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Re: Quadricepsplasty

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Alisa could you please explain what the term " fusion "

in this case refers to? i only know that term with regard to someone i know

who had to have a " spinal (vertebrate) fusion " . That is not the case here or

is it?

Thanyou in advance.

L

>

> This is the procedure you are talking about and it is only for patients with a

> long term fusion.  You can do some research under the name of the surgeon that

> developed the technique " Judet Quadricepsplasty "   Ask your surgeon the typical

> questions that you should be concerned with: success rate, complication rate,

> number of procedures they have done, etc.  Any procedure after long term

fusion

> is going to take slow steady work over a period of months so you need to speak

> with your surgeon to understand what is expected of you and for how long.  You

> may also want to ask to speak with any physical therapists that have worked

with

> patients who have had this procedure.  I have not seen this procedure in my 16

> years as a therapist but it does not mean that there are not other therapists

> who know the rehab involved.

>  

> Alisa Curry, PT, DPT 

> Site Moderator

>

>

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Alisa, Oh i found the answer to my question in writeups about fused knees on

google. No i had nothing like that so i bow out of this conversation.

L

> >

> > This is the procedure you are talking about and it is only for patients with

a

> > long term fusion.  You can do some research under the name of the surgeon

that

> > developed the technique " Judet Quadricepsplasty "   Ask your surgeon the

typical

> > questions that you should be concerned with: success rate, complication

rate,

> > number of procedures they have done, etc.  Any procedure after long term

fusion

> > is going to take slow steady work over a period of months so you need to

speak

> > with your surgeon to understand what is expected of you and for how long. 

You

> > may also want to ask to speak with any physical therapists that have worked

with

> > patients who have had this procedure.  I have not seen this procedure in my

16

> > years as a therapist but it does not mean that there are not other

therapists

> > who know the rehab involved.

> >  

> > Alisa Curry, PT, DPT 

> > Site Moderator

> >

> >

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For those who may not know, fusion means that the bones were allowed to grow

together around the joint. This gives bones stability and joining where they

were formerly mobile. For a joint that has no cartilage or from a traumatic

injury, this was a technique used to give back function without pain.

Alisa Curry PT DPT

Site Moderator

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Thankyou for the explanation/s Alisa.

L

>

> For those who may not know, fusion means that the bones were allowed to grow

together around the joint. This gives bones stability and joining where they

were formerly mobile. For a joint that has no cartilage or from a traumatic

injury, this was a technique used to give back function without pain.

>

> Alisa Curry PT DPT

> Site Moderator

>

>

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thanks Alisa! my fused naturally over time, probably because i found ways to

move without bending, to avoid the pain. Apparently scar tissue also forms over

time and that's what the procedure is for during TKR. It's great having an

expert available!

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I have a question how does a person do their own toe nails and feet when

their knees or hips have limited mobility. This is one of my questions for

after my up coming hip surgery.

Any hints?

Gayle in Calif.

In a message dated 9/9/2011 11:11:35 P.M. Pacific Daylight Time,

bodyphysics@... writes:

For those who may not know, fusion means that the bones were allowed to

grow together around the joint. This gives bones stability and joining where

they were formerly mobile. For a joint that has no cartilage or from a

traumatic injury, this was a technique used to give back function without

pain.

Alisa Curry PT DPT

Site Moderator

[Non-text portions of this message have been removed]

------------------------------------

Be your own advocate! The best patient is an informed patient!

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Well I could not do my own before or for i rhink a long time after my THR

((last May 2010) so once had a podiatrist do them and once bit the bullet and

let my lefty hubbie tackle the job.

Then the night before my knee surgery a month ago i did my very own (lol were

about 3 ft long because i did not think i could do my own but i did just fine.

Now i am putting on my own socks and comoression hose and MIGHT be able to

get my knee layed out on bed some way to trim my own nails. havent tried but

will have too pretty soon. I will try tonight and let you know. But we are all

different in our early post op flexibility so really cannot compare one to

another. I have acquired excellent early post op Knee Range of Motion my PT's

have all told me.

L

>

> I have a question how does a person do their own toe nails and feet when

> their knees or hips have limited mobility. This is one of my questions for

> after my up coming hip surgery.

> Any hints?

> Gayle in Calif.

>

>

> In a message dated 9/9/2011 11:11:35 P.M. Pacific Daylight Time,

> bodyphysics@... writes:

>

> For those who may not know, fusion means that the bones were allowed to

> grow together around the joint. This gives bones stability and joining where

> they were formerly mobile. For a joint that has no cartilage or from a

> traumatic injury, this was a technique used to give back function without

> pain.

