Post surgery update

Sorry for being M.I.A for so long! I’ve been very busy to put it mildly and I haven’t had any interest in writing at all, it’s been a complete roller coaster of ups and downs to be honest.

I had my surgery which was: Tibial Tubercle Osteotomy, an mpfl reconstruction and a keyhole surgery, where they removed some mucus glands. My Tibial Tubercle Osteotomy (TTO), was the biggest procedure. I had to have my shin opened up and a part of the top of my tibia had to be cut and placed lower on my tibia due to my kneecap not catching the groove in my knee, this is called “patella Alta” and means that your kneecap sorta hovers above your groove in your knee and never really tracks properly. The mpfl reconstruction aka medial patellofemoral ligament reconstruction, is where you get a new ligament that holds your kneecap in place, the ligament often gets damaged every time you dislocate your kneecap and this was done by two incisions on the inside of my knee, placing an artificial ligament on my kneecap / patella with screws, and tracing it down to my femur, where you attach is there too also using screws.

Below is a more visual explanation of what’s been done to my knee / leg, one of the pictures is a bit graphic, but I promise that there is no blood. It’s basically just showing stitches and sterile strips.

A more clear view of what’s been done ☺️

It was scary, I have to admit that. I tried to keep my head clear though and managed to go through with the entire surgery without any major issues. The part where they had to put me under full anesthesia was the worst, I hate giving up any type of control, so I was fighting the drugs, but ended up being out anyways – luckily! 😅 When I woke up, I spoke English.. The doctors were a little surprised, but as soon as I found out that the poor male nurse next to me wasn’t my fiancé and that he was speaking Danish to me, I switched to danish! (My fiancé is from England and moved to Denmark to live with me)

I woke up completely confused and it felt like no time at all had passed. Although two hours went by, just like that! My surgeon was brilliant and the procedures went smooth. I was in such a hurry to get out of the hospital and home that I was a bit annoyed that I had to have a nasal cannula on.. I kept moving it cause it was annoying me and I had no idea why they were actually using it! (When my brain cells finally started to function, I figured that my oxygen levels must have been low and that’s why I needed it on). After I was cleared on my oxygen intake, they gave me some food and something to drink, I swallowed the hospital food that they gave me and without even being asked, I started to try and get dressed – much to the amusement of the patient lying next to me, due to me huffing and puffing and trying to get my legs to work. 🙈 I was in the car, on my way back home in like less than half an hour of waking up. I just wanted to go home. 😅

Day three was by far the worst… I was in utter agony, my leg was throbbing and I felt like I had to throw up. The drugs that the hospital had given me must have worn off completely by then and I was really feeling the pain that day. But after day three, things slowly got better and better – after week two I stopped with the heavy Oxycodones and was only taking regular Paracetamol and ibuprofen. I’m quite happy with that decision.

Below I’m posting some pictures of my recovery, from day one, to the current state of my leg. So a warning in advance, that the pictures might be a tad graphic.

As you see, I removed my own stitches. It was mainly because I wanted to avoid the pandemic, which was at its highest and I also knew how to remove them myself due to my education. My surgeon gave me the all clear to remove them after ten days, I gave it one more day, just to be sure and then I removed them. It went very well and I had no issues whatsoever.

I had to have an ankle support on, I am still using it when I walk, because my ankle and foot have been in a lot of pain whenever I put weight on my leg. Don’t worry, my physiotherapist had a look at it and nothing is broken, it’s probably just sprained or agitated due to the surgery. When wearing the ankle support and shoes with good arch support when I walk, I feel almost no pain.

My knee is still stiff and I’m still fighting to get it to bend more, on week two I was at 65 degrees, at week three I was at 95 degrees and now more than a month post op, I hope I’ve come a lot further! Time will only tell.. The 8th of feb, I’m going to a checkup with my physiotherapist, she will be able to measure the degrees that I bend, I really hope I’ve come further than the 95 degrees, I’ve been trying to work out as much as possible at home and I hope I can try to just do that for now and have regular checkups once a week or every two weeks to check my progress. That way I’ll avoid the pandemic as much as possible!

