Originally posted by Jack Haddad
Ok Jack...Here's my story. At the young age of 14 (1979) I had an operation performed on my left knee By Dr Robert Goodman in Lexington Kentucky. The injury consisted of an avulsion of the tibial tubercle with rupture of the medial collateral ligament. There was also some disruption of the posterior medial aspect of the capsule.
After I was prepped for surgery, Dr Goodman made an 8" lazy s-incision over the medial aspect of the left knee, which was carried down to the level of the retinaculum. The retinaculum appeared to be intact, but there was a small puncture hole about the size of a finger tip on the posterior medial aspect of the capsule which went right through retinaculum into the joint space. Then the incision was carried on through the retinaculum and was reflected by blunt dissection. At this time, it was obvious that I had an avulsion of the deep part of the medial collateral ligament in its lower third portion. At this time attention was turned to the joint and a 6 cm parapatellar incision was made through the retinaculum, capsular and synovial structures. At this time it was obvious that I had a small 1 cm trinagular avulsion of the anterior tibial tubercle with base being anteriorly. The anterior cruciate was intact other than being disrupted at this point and a repair was then undertaken. At this time then two drill holes were made with a 7/16th drill approximately 1 1/2 cms below the joint line and medial to the patellar tendon. Then through a pole wire technique a 0 silk suture was passed through and then looped through the anterior cruciate ligament twice and then with the leg in approximately 10 degrees of flexion and internally rotated the anterior cruciate and the bony avulsion was then back in position. The synovial structure was repaired with 2-0 plain and capsular structures were reapproximated with 2-0 chromic. Then attention was turned to the medial collateral ligament. A small Boyd staple was then passed through the deep portion of the medial collateral ligament and replaced upon the medial femoral condyle. This concluded repairs and the joint was closed up in the ordinary manner.
So...I had this procedure and was told that my knee would be 100% again. To this date I have not gained full flexibility of this particular joint, plus on occasion, I suffer from serious cramping of my knee at night. Other than that, it works fine.
Dr Jack...this operation was performed quite a few years ago. Would you consider the techiniques I just described as being antiquated or obsolete? Is it possible to ever regain full flexibility in this joint?
Just wondering...
By the way, Welcome to the board. Enough of the medical talk...Let's talk trading!
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