Home sweet Home!
Hello, I thought since this is my first full day at home that I would write here and things!
I don't know if any of you are interested, but I thought I would tell you what happened to my knee during the surgery since I think it's interesting!!!
above is a normal knee.. you can see the important parts labelled.
Causes
One of the more common causes of knee pain is a problem with the way the patella moves through the patellofemoral groove. Basically, the little kneecap thing, sits on the outside of the knee, on the groove... as in the picture below.
In some cases one side of the patellofemoral groove may be smaller than normal. This may cause the patella to actually slip out of the groove, causing a patellar dislocation. This is not only painful, but can cause degeneration of the patellofemoral joint if dislocation repeatedly happens. Hello my injury!! :D
Symptoms
If you have patellofemoral problems, you may feel like the patella is slipping (like me). Sometimes you may have pain around the front part of the knee or along the edges of the kneecap. These symptoms may be related to the way the patella lines up in the femoral groove (again like me!). In other cases you may notice a dull pain in the knee that isn't centered in any one spot. Typically, if you have patellofemoral problems you may experience pain when walking down stairs or hills. Keeping the knee bent for long periods, such as sitting in a car or movie theater, may also cause pain. The knee may also grind, or you may hear a crunching sound when you squat or go up and down stairs. IS THAT ME OR WHAT?!?!?! haha.
If there is a considerable amount of wear and tear, popping or clicking may be felt when the knee is bent. This happens when the uneven surfaces of the underside of the patella and the femoral groove rub against one another. The knee may swell with heavy use and become stiff and tight. This is usually due to fluid accumulating inside the knee joint... ok so I had all the symptoms.... why not operate earlier you say...
Treatment
Treatment usually begins by decreasing the sweeling in the knee through rest, pain relief and usually splinting. Physical Therapy usually helps and in most cases is sufficient to fix the problem. So what happended during the operation???
Surgery
My problems were caused by misalignment so this is what they did... A lateral release is done to allow the patella to shift back to a normal position and relieve pressure on the articular cartilage. In this operation, the tight ligaments on the outside (lateral side) of the patella are cut, or released, to allow the patella to slide more towards the center of the femoral groove. These ligaments eventually heal with scar tissue filling the gap created by surgery.
For problems of repeated patellar dislocations or severe patellar malalignment, the doctor may also need to realign the quadriceps mechanism. In addition to the lateral release, the tendons on the inside edge of the knee (the medial side) may have to be tightened.
If the malalignment is even more severe, the bony attachment of the patellar tendon may also have to be shifted to a new spot on the tibia bone. Doctors can change the way the tendon pulls the patella through the groove in the femur by surgically removing a section of bone where the patellar tendon attaches on the tibia. This section of bone is then reattached on the tibia closer to the other knee.
All of this was done to my knee as one was not sufficient.
So that's what happened during my operation! Interesting eh, I got most of the info from Doctorish Site
Well, I am getting betterish, I slept through the night for the first time since the operation last night, from 11:30ish-6am. This is fantastic!! The saddest thing is that my brother's graduation is today, and I can't go because I would be too tired, but lucky for me, one of the ladies from church is coming over to look after me while mum & dad are away.
Oh well I might go now and post this before it gets too long.
Love Jen xxx ---> any questions about the surgery or anything place in a comment and I can try to answer :-)