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Bob's ACL WWWBoard
Re: Anyone have similar microfracture nightmare?
Posted By: Arizona_cripple
Date: Sunday, 11 May 2008, at 3:15 p.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.
I've had 2 MRI's (Sept '07 and Jan '08)after my May '07 surgery to determine what has gone wrong and according to Dr Cummings everything looks great (no infection ectc. . ), and lesion was convered. When he did a knee scope in Nov '07 he said things looked great. I've been told OATS or ACI is not an option for 2 reasons 1) I am grossly unstable and 2) the doctor's claim these procedure would not help.
I'm beging for a TKR just because I can't find any other options. Here are the things I've had done post May '07 surgery.
1) Femoral nerve block - provided 50% pain relief for about 2 hours
2) Sappanos nerve block - provide 70% pain relief for about 2 hours.
3) Acupuncture - no relief
4) pain psychologist - Dr Cumming's idea, to help dea lwith pain, which did nothing
Currently TOCA (The Orth Clinic of Arizona) ahs refused to perform anymore treatment, since even though their doctor perforemd surgery there is nothin more they can d oto help. As stated by one of their docs, "We are like body mechanics there is only so much we can do."
So I feel I've exhausted all options, and the only thing I see as ever getting my life back in a TKR. I' more than willing to try anything, but I don't know what else to do/try.
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