Quickfire questions – 1.5 years after Tibial Osteotomy

In January 2018, I underwent a Tibial Osteotomy operation at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

If you enjoyed reading my blog entry, don’t forget to like, follow, share and comment!

Was having the Tibial Osteotomy worth it?

No doubt there have been some days recently where I have been questioning myself on the same point. I have started to feel some of the pre-operation pain from time to time in the last few months. As I had the metal plated removed 6 months ago, there is still some pain and swelling as the bone re-grows- I may confusing this pain with what I experienced a few years ago. I need to see in another 6 months.

The Osteotomy is not a miracle cure: rather it has halted the arthritis and its pain giving the patient many aspects of an active lifestyle back.

The inevitable action of a knee replacement is just deferred and on that point I would say yes, it has been worth it.

What would have happened if you didn’t have the operation?

It would have been expensive physio sessions and Cortisone steroid injections while I wait for a knee replacement (partial or full). I am still in my 40’s so what happens after 15 years ? Knee replacements are meant to last between 15-20 years right?

What changes have you noticed?

My leg is a lot straighter than it was before. I am more active now and travelling is back on the agenda.

I am losing weight but its not fast enough. I guess I am more cautious in not pushing myself too much and I need to rest up more.

What lifestyle changes have you made since the operation 1.5 years on?

  • Eating a healthier diet and trying to lose weight.
  • Keeping to the physio strength exercises as a regular routine
  • Building strength and stamina around the knee (I never did this before and has made a big difference)
  • Knowing my limits and resting more

Would you have the same operation on the other knee?

I am experiencing pain in my left knee but it is not as painful as my right knee. I am 50/50 at the moment as the operation/ recovery time/ adjusting to work is not easy and takes a lot out of a person. Maybe a question to ask next year.

If you have any questions, drop me a question in the comments boxand I will be happy to share my experiences with you.

Post Tibial Osteotomy- recovery from the removal of metal plates

In January 2018, I underwent a Tibial Osteotomy operation at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

If you enjoyed reading my blog entry, don’t forget to like, follow, share and comment!

Its been a while since I last blogged an update as my daughter guest blogged about our family trip to Mexico; she is writing another post and will appear once she is done. 

OK, so my last post ended with me returning home after the removal of the metal plates that was conducted by Mr Minhal Chatoo at the One Hatfield Hospital in March 2019 (earlier this year).

Whilst at home I realized that I get a very bad reaction to Codiene so had to stop taking that pain killer; rather stayed on the Ibuprofen and paracetamol.

Lets focus on the recovery points..

2 Days after operation

The swelling had reduced. Pain killers were working and I was able to move around slowly on crutches. The arrow was drawn on my leg by the surgeon (so he doesn’t carve open the wrong leg).

2 Weeks after operation

Mobility was better as I was using the crutches on occasion and visited the gym to do light cycle work. I wanted to build up stamina. It did help that prior to this operation that I had continued doing the exercises given to me by my physio as well as the work done in the gym. This way I was moving and recovering much faster than the previous year.

3 weeks after the operation

So a close up of the scar and I am pleased with the outcome. No infection but just the pain expected from further bone healing after the removal of the plates and screws.

In my next blog I will return to a Q & A post sharing questions I was asked by friends and family.

If you are about to go into surgery or at home in recovery mode, why not shoot me a few questions?

Returning to the operating table – removal of metal work. Osteotomy concluded

In January 2018, I underwent a Tibial Osteotomy operation at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

If you enjoyed reading my blog entry, don’t forget to like, follow, share and comment!

Returning in 2019 to remove the metalwork

The osteotomy had given me a lot of improvement. The physio work and muscle built around my knees in the gym has given me 90% of my life back. The knee issue hasn’t gone away but I feel so much stronger, some pain does remain but this differs from day to day – that’s just the ageing process!

RHS shows healed bone

As the metalwork in my leg did irritate me from time to time, I took my surgeons advice and booked myself in to have the metalwork removed on 27th March 2019. Mr Minhal Chatoo would be my surgeon again. He was brilliant.

The metal work extraction procedure would be a day case. The procedure would take up to 1 hour to remove the screws and plates. Due to the nature of the operation, I would be under general anesthetic, meaning the time in the operating theatre increases to allow for the time to recover as well.