>

> Alisa Curry PT DPT

> Site Moderator

>

> [Non-text portions of this message have been removed]

>

>

>

> ------------------------------------

>

> Be your own advocate! The best patient is an informed patient!

> Groups Links

>

>

>

>

>

>

>

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Go to a salon?

________________________________

From: " chgayle@... " <chgayle@...>

Joint Replacement

Sent: Sunday, September 11, 2011 8:01 PM

Subject: Re: Re: Quadricepsplasty

 

I have a question how does a person do their own toe nails and feet when

their knees or hips have limited mobility. This is one of my questions for

after my up coming hip surgery.

Any hints?

Gayle in Calif.

In a message dated 9/9/2011 11:11:35 P.M. Pacific Daylight Time,

bodyphysics@... writes:

For those who may not know, fusion means that the bones were allowed to

grow together around the joint. This gives bones stability and joining where

they were formerly mobile. For a joint that has no cartilage or from a

traumatic injury, this was a technique used to give back function without

pain.

Alisa Curry PT DPT

Site Moderator

[Non-text portions of this message have been removed]

------------------------------------

Be your own advocate! The best patient is an informed patient!

Groups Links

Link to comment
Share on other sites

Good advice. A nice pedicure would be comforting for someone with gorgeous

feet and toe nails. Not my case.

L

>

> Go to a salon?

>

>

>

> ________________________________

> From: " chgayle@... " <chgayle@...>

> Joint Replacement

> Sent: Sunday, September 11, 2011 8:01 PM

> Subject: Re: Re: Quadricepsplasty

>

>

>  

> I have a question how does a person do their own toe nails and feet when

> their knees or hips have limited mobility. This is one of my questions for

> after my up coming hip surgery.

> Any hints?

> Gayle in Calif.

>

>

> In a message dated 9/9/2011 11:11:35 P.M. Pacific Daylight Time,

> bodyphysics@... writes:

>

> For those who may not know, fusion means that the bones were allowed to

> grow together around the joint. This gives bones stability and joining where

> they were formerly mobile. For a joint that has no cartilage or from a

> traumatic injury, this was a technique used to give back function without

> pain.

>

> Alisa Curry PT DPT

> Site Moderator

>

> [Non-text portions of this message have been removed]

>

> ------------------------------------

>

> Be your own advocate! The best patient is an informed patient!

> Groups Links

>

>

Link to comment
Share on other sites

So what do you do?

G

In a message dated 9/11/2011 1:42:12 P.M. Pacific Daylight Time,

leecaroler@... writes:

Good advice. A nice pedicure would be comforting for someone with

gorgeous feet and toe nails. Not my case.

L

>

> Go to a salon?

>

>

>

> ________________________________

> From: " chgayle@... " <chgayle@...>

> Joint Replacement

> Sent: Sunday, September 11, 2011 8:01 PM

> Subject: Re: Re: Quadricepsplasty

>

>

> Â

> I have a question how does a person do their own toe nails and feet when

> their knees or hips have limited mobility. This is one of my questions

for

> after my up coming hip surgery.

> Any hints?

> Gayle in Calif.

>

>

> In a message dated 9/9/2011 11:11:35 P.M. Pacific Daylight Time,

> bodyphysics@... writes:

>

> For those who may not know, fusion means that the bones were allowed to

> grow together around the joint. This gives bones stability and joining

where

> they were formerly mobile. For a joint that has no cartilage or from a

> traumatic injury, this was a technique used to give back function

without

> pain.

>

> Alisa Curry PT DPT

> Site Moderator

>

> [Non-text portions of this message have been removed]

>

> ------------------------------------

>

> Be your own advocate! The best patient is an informed patient!

> Groups Links

>

> [Non-text portions of this message have been removed]

>

>

>

>

> [Non-text portions of this message have been removed]

>

------------------------------------

Be your own advocate! The best patient is an informed patient!

Groups Links

Link to comment
Share on other sites

I do my own nails as best I can nowadays i am happy to say.

But right after my right knee joint suddenly gave out on me i was also

coincidentally hit with a deep left dental extraction/infection problem and I

developed left foot plantar periostiitis and a heel spur and my LEFT foot and

toes and lower leg swelled hard and huge beyond blief and finally opened up a

pressure ulcer in side of lower left leg.

I then was finding my toenails turning sideways and ever whichway or splitting

vertically or needing to be removed

due to their being impailed or smothered by the mega phleb- lymphsdema

swelling

surroundin it.

