Despite her brief moment of smiling in the photo, Janaye is “over this.” She self-reports this surgery as the most difficult one that she has had to date. Recall that Janaye has had many, many knee surgeries. (Read our previous posts: Part 1 & Part 2).
Here are a few interesting points in regards to her progress:
1. Janaye can now place about twenty (20) pounds of weight through the leg in stance. She is still not allowed to fully bear weight. You can see from the photo that she is placing enough weight on her left leg to allow the foot to flatten on the floor. She will begin the transition to full weight bearing on January 19th. Hooray!
2. Both Janaye and Dana (her treating PT) have noticed that since her surgery, she has a decreased valgus angle at the knee. This could possibly be due to the lack of weight bearing through the leg, as gravity tends to apply joint forces down through the leg and place stress on the supporting ligaments. A second explanation could be that much of her surgical work was done through the medial aspect of her joint. This may have created some scar tissue on the medial side, and could result in an increased tightening of the medial aspect of the knee.
3. Janaye is up to 125° of knee flexion. She looks like she is about to jump off the table when she is stretched during PT. Janaye asserts that she is simply not able to perform this type of stretching by herself, which she cites as one major difference between this surgery and her past surgeries.
4. Take a look at Janaye’s crutches. These crutches actually have a suspension, or piston type feature in the base that allows for some shock absorption as she walks. One interesting note: When it gets cold outside, the spring mechanisms in the crutches stiffen up and are less comfortable.
For a quick read in regards to meniscal debridement surgery rehab, be sure to read this article: Meniscus Surgery: What Can I Expect?