TTO Knee Surgery: 1-3 Days Post Op

Background: Prior to my surgery I found little information available online. Below is a journal of my experience. My list of logs can be found here.

I had a tibial tubercle osteotomy (TTO) with distal realignment procedure. My procedure also included a lateral release. And my effected knee is the right.

1st Day Post Op (Friday): A Day of Pain

This was the worse day, pain wise. I was pretty much crying and miserable the entire day. My dose was doubled on the narcotic pain killer, I was given Oxycodone with Acetaminophin. But it barely helped. I moved as little as possible, tried to hydrate and mostly just sobbed. I refused to stay in bed all day and still moved to the couch, ate some meals, and tried to maintain a normal cycle of being awake and sleeping. But I was really drugged. So be prepared for this to be the worse day. During the night, I was using the bathroom a lot, to get all the fluids out of me from the surgery. Peeing was also hard, side effect from the drugs they gave me and the oxy.

Lifting my leg caused pain, like a tugging near the surgery site. Whether my imagination or not, it felt like the bone they cut was being torn off every time I used my muscles to lift my leg. Which I needed to do when using the crutches. So after enduring this pain for longer than it should have taken me to figure out, I realized I could drag my leg behind me instead of picking it up. I put socks on that foot to make it more slide-able, and just dragged it. This let those muscles relax and I was able to move in a much more pain free manner. I did this for the first three days, until I could lift that leg without feeling the pulling. Granted this only works indoors, but that was where I was spending most of my time, so it worked fine.

2nd day Post Op (Saturday) we were allowed to remove all the wrappings from the leg. Images below.

I bought regular wipes for use until I was able to bathe. I wiped the leg down when we unwrapped it. I didn’t get the disinfectant wipes, just normal hand wipes. They aren’t baby wipes, but those would work. It was easier than trying to take a sponge bathe. And it ensured the incision site was kept dry.

The pain was better on day 2 and 3, but I still kept up on the heavy dose of pain killers.

Of note, how I did the toilet and sitting general. My left leg was strong enough to support me in a squat, and I would slide the right leg out, keeping a sock on it. The first few days, my husband also lifted my leg onto a short stool, so the foot was off the ground. Since having it low, made it hurt more. By post op day four, I was leaving it on the ground, but it was also easier to pee because I had less drugs in me. I also found it was easier to take my left leg (good leg) out of the shorts/panties so I could spread my legs farther part. The brace makes it hard to separate my legs while having the pant leg on.

(Tibial tubercle osteotomy (TTO) with distal realignment procedure, the tibial tubercle, the prominent bony insertion of the patellar tendon into your shinbone (tibia), is partially or totally detached and moved and reattached in a better position that allows the kneecap to track better in its groove)

*I am not a doctor nor am I qualified to give medical advice. I am simply sharing what I experienced. The content on my blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website.

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TTO Knee Surgery: Day of Surgery

Background: Prior to my surgery I found little information available online. Below is a journal of my experience. My list of logs can be found here.

I had a tibial tubercle osteotomy (TTO) with distal realignment procedure. My procedure also included a lateral release. And my effected knee is the right. Image above is from the night after surgery.

Day of Surgery (Thursday): Out patient procedure

My appointment/arrival was for 1130am. The person ahead of me canceled, so as soon as we arrived, they were lining up to get the vitals and IV in. I was taken back for surgery at 1pm. So for those curious, yes it is a full strip, and I would suggest wearing shorts that will be above the brace, so short shorts. And if you are like me, you won’t be able to reach your foot that is in the brace, because you have to keep it fully extended. So wear slip on shoes, and some socks. They sent me home with the shoe in a bag.

Before surgery they gave me something to dry out my lungs. This gives you really bad dry mouth. I don’t know if all hospitals do this, but mine did. This plays in later. I was put under pretty fast once they wheeled me back, mask went on, I took three deep breathes, and felt an intense burn in my left arm. Then I was out.

When I woke, pain. Like, omg, the pain. I opened my eyes just enough to utter that I was in pain. I was given half a dose of something in the IV. They came back later, who knows how much later, and I repeated I was in pain, so I was given the rest of the dose. This was repeated with another drug, given half, complained, given the other half. Really the pain never got better. But they gave up on making me comfortable, or my time expired, so they wheeled me back to the original room, where my husband waited.

