Guest guest Posted January 20, 2004 Report Share Posted January 20, 2004 Hi Mike- Is he talking about a tibial tubercle transfer aka patella realignment? That's my guess- I've had that done on both of my knees. I've got lots of info if that's indeed it. My dad lives in Red Lodge, MT! Margaret NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2004 Report Share Posted January 21, 2004 Re: Tubercleplasty > Hi Mike- > Is he talking about a tibial tubercle transfer aka patella realignment? The way I understand it is that they remove the patella and break and form the tibia some way to take the place of the lever action of the patella in conjunction with the patella tendon. I understand it is a fairly radical proceedure, one that is done fairly rare on active people who have major problems with the patella, little problems with the knee joint, and are too young for a full knee replacement anyway. My doctor gave me two examples of other people he did the proceedure on----one was a Navy Seal in his 20s who destroyed his patella in an accident, and another one was a farmer about my age (mid to late 40s). > That's my guess- I've had that done on both of my knees. I've got lots of info if > that's indeed it. My dad lives in Red Lodge, MT! Margaret NC Red Lodge is about 35 miles from us as the crow flies. I can see Lazy M from our house. Small world. Mike MT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2004 Report Share Posted January 21, 2004 I always thought this operation involved cutting the tibial tubercle (with the patellar tendon attached) and moving it over to cause the kneecap to move over. I don't have time to look it up on the Web right now, but it looks like someone should. Ann Re: Tubercleplasty > Hi Mike- > Is he talking about a tibial tubercle transfer aka patella realignment? The way I understand it is that they remove the patella and break and form the tibia some way to take the place of the lever action of the patella in conjunction with the patella tendon. I understand it is a fairly radical proceedure, one that is done fairly rare on active people who have major problems with the patella, little problems with the knee joint, and are too young for a full knee replacement anyway. My doctor gave me two examples of other people he did the proceedure on----one was a Navy Seal in his 20s who destroyed his patella in an accident, and another one was a farmer about my age (mid to late 40s). > That's my guess- I've had that done on both of my knees. I've got lots of info if > that's indeed it. My dad lives in Red Lodge, MT! Margaret NC Red Lodge is about 35 miles from us as the crow flies. I can see Lazy M from our house. Small world. Mike MT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2004 Report Share Posted January 21, 2004 Re: Tubercleplasty > I always thought this operation involved cutting the tibial tubercle (with the patellar tendon attached) and moving it over to cause the kneecap to move over. I don't have time to look it up on the Web right now, but it looks like someone should. You are correct, that is one form of the operation. In my case they want to remove the patella because of advancing arthritis behind it, and they believe the joint itself is still relatively healthy so they believe they can save the joint. Just simply removing the patella will supposedly relieve the pain, but would also decrease the strength of my legs by about 20% because of the mechanical leverage the patella gives to the patella tendon. This surgery would correct the loss of strength the loss of the patella would cause. I am trying to simplify the whole proceedure, so I apologize for not being more clear. Mike MT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 Hi Mike- I had it (tibial tubercle transfer and VMO advancement) done in 1998 when I was 22 on my right knee and in 2000 on my left knee. Are you having the VMO advancement done also? Personally, I would not recommend having both knees done at once. Check out the first website- it is a huge knee message board and a lot of people have had this surgery done recently. Search www.google.com and www.ask.com by typing in Fulkerson osteotomy; patella realignment; high tibial osteotomy,etc. I have a lot more information about it that I want to email you. I'm on my way to bed but I will email you in the next few days. Margaret-- PS= Look at these websites http://www.kneeguru.co.uk/cgi-bin/KNEEtalk/YaBB.pl?board=;action=logout -check this website out- many people have had this procedure http://www.ortho-u.net/o12/198.htm -textbook explaining the procedure http://www.physsportsmed.com/issues/1998/01jan/post.htm www.arthroscopy.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 Thanks a lot Margaret. I think I may have mislead you somewhat. My diagnosis is moderate arthritis under the patella causing considerable pain, but the joint looks and operates about as normal as could be expected for someone my age (48). The solution according to my doctor is to remove the patella, then do a tibial tubercle transfer to help replace the lever action of the patella on the patella tendon. Mike MT Re: Tubercleplasty > Hi Mike- > I had it (tibial tubercle transfer and VMO advancement) done in 1998 when > I was 22 on my right knee and in 2000 on my left knee. Are you having the > VMO advancement done also? Personally, I would not recommend having both knees > done at once. Check out the first website- it is a huge knee message board > and a lot of people have had this surgery done recently. Search www.google.com > and www.ask.com by typing in Fulkerson osteotomy; patella realignment; high > tibial osteotomy,etc. > I have a lot more information about it that I want to email you. I'm on > my way to bed but I will email you in the next few days. Margaret-- > PS= Look at these websites > > > > http://www.kneeguru.co.uk/cgi-bin/KNEEtalk/YaBB.pl?board=;action=logout > -check this website out- many people have had this procedure > > http://www.ortho-u.net/o12/198.htm > -textbook explaining the procedure > > http://www.physsportsmed.com/issues/1998/01jan/post.htm > > www.arthroscopy.