Unhealed tibialtubercletransfer now have disuse osteoporosis n on lotsof opioids n in wheelchair r there any surgical options left?

Yes: If your current condition is really as simple as that your tibial tubercle transfer did not heal, then i would certainly encourage you to have it fixed and hopefully. Get on with your life. Thank you for your question.

Nonsurgical options.: You have unfortunately entered the world of chronic pain, which has its own set of rules. In my opinion, more surgery will only compound the problem. Your body does not know how to dial down the pain, so you now have to re-train the body. Biofeedback is an excellent tool for retraining the nervous system, and for helping to minimize the need for opioids.