Upon arrival and being allocated a room at the hospital, one of the nurses came in and read my BP, went through standard paper work, handed over a gown, pants and socks – I’m not sharing any pictures of that!

Shortly after, the anesthetist came round as well and confirmed that Mr Chatoo would be operating on me as the first patient of his day.

Mr Chatoo came in to mark my leg before the operation and we had a light hearted conversation. He mentioned the operation is very quick and low risk so was happy to proceed.

Once he left, I was taken downstairs to the operating theatre. As I walked down someone talked me through the procedure again and kept me assured.

Once I was asked to lay down on the bed, I was connected to the ECG and given the anethestic. In seconds, I was out.

Coming round after the operation

I felt groggy after the operation. It was about 10:20 am as I noticed the clock. They showed me the metalwork that was removed from my leg – 2 pins 4 inches long, 3 screws 3 inches long and 6 other smaller screws. They told me I was unable to keep the screws due to protocol; though I wish I could have kept them as a souvenir…

The pain was unbearable and the nurses gave me strong pain killers. 20mins later, it still felt bad so they gave me more – but I think it was codeine. 

Shortly after I was taken back upstairs to my room and Loiza was sat waiting. 

I remember falling in and out of sleep and still in pain. To me, this felt much more painful than the osteotomy last year. 

It took a while for me to eat lunch (soup and a sandwich), just the tiredness from the drugs and the pain. 

I remember the Physio “Saul” visit . He got me out of the bed and made me go for a walk. We made it to a stairwell and then down a flight of stairs. He did say the pain will be high but I will need to get moving sooner. The recovery period would be :

  1. Next 2 days full rest and some movement
  2. Use crutches for a few days after that
  3. Walk without crutches thereafter
  4. Keep moving and apply icepacks if there is swelling

The recovery period was a lot shorter but I kept in mind that there was a deep cut, stitches and several holes in my tibia that would take time to recover.

I was able to walk however I was very tired due to the drugs. I made it back to the room and then met Mr Chatoo again. I remember him telling me that he placed “wax plugs in the screw holes!” to reduce the bleeding from the bone. 

Mr Chatoo also said the operation was uneventful- this is good news.

I rested again and of course, fell asleep. When I came round again I was still in pain and was given more painkillers. 

The nurse mentioned that I could be discharged once Mr Chatoo comes round at about 5 pm. The discharge was quick and easy and everything was set for me to go home.

I was wheelchaired to the car – We drove home in my Audi. The ride was great as I was glad to be going home. 

When I got home, we took the picture below.

I was exhausted. I slept in Aroon’s room and was out as soon as I hit the pillow. I know I woke up in the middle night and Loiza had to help me to go to the restroom – it was still to early and I was unsteady on my feet – the drugs were not helping and as it transpired I had a bad reaction to the codeine.

Comparing Pre and Post Osteotomy scans – a single view of change

Just a short Blog this week. As per last week I wanted to share single point of view on the positive impact of the Tibial Osteotomy can have. The image below was taken from the One Hatfield Hospital’s monthly publication.

You can see in the left hand image the surgical requirements Mr Minhal Chatoo orchestrated pre-operation. On the right hand side you can clearly see the surgical correction.

Accuracy of the surgery has to be at 95-98%. For all the planning it really is up to the expertise and training of the surgeon. I cannot recommend Mr Chatoo enough. There are a number of experts like him in the UK and worth looking into this type of operation as it saves on having a knee replacement operation.

Should I have the metal plates removed 12 months after the Tibial Osteotomy?

In January 2018, I underwent a Tibial Osteotomy at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

In December 2018, I was thinking more seriously about going back into hospital to have my plates removed. In the last couple of months I was experiencing more irritation caused by the metal plates in my leg. My surgeon did mention this could happen when during my last consultation. I spent a lot of time thinking the knee pain returned, but simple self investigation by pressing on the affected area, it was clearly in the region of where the metal plates were located. The pain would appear in the following ways:

  1. Swelling beneath the knee area – The remedy was to use ice packs to reduce the swelling.
  2. Itchiness beneath the skin- not much I can do other than trying not to scratch the scar area.

