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  1. #1

    Default Ligamentum Teres Rupture & Labral Repair

    Hi Everyone,

    Finally I went ahead with the op! I am in Melbourne and 6 days post op for a left hip labral repair (anchored) with JO. The scope confirmed that my ligamentum teres was completely ruptured and unrepairable. To help stabilise the hip they tightened the hip ligaments and repaired (anchored) the tear.

    Prior to Op: My left hip was unstable and I had C section pain (Place hand on hips and drop them down slightly) plus groin pain. I also had difficulty standing on my left leg plus the medial side of my left knee hurt. (Not surprising given the Ligamentum teres rupture). Plus I also have a small labral tear in my right hip.

    Post Op. I am on crutches (weightbearing 60%). and I have that familiar groin pain (hurts when I lift my left leg up). I thought this pain was suppose to go post op? Should I be weight bearing at all? Plus my left knee still hurts. Does anyone know of a good knee specialist in Melbourne? I read somewhere that Julian Feller was good with knees?

    I thought I would start this thread for people with complete ligamentum teres rupture and or with labral repairs. What does this means short/long term? How long on crutches? Will I need a hip replacement long term? Plus I need some reassurance regarding the labral repair in regards to that groin pain (Please tell me its normal) and what to expect in terms of recovery time. Thks

  2. #2
    Moderator
    Join Date
    Dec 2008
    Posts
    1,152

    Default

    Hi Bella

    Well done for coming through the op. I really wouldn't worry about the groin pain - you've got a long way to go with this recovery (6 months for a decent recovery and 12-18 months for total recovery). If you imagine all of the work that has been done, it's bound to be inflamed and sore. Have lots of rest, and keep using your crutches until it settles down. As for needing a hip replacement in the future - that would depend on how much cartilage damage there was in your hip (if any). This surgery is still realatively new in terms of long-term outcomes, but you could ask your surgeon at your next appointment.

    Good luck with your recovery and let us know how you're getting on
    Janet

  3. #3
    Senior Member
    Join Date
    Oct 2008
    Location
    Potosi, MO
    Posts
    72

    Default

    I would check with your doctor about weight-bearing. I just had a labral repair with anchors and am not supposed to be weight-bearing for four weeks after. It feels fine so I called the doctor's office to ask if I could start putting weight on it, and I was told in no uncertain terms NOT to put weight on it (except toe-touch weight).

  4. #4
    Legend
    Join Date
    Dec 2006
    Location
    Christchurch, NEW ZEALAND
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    180

    Default

    Hi Bella!
    Glad to hear you got through surgery ok, I was just thinking this week that you must be over there by now.
    It's no wonder your hip was unstable if the ligamentum teres was ruptured...did this show on any of your scans?
    I'm sure your pain will settle with time. Do check with JO if you are unsure.
    I'm waiting for my surgery now too, here in ChCh...do you know if you had to have the acetabulum shaved back in order for the labrum to be able to heal to it for the repair?? This is what I've been told and can't find any information on repairs.
    Hope you continue to feel better :-)
    Jess
    Left hip scope June 2007 - Paul Armour. Fibrillated labral tear debrided.
    Left hip scope 10 Nov 2009 - John Rietveld. Labral resection and osteochondroplasty for CAM FAI


    www.jessmcb.com

  5. #5

    Default

    Hi Jess,
    My left hip had cam predisposition. The Ligamentum Teres did not show up on any scans. They only shaved a bit of the bone to make it bleed and heal quicker.

    All I know is dont settle with living life in pain. Keep persisting until you get some answers and find someone who truly understands your injury. Goodluck with your surgery. Keep us posted.

  6. #6
    Legend
    Join Date
    Dec 2006
    Location
    Christchurch, NEW ZEALAND
    Posts
    180

    Default

    Thanks Bella, sounds like what Mr R said he'd be doing...just enough to make it bleed...also osteoplasty for cam impingement...will keep you up to date.
    Cheers
    Jess
    Left hip scope June 2007 - Paul Armour. Fibrillated labral tear debrided.
    Left hip scope 10 Nov 2009 - John Rietveld. Labral resection and osteochondroplasty for CAM FAI


    www.jessmcb.com

  7. #7

    Default

    I also had a torn ligamentum teres (full thickness), and apparently this sort of thing doesn't show up in scans. Now 4 days post-op (gee it's nice to be able to say post-op - at last it feels that I'm on the road to recovery!). The physio has suggested taking things very quietly for 10 days to allow the inflammation to settle, but I am allowed to move around a little, weight-bearing with crutches to take some of the load off. He seemed to think there would be flare-ups of pain for several months, after overdoing things, but that 10 weeks should see a return to most activities.

  8. #8
    Legend
    Join Date
    Jul 2008
    Location
    Melbourne, Australia
    Posts
    359

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    Bella, it will takes months of ups and downs before you see real improvement, 12 weeks should be your first mark.
    "It takes at least a year to recover from hip scope, be patient is my number one tip ! "

    Surgery : Repair to torn cartlidge and labrum, synovitis and a FAI shave, Sept 2008
    Surgeon : http://www.hiparthroscopyaustralia.com.au/Hip_pain.html
    Specialist hip physio for rehab :http://www.skrmc.com.au/html/s08_con....asp?dsb%3D151
    My story : http://www.injuryupdate.com.au/forum...ead.php?t=6744

  9. #9
    Senior Member
    Join Date
    Sep 2009
    Location
    Vic, Australia
    Posts
    60

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    Hi Bella and all, I just had my second scope two weeks ago. I originally had a partial rupture of the ligamentum teres and partial synovectomy due to synovitis done by JO (Melb) in Dec 2007. The pain re-occured at the start of this year, and I just had a repeat scope by DY and another partial synovectomy. I had labral bruising. Synovitis is very painful. He mentioned my hip was very easy to dislocate and very unstable. This seems to be the thing that makes it re-occur "hip instability". The unstable hip rubbing the inside of the joint. I have read about capsular plication and am curious about what happened to you Bella with that. I would like something like that to happen so my symptoms don't re-occur, but it appears DY doesn't do that. In terms of rehab, I am not allowed to walk for 6 wks. Can start cycling & swimming about now. Nice to chat! J

  10. #10

    Default

    Hi Bella and Jessi
    Curse these hips (where have I heard that before?). I thought I was doing really well for the first 3 1/2 weeks (post surgery for ligamentum teres tear and synovectomy ), pain had really diminished although range of movement was still very restricted. Had been doing a litttle hydrotherapy and also using the cross trainer for 25 minutes, resting the next day to assess respones- all was well. Walking is fine too.
    But early this week I woke one night with a very uncomfortable painful hip and tried to move it to get comfy - ow ow ow, it really hurt, like I could feel the head of femur grinding into the raw inflamed synovial lining of the socket. And it's been very sore all week, though diminishing just a little. I hate sleeping, especially. I think it's instability that caused the head of femur to move into a bad position while I was sleeping (on my back as per instructions) - how can you control this sort of thing? I'm rather anxious that I, too, will be back for repeat surgery down the track, like Jessi.
    Was there anything you did Jessi that stirred it up for you?

 

 

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