Patellar ( kneecap) injury

Mac33

Professional
#1
I got hit by a boat on January 25th. Long story but I was taken to hospital with two open wounds of my left leg.

Operation was successful on my fema but they were unable to proceed with the knee due to dirt/sand etc.

A second op a three days later and again no luck.

My haemoglobin dropped to 86 from 135 by this time and they were unsure if operating again was a good idea.

I woke up from the third op and success. Pain post op for around 32 hours was severe! No painkillers,my decision.

Anyway,I'm been in a brace since then,currently set at 30 degrees. 60 degrees I change it to this Monday.

Two of the four surgeons said I'm capable of making a full recovery. Other two said 80 percent.

In bed I'm unable to lift my left leg up even a fraction.

Had X-Ray's a week ago on knee and healing is above average.

Currently doing around 40 minutes of exercise a day on leg. Eating only super healthy and trying to stay positive.

Will I ever run again? Surgeon said in a year possibly.

Tennis is probably out even in the long term especially at nearly 54.

Might take up golf as a substitute for tennis.

Will really miss the game,especially the competition!
 
#3
@Mac33,

How many times have I told you to stop colliding with boats? :D

That's a major bummer!

What helps me [not that I've had that severe of an injury] is to focus on small goals: keep the over-arching one in the back of your mind but zoom in on things that are achievable in the short-run.

How quickly and how well you recover is going to be dependent on how fit you were prior, your attitude going forward, and your persistence. I'm not saying that executing excellently in all 3 will guarantee full recovery; just that the better you do in these things, the better your recovery will be.

Also, note that surgeons tend to be conservative in their prognosis so it's encouraging that all 4 gave high marks. Your PT will have more practical experience with the rehab, of course.

Did you see Mattek-Sands' horrible injury at Wimbledon [dislocated knee + torn patellar tendon]? Here's her recovery story:

 

Mac33

Professional
#4
Enjoyed watching that clip. She still has that intense competitive spirit.

For me i worry about being a part cripple.

Basic stuff like walking again without a limp is what i dream about.

If i can make a full recovery that would be fantastic and yes i dream about that too.

I am superfit for my age so that should help.

Having a break of my fema compounds my problems as well.

I will post throughout the year. One doctor said it takes around two years to heal fully.
 
#5
I got hit by a boat on January 25th. Long story but I was taken to hospital with two open wounds of my left leg.

Operation was successful on my fema but they were unable to proceed with the knee due to dirt/sand etc.

A second op a three days later and again no luck.

My haemoglobin dropped to 86 from 135 by this time and they were unsure if operating again was a good idea.

I woke up from the third op and success. Pain post op for around 32 hours was severe! No painkillers,my decision.

Anyway,I'm been in a brace since then,currently set at 30 degrees. 60 degrees I change it to this Monday.

Two of the four surgeons said I'm capable of making a full recovery. Other two said 80 percent.

In bed I'm unable to lift my left leg up even a fraction.

Had X-Ray's a week ago on knee and healing is above average.

Currently doing around 40 minutes of exercise a day on leg. Eating only super healthy and trying to stay positive.

Will I ever run again? Surgeon said in a year possibly.

Tennis is probably out even in the long term especially at nearly 54.

Might take up golf as a substitute for tennis.

Will really miss the game,especially the competition!
So... you need to become that guy that shows up for a match - knee taped up or with a shabby old neoprene sleeve/brace on it - old cotton concert T-shirt - maybe Crosby, Stills, and Nash or The Who or something, or maybe a t-shirt from your local garden supply store "Billybobs Bad Bush Nursery" or whatever - some old school McEnroe length gym shorts and some broken down shoes with grass stains from wearing them to mow your lawn a couple hours ago - a single racquet held in your bare hand - no gear bag, just your car keys and a bottle of water... then proceed to spank those youngsters with their 12 racquet bags, matching Fila/Nike/etc. ensembles... by simply hitting just as hard as you need to, and to wherever they ain't... and being wherever you need to be for their return shots because you know your shot will make them hit it to where you are... that's the future I see for you!

YOU are going to be THAT fkn guy!

Seriously though, I wish you the best in your recovery. Good luck!
 
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Mac33

Professional
#7
So it's been a month and a week since my last post on my injuries.

I am still in my leg brace though it is set at 120 degrees though I never bend it more than around 45 degrees.

My leg does feel better but still no mobility on it whatsoever.

I still have my wheelchair though I keep it somewhere else and get around in a walker.

I can only put around 20 percent of weight on my injured leg and take my weight through my arms on the walker. I do a fake walk,hopping effectively.

Swelling on the knee has gone down a bit but still around 50 percent remains.

Scar of the 50 stitches on knee is healing well though on the extreme side there is a bit of protruding skin facing upwards.

Been told it will eventually tuck in to the wound.

Can drive my automatic car.

Last X Ray's a few weeks ago the surgeon said healing is good but not above average which considering my efforts is a bit disappointing.

Had to get a 3 month medical sickness note last week and the doctor said I'll be walking when I return for the next one, so around early July.

I am not convinced. This a long road back but still hopeful I can walk again and hopefully still move similar to my former self.
 
