2020 and finally seeing the difference after my Osteotomy

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In January 2018, I underwent a Tibial Osteotomy operation as I had been suffering from the onset of arthritis on my right knee and needed an alternative to a knee replacement operation.

In 2019, I went under the surgeons knife again to have the metal plates removed from my leg. I am writing this blog to help others who may be starting their own recovery journey

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

Its been a while since my last post in December 2019. The rubbish winter in the UK has been extremely wet and damp, I did miss the snow. 2020 is my year to be surgery free and to get stronger.

At work my role changed to become the regional lead for the Microsoft Azure Professional Services practice for DXC Technology (large American IT systems Integrator). This does mean longer hours but at least I am able to work from home.

Working from home has allowed me to visit the gym more frequently and for 2 -3 days a week, I focus on weight training and it really has helped. The key exercises that made a difference are shown below.

Hamstring building
Leg extension

I did have to take my time and build up strength gradually.

Prior to my operation, I never focused on leg weight training and it was only when I went through Physiotherapy the physio explained the impact of muscle mass improving stability and stamina.

For me it has helped with better leg movement, reduction of swelling and increased stamina. As the months have elapsed I have noticed the difference.

I am probably at 75% mobility in my knee and the pains have substantially decreased (but still not gone)

Cycle or Running event ? decision made…

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In January 2018, I underwent a Tibial Osteotomy operation 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.

It has been a long time since I posted a blog, recovering from an umbilical hernia and then getting mad busy at work have caused distractions.

This is the second year of operations for me and requiring time to recover (removal of metal plates from leg and then an umbilical hernia repair) just makes things look shitty as you are forced to make life adjustments to make sure recovery is good. Now I have clear runway to do more challenging things..

I met with a good friend this week who wants to do a few triathlons, 10k runs and cycle sportive in 2020 and he got me excited – however a reality check is needed.

So…I have been scratching around on what I can do physically….I’d love to take part in running. I can run on a treadmill but road running is painful. Also my knee is still suspect to heavy workouts…if I walk more than 8km, I feel swelling and pain. I have been adding muscle mass to compensate but the pain is still there.

Cycling it has to be !

Maybe a few 30 and 50 Mile events in the UK for starters that commence in March. At least there is a target and a training plan to make up; from now until then..

Later in the year, would be great to take part in the UK Coast to Coast cycle, a few days on the road on a MTB. See here

Some days I feel like I can swim, bike and run, other days it feels like I need to get an electric bike and pretend to burn the calories.

A slip whilst walking, my knee resembles a balloon

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In January 2018, I underwent a Tibial Osteotomy operation as I had been suffering from the onset of arthritis on my right knee and needed an alternative to a knee replacement operation.

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

nothing like a good slip on the sidewalk !

In October 2019, I took the family to San Francisco for a 5 day break. Flying non-stop from Heathrow was great as the flight left the UK early and arriving in the USA at 1pm, this meant we still had a full day; however American immigration had other ideas as we queued for over 2 hours to go through passport control.

The holiday was going well, I was walking freely and pain free and I did forget about my operation earlier in the year until day 2 when we were walking to a breakfast diner and slipped on the pavement. As I walked over damp metal grating, I lost my footing. All I remember was trying to retain my balance as much as I could so that I don’t look like a complete lemon as I hit the deck.

I hit the ground with my right knee (my operated leg) and boy did I feel it. The kids and Loiza helped me up; I didn’t want to make a fuss.

As we sat in the diner, my knee began to throb and by the afternoon, I had to switch out from the trousers I was wearing and into a pair of shorts. My knee was aching and the swelling around the knee was excessive.

I didn’t take a photo of my own knee but the image below sums it up..

Sums up the size of my knee!

I felt annoyed and sorry for myself (stupid, I know). I am seriously doubting if my health can ever be 100% again if a simple fall can set you back.

I ended up buying a knee brace from CVS to help me walk (and cycle over the San Francisco Bridge) and taking Naproxin to reduce the swelling. 4 days on and the swelling and pain is under control.

Doubt is now creeping in about my recovery – thinking I am back to normal to soon.

On a side note, I did manage to walk up to the Coit Tower to take this amazing picture of the bay bridge.

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

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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?

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

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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?

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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!