A response from Dr. Dunn - McKay tibial tubercle advancement

[Guest guest]

Dear Folks,

I finally got some comments back from Dr. Dunn about me!

If I ever get over there next year he would like to investigate a

procedure known as " McKay tibial tubercle advancement " .. apparently

it is a technique for relieving pressure on the patella?? Have we

discussed this before anywhere Doug?

He also suggests a re-alignment as part of the overall treatment

including HGH injections as well...I'm excited (no orthopaedic here

has ever suggested any of this new stuff)..and i've seen a few!!

I still want to see what Rob and Chuck pull up like in Dec/Jan though!

Mark.

[Guest guest]

Hi Mark!

Good to hear from you again..... I think this procedure may be

something to do with actually moving the point of attachment of the

patellar tendon where it attaches to the tibial tuberosity (the front

of the shin bone). I think it's moved left or right (or up or down!)

to adjust the tracking, but I'm not sure... It may be called a TTT

for short (???), but again I'm not sure. We haven't heard much about

it on this site yet.

Anyway, glad you're still stretching (a little)!!!

Joe

> Dear Folks,

> I finally got some comments back from Dr. Dunn about me!

> If I ever get over there next year he would like to investigate a

> procedure known as " McKay tibial tubercle advancement " ..

apparently

> it is a technique for relieving pressure on the patella?? Have we

> discussed this before anywhere Doug?

> He also suggests a re-alignment as part of the overall treatment

> including HGH injections as well...I'm excited (no orthopaedic here

> has ever suggested any of this new stuff)..and i've seen a few!!

> I still want to see what Rob and Chuck pull up like in Dec/Jan

though!

> Mark.

[Guest guest]

This was supposed to be posted also.

----- Forwarded Message ----

From: jasnoz <jasnoz@...>

chondromalacia treatment-owner

Sent: Wednesday, September 3, 2008 8:32:23 PM

Subject: Re: A response from Dr. Dunn - " McKay tibial tubercle advancement "

Hi, I'm new to this group.  I was looking for info on the McKay

procedure for chondromalacia.  I was diagnosed 2 years ago.  After

doing the xrays I was told I had little arthritis in the knee.  I had

physical therapy at that time with good immediate relief.  Then a

year later, I had another flair, this time the xray showed I had alot

of arthritis.  He aspirated my knee twice over about 3 months and

said I needed arthroscopy to clean it all out.  Again, I went thru

therapy.  This time my knee was creaking more than before and you

could watch the fibula grind, trying to allow the patella to move

into place.  When I asked about it, he told me it was because I

didn't have any cartilage left (it was worse than he originally

thought when he went in).

I was learning to live with it and learning what NOT to do to cause

the problems.  A couple of months ago, my patella went completely

out.  I was on crutches for 3 days, had it injected again, and bought

a lateral stabilizer brace.  The brace does keep it in place better

(it still tries to go out), but doesn't really do away with pain.

Now, I'm scheduled to have the McKay procedure done in 2 weeks.  He

explained he's going to tighten the lateral ligament, split the tibia

and place a graft in the middle of it to allow the bone to stick out

further in the front once completely healed, move the patella over

further to the inside of the knee and something about anchoring the

patella with some muscle.  I'll be completely nonweight bearing for 1

month with a hard splint to keep me from moving the joint.  Then,

we'll gradually introduce therapy.

The down side is an " extended " recovery time.  I'm hoping about 6

months but it may be longer because I'm a RN and rely on my knees,

both walking and anchoring myself when lifting patients.  I'll keep

everyone informed on how it goes.

[Guest guest]

I haven't heard of this. How will he split the tibia? You're not talking about

a TTT are you?

Ann

Re: A response from Dr. Dunn - " McKay tibial tubercle advancement "

Hi, I'm new to this group. I was looking for info on the McKay

procedure for chondromalacia. I was diagnosed 2 years ago. After

doing the xrays I was told I had little arthritis in the knee. I had

physical therapy at that time with good immediate relief. Then a

year later, I had another flair, this time the xray showed I had alot

of arthritis. He aspirated my knee twice over about 3 months and

said I needed arthroscopy to clean it all out. Again, I went thru

therapy. This time my knee was creaking more than before and you

could watch the fibula grind, trying to allow the patella to move

into place. When I asked about it, he told me it was because I

didn't have any cartilage left (it was worse than he originally

thought when he went in).

I was learning to live with it and learning what NOT to do to cause

the problems. A couple of months ago, my patella went completely

out. I was on crutches for 3 days, had it injected again, and bought

a lateral stabilizer brace. The brace does keep it in place better

(it still tries to go out), but doesn't really do away with pain.

Now, I'm scheduled to have the McKay procedure done in 2 weeks. He

explained he's going to tighten the lateral ligament, split the tibia

and place a graft in the middle of it to allow the bone to stick out

further in the front once completely healed, move the patella over

further to the inside of the knee and something about anchoring the

patella with some muscle. I'll be completely nonweight bearing for 1

month with a hard splint to keep me from moving the joint. Then,

we'll gradually introduce therapy.

The down side is an " extended " recovery time. I'm hoping about 6

months but it may be longer because I'm a RN and rely on my knees,

both walking and anchoring myself when lifting patients. I'll keep

everyone informed on how it goes.

[Guest guest]

Hi jasnoz,

I've had a Maquet procedure on my right knee for my chondro back in '88 or

'89. Is that what you are asking about?

Joi

Gizmo, Yoda, Max, Jazzy, Artemis, Maui

<http://www.toolady.com/www/breeders/joyfulfeathers/index.html> Joyful

Feathers

Hi, I'm new to this group. I was looking for info on the McKay

procedure for chondromalacia. I was diagnosed 2 years ago. After

doing the xrays I was told I had little arthritis in the knee. I had

physical therapy at that time with good immediate relief. Then a

year later, I had another flair, this time the xray showed I had alot

of arthritis. He aspirated my knee twice over about 3 months and

said I needed arthroscopy to clean it all out. Again, I went thru

therapy. This time my knee was creaking more than before and you

could watch the fibula grind, trying to allow the patella to move

into place. When I asked about it, he told me it was because I

didn't have any cartilage left (it was worse than he originally

thought when he went in).

I was learning to live with it and learning what NOT to do to cause

the problems. A couple of months ago, my patella went completely

out. I was on crutches for 3 days, had it injected again, and bought

a lateral stabilizer brace. The brace does keep it in place better

(it still tries to go out), but doesn't really do away with pain.

Now, I'm scheduled to have the McKay procedure done in 2 weeks. He

explained he's going to tighten the lateral ligament, split the tibia

and place a graft in the middle of it to allow the bone to stick out

further in the front once completely healed, move the patella over

further to the inside of the knee and something about anchoring the

patella with some muscle. I'll be completely nonweight bearing for 1

month with a hard splint to keep me from moving the joint. Then,

we'll gradually introduce therapy.

The down side is an " extended " recovery time. I'm hoping about 6

months but it may be longer because I'm a RN and rely on my knees,

both walking and anchoring myself when lifting patients. I'll keep

everyone informed on how it goes.