Here they wouldn’t give me IV drugs. Had to be oral, and I had to prove I could keep them down. Well, I was dizzy of course, and mentioned being nauseous. So they wouldn’t give me the pain pill until I ate some crackers. Remember the dry mouth? Yeah. So eating that cracker was impossible. I asked for soda, thinking that might work better, it didn’t. Somehow I got one cracker down and they gave me the pill. We waited a bit, it stayed down and they blessed me to get dressed and leave. We were out there by six or seven and home before nine that night. (Had to go to the pharmacy for prescriptions)

Getting in the car… I went for the back seat. Went in the passenger side, since its my right leg, so that leg could be up on the seats and my good leg down. Exiting, I’ve tried continuing to scoot and go out the driver’s side, or scooting back to the passenger side. I’d say stick with the same door you went in. Its also better if you can put the leg on the center console instead of the seat next to you. But that depends on the driver and style of car.

I did throw up on the drive home, but that’s normal for me. I think I’ve done that after every surgery. I was able to eat once we got home and get into bed. My husband lifted the leg for me that was in the brace. So if you have someone who can do this for you, do it. Eventually you can grab the brace and lift it yourself, but it depends on how strong your abs are.

(Day of surgery for tibial tubercle osteotomy (TTO) with distal realignment procedure, the tibial tubercle, the prominent bony insertion of the patellar tendon into your shinbone (tibia), is partially or totally detached and moved and reattached in a better position that allows the kneecap to track better in its groove)

*I am not a doctor nor am I qualified to give medical advice. I am simply sharing what I experienced. The content on my blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website.


Enukara book tour!

The last book in the Enukara series will be released this week! To celebrate, the series is going on a thirty day tour! The first stop is today on Silver Dagger Book Tours! 


New Release! Latest Enukara Novel!

The second generation of dragons, known for being a unified force of soldiers, have never grown to adulthood. Until now. Destiny is the first to reach maturity. Nurtured by the dragon king’s closest allies, she has become more than a killer—she wants to belong. But she doesn’t fit with any of the dragons or the humans.

As her first breeding day arrives, she must choose a mate. Her choice could deter a war, or led to the end of the dragon king’s reign.

The problem is, only one person knows how much is at stake, Jeremiah, whose drug abuse has left him barely functional. As Jeremiah’s life spirals, he realizes the end of all dragons hinges on his ability to stay sober enough to save the dragon king from his untimely destiny.

Amazon kindle link

 


The Upside, Movie Review

I’m not quite sure what to make of this movie. It’s not a comedy, but not really a drama either. I think my main problem with it is, there’s no real significance to it. It started off strong, with the disabled man picking a person with a criminal record to be his care taker. But then that was it. There was the story of the new caretaker learning how to take care of him, and some bits about getting his life squared away, but there wasn’t much of an actual story or plot. No, big climax or huge lesson for the characters to learn. It was just normal day to day stuff and then, oh, the movie is over.

I know this tale was based on a real life events, but it’s an example of Hollywood needing to go the extra bit and add more drama. It doesn’t help that the movie is two hours long.

The acting is good, no complaints there, but the story is very lacking. There’s never a real emotional moment. I never got attached or bonded with anyone. So in the end, this movie gets a thumbs down. I’d say, wait and watch it when its on tv, but to be honest, no one watching at home will stick with it the whole two hours.


Holmes and Watson, Movie Review

As I’ve seen other reviews say, if you’ve seen other movies by Will Ferrell and John C. Reilly, then you will enjoy Holmes and Watson. Their flavor of comedy stays true with a new take on the classic of Sherlock Holmes.

The comedy has some unique moments of mixing new culture with old. Such as drunk telegraph texting and a workout routine that might seem familiar to some. It also pokes fun at things like how Holmes is doing opioids, which was very common in that time-frame, and some jabs at the Titanic. I liked how it wasn’t just a dumb jokes comedy, and there were actually layers to the jokes that made you think a bit.

Overall, it’s a good movie to hit up for some good laughs.


Escape Room, Movie Review

Walking into this film, I was expecting a new spin on the Saw movies. However, I wouldn’t relate it to that. The movie is not graphic and actually keeps things PG enough that I was expecting to find out the characters weren’t dead. In fact, I think it would have played out a bit better if they’d found out at the end, that everyone was fine.

The movie focuses on the puzzles and riddles that are encountered in the rooms, with the odd twist of the story being personal to the people. The puzzles are literally made for them. Which to me, creates a flaw, because if people are dying off as they progress, you could lose the person who knows the answer. Because some of the riddles are impossible to solve, unless you know the personal story behind it.

There is a unique twist toward the end of the movie, which I liked, although it wasn’t all that believable. Of course, the entire movie was a bit far fetched, so I guess it kept true to its theme.

This genre of movie seems to be growing in popularity, because it is very similar to the idea behind Unfriended: Dark Web which came out last year. People are watching the events, placing bets and pretty much just wanting to see people die. Not sure why movie makers are currently so fascinated with this theme.