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Bob's ACL WWWBoard
Re: Anyone have similar microfracture nightmare?
Posted By: drtjdel
Date: Thursday, 8 May 2008, at 10:07 a.m.
In Response To: Re: Anyone have similar microfracture nightmare? (drtjdel)
> 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.
BTW, have you had the knee simply injected with lidocaine? A simple, low risk, potentially valuable diagnostic test. Pain relief would suggest an interarticular lesion and suggest AGAINST RSD. RSD is a rare, poorly understood condition. Hear hoofbeats, think horses first, not llamas. Or Zebras.
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