#8
So it's been a month and a week since my last post on my injuries.

I am still in my leg brace though it is set at 120 degrees though I never bend it more than around 45 degrees.

My leg does feel better but still no mobility on it whatsoever.

I still have my wheelchair though I keep it somewhere else and get around in a walker.

I can only put around 20 percent of weight on my injured leg and take my weight through my arms on the walker. I do a fake walk,hopping effectively.

Swelling on the knee has gone down a bit but still around 50 percent remains.

Scar of the 50 stitches on knee is healing well though on the extreme side there is a bit of protruding skin facing upwards.

Been told it will eventually tuck in to the wound.

Can drive my automatic car.

Last X Ray's a few weeks ago the surgeon said healing is good but not above average which considering my efforts is a bit disappointing.

Had to get a 3 month medical sickness note last week and the doctor said I'll be walking when I return for the next one, so around early July.

I am not convinced. This a long road back but still hopeful I can walk again and hopefully still move similar to my former self.
Small goals! Keep it up!
 
#9
So it's been a month and a week since my last post on my injuries.

I am still in my leg brace though it is set at 120 degrees though I never bend it more than around 45 degrees.

My leg does feel better but still no mobility on it whatsoever.

I still have my wheelchair though I keep it somewhere else and get around in a walker.

I can only put around 20 percent of weight on my injured leg and take my weight through my arms on the walker. I do a fake walk,hopping effectively.

Swelling on the knee has gone down a bit but still around 50 percent remains.

Scar of the 50 stitches on knee is healing well though on the extreme side there is a bit of protruding skin facing upwards.

Been told it will eventually tuck in to the wound.

Can drive my automatic car.

Last X Ray's a few weeks ago the surgeon said healing is good but not above average which considering my efforts is a bit disappointing.

Had to get a 3 month medical sickness note last week and the doctor said I'll be walking when I return for the next one, so around early July.

I am not convinced. This a long road back but still hopeful I can walk again and hopefully still move similar to my former self.
Maybe you are ready to restart shadow swinging a racquet from your couch?
 

Mac33

Professional
#10
I've pretty much given up thoughts of playing tennis at least for the next two years.

The middle front of my windsurfer was hit by a small boat and I got catapulted in my harness on to the deck shattering my patellar and breaking my upper fema. My left lower arm was fractured but it has healed well now.

Above my right eye I hit my boom which required five stitches. It is still badly swollen and I've been told it will take a year for it to go down fully.

My knee is still swelled around 50 percent after 11 weeks. Hoping I can walk a bit by the start of July.

I'll post a few few pics of my knee soon. I will post some shortly after the accident and current ones.
 
#11
I've pretty much given up thoughts of playing tennis at least for the next two years.

The middle front of my windsurfer was hit by a small boat and I got catapulted in my harness on to the deck shattering my patellar and breaking my upper fema. My left lower arm was fractured but it has healed well now.

Above my right eye I hit my boom which required five stitches. It is still badly swollen and I've been told it will take a year for it to go down fully.

My knee is still swelled around 50 percent after 11 weeks. Hoping I can walk a bit by the start of July.

I'll post a few few pics of my knee soon. I will post some shortly after the accident and current ones.
Good luck with whatever rehab you can do; take it slowly.
 

Mac33

Professional
#12
Visited hospital last Monday.

Both the doctor and physio were not impressed to say the least with my progress being 4 months since the accident.

Could only bend my leg around 20-30 degrees. They said by now I should be able to bend it around 90-100 degrees.

Doctor told me to lay on the bed keeping my legs straight. He then asked me to lift my injured leg.

I could not raise it at all. I then bent it a little and was then able to lift it three feet. He said that was good.

Both the doctor and physio said I need to full weight bear my leg at this 4 month stage.

I could only put 10 kg max on it when she tested me at the hospital on her scales.


Anyway I have to return in 6 weeks and if I'm still unable to bend it to 90 degrees they will put me to sleep and force bend it presumably to break the scar tissue.

Feel like I'm light years away from being able to walk.


I have undertook a new physio approach as of today.

Every minute when I'm not in bed I try to do some form of physical exercise.

I've brought in from my balcony a medical chair that is set high off the ground allowing me to bend and straighten my leg whilst watching tv.

Tomorrow my friend is bringing over an exercise bike that I'm going to use for a few hours minimum each day.

When I watch tv I bend my foot backwards then hold for 10 seconds then straighten which helps with circulation on my foot which has swelled a little due to minor nerve damage.

Also do some muscle exercise like holding my leg out for 30 seconds.

Getting a bit down with my lack of progress - my life has changed.

Another friend said he had two aunties who had hip replacements.

One did lots of physio and was able to walk normal,the other did no physio and could only walk taking very small steps.

That story has me motivated.

My new motto - bend it, straighten it,move it and muscle it.

Get back to you in 6 weeks after my next appointment.
 
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norcal

Hall of Fame
#13
@Mac33 - Do NOT seek modern medical treatment, it's a sham. I'm shocked you would support such a corrupt industry.

If you want a real cure I've heard magnets will heal your knee! (just ignore the dr propaganda stuff at the end.)

