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Bob's ACL WWWBoard
Re: Anyone have similar microfracture nightmare?
Posted By: drtjdel
Date: Thursday, 8 May 2008, at 1:39 a.m.
In Response To: Re: Anyone have similar microfracture nightmare? (Arizona_cripple)
> Dr Cummings did a knee scope(Nov '07) 8 months after
> microfracture surgery, and said even the the ACL failed,
> the microfrature healed the lesion (so it was a success).
> He doesn't know why I'm in so much pain, and says there is
> nothing he can do. I believe that Dr Cummings fractured,
> broke or did something to my bone that is constantly being
> injuried with any weight I put on my knee.
> I've begged for a TKR (knee replacement) but due to my age
> I've been told it's not an option. I have little hope that
> I will get better. I'm just posting this to hopefully find
> someone else that has been injuried this badly due to
> microfracture surgery.
> I still am in shock that a doctor can perform knee surgery,
> make the injury worse, and then say you're on your own
> there is nothing I can do.
Don't replace the knee, son. Good ROM, RSD unlikely. Get a workup for infection(also unlikely but important to rule out) MRI to assess the articular cartilage and possible associated 'bone bruise'. Be ready to go for an auto OATS. Rehab the ACL, DO NOT REPEAT DO NOT redo the ACL at the time of the OATS. If you're grossly unstable we can argue the point. In my experience often a microfracture leads to more pain, at least for a while. For the record I think the Steadman picks are the worst designed instruments since the Lenox Hill brace. I perform MF with a 2 mm burr or k-wire. That's what my OS used on my MF. It hurt for two months. You should feel better by now. Yeah, an OATS using your own bone may be the ticket. Don't beg for a TKR. You just might meet an OS willing to do it.
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