Category Archives: Knee surgery

TTO Knee Surgery: 15 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.

Day 15 post op (Friday): Bending to 75 degrees and putting foot down while walking

I’m still non weight baring, but am now allowed to place my foot on the ground while crutching. It can only bare the weight of that leg, so the bulk of the weight is still on the crutches. I would advise to wait until your therapist shows you how to do this before you try. Sometimes its called “toe-touch” weight baring, which just means what I described above. You don’t actually use your toes. Emphasis to roll your foot through the motions of heel to toe walking, so your foot rolls naturally. The hard part is, the brace is still locked at full extension. So I’m walking a bit stiff legged.

Bathing is much easier now that I am allowed to get the leg wet. I am opting for baths, because of my non weight baring status. I don’t submerge the cuts. So I’m bathing in a few inches of water. But its nice to soak the sore thigh and the bruises. I think they are fading/spread out better now that I can soak them in hot water. I still leave the brace on when getting in and out of the tub. I take it off when I start adding water. The leg just feels so weak from the knee down that I don’t feel comfortable moving it without the brace.

There is a noticeable lump on the side of the knee where they did the lateral release, my therapist says this is normal. The attached photo shows the lump.

 

(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: 13 Days Post Op-Stitches Removal

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.

Day 13 post op (Wednesday): 1st Post Op appt-removing the stitches

Not much to say here. Stitches were removed from the laparoscopic spots. And the string in the big cut was just trimmed down. Its supposed to “dissolve” but I’ve heard of people having issues with this. So we’ll see. I was given tape over the cuts and told to leave them alone to fall out on their own. I am now allowed to get them wet. Which makes bathing a lot easier.

Below are images of the X-ray and the before/after of the stitches being removed.

(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.


TTO Knee Surgery: 11 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.

Day 11 post op (Monday): bending to 60 degrees

Bending the knee is a little too easy to do in my opinion. So when I went in I had the therapist measure and tell me when to stop. That way I reached the 60 degrees but didn’t go over. Same exercises as before. She had me start rolling a rolling pin, yes, like you’d use for cooking, on my thigh, to roll out some of the bruises that have formed into lumps around the leg brace.

I happened to have a cute mini rolling pin on hand that my sister had sent me. But any object that is roll-able will work should you encounter the same problem.

 

I did have a set back today. It was raining outside and after PT I had a crutch slip out from under me. I had to put weight on the bad leg to stop the fall. It hurt, like taking a hammer and slamming it into my shin. Pain was intense for about fifteen minutes. The rest of the day, and the next day, it hurt to flex my ankle, like roll my ankle around and point my toes different directions. So I let the ankle be immobile and I didn’t do my exercises the rest of that day or the next, so the bone could recover. 36 hours after the incident the pain was gone. Whew.

(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.


TTO Knee Surgery: 8 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.

Day 8 post op (Friday): 2nd PT Session and Initial Knee Bending

Second day of physical therapy. She did measurements and said my swelling was one centimeter, which to me was a minor victory, but she explained that most people on their second visit are more swollen than on their first visit. I was still like, whatever, until I spoke to a relative who underwent knee replacement surgery the day before me. She said she was two and ¼ inches more swollen today than on her first PT visit. So… that puts things in perspective. I now view this as good progress.

We also moved to leg lifts. To the right, left and up, not behind. And now we are doing them while laying. I was able to do them all with no support, which she did not expect. Most are unable to lift their leg with the full brace on at this stage. So another yay, I suppose.

It is way easier to get up on my own now, since I can lift the leg on its own.

We are also doing bending for the first time!! I am allowed to go up to 60 degrees, but at PT I could only do 25 degrees. I go back on Monday, so we’ll see if I can get to 60 by then. Considering the bend tugs on the tendon that is connected to the bone that was operated on, I’m in no hurry to rush things until they do an xray.

Of note, today is the first day I have actually felt like getting up and doing things. Even if they are minor things.

Brace has been adjusted to 60 degrees, but only for exercises. It needs to be locked at all other times.

