If this is your first visit, be sure to check out the FAQ by clicking the link above. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. |
|
|
|
Thread Tools | Display Modes |
#1
|
|||
|
|||
Tibia Injury
I recently had a season ending Tibial Plateau fracture with minor
Meniscus tear. I have opted not to get the surgery as it wsa diagnosed 3 weeks on & my orthopedist has advised against it. The damage of the compression fracture is just below where it would definetely require surgery (5mm).I have been told that there is now a good chance of getting arthritis and/or knee replacement down the line.I am using a brace a cane for the next 2 weeks. Any info from someone with same or similar appreciated. TIA ! |
Ads |
#2
|
|||
|
|||
Tibia Injury
"Old Man Winter" wentBigwentHome.com wrote in message ... I recently had a season ending Tibial Plateau fracture with minor Meniscus tear. I have opted not to get the surgery as it wsa diagnosed 3 weeks on & my orthopedist has advised against it. The damage of the compression fracture is just below where it would definetely require surgery (5mm).I have been told that there is now a good chance of getting arthritis and/or knee replacement down the line.I am using a brace a cane for the next 2 weeks. Any info from someone with same or similar appreciated. TIA ! How much of a meniscus tear do you have? If you do not get the meniscus repaired it will get worse as time goes on, it will continue to rip and get larger causing more knee damage. With the current state of surgery with a good up to date surgeon you will be better off having the knee surgery to repair the tear than not. There's not much they can do for the compression fracture from what I gathered. I didn't take of my knees when I was younger and now regret not doing so, but in the earlier days they used to cut your knee open which many times caused more problems than it solved. My last surgery on both knees was just a temporary solution to delay total knee replacement. The next best thing you can do is make your knees as strong as possible and keep them as flexible as possible. JQ Dancing on the edge |
#3
|
|||
|
|||
Tibia Injury
Old Man Winter wrote:
I recently had a season ending Tibial Plateau fracture with minor Meniscus tear. I have opted not to get the surgery as it wsa diagnosed 3 weeks on & my orthopedist has advised against it. The damage of the compression fracture is just below where it would definetely require surgery (5mm).I have been told that there is now a good chance of getting arthritis and/or knee replacement down the line.I am using a brace a cane for the next 2 weeks. Any info from someone with same or similar appreciated. I had a compression fracture of about the same depth two years ago. I was told to keep weight off of the leg until it healed using crutches. That took about a month. After that it was many months of physical therapy to restore the range of motion to the knee. That is the hard part. I skied fine the next season. I am more focused on control and less likely to "ride it out" when I lose it. -- Mike Treseler |
#4
|
|||
|
|||
Tibia Injury
From the MRI repot : "There is a grade 2 signal involving the posterior
horn of the medial meniscus.The lateral meniscus shows thin horizontal longitudinal tear extending into both anterior and posterior horns.There is a grade 1 MCL sprain." I'm seeng a sports Ortho Dr. who only does knees & shoulders. He told me he sees injuries like this "one a day " during ski season. I did not get a good diagnosis until after I walked around on it for 3 weeks. I had thought it wsa a sprain. He has decided that I should use the cane & brace & return in 2 wks. I think the meniscus tear seems to be minor. Exploratory 'scope was discussed then put on back burner,pending follow-up. I would rather do it sooner than later for your stated reasons. How would you have taken better care of your knees? What is the cause of you requiring knee surgery/replacement ? TIA ! On 2007-03-30 22:46:34 -0400, "JQ" said: "Old Man Winter" wentBigwentHome.com wrote in message ... I recently had a season ending Tibial Plateau fracture with minor Meniscus tear. I have opted not to get the surgery as it wsa diagnosed 3 weeks on & my orthopedist has advised against it. The damage of the compression fracture is just below where it would definetely require surgery (5mm).I have been told that there is now a good chance of getting arthritis and/or knee replacement down the line.I am using a brace a cane for the next 2 weeks. Any info from someone with same or similar appreciated. TIA ! How much of a meniscus tear do you have? If you do not get the meniscus repaired it will get worse as time goes on, it will continue to rip and get larger causing more knee damage. With the current state of surgery with a good up to date surgeon you will be better off having the knee surgery to repair the tear than not. There's not much they can do for the compression fracture from what I gathered. I didn't take of my knees when I was younger and now regret not doing so, but in the earlier days they used to cut your knee open which many times caused more problems than it solved. My last surgery on both knees was just a temporary solution to delay total knee replacement. The next best thing you can do is make your knees as strong as possible and keep them as flexible as possible. JQ Dancing on the edge |
#5
|
|||
|
|||
Tibia Injury
Unfortunately, I didn't know I had the fracture until 3 weeks later.
