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Lateral Release.. should I be worried?

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Topic Title: Lateral Release.. should I be worried?
Created On: 02/15/2005 07:19 AM

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 05/28/2008 05:31 PM
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mgs14

Posts: 2

I had a TTO with lateral release on May 9th 2008. I have had multiple dislocations of my left patella (about 1 a year since I was 12.) I have only ever treated the condition with ice, rest and ibuprofen. I have never had any other surgeries or procedures to my knee. I am 33 years old and I work as a nurse ( on my feet for 12 hr shifts.)
The surgery was uncomplicated and I was sent home the next day with the CPM machine arriving post-op day 4. By day 10 I was already at 90 degrees in flexion keeping the CPM machine on for 12 hrs a day. I started PT today post-op day 19. I am using my crutches and I drove for the first time today with no issues.
I have no pain and take 1 alleve in the am. The area around the incision site is raised where the screws are, healing nicely and is numb, which I understand was to be expected and is permanent.
My question to anyone that has had this procedure is regarding full recovery. I took leave for 12 weeks but the physical therapist told me today that the bone will only be 50% healed by then and to expect another 12 weeks of light duty. I am completely shocked as I was not aware that the recovery period was this extensive.
I did ask the PT if he had treated many people that had had a TTO and he said not many and not one as young as I am. Is he just being cautious by quoting me this extensive recovery period? I was expecting to go back to work and may have to make other arrangements at this point.
Also is chondrotin/glucosimine beneficial to take to help speed the healing?
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 05/27/2008 12:07 PM
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lilred27587

Posts: 4

Been there! I had the same problems!! Yeah I did the lateral it was painful, but tolerable. I am two years post op on the right knee and in a month I will be doing the left knee. I still have some pain, but not like it was.


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Trevah
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 08/07/2007 01:57 PM
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Shell8

Posts: 1

HI,

Well, I am in the same boat. Four years ago, I had tore meniscus in several areas and the MRI showed a possible tear in my ACL. However, the surgeon could not find the ACL tear and cleaned up my knee, removed some misc bodies, and fixed the other torn areas.

This past February I injured my knee again. I was skating and felt directly, full force, on the top - to bottom of my knee. What pain, I could not even move my leg. X-rays were done nothing broken or fractured but some fluid at the back of my knee. I had a MRI completed and no tears.

I tried PT, 3 x's a week for 1 month. It seemed as my knee was getting worse. I stopped pt and started pain/inflammatory pills and then steroid injections.

So, 6 months later I have a final follow-up appt yesterday. I am scheduled for an arthoscopy and possible lateral release mid next month.

How do they decide whether the lateral release if needed - doc stating "possible"?

I have pain off and on. I cannot squat with feeling like something is going to tear, hard to walk up/down stairs, walking or driving feels like my knee is swelling and I have a lot of fluid in my knee. But no tears how can this be?

Please help!

Lost and confused,
Michelle
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 08/01/2006 09:39 AM
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peanutgunner

Posts: 3

ihad my operation last weekinfact its a week tomorrow. i have found that its been extremlypainful and i am stillfinidng everything very difficult. i have a bigblister underneath my operation point is this normal, wat caused this ??? the surgeoan also decidedthat heddo keyholeon the other leg at the same time which has also madelife moredifficultforme. any opionions would be good thankx.
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 07/22/2006 04:25 PM
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peanutgunner

Posts: 3

I have never had an acutal injury to either of my knees. Ive had trouble since i was 12 and im now 24, so thats 12 years. It all started with uncomfortable feelings and then got worse to grinding sensations and pain. I had keyhole surgery when i was 14 and they told me there was nothing wrong and it was all in my head. It is now so bad in both legs thats it has stopped me doing normal things each and every day. I have been back and have had xrays. Ive been told that my knee caps are too far down adn are too far over to the side. I am haveing a lateral release on wednesday and have been told theres only a 60% chance of it making any difference. Im worried and im not sure what will happen if it fails.
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 06/10/2006 11:18 PM
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sharonschoppman

Posts: 12

I have had LRs done on both of my knees my left done in 1991 and 2002; my right done in 1993. I have had minimal issues with my right knee since - I have not returned to my OS for that knee since. My left one worked except I had scar tissue build up that tightened the ligament again, which resulted in the second one. My pain did return which caused my doctor to do a TTT on me nearly 4 weeks ago. He determined that my LR was still successful, but that my alignment was causing the pain, not the tilt.

If you do not know your OS very well it is always good to get more than one opinion. I trust mine completely so I never questioned him. If you get a second opinion that is far different from the first, then get a third or fourth until you get answers that make you feel comfortable.

Please check on other sites as well before judging your surgeries. Unfortunately I have found more horror stories on this forum than I do on others, such as kneeguru.
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 05/31/2006 01:07 PM
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Starryeyed_girluk

Posts: 2

Hey. I'm 17, but both my knees have been dislocating since I was 12. I've been put in for lateral release surgery on one of my knees in a few weeks, and if it works, they'll do the other one...but after reading these, I'm kinda worried that it might not even work. I'm on the NHS (do you have that in the USA? I'm from the UK) so cant get 2nd opinions really. The thing is though, my knees disloacte on a weekly basis, and twist and move all the time. My physio is too sure the surgery will work, but its one of the few options for me at the moment. Do I carry on with having this operation?

