u/EmptyIllustrator8064

Hello all,

I’m about 2 years out from MPFl reconstruction, TTO, and lateral lengthening.

I would say a year post op, I felt everything was going great…. Until it wasn’t.

Now, my knee feels stable but I have pain in the area of MPFL and medial joint line going into my TTO area.

I have tried an injection and more therapy.

MRI doesn’t look too bad:

1. Status post MPFL reconstruction and tibial tubercle osteotomy. The reconstructed MPFL graft is intact. 2. Focal area of osteonecrosis immediately lateral to the tibial tubercle osteotomy. 3. Focal edema of the inferior Hoffa's fat pad, may reflect fat pad impingement.

I recently thought therapy was helping but I just had a flare up of pain. At the last office visit with my surgeon I felt he was frustrated with me.
Which is disheartening. Post surgery I didn’t have any issues until about 16 months out.

I don’t even know where to go from here.