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Chondral Transplantation

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Topic Title: Chondral Transplantation
Created On: 06/29/2002 02:48 PM

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 04/15/2005 08:18 AM
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chrisshep

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I feel sad that you're in constant pain, no operation should leave anyone in such a bad state; isn't there anything that can be done?Personally, I don't have any pain in my knees, they're just useless at keeping me upright and I get very frustrated as doing simple things I used to take for granted are no longer possible. My car is sitting in the driveway and although I feel I could drive it - it's automatic - I can't get to it because of the steps I'd have to negotiate. Like you, I'm also having trouble with my shoulders now - not from using crutches, but because the arthritis has got to them too, the only option left now is a fusion of both shoulders. I don't want to give up with the leg exercises yet, otherwise I'll lose any muscle tone I've still got, also I feel this may help to keep my hips going for the foreseeable future. I do get up every morning and potter about the house until the knees get wobbly, then mostly end up either knitting or sitting in front of the pc but I do feel a lot weaker if I stay in bed. I feel really guilty that my husband has to come home after work and start cooking, something else I can no longer stand long enough to do. I had to visit the neurosurgeon a few days ago, hubby carried me from the house to the car and I felt silly and useless, also the walking frame was of no use, as there's a long walk through the hospital so I was relegated to a wheelchair. I've lost control of my life to a very large degree and that's what bothers me the most. You'd think in these days of hi-tech and xenotransplantation that someone would have come up with artificial kneecaps that work! Please write back and let me know how you are coping. Christine
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 04/11/2005 10:24 PM
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republican

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By the way since I have no kneecaps the doctor that did that surgery attached my patella tendons to my quad. Stairs are a no-no and my pain is so bad that spend a lot of time in bed as I can no longer work.
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 04/11/2005 10:15 PM
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republican

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Christine: Hi! I live in the USA. I have no knee caps whatsoever. Stop! Stop! doing the excercises you were told to do after your TKA. Unless something sles come available you will no be able to strengthen your legs and yes falling is par for the course. I have been using a wheelchair as my legs give out to. I sometimes use crutches but because of the constant use I am having problems with my shoulder joints and have had a few surgeries in each. And know because I do not have knee caps my right hip has become affected. The more you do; as far as walking etc. the worse your knees will become. To be perfectly honest you probably should not have had the TK operations. Please let me know more re: your condition and I may be able to help you. As of now stor the excercises becauses you are continuously hurting youself.
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 04/11/2005 10:56 AM
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chrisshep

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I'm interested to know if you can walk successfully without both kneecaps? My right kneecap literally snapped off 9 months after a TKR. At first I thought the kneecap hadn't been re-aligned properly, then I was told my tendons/ligaments were damaged with the arthritis and this 'snapping off' was probably par for the course. I somehow managed to keep up the exercises and kept the leg strong until the surgeon removed the kneecap about 4 months after it snapped. I was walking fine whilst I had the full strength of my left leg to support me, but then that kneecap snapped off too and I am now awaiting it's removal as well as a TKR of the left knee. Somehow, since the second kneecap went, I am having real trouble walking and keep losing my balance and falling over. I was walking with a cane but now I have to use a wheeled walking frame. The joint replacement team at the hospital where I had the op don't seem to have come across anyone without both kneecaps (I'm in the UK by the way) and just keep telling me to do the exercises recommended after a TKR. Obviously I'm doing as much exercise as I can, but it just doesn't seem to be working and now I can't even get out of my house without assistance. Any insight/advice would be greatly appreciated. Christine
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 01/19/2005 03:46 AM
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republican

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Well,o.k. I have had cartilage grafting but if you re-injure your knee then it is not a big help. I've torn my meniscus and it has been repaired but my knee has gone through so much trama and I have been in so much pain that I had a major accident that the orthopedic took out my kneecaps (needless to say he is no longer my doctor!)I am in horrible pain and am on morphine and have had numerous surgeriesso much so that I was ordered to quit work. I also have a spinal cord stimulator. It's all so involved and I so tired right now I will write more later. Please write all questions!! Liz
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 01/12/2005 08:49 AM
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lifeovreilly

