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EXPERT ADVICE: From the Experts

Knee1.com strives to provide users with as many tools as possible to educate themselves on their knee problems. In the past, we offered an interactive "Ask an Expert" feature, but due to an extremely high volume of questions, we are now seeking to find alternate ways to provide our users with access to the information they're looking for. In seeking medical advice, we encourage you to use these resources:

Below are some of the most-recently-answered questions from our Medical Experts. We recommend you read over these questions as well as search our "Frequently Asked Questions" to see if your question has already been answered.

Question:
I really hope you can help me out. I'm really struggling with the fact, that my college basketball career may be over due to chronic knee problems. I have undergone four knee surgeries in two years. Three on my left knee. I had a cadavor acl put in two years ago, then last year I had a tear in the medial maniscus. Just this past November the doctor found that i have two huge holes in my bone, and that is what is causing all the problems. They tried this three series shot injection thing, and said that was my only hope. I so much want to be able to finish my career, but i don't want to cripple myself for life. I'm looking for anything that you think can help me. i just don't want to have another really serious surgery. Your help would be greatly appreciated. Thank you.

Question submitted by: beth vice - vice003@bama.ua.edu

Dr. Farr

Jack Farr Dr. Farr is an orthopedic surgeon who specializes in knee and sports medicine. He serves on the board of the Orthopedic Research Foundation and is medical director of www.cartilagerestoration.org and www.myknee.md, where emphasis is on exploring new ways to treat damaged cartilage. Dr. Farr is a member of the American Academy of Orthopedic Surgeons (AAOS), the American Orthopedic Society of Sports Medicine (AOSSM) and the Arthroscopy Association of North America (AANA).

Answer:
Cartilage damage is common with recurrent knee injuries. I assume the "holes in (your) bone" means that there is some articular cartilage loss. Fortunately, in many cases, there are now means to restore injured or missing cartilage (both meniscal and articular). At your next visit with your team Orthopedic Surgeon, discuss whether or not you are a candidate for these techniques.

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