Did you have other tissue damage as well ? What did your physical therapy consist of ? Glad to hear you have not suffered lasting effects. Did you get the arthritis/knee replacement prognosis ? TIA ! On 2007-03-31 11:18:55 -0400, Mike Treseler said: Old Man Winter wrote: I recently had a season ending Tibial Plateau fracture with minor Meniscus tear. I have opted not to get the surgery as it wsa diagnosed 3 weeks on & my orthopedist has advised against it. The damage of the compression fracture is just below where it would definetely require surgery (5mm).I have been told that there is now a good chance of getting arthritis and/or knee replacement down the line.I am using a brace a cane for the next 2 weeks. Any info from someone with same or similar appreciated. I had a compression fracture of about the same depth two years ago. I was told to keep weight off of the leg until it healed using crutches. That took about a month. After that it was many months of physical therapy to restore the range of motion to the knee. That is the hard part. I skied fine the next season. I am more focused on control and less likely to "ride it out" when I lose it. -- Mike Treseler |
#6
|
|||
|
|||
Tibia Injury
Old man Winter wrote:
Unfortunately, I didn't know I had the fracture until 3 weeks later. I was lucky that my knee hurt so bad that I never even thought about putting weight on it until I knew not to. Did you have other tissue damage as well ? I had an MRI as soon as the swelling went down and that that showed no ligament damage. It was pure vertical compression. The orthodoc then ordered a cat scan to see the bones better. He decided that there was not enough junk between the bone surfaces to justify surgery. What did your physical therapy consist of ? While bones were healing, the exercises were easy. Leg lifts and such from the floor to keep the supporting structures strong. When the doc declared the knee "healed", I complained that couldn't bend it far enough to ski. He then gave me an Rx for more PT. Each session involved warming the joint up on an exercise bike, doing ankle pulls and knee pushes on the floor. Then I got on the table and the PT bent my knee for me to break up the gunk that was restricting motion. This was very intense, and I left each session in a sweat. The PT soon got the "bent" angle into spec, but he never quite got the "straight" angle straight enough for his liking. I still work on this at home using a 50 pound bag of play sand. Luckily, the imperfectly straightened knee affects my walking gait, not skiing. Glad to hear you have not suffered lasting effects. Thanks. Me too. I think the key was getting an orthodoc with good access to MRI and CAT imaging, and a sports oriented PT willing to work hard. Did you get the arthritis/knee replacement prognosis ? Not yet. Good luck on your therapy. Skiing is worth it. -- Mike Treseler |
#7
|
|||
|
|||
Tibia Injury
"Old Man Winter" wentBigwentHome.com wrote in message ... From the MRI repot : "There is a grade 2 signal involving the posterior horn of the medial meniscus.The lateral meniscus shows thin horizontal longitudinal tear extending into both anterior and posterior horns.There is a grade 1 MCL sprain." I'm seeng a sports Ortho Dr. who only does knees & shoulders. He told me he sees injuries like this "one a day " during ski season. I did not get a good diagnosis until after I walked around on it for 3 weeks. I had thought it wsa a sprain. He has decided that I should use the cane & brace & return in 2 wks. I think the meniscus tear seems to be minor. Exploratory 'scope was discussed then put on back burner,pending follow-up. I would rather do it sooner than later for your stated reasons. How would you have taken better care of your knees? What is the cause of you requiring knee surgery/replacement ? TIA ! (snip) I was a national level Collegiate middle distance runner (track and cross country) and a International level karate competitor. I had injured my knees several times but never took off for recovery, I would train through the pain in the day the mantra was, "no pain, no gain". In 1977 running up the steps to bed I planted my left foot and made a hard pivot and severely tore the lateral meniscus, I continued to train and compete for a year before I couldn't take the pain any longer and was not able to train either in running or karate so I went to see a knee specialist at Temple University Hospital that was treating the Philadelphia Eagles and other pro sport athletes. At first because of my knee strength and knee flexibility he thought the knee damage wasn't that severe. I had a cist that had developed and was causing pain and was interfering with joint movement. He gave me some medication and told if the cist didn't go away or if the pain persisted to come back after 2 weeks. Well the pain didn't go away not did the cist. I waited 3 months and went back. He asked why I waited so long, I told him I was trying to avoid knee surgery. He had the surgery schedule the next day. It was the beginning days of arthroscopic surgery, they would use the scope to look at the knee then do a small incision to do the surgery. At that time they completely immobilized the knee with a full leg cast. which stayed on for 4 weeks then the knee therapy. My knee hurt more than it did before the surgery for about 6 - 8 weeks and I was wondering if I did the right thing. Then gradually the knee pain went away. I went back to training but I was never able to run again and my running competition days were over. I kept trying to come back but my knee was never able to take the