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Re: Microfracture concerns

Posted By: drtjdel
Date: Tuesday, 13 May 2008, at 3:12 p.m.

In Response To: Microfracture concerns (PMagee)

> I just read through the lengthy discussion about another
> member's horrible experience with acl and microfracture (so
> sorry you are suffering) and I am rather alarmed! I had a
> meniscus removal (small piece) and bakers cyst taken out
> this morning. OS saw arthrhetis behind knee cap and medial
> so he did microfracture surgery. I don't know anyhting
> about the procedure and was pretty out of it when he was
> explaining it - -does anyone have any success stories? Can
> anyone offer any advice on rehab or things to do/avoid? My
> OS said I could return to running a basketball in 3 months
> (I'm 42 very active and in good shape) ANY INSIGHT WOULD BE
> GREATLY APPRECIATED! thanks

Microfracture doesn,t restore articular cartilage. Once its gone, its gone. Abrasion chondroplasty, where loose, delaminated cartilage is removed or 'cleaned up', when in a stable knee with relatively intact menisci, is in my hands often extremely effective. As I said, thise steadman picks aren't well designed. If a person has a stable knee and a focal articular defect, I frefer auto OATS. Articulas defects behind the knee or in the trochlear groove are a tough problem, however. Many success stories elsewhere in the knee. On the other hand I've replaced many many knees where the eburnated articular surface is seen along with perfect menisci ans ACL. Go figure. Pick your parents carefully.

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