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Forum Name: Joint surgery

Question: Lateral Release on Both Knees in a Teen?


 horselover3495 - Sat Jun 26, 2010 11:22 pm

I have a 15 year old daughter. She does competitive horseback riding. She travels the country/world and is homeschooled because she is so competitive. She rides four hours a day and works out for three hours. She has knee pain in both knees and had physical therapy for two years! She aslo had cortisone injections and nothing has worked so far. We received a second opinion and this knee surgeon recommened a lateral release and tightening of a ligament although i cant remember the name. She has pain under her kneecap on the sides of her kneecap and her knee occasionally gives out on her. She has been diagnosed with patellar femoral syndrome and the surgeon says that the MRI shows that her kneecaps tilt at a 22 degree angle. He thinks that she would benefit from this surgery because conservative treatments have failed her. Is she too young to have two knee surgeries. She has had ankle surgery but this sounds more extreme. How will this effect her training schedual? Thanks
 Tom Plamondon PA-C - Thu Jul 08, 2010 11:13 am

User avatar Hello,
In 2008, the Journal of Pediatric Orthopedics reported in an article that the long term outcome (5-22 years after surgery) of lateral retinacular release was largely favorable.
Of the 140 knees evaluated, the average age of patients was 15 y.o. Most of the respondents reported long term satisfaction. (25 of the 140 needed a second operation.)*

If she has a surgical release, she will need to follow up with physical therapy and continue rehab to augment the surgical fix.

Post retinacular release, she will be out of training for at least 2 weeks but ought to progress well from there.

Take care.

*J Pediatr Orthop. 2008 Jan-Feb;28(1):118-23.

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