Bruising is mostly on the outer and under side of knee.

(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.


TTO Knee Surgery: 4 Weeks 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.

4 Weeks Post Op (Fri): Allowed to walk-kind of

Today was a day of milestones. I returned to work, so there was that strain, and at physical therapy I was approved to practice walking. I still have to hold on to the crutches, both of them, but I am allowed to unlock the brace, so my knee can bend. I am to walk, putting weight on the leg as tolerated, and go through the motion of walking, concentrating on a heal toe motion. I also got promoted to bending the knee to 90 degrees, which I did with no problem. Same goes for the practice of walking, but I am going to limit practicing that, because the knee was a bit sore in the evening.

My long scar started puffing a bit, so I am putting silicone pads on it to keep it flat. The knee still swells so I’m wearing either a wrap or the compression sleeve.

Of note, on Monday, I started doing the laying leg lifts without the brace, to practice getting the balance down.

(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.

 


TTO Knee Surgery: 5-7 Days Post

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.

Days 5-7 post op (Tues-Thurs): Quitting the Oxy

At this point the pain wasn’t as bad, and I was curious if I’d feel the same without the narcotic pain killers. I’d been on half a pill every 4-6 hours for a few days.  I wanted to switch to OTC drugs.  I took one at 11am and thought I’d sleep through the withdrawals that start 12 hrs later. Yeah, that backfired. I hadn’t bathed in three days, so I felt dirty and it just kept bothering me. I was hot, then cold, then hot. So I finally took a half a pill at two in the morning. This way the withdrawals started at two in the afternoon and through the evening. It was rough going, but I took no drugs all day, minus the oxy at two am, and a Tylenol at 11am. The pain didn’t seem any worse without the drugs.

By all means, don’t be like me if you are still in pain. I quit the pain killers earlier than most. Even my doctor was shocked when I had my 2 week check up and was off everything. But when you do stop, this should give you a good idea of possible withdrawals, depending how much you were taking.

I was also able at this point to get up on my own. Whether in and out of bed, off the couch, and so forth. I could lift the leg normally, no more dragging it. So I regained most independence, and no more dizzying drugs.

 

  Current photo, and yes, the yellow is bruising.

(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.


TTO Knee Surgery: 4 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.

Day four post op (Monday): First shower and first PT session

First time leaving the house since surgery. I took an oxy before we left, as advised. Just made me dizzy for the car drive, in my opinion. The therapy lady adjusted my crutches and how I was using them. She didn’t like how slouched I was. She took measurements of my swelling, and did some EMS (electronic muscle stimulation) therapy followed by ice. The only movements I was told to do, was leg lifts while standing, to the front and both sides. I was to build up to doing three sets of ten. I wasn’t able to do this until Thursday, which was her goal, to be able to do by the time I came back. (I go in Mondays and Fridays) I opted to do them when I went to the bathroom, and held the counter for balance. That way I wasn’t getting up extra, since getting up was such a pain and most times a struggle to do on my own.

At this point I am non weight baring, and not to bend the leg at all.

So by this day I was feeling pretty grimy. I ordered some wipes made for hands and face, the non alcohol type. But those only keep you feeling fresh for so long. So, every bathroom is different. I get that. What worked for us may not work for you. But… in case it might. Here is what we did.

A larger cooler, like the kind you’d put drinks in for the beach, but not with wheels. But really anything that is level with the sides of the tub and big enough for you to sit on, will work. Sit that in the tub, throw a towel on it for comfort. Sit on it, with your bad leg extended out of the tub and onto the toilet, which mine happens to be next to. If you have room, you could put a chair there or something. This allowed us to keep the leg in the brace and out of the tub. We still taped a trash bag around it, using painters tape. And the shower has a hose, so we were able to hold it where needed. It wasn’t perfect and I wasn’t a fan, but it minimized my threat of falling while in the tub, and kept everything dry.

Here’s a pic of the set up.

And an image of my leg at this point.

(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.