pounding from running. I was able to continue the martial arts training and competing but I had to modify my training slightly. I opened a weight training gym and started to powerlift and bodybuild. I had re-injured the bad knee and the good knee a few more times. In 1995, the pain in both knees were worse than ever, I couldn't sleep or walk many of days and nights. I had been training for another international karate championships to be held in Puerto Rico and decided that after the tournament I would get my knees looked at again. After the tournament I had a very hard time walking because of the pain. I went and seen another sports orthopedic that worked on many of the Philadelphia Pros. I had MRI's taken of both knees and was prepared for the worse, as before when I seen the doctor with the MRI's he scheduled me the following days to have both knees done (I was and am self-employed and couldn't afford to take off twice for prolonged time), plus knowing myself I would have most likely not gone back to get the other knee worked on later. I was prepared for pain after the surgery as with the first one. To my amaze, I was able to walk out with crutches and with very little pain. The doctor told me at my post operation visit, that he didn't know how I was able to train or walk with the amount of knee damage that I had. He told me my knees were one of the worse that he had ever seen and could really use a total knee replacement! The procedure that he used was to clean out all the debris in the knee, repair both meniscus in the right knee and repair the remaining one in the left knee. He had to scrape and clean both knee caps, top and bottom of both knee joints then drill small holes in the remaining cartledge. This procedure was to give me some more time before total knee replacement. It was an attempt to cause scare tissue to form and make a sort of new cartledge. I was put on a passive motion machine for 8 weeks for a minimum of 8 hours per day and was to stay off my legs during this time and to do therapy. I was happy that I didn't have any knee pains. I thought I was going to be able to go back to training and competing again. I was never able to train as I had intended and competing was totally out. I started skiing in 1996 just after my father passed away as a challenge from my best friend that had been skiing for over 15 years to this time. I had no control at all but I got a natural high like I did when I was running, training and competing. So I stuck with it, and have been skiing at least 20 days per season averaging 25 days or more. Knee replacement are getting closer as the pain is getting worse skiing is getting tougher due to pain and it is making work a little more challenging. I was told when I was younger by a few older men that if I didn't take care of my knees that I would pay the price when I got older, I played their advice off as they didn't know what they were talking about. They were so correct, I wish I had listen to them but that is hind sight. So the moral of this long story is to take good care of those knees and with the new and improved surgical techniques today total recovery is highly possible. JQ Dancing on the edge |
#8
|
|||
|
|||
Tibia Injury
On Mar 31, 5:27 pm, "JQ" wrote:
I started skiing in 1996 just after my father passed away as a challenge from my best friend that had been skiing for over 15 years to this time. I had no control at all but I got a natural high like I did when I was running, training and competing. So I stuck with it, and have been skiing at least 20 days per season averaging 25 days or more. Knee replacement are getting closer as the pain is getting worse skiing is getting tougher due to pain and it is making work a little more challenging. My knees are a bit flaky, which hasn't stopped me from starting to ski again (apparently I hate myself.) I notice that skiing bothers my knees more than snowboarding with properly adjusted bindings, so while this may be rec.skiing.alpine I'll still urge you to try it out - at worst, you won't like it, and it might let you have more fun on the mountain. Andrew |
#9
|
|||
|
|||
Tibia Injury
"Andrew" wrote in message ups.com... On Mar 31, 5:27 pm, "JQ" wrote: I started skiing in 1996 just after my father passed away as a challenge from my best friend that had been skiing for over 15 years to this time. I had no control at all but I got a natural high like I did when I was running, training and competing. So I stuck with it, and have been skiing at least 20 days per season averaging 25 days or more. Knee replacement are getting closer as the pain is getting worse skiing is getting tougher due to pain and it is making work a little more challenging. My knees are a bit flaky, which hasn't stopped me from starting to ski again (apparently I hate myself.) I notice that skiing bothers my knees more than snowboarding with properly adjusted bindings, so while this may be rec.skiing.alpine I'll still urge you to try it out - at worst, you won't like it, and it might let you have more fun on the mountain. Andrew I did try it once but didn't like it. I also have a major problem trying to stand up with the board after falling. I cannot bend my knees enough to get up from the sitting position and when I roll over to the kneeling position it is easier but very awkward. Thanks for the thought though. I even gave monoskiing a thought but after speaking to a few monoskiers I decide it was not the right move either. JQ Dancing on the edge |
#10
|
|||
|
|||
Tibia Injury late comments
SORRY I am going to top post since I was so late in responding.