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I fell down on ice with my daughter 12/7/03. I went to the ER and was told I had swelling. Slowly, the more I used my legs to walk to work from train, drive, or carry my daughter... I was unable to function without severe pain. MRI showed Chrondomalacia in Patella and Femoral Areas. I underwent Arthoscope of right leg showed all weightbearing joint to be lacking cartilage. Doctor says we will need a cartilage graft? Just underwent the left arthoscope. This knee shows meniscal tear, ACL tear, cap maltracking, fluid, cartilage damage behind knee cap. I feel I must have been placing all weight on right leg due to left leg injury, causing the weight bearing joint to have no cartilage. In interim, I am STILL IN PAIN. I can hardly walk on right leg. Has anyone had cartilage grafting. What other options, I tried "vitamins" they did not help. I am 29 mother of a 2 year old that needs to get back to work, but legs hurt tooo much. Is Meniscus done for? What about lack of cartilage in right leg??? Jennifer Please email me at home if you have gone through this. I have now had to go to doctor for depression of non-movement. Lifeovreilly@comcast.net I am using wheelchair and walker if I go anywhere far? Is this going to be permanent? Any good Philadelphia doctors for second opinion???
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 07/22/2004 03:40 AM
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republican

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I had bi-lateral knee arthroscopyis on June 29, 2004. By the first 3 days post op I had my full motion back. After about a week and 1/2 I was off crutches. I've got a great surgeon. ontact me if you want addition information. (by the way I have no kneecaps. At one point I had a two surgeons who really messed me up!!!
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 01/14/2004 09:54 AM
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gmckevitt

Posts: 10

I am 6 weeks post-op, but did a lot of research prior to the operation. There is a growing body of evidence showing the durability of the procedure. Most of the research shows it is more durable than competing procedures. From my research I also recognized that it is dicey based on the surgeon. You need to find someone who has had a lot of success. I've read a lot of posts regarding recovery and rehab that make me cringe - based on what my doctor explained. Patience and taking it slow is everything. Get a good doctor and it should not be dicey. Just IMHO . . .
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 10/14/2003 08:23 AM
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tmaxwell

Posts: 22

Sounds like we have the same problem. I had a scope of my right knee and since then taking stairs is an ordeal. I find that I can climb stairs easier than go down them, though. I have looked into ACI but recognize that it is a dicey operation. It costs a lot of money, the rehab is extensive and there are absolutely zero promises. Plus, there still is a lack of long term data on the durability of the operation.
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 10/02/2003 10:31 PM
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starbuxjen

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i've had much trouble with my knee since arthroscopy (on January 2nd) and i can't figure out if it's because i am not being pushed hard enough at PT or if it's because there is 70% of my cartilage taken out. I have been working hard on building muscle and still there is pain. i have heard of many other patients who have been able to run and climb stairs normally after their arthroscopy, but in my case it seems impossible. should i look into carticel ? or am i just not working as hard as i should ?
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 09/26/2003 08:57 PM
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Morpheus1

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I AM 25 YEARS OLD. I PLAYED SOCCER FOR 20 YEARS AND 2 YEARS AGO I HAD THE OATS PROCEDURE DONE ON MY LEFT KNEE. I WENT THROUGH 8 WEEKS OF NONE WEIGHT BEARING ON MY LEFT KNEE, ABOUT 3 MONTHS OF REHAB, I HAVE NOT BEEN ABLE TO PLAY SOCCER SINCE, AND NOW 2 YEARS LATER I AM SEEING A ORTHOPEDIC SURGEON AGAIN FOR MORE SURGERY ON MY LEFT KNEE AGAIN. I REALLY AM NOT TOO IMPRESSED WITH THE FIRST SURGERY TO BE HONEST WITH YOU. YOU MIGHT WANT TO CHECK OUT A PROCEDURE CALLED "CARTICEL." SEE I STILL HAVE THE SAME PAIN AS I DID BEFORE I HAD THE SURGERY, SOMETIMES IT IS WORSE THAN BEFORE I HAD THE SURGERY, BUT CARTICEL IS DONE BY GRAFTING YOUR KNEE. CHECK IT OUT I THINK IT IS WWW.GENZYME.COM GOOD LUCK WITH THE SURGERY!!!!!!
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 06/29/2002 02:48 PM
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swk104

Posts: 1

Iwould like more info on the oates procedure, general recovery, sucess rate of the surgery.
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