If you want to see more pictures and videos of my recovery, you can follow my journey on Instagram and see my progress from day one on my highlights, my name on Instagram is “Lifeasmiamariah”. ❤️

I hope you are staying safe, thank you so much for reading along! See you online x

Hospital appointment

Life is messy, right now it feels messier than it normally is. Tuesday the 17th of Nov (yesterday), I had an appointment at Aleris Hamlet in Søborg. It’s a private hospital located in Copenhagen, Denmark.

The orthopedic surgeon I had an appointment with, had to examine my knee that I dislocated a little over a month ago. Denmark got this 30 day rule, to make sure the patients are seen to and helped in the health system before the 30th day. If that cannot be done, you are as a danish citizen in your right to go to a private hospital, on the country’s dime so to say. I really like that we get this sort of treatment, it’s important to have that kind of safety net to rely on. I’m very fortunate and I know that.

The appointment went as I had feared really, I got told that my kneecap is very loose, it’s so loose that I can dislocate it up to a 40 degree angle, which means that I need surgery. I honestly knew that I would need surgery deep down, but it still got to me and it still messed up all my plans for the future, which we will have to postpone until I have had my surgery and have recovered.

I don’t know which type of knee surgery I need yet, there’s a few to choose from, and they need me to get an MRI-scan / Magnetic Resonance Imaging, I got warned that there’s a waiting list, the max amount of time is two weeks though, so I’ll manage I hope..

The orthopedic surgeon told me, that it was highly possible that I would need a bone realignment – also called a Fulkerson Procedure. I’ve read up on the procedure and there’s several different types. But this procedure is by far the most complicated and the one with the longest rehabilitation period, which really scares me shitless to be honest. It’s a messy procedure and the bone needs a long time to heal. The knee can get very stiff and the tendons surrounding the knee could also tighten due to no movement in a long period of time, which will requires a lot of physiotherapy.

I know if I won’t get it fixed, it will lead to early onset arthritis, due to being dislocated again and again. It’s my second time to dislocate my kneecap, because it’s the second time, I need an operation to stabilize my kneecap in the future, but the MRI-scan will show which type I will need.

Walking out of the surgeons office, I felt like crying. I’m anxious to be honest, knees are so fragile and I don’t want to even think about the complications such a surgery have, if something were to go badly.

I’m in a lot of pain right now, I’m currently lying in bed, trying to get some rest, but I can’t seem to. At the hospital, the surgeon needed to move my kneecap whilst I had it bent, so he could determine how loose it was and in which angle it could possibly dislocate and that hurt… It still hurts. I know It’s stupid to get so worked up about an operation, but in all honesty, I’ve never had an operation before and I hate that I need one now. Especially on my knee, I can hardly stand my fiancé even trying to touch my knees due to having my right kneecap dislocate twice.. So the thought of an operation isn’t fun, to put it mildly.

The pain from dislocating the kneecap alone is.. Indescribable! The first time it happened, I ended up going into myself, in a type of shock. The only thing I really remember is being in so much pain that my lips felt numb. After that you start feeling fragile in a whole new type of way! It’s crazy..

So the news I got yesterday weren’t nice, it was what I had expected, but it still made me upset. I hope that I won’t need to wait for several months for the surgery, that would really mess me up, the anguish of waiting a long time.. But I’ll take it one day at a time, now I need the MRI and then the orthopedic surgeon will decide which type of surgery is needed.

I hope you guys are staying safe during this COVID19 pandemic and are healthy and keeping your spirits up. It gets stressful during times like these, one bad thing rarely happens without several other bad things following suit.. It’s said it always comes in threes, but I have personally long surpassed three, I’m on my second hand, and I’m still counting.. The year isn’t over yet! Yep, 2020 haven’t been the amazing year that I had hoped for, there’s been so much pain, loss and worry, but behind every cloud, there’s the sun. Hopefully we all get to feel some sunshine and happiness soon.

I’ll see you online, take care x