Lisa x x x
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 04/09/2006 09:01 PM
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Garts

Posts: 1

i have read through a few stories here and obviously everyone has different reactions to the procedure. I was 17 when i had my release - i live in Australia and originally injured it skiing in the snow tearing my medial ligament! i played netball at the time at a representative level and when i returned from my trip 3 weeks later i was back on the court and slightly tore my cruciate. it wasnt until 12 months later the doctors told me i had to have scans and then this resulted in an athroscopy with at last resort lateral release. I was unaware of the procedure and the doctors were reluctant in informing me with much more then it's a simple op. The doc was unable to find my medial scarring and performed the later release. I have to admit i had a horror run as i had a reaction to anesthetic which isnt normal however i was anal about my rehab as i had to get back to my playing level. the recovery is painful - but so is any surgery that is something youll have to take on the chin!
I attempted to move onto tredmill (walking) work after 3 mnths of intensive pool and bike work - i couldnt walk for the next few days! i was told my recovery was perfect thus far and i had healed well great range of movement ect ect. 10 months later i had missed another season and still couldnt run the surgeon told me he had released me too far the pain that i was still having was in my head and i quote "the knee cap had tricked (him) into thinking thats were the pain was coming from" and sent me off on my own.

I have since been to other surgeons and the LR has been described to me as a retirement operation and one that is different on every person as there is no scientific proof how far to slice one person to another (hence i had an aggressive cut) i can never play at an elite level again and i cant even kneel on the ground without my knee cap dislocating. I cannot strenghten my surrounding muscles as my medial pain is still present and this is 6 years on and after numerous rehab attemps each one attempting different ideas!

Yes i have spoken to people who have recovered well but there have been a few in my boat unfortunately i wish i had this information before i underwent my surgery - i have to sleep with a pillow between my legs at night, i still cant run, jump, side step all crucial to my sport! i cant kneel and as i cant strengthen my leg muscles enough it collapses on me at the most inconvenient times! Before you take the plunge i cant stress enough to do the research on your surgeon and rehabilitators!

This has been a horror story and i am sorry but i wish i knew about the information i have read on this page and heard from surgeons post op - and i could have still been at the peak of my sport! If anyone out there surgeons or rehab specialists could direct me into another avenue i would be most grateful - this has been a raunmatic trail of events and i would love to hear something positive apart from - you will live on pain killers and imflamortories - strap for a basic game of backyard touch footy or cricket!
Thanks for listening!
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 03/02/2005 03:54 AM
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AmyLaw

Posts: 21

I've had a lateral release and TTT surgery. I had almost no pain after my lateral release, the only pain I experienced was from the pin-sites of my TTT. Perhaps I had a very good surgeon, but I don't see the big fuss about pain with a lateral release. I had to be reminded that I'd even had that area of my leg tampered with! And I'm notorious for having a low pain threshold!!
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 02/18/2005 05:18 PM
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Patty0513

Posts: 58

I have to agree with enhilker. A lateral release will not stop the knee cap from dislocating. There is always the chance that it will mess up the mechanics of the knee, creating more problems, or it can cause the knee cap to dislocate to the medial (inside) of the knee. Injuries and stretching of the medial patellarfemoral ligament play a large part in instabilities of the knee cap. I am in the process of rehabbing from my second TTT, tibia tubercle transfer (one on each knee) after continuing dislocations after a complete lateral release. Get more opinions! Also check out the OrthoSupersite (www.orthosupersite.com). In the video section is discussion of the lateral release procedure by Dr. Fulkerson. Good luck! Patty
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 02/17/2005 07:43 PM
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mhsflute07

Posts: 30

Be VERY wary of lateral release. I have dislocated both my knees numerous times and a lateral release would make me worse because my knee are malaligned. Lateral release is only done for tilt in the kneecap. Please get another opinion! Lateral is not really last resort. A TTT (tibial tubercle transfer....cut the bone beneath the kneecap to realign it) is last resort. This is the surgery I have to have along with some other procedures. My OS said this will fix the dislocations. Again, please be sure this is the right option for you! ~Erin~


-------------------------
16 years old
Recurrent patella dislocations in both knees
June 2, 2005 TTT/LR/MPFL Repair Right knee
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 02/16/2005 10:52 PM
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KimDP

Posts: 2

Go for 3 opinions before you have a lateral release. I believe they are done as a last resort.
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 02/15/2005 07:19 AM
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WJK2222

Posts: 3

Writing this 3 weeks before I go into surgery to have a lateral release performed on my left knee. I have had dislocations in both knees for most of my life, 6 months ago, my left knee dislocated and then just now did it again, I had never had dislocations this close together in a 6 month period. So I am opting for this surgery. I have heard that the pain is something else, but has anyone had this done?, has it helped or hindered them?. How soon were ya back to jumping around, like I do, similar to Taz, yes the Warner Brothers Cartoon Character. Any info appreciated or you can e-mail me directly at: wjkphoto@yahoo.com
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