Concentric stopped the newsgroups server service the other times when I was out here at my garden --been working in the garden with water leaks in filter system and bamboo division since the plants are dormant and the ground is not frozen.. It has been about 13 months since I crashed while wearing number 13 and training for the masters Super G race at Mt Snow. I clipped a gate in the flats the ski stayed on and the knee rotated I had a complete fracture. It has been a nightmare of immense proportion on top of a horrible ski season. I received heavy metal poisoning from the stainless steel plate, it bothered me in a way I did not understand until we realized it was killing me. the plate came out at the 6 month mark not after the normal year of healing. That operation nearly killed me I had been prescribed a anti-inflammatory by the surgeon the week before as he scheduled the operation. Then I spent the next 32 days with a IV hanging out of my arm and the warning if you get anything in it you will kill yourself, I have 10,000 gallons of water in my fish ponds/watergarden and it requires weekly work. But the best part started after all the antibiotics and poisoning finished. I have had major GI issues still continuing till today which I will not go into detail. I am fifty and believe that you get out of life what you put into it. Along with you must give a little to get a little. The body gets chewed up as you get old I hobble a bit from my years of hockey but you should be enjoying what your doing or you should do something else. I have watched people wait to retire then realize that life is nearly over. My knee is getting better in the last month or so I have been feeling pain or tingling in the area, so my nerves are starting to repair it never really hurt. I suspect after a summer of workout and chasing my 2 year old I will be ready for full race schedule now if the weather will cooperate. My suggestion is not to get a stainless steel plate if surgery is required. On healing I pushed it I did laps about the hospital on my crutches, when I got home I did a couple of blocks a few times a day. I had the injured knee go through the walking motion but putting no pressure on it. Hard enough to get a breathing rate change. A fear that was with me would I at this age start backing off when I raced. Hell no it was full tilt boogie until I tweaked booth knees on a ungroomed nastar race trail at snow. It was kind of mentally necessary to have a hard crash and get up and hobble away. michael I know the knee is mechanically strong I use my left foot for shovel impacting when I divide bamboo. JQ wrote: "Andrew" wrote in message ups.com... On Mar 31, 5:27 pm, "JQ" wrote: I started skiing in 1996 just after my father passed away as a challenge from my best friend that had been skiing for over 15 years to this time. I had no control at all but I got a natural high like I did when I was running, training and competing. So I stuck with it, and have been skiing at least 20 days per season averaging 25 days or more. Knee replacement are getting closer as the pain is getting worse skiing is getting tougher due to pain and it is making work a little more challenging. My knees are a bit flaky, which hasn't stopped me from starting to ski again (apparently I hate myself.) I notice that skiing bothers my knees more than snowboarding with properly adjusted bindings, so while this may be rec.skiing.alpine I'll still urge you to try it out - at worst, you won't like it, and it might let you have more fun on the mountain. Andrew I did try it once but didn't like it. I also have a major problem trying to stand up with the board after falling. I cannot bend my knees enough to get up from the sitting position and when I roll over to the kneeling position it is easier but very awkward. Thanks for the thought though. I even gave monoskiing a thought but after speaking to a few monoskiers I decide it was not the right move either. JQ Dancing on the edge |
|
Thread Tools | |
Display Modes | |
|
|
Similar Threads | ||||
Thread | Thread Starter | Forum | Replies | Last Post |
INJURY ! | Old Man Winter | Alpine Skiing | 0 | March 30th 07 08:29 PM |
MCL injury due to ski | [email protected] | Nordic Skiing | 15 | January 11th 05 10:49 PM |
MCL injury due to ski | [email protected] | Alpine Skiing | 14 | January 10th 05 10:29 PM |
Injury - How? What to do? | Mike | Alpine Skiing | 24 | February 23rd 04 06:46 PM |
Aamodt out with injury. | Inger Skramstad Jørstad | Nordic Skiing | 8 | October 26th 03 09:14 PM |