That tender inside plantar and herel of left foot was one of the key reasons

why i needed to distribute my weight more evenly using my wrist crutch idea and

the only item i could wear on that huge left foot when outnand about was an open

cloth cast shoe (and that was my good knee leg) until early last year when i

realized my heel spur had disappeared after i had gotten my ulcer healed and

learned how to calm the leg and foot back down with compression therapy

lessons and good weight distribution between bad Rt knee and swelled left leg.

Sorry for blabbering on.

L

> >

> > Go to a salon?

> >

> >

> >

> > ________________________________

> > From: " chgayle@ " <chgayle@>

> > Joint Replacement

> > Sent: Sunday, September 11, 2011 8:01 PM

> > Subject: Re: Re: Quadricepsplasty

> >

> >

> > Â

> > I have a question how does a person do their own toe nails and feet when

> > their knees or hips have limited mobility. This is one of my questions

> for

> > after my up coming hip surgery.

> > Any hints?

> > Gayle in Calif.

> >

> >

> > In a message dated 9/9/2011 11:11:35 P.M. Pacific Daylight Time,

> > bodyphysics@ writes:

> >

> > For those who may not know, fusion means that the bones were allowed to

>

> > grow together around the joint. This gives bones stability and joining

> where

> > they were formerly mobile. For a joint that has no cartilage or from a

> > traumatic injury, this was a technique used to give back function

> without

> > pain.

> >

> > Alisa Curry PT DPT

> > Site Moderator

> >

> > [Non-text portions of this message have been removed]

> >

> > ------------------------------------

> >

> > Be your own advocate! The best patient is an informed patient!

> > Groups Links

> >

> > [Non-text portions of this message have been removed]

> >

> >

> >

> >

> > [Non-text portions of this message have been removed]

> >

>

>

>

>

> ------------------------------------

>

> Be your own advocate! The best patient is an informed patient!

> Groups Links

>

>

>

>

>

>

Link to comment
Share on other sites

I had my hip fused a week before my 15th birthday the surgery was worst than I

had expected.

>

> For those who may not know, fusion means that the bones were allowed to grow

together around the joint. This gives bones stability and joining where they

were formerly mobile. For a joint that has no cartilage or from a traumatic

injury, this was a technique used to give back function without pain.

>

> Alisa Curry PT DPT

> Site Moderator

>

>

Link to comment
Share on other sites

Our son's unilateral hip dysplasia was found per xray taken in his 20's to have

already at some point to have put down new bone on it's own which made him no

longer a risk for dislocation. He had a frejca pillow during first year etc.

But during childood

he needed his bike to sit on as neded when he went around the neighboorhood to

plsy.

One of his ortho docs explained that because of his still shallow socket in

chldhood that he was limited in hiw far he could walk without developing severe

leg muscle pain because without a deep enough socket he was utilizing his

muscles to dowhat we had deep enough sockets to do.

In highschool he had a teacher who loved hiking and who would not believe

anyone could have a Ten block distance limitation (which we learned from

experience was our sons approx limit) and so she took him with her and some oher

student for her weekly 1 1/2 mile round trip to their much farther main campus

and to her shock their trip was disrupted by my son suddenly unable to proceed

another inch and she had to go to a house or store and call us to come and pick

him up from where he got them stranded.

He was fine the next day but of course he was back to limited leg muscle power

being needed. She said she had forgotten about his strange limitation but will

not insist that he go hiking to that far away place ever again.

He went around stores preferring to pushi a grocery cart of some sort etc and

needed to make frequent sit rests if at a mall for too long or he would start

to give out.

L

L

> >

> > For those who may not know, fusion means that the bones were allowed to

grow together around the joint. This gives bones stability and joining where

they were formerly mobile. For a joint that has no cartilage or from a

traumatic injury, this was a technique used to give back function without pain.

> >

> > Alisa Curry PT DPT

> > Site Moderator

> >

> >

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Once he was able to attempt first time safe independent walking we had good luck

with the max allowed inner heel lifts prescribed for his shoes

Shoes today are not compatible for heel lifts so when he began sufferring knee

pain

in his 20's we simply got him fitted for custom leather-like full foot (not

much different than heel lifts) orthotics which are niceer because they can

change from shie to shoe and make all of his shoes a custom painless everyday

experience for him.

If i had any PT unresolvable problrpms with my new knee and or hip I would

consider shoe or orthotic additions or adjusments before having to go back in

for another siugery.

L

> > >

> > > For those who may not know, fusion means that the bones were allowed to

grow together around the joint. This gives bones stability and joining where

they were formerly mobile. For a joint that has no cartilage or from a

traumatic injury, this was a technique used to give back function without pain.

> > >

> > > Alisa Curry PT DPT

> > > Site Moderator

> > >

> > >

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