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 I'm not a doctor, but if your only area of damage is the underside of the patella, then it seems to me that the tibial tubercle transfer (esp. at your age -- no slur on people over 40 -- I'm over 60) is WAY too radical. You can have just the kneecap and trochlea " re-treaded " . See http://www.patellapain.com/arthritis_of_the_patella.htm Good luck. Ann Re: Tubercleplasty > Hi Mike- > I had it (tibial tubercle transfer and VMO advancement) done in 1998 when > I was 22 on my right knee and in 2000 on my left knee. Are you having the > VMO advancement done also? Personally, I would not recommend having both knees > done at once. Check out the first website- it is a huge knee message board > and a lot of people have had this surgery done recently. Search www.google.com > and www.ask.com by typing in Fulkerson osteotomy; patella realignment; high > tibial osteotomy,etc. > I have a lot more information about it that I want to email you. I'm on > my way to bed but I will email you in the next few days. Margaret-- > PS= Look at these websites > > > > http://www.kneeguru.co.uk/cgi-bin/KNEEtalk/YaBB.pl?board=;action=logout > -check this website out- many people have had this procedure > > http://www.ortho-u.net/o12/198.htm > -textbook explaining the procedure > > http://www.physsportsmed.com/issues/1998/01jan/post.htm > > www.arthroscopy.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 Re: Tubercleplasty > I'm not a doctor, but if your only area of damage is the underside of the patella, then it seems to me that the tibial tubercle transfer (esp. at your age -- no slur on people over 40 -- I'm over 60) is WAY too radical. You can have just the kneecap and trochlea " re-treaded " . See http://www.patellapain.com/arthritis_of_the_patella.htm In my line of work, and if I want to keep doing it, it was my doctor's opinion an artificial patella wouldn't stand up, but I haven't ruled that route out yet. They do more of that in Europe. Mike Bernhardt Dairy Farmer Park City MT Don't expect your ship to come in if you haven't built a dock--author unknown Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 Ann, You could be a doctor! You know more about Knee's than most doctors! You are VERY helpful! Thanks!!! Bruce Re: Tubercleplasty I'm not a doctor, but if your only area of damage is the underside of the patella, then it seems to me that the tibial tubercle transfer (esp. at your age -- no slur on people over 40 -- I'm over 60) is WAY too radical. You can have just the kneecap and trochlea " re-treaded " . See http://www.patellapain.com/arthritis_of_the_patella.htm Good luck. Ann Re: Tubercleplasty > Hi Mike- > I had it (tibial tubercle transfer and VMO advancement) done in 1998 when > I was 22 on my right knee and in 2000 on my left knee. Are you having the > VMO advancement done also? Personally, I would not recommend having both knees > done at once. Check out the first website- it is a huge knee message board > and a lot of people have had this surgery done recently. Search www.google.com > and www.ask.com by typing in Fulkerson osteotomy; patella realignment; high > tibial osteotomy,etc. > I have a lot more information about it that I want to email you. I'm on > my way to bed but I will email you in the next few days. Margaret-- > PS= Look at these websites > > > > http://www.kneeguru.co.uk/cgi-bin/KNEEtalk/YaBB.pl?board=;action=logout > -check this website out- many people have had this procedure > > http://www.ortho-u.net/o12/198.htm > -textbook explaining the procedure > > http://www.physsportsmed.com/issues/1998/01jan/post.htm > > www.arthroscopy.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2004 Report Share Posted January 23, 2004 I know. The FDA actually has a policy of letting European docs use a drug or technique for 20 years before they'll approve it here. Ann Re: Tubercleplasty > I'm not a doctor, but if your only area of damage is the underside of the patella, then it seems to me that the tibial tubercle transfer (esp. at your age -- no slur on people over 40 -- I'm over 60) is WAY too radical. You can have just the kneecap and trochlea " re-treaded " . See http://www.patellapain.com/arthritis_of_the_patella.htm In my line of work, and if I want to keep doing it, it was my doctor's opinion an artificial patella wouldn't stand up, but I haven't ruled that route out yet. They do more of that in Europe. Mike Bernhardt Dairy Farmer Park City MT Don't expect your ship to come in if you haven't built a dock--author unknown ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2004 Report Share Posted January 23, 2004 Aw, shucks. No, I just know enough to be obnoxious in doctors' offices and dangerous to people like the people on this list and myself. Ann Re: Tubercleplasty > Hi Mike- > I had it (tibial tubercle transfer and VMO advancement) done in 1998 when > I was 22 on my right knee and in 2000 on my left knee. Are you having the > VMO advancement done also? Personally, I would not recommend having both knees > done at once. Check out the first website- it is a huge knee message board > and a lot of people have had this surgery done recently. Search www.google.com > and www.ask.com by typing in Fulkerson osteotomy; patella realignment; high > tibial osteotomy,etc. > I have a lot more information about it that I want to email you. I'm on > my way to bed but I will email you in the next few days. Margaret-- > PS= Look at these websites > > > > http://www.kneeguru.co.uk/cgi-bin/KNEEtalk/YaBB.pl?board=;action=logout > -check this website out- many people have had this procedure > > http://www.ortho-u.net/o12/198.htm > -textbook explaining the procedure > > http://www.physsportsmed.com/issues/1998/01jan/post.htm > > www.arthroscopy.com > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.