microfracture

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microfracture

Posted By: debby
Date: Friday, 22 August 2008, at 11:59 p.m.

am 12 weeks post microfracture to the posterior femoral condyle. Other than the 3 days following surgery the recovery has been relatively pain free. About 2 1/2 weeks ago I started having pain identical to the pre surgical pain. Waaaay back behind the knee...in the posterior femoral condyle. Went back to the OS who ordered an arthrogram. The results came back showing no sign of any fibrocartilage regrowth. Yesterday I went back to the OS. He stated he didn't think any fibrocartilage would start to grow if there were no sign of it at the 3 month mark but also said that he doesn't usually order mri testing so early. He reviewed my options of waiting or trying another procedure, mentioning doing an OATS procedure, but using a "cartilage substitute" to avoid two procedures as my defect is not large. It was never considered before because of the placement of the injury being so far posterior, it could not be done via an arthroscopic procedure. After reviewing my case with one of his partners today he told me to wait it out another 4-6 mos. (Not opposed to that except the pain is increasing and I am not doing any impact exercise that may have worsen anything). At the end of our conversation he told me he thought the "cartilage would re-grow". OK, so this is where I am TOTALLY confused because just yesterday he told me that he didn't see any re-growth yet and said it should show something on the mri if it were going to work. I have been a long term runner but did my knee in snowboarding this winter. Looks like now my winter will be spent indoors and I am not sure what to think of all this. Had he not said the exact opposite after talking to his partner I wouldn't be questioning the wait but now I am. Does any one know how long it should take for the re-growth of fibrocartilage to appear on an arthroscopic mri? I don't want to have more surgery but I also don't want to waste 3 to 5 more months waiting for something to happen that is NOT gonna happen???? I can handle pain.... no problem but the inactivity, if it is stretched out another 5 mos. only to find out then, more surgery? Yikes! Any suggestions?

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Message: > am 12 weeks post microfracture to the posterior femoral > condyle. Other than the 3 days following surgery the > recovery has been relatively pain free. About 2 1/2 weeks > ago I started having pain identical to the pre surgical > pain. Waaaay back behind the knee...in the posterior > femoral condyle. Went back to the OS who ordered an > arthrogram. The results came back showing no sign of any > fibrocartilage regrowth. Yesterday I went back to the OS. > He stated he didn't think any fibrocartilage would start to > grow if there were no sign of it at the 3 month mark but > also said that he doesn't usually order mri testing so > early. He reviewed my options of waiting or trying another > procedure, mentioning doing an OATS procedure, but using a > "cartilage substitute" to avoid two procedures as > my defect is not large. It was never considered before > because of the placement of the injury being so far > posterior, it could not be done via an arthroscopic > procedure. After reviewing my case with one of his partners > today he told me to wait it out another 4-6 mos. (Not > opposed to that except the pain is increasing and I am not > doing any impact exercise that may have worsen anything). > At the end of our conversation he told me he thought the > "cartilage would re-grow". OK, so this is where I > am TOTALLY confused because just yesterday he told me that > he didn't see any re-growth yet and said it should show > something on the mri if it were going to work. I have been > a long term runner but did my knee in snowboarding this > winter. Looks like now my winter will be spent indoors and > I am not sure what to think of all this. Had he not said > the exact opposite after talking to his partner I wouldn't > be questioning the wait but now I am. Does any one know how > long it should take for the re-growth of fibrocartilage to > appear on an arthroscopic mri? I don't want to have more > surgery but I also don't want to waste 3 to 5 more months > waiting for something to happen that is NOT gonna > happen???? I can handle pain.... no problem but the > inactivity, if it is stretched out another 5 mos. only to > find out then, more surgery? Yikes! Any suggestions?
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