My husband dislocated his knee on 7/1 he was taken to the ER where they put his knee back into place, five days later he had a MRI that showed medial mensicus tears,grade three sprain of two ligaments and broken bone floating around in the knee joint on 7/31 had surgery to try and repair two bone chips that were floating around in his knee. The doctor could not repair the chips, The doctor says that he now has a "good sized hole" in his patella and that will affect him down the road.The doctor stated that he has been in practice for twenty years and never seen a patella fracture this bad. He will not elaborate on a prognosis. He just keeps saying we will have to wait and see. I was hoping someone will have has some expereince with this injury so we can get an idea of how bad this injury is and what problems can my husband expect to have from this? This is an on the job injury. He is a correctional officer and was injured breaking up a physical confrontation. We are worried that he will not be able to return to work. Is it likely he will be able to return to normal? Also we are concerned because the doctor thought he should be off of crutches within three days and he still is unable to bear weight enough to walk more then a few steps without the crutches. any advice would be appreciated. Thanks in advance.
Wow, that's a lot of injury to deal with at one time. I suffered with a hole in my patella as a result of a lateral release surgery. My os explained it was due to the weakness in my patella and the instrument he used to lift up my patella actually went all the way through it. I have had additional knee issues since then (patella realignment, torn meniscus and debridment due to continuation of chondralmalasia (sp?). However, I can say that the hole iteself hasn't seemed to be a particular problem. I'm not sure how that will be different from your hubby since he has also had ligament repair. Just wanted to let you know I have been there.
I had a similar injury as the result of a track accident a year ago; I tripped, fell, and my knee dislocated out the side when I landed on it (I also have patellofemural syndrome). I don't think mine was quite that bad though, I dislocated and went to the ER and had a bone chip (they didn't find it and remove it till, like, five months later). I did the same thing twice after that (I also have tracking problems, though), and recovered fine...mostly. I also have a hole in my patella, but it was from the surgery I had to fix my frequent dislocation problem, and my hamstring is attached to it, so it's probably a bit different, but it doesn't affect me in any way now, and hasn't in a long time. The first dislocation I had, though, was a bit rough. It took me a week to get off crutches, but after I got off I had PT for a while and was just about back to normal in a month. I didn't have any long-term damage because of the first dislocation, however, but I don't think my initial dislocation was that severe either.
But, I didn't take care of my knee after I recovered and (to make a long story short) wound up dislocating again and had to get surgery and miss tons and tons of school (which would also apply to work). PT was essential.