The Baylor study compared the effects of magnets and sham magnets on knee pain. The study involved 50 adult patients with pain related to having been infected with the polio virus when they were children. A static magnetic device or a placebo device was applied to the patient's skin for 45 minutes. The patients were asked to rate how much pain they experienced when a "trigger point was touched." The researchers reported that the 29 patients exposed to the magnetic device achieved lower pain scores than did the 21 who were exposed to the placebo device [3} This study provides no legitimate basis for concluding that magnets offer any health-related benefit:
 
#14
Visited hospital last Monday.

Both the doctor and physio were not impressed to say the least with my progress being 4 months since the accident.

Could only bend my leg around 20-30 degrees. They said by now I should be able to bend it around 90-100 degrees.

Doctor told me to lay on the bed keeping my legs straight. He then asked me to lift my injured leg.

I could not raise it at all. I then bent it a little and was then able to lift it three feet. He said that was good.

Both the doctor and physio said I need to full weight bear my leg at this 4 month stage.

I could only put 10 kg max on it when she tested me at the hospital on her scales.


Anyway I have to return in 6 weeks and if I'm still unable to bend it to 90 degrees they will put me to sleep and force bend it presumably to break the scar tissue.

Feel like I'm light years away from being able to walk.


I have undertook a new physio approach as of today.

Every minute when I'm not in bed I try to do some form of physical exercise.

I've brought in from my balcony a medical chair that is set high off the ground allowing me to bend and straighten my leg whilst watching tv.

Tomorrow my friend is bringing over an exercise bike that I'm going to use for a few hours minimum each day.

When I watch tv I bend my foot backwards then hold for 10 seconds then straighten which helps with circulation on my foot which has swelled a little due to minor nerve damage.

Also do some muscle exercise like holding my leg out for 30 seconds.

Getting a bit down with my lack of progress - my life has changed.

Another friend said he had two aunties who had hip replacements.

One did lots of physio and was able to walk normal,the other did no physio and could only walk taking very small steps.

That story has me motivated.

My new motto - bend it, straighten it,move it and muscle it.

Get back to you in 6 weeks after my next appointment.
We’re pulling for you.
 

Mac33

Professional
#16
Just an update on my progress from the physio a few days ago.

I am only able to bend my leg peak 60 degrees. The average for this injury at this stage is around 90-100 degrees.

My ability to straighten my knee is plus 20 degrees which the physio told me is also well behind the average.

He said the scar tissue may result in my knee never being able to bend much more than this!

Aggressive physio is what is being recommended for me.

Being doing 10-12 hours a day bending and straightening my leg as well as a bit of muscle work.

Most of time I sit and watch tv whilst pushing my injured leg back hard with my good leg.

I then lay flat on my carpet and put two 2kg weights either side of my knee which forces my leg to straighten.

These are the two exercises I use most but lots of others too.

My leg felt a good bit better when I woke up after my first 10 hour physio day.

Have to return the physio each Monday from now on to be assessed.

Hoping for a 15 degree improvement to 75 degrees and a reduction to 15 degrees in my ability to straighten it.

I am still hopeful.
 
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Mac33

Professional
#17
Just another update - have improved my range of motion 5 degrees to 65 degrees.

All that physio for such a small improvement.

Last night I got a bit of a brain wave.

Have a pair of near new Hoka super cushiony joggers sitting in my room.

I put two of the thickest insoles I could find in each shoe thinking it may encourage me to walk in the crutches better as I should feel less pain. I currently do more of a fake walk in the crutches,almost a hop.

Was quite excited to see if it made any improvement.

On my first walk across my lounge room the difference was obvious - I had much more confidence to apply more pressure / weight on my injured leg!

Today,I went outside to the car park and walked around 500 metres with the crutches of course.

My goal is 1000 metres a day leading up to 5 kms a day.

I figure the only way I'm going to recover from this and walk again is to - walk.

Being able to put more weight on my injured leg and less through the crutch means my leg is doing more work so it's going to build more muscle. Also by being able to put more weight on my injured leg when walking means its bending so much more.

Was told a few days ago by the doctor it will be another 3 months before I can walk without crutches.

My feeling was that was an optimistic assessment.

If I can force myself to walk 5 kms a day with the crutches and apply increasing weight to my injured leg I'm hoping the docs 3 month assessment will not be far off.

I have to do something different as I'm just not feeling like I'll ever be able to walk.

Use it or lose it I guess.
 

Mac33

Professional
#18
Another visit to the physio today.

It's been 16 days since my previous visit.

My range of motion has went from 65 degrees to 68 degrees.

3 degrees improvement for all that effort. I'm so disappointed.

On a positive note today I bumped in to a physio who was taking her dad to the doctor.

She mentioned to me there is an advanced machine for improving range of motion and there's one at her clinic.

So I've booked myself in for five visits.

Tonight I'm also really forcing it through the pain barrier.

I have my own device,my crutch for measuring how much my leg is bending.

I really pushed hard on one particular exercise and yes it improved my total bend a detectable amount.

Bottom line - i need to push through the pain barrier a lot,lot more.

Determined to get to 75 degrees by my next visit in 9 days.
 
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