had a wad of Play-Doh stuck in
    your knee. I know it sounds weird...but that what it feels like to me.

    Good luck in your surgery and don't get too depressed. Just find a good theropist
    that you have a good relationship with. This is crucial to your rehab. And do the
    exercises they tell you to do at home.

    Larry in Maryland

  9. #9
    Unregistered
    Guest

    Default

    Quote Originally Posted by Unregistered
    I to join the band with this injury. I am due to have surgery May 8th (unsure) I cannot bend my knee @ all much discomfort. Drs visit I could not extend my any means. With searching online I found this site and I see I am not the only one. Wish me luck all that read this.
    Dee:
    It is a very serious injury that takes considerable time and patience to deal with. I ruptured my left patellar tendon in mid Jan 06 and actually could walk around slowly with the very swollen knee - but it was putting increasing stress on the other ligaments and the MRI confirmed the complete tear. I had surgery in late February (5.5 wks post injury)including a hamstring graft to reinforce the tendon. First 10 days I stayed off the leg entirely. Next three weeks very passive physio you do on your own moving leg to 45 degree ROM and feather weight on left leg. The following four weeks involved more passive physio with leg bend to 90 degree ROM and 25% weight bearing on. I was fortunate that I did not have any significant pain outside of the first 3-4 days after surgery. Next 6 weeks (weight bearing as tolerated) I went from 2 crutches to 1 crutch over the first couple of weeks, then 1 week with a cane before I started walking. I have gone from 90 degrees to 140 by just doing gradual 30 sec holds 3x10, 3 times per day. Started riding the stationary bike with no resistance halfway through this period to improve ROM (2X25mins per day). I'm around day 100 now and hopefully the doc will okay squat exercises (biking with resistance, etc) to rebuild my quad shortly. Once you get walking the swelling comes out of your ankle and life gets a whole lot better. I never figured out how to carry a plate while using both crutches - just didn't work. I'm still pretty fragile but seem to be moving in the right direction fairly quickly now. It will be time consuming to rebuild the quad.
    All the best on your surgery and rehab.
    Rob

  10. #10
    Junior Member
    Join Date
    Jun 2006
    Posts
    0

    Red face Now I am in the same boat!

    On Friday I went to a wedding pre picnic and have never injured anything in the past. I snowboard ski mtnbike and bball. I made a hard cut to the bucket and collided with they other person, LORD I have never felt pain like that. One ambulance later and I was at the hospital on morephene, within less than 24 hours I was in surgury. So now I am sitting on the couch trying to heal and I can say the surgery went apparently good it was a BAD tear from the bottom of the bone. I can say that Vicodin SUCKS it make you feel like crap and all stuffed up. I am hopefil to go to the doc on friday so he can check the bandage. I am having all kinds of issues because I am normally active so mentally it is hard to deal with. I still have my trainer come over every other day to train my upper body. Looks like I will be on this board alot more in the comming months.
    Thanks,
    Brian

    I know what you are going through let me knwo if you need any support!

 

 

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