PF Resurfacing is done at a local hosptial here in Leicester. Unfortunately
most of the patients coming through for rehab to me after seem to be worse
off! I would advise not to go down this roadif at all possible.
Alison Dakin
----------
> From: Tom Pawikowski <[log in to unmask]>
> To: [log in to unmask]
> Subject: Re: Patello-femoral OA
> Date: 31 March 1999 12:22
>
> Hi everyone,
> First, I would like to thank those of you who responded to my enquiry.
To
> answer Margs' question: yes I tried taping but to achieve some degree of
> correction considerable force directed medially had to be applied. My
patient
> managed only few hours with the tape on and took if off with skin
irritation and
> few blisters.
> We started electric stimulation of the VMO's yesterday.
> I also heard about surgury where they scrap the articular surface of the
patella
> and implant some plastic button to provide gliding movement. I suppose
with the
> surgical lateral release it could work, but I worry about the length of
rehab
> and have in mind that she had a stroke. Any thoughts?
> Tom
>
> physio wrote:
>
> > Have you tried McConnell taping? It worked very satisfactorily for one
of my
> > patients who was in her early 60's.
> > Mags
> > ( Margaret Revie M.C.S.P.)
> > ----- Original Message -----
> > From: Tom Pawikowski <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: 29 March 1999 13:14
> > Subject: Re:Patello-femoral OA
> >
> > >
> > >
> > >Hi all,
> > >I have a patient with bilateral patello-femoral OA with lateral
subluxation
> > of the
> > >patellas. She is 77 years old and suffered (R) CVA six months ago.
The
> > lady is
> > >independent with most mobility tasks, however there are still some
areas
> > that
> > >need to be improved. For that she needs some work that require knee
> > loading. At
> > >the moment pain is the major factor that stops her from improving. I
> > wonder if
> > >anyone on the list may have some suggestions either conservative
treatment
> > or
> > >surgery. BTW, she already had cortison injection some time ago and
the
> > effects are
> > >wearing down.
> > >Thanks in advance
> > >Tom
> > >
> > >
>
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