In retrospect I didn’t really feel 100% fully recovered and did experience stiffness and pain in the knee area that was brought on by the following :

  1. Tiredness caused by lack of sleep
  2. Stiffness when sat in the same position in a chair in the office
  3. Excessive exercise such as treadmill running.
  4. Leg pain for standing up too long.

The remedy really was to take painkillers to reduce the swelling and of course, to rest.  In conclusion I saw myself as 70% recovered – still much better than what I was like before the operation. I found my picture below from our family trip to Athens, Greece where I raced my wife on the ancient Olympic track. Who would have thought that Will I run again!

Just the action shot of me running . Ok Loiza beats me at the end

Clearly I can run again!

My thoughts on returning to the hospital were something else….it would be my 3rd operation in 3 years – I was fed up with going into hospital and then taking time out (a good few months) to rehabilitate thereafter. I am softy at the end of the day!

A lot of points to consider…..

Loiza felt I should go ahead with the plate removal. Due to my private health insurance, I would be able to go back to the same private hospital (the OneHatfield) and have the operation done on a day that is convenient for me. It would be silly if I did not do do this.

Well thats it for now….I need to find a simple view/photo of my Tibial Osteotomy showing pre-operation planning and the affects of the surgery. As soon as I find it, I will post it.

Thanks for stopping by!

Coping with Tibial Osteotomy months 8 to 12

In January 2018, I underwent a Tibial Osteotomy at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

So our family holiday in August 2018 was amazing, we ate, shopped and visited many attractions around the Chicago lakeside area. Going for a bike ride on the lakeside was my favourite experience.

We were lucky that our hotel had an indoor basketball court ( well, Chicago is home of the Bulls) so I was really able to test out the progress of my recovery and it was a success! I was able to play 1on1 with my son – run, jump, turn and shoot and it felt great!. We were in Chicago for 10 days and we played every other day. It had been over 2 years since I was able to engage in a physical sport in that manner, so this was a massive achievement for me.

In terms of strength building I was able to spend longer in the gym and I felt stronger than possibly 2 years ago. I was making a real effort to lose weight and to change my diet. Over the summer I did notice that if I drink alcohol, I do felt aches and pains the day after – so the message here is to drink sensibly ! 🙂

As the UK weather in autumn/ early winter changes to being colder and damp, I noticed the metal work causing me pain in the areas where the plates and screws were.

Sometimes there was swelling in the area and soreness around the scar but taking ibuprofen eased the pain.

Oh and in October, we decided to have a short holiday in Athens, Greece. Strong recommendation from me and the family!

To get to the Acropolis you negotiate a steep climb and in places, over uneven surfaces. Great fun!


Positive change post Tibial Osteotomy – 6 months on…

In January 2018, I underwent a Tibial Osteotomy at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

I did get the chance to visit Chicago in the summer. Perfect weather!

By June 2018, I was signed off my Physio. He felt I made good enough progress to get my life back to a normal state and gave me some tough exercises to continue with. This was coupled with my surgeons recommendation to return on the 12 month operation anniversary (Jan 2019) to have the metal plates removed. This is a big deal as it means the cycle of pain in the knee could be reaching its end point. A weird part of me wanted to keep the metalwork in my leg as its a great conversation opener or filler (“I have a bionic leg”) however I was experiencing the odd skin irritation or swelling where the plates were located. Mr Chatoo (Surgeon) did mention a number of patients having the same experience. I set my mind to return in January for the final operation.

The gym workouts were going well. I was able to run 5k on the treadmill, lift and pull leg weights that was a clear improvement to pre-operation. I kept to a routine of fitness as well as cutting down on my alcohol intake and losing as much weight as possible, through healthier eating.

In July, I had to take time out from work to help my parents. My dad went into hospital to undergo a Quadruple Heart Bypass operation.

My dad is doing well 12 months on but it was a very tough time for my immediate family. Thank you to the NHS!

At the end of August and as a family, we decided to spend our 10 day summer vacation in Chicago, Illinois. For a Brit living under the cloud of Brexit some destinations were becoming very expensive and we felt that Chicago was a great location and is excellent value for money. Also we booked at the last minute and found a great value deal.

I felt much more confident in travelling and doing more outdoor activities; a real turning point as I felt my confidence was coming back.

Yes, there are some great beaches on the lakeshore. Fresh water also!