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Re: Microfracture concerns

Posted By: PMagee
Date: Tuesday, 13 May 2008, at 3:49 p.m.

In Response To: Re: Microfracture concerns (drmark)

> It depends on where the lesion is. In the patella, and
> rehab and suppliments are not sucessful, I do an
> anteriorization or anteromedialization of the tibial
> tubericle. In the medial or lateral joint compartments, if
> there is a deformity, I do an tibial or femoral osteotomy
> to correct the deformity. If there is no deformity, (which
> is the case most of the time), I just do rehab, and put the
> patients on chondral support medications.

> I have not been convinced that mirofracture, or ACI is
> worth the trouble. I have only minimal experience with
> OATS, don't believe it is indicated for chondral disease of
> the patella.

Dr. Mark:

My OS removed a bit of meniscusd and baseball-sized baker's cyst then seeing the damaged cartilage performed the microfracture. How long can I expect to be out of running and playing basketball? Also what are the types of rehab and support medications you prescribe? I'd like to start the stationary bike as soon as I can. Finally, i had been doing yoga few times a wekk, how long should I take off from that?

Thanks very much for any advice you (or others) can offer!

PMagee

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