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Meniscal replacement

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Topic Title: Meniscal replacement
Created On: 11/15/2005 11:51 AM

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 05/30/2011 08:40 AM
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JuhaH

Posts: 6

Hi Ang,

Dr Ockie van Zyl has implanted the first Actifit in a South African patient. Why don't you ask him and talk what he thinks about Actifit implant in your knee.

Check uot this link -> http://www.kneeandhipsurgery.com/htm/actifit_meniscus_implant.htm .
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 05/23/2011 07:04 AM
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angw

Posts: 1

Hi Wesley
Just reading through some forums and as I am based in Cape Town, I wanted to know if you had the Actifit Meniscal impant surgery? If so, would you kindly give me your input on your recovery as I know only one doc does it in SA?!
Thanks,
Ang
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 08/13/2010 10:54 AM
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JuhaH

Posts: 6

Hi there,

I need some solution how can I fix my medial meniscus. I am now 9 months after menisectomy and my knee is hurting all the time.

Have found evidence or material about Actifit? You should post reference documents to us.
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 08/11/2010 11:48 AM
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PeterDistloh

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The recently introduced Actifit is an unexplored plastic implant which cannot satisfy at this point of time. It consists of a non biological polyurethane matrix, which was never approved by a feasibility study. Long term effects of polyurethane degradation rate are unknown, only some animal studies have been conducted. Up to now surgeons have no sustainable clinical data of Actifit. The ongoing European multicenter trial has a low level of evidence. No controls, no randomization, protocol violations, device related serious adverse events, necessitated explantations and major apparently displacements of the implant were the most important problems due to this novel polyurethane implant. So far, relooks show no vital tissue regeneration and a clear biological demarcation of the implant body, which discolors over the time from a white to a morbid yellow object, which was never documented postoperative in collagen meniscus scaffolds. Available photos and videos authenticate these unedifying results. Nearly two-thirds of all Actifit study patients were treated in Ghent and Kiel, two centers with a high commercial interest in this meniscus implant. For this reason biased Actifit results causes for distrust.
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 07/04/2010 02:13 AM
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JuhaH

Posts: 6

If you wan't to read about meniscus transplant here's some more information -> http://meniscustransplantation.org and here -> http://orthopedics.about.com/cs/meniscusinjuries1/a/transplant.htm
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 07/03/2010 03:40 AM
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JuhaH

Posts: 6

Hi there,

I emailed to Peter Verdonk. Peter is one of the ortopedist who has done several surgerys with Actifit. Peter was wery kind and answered all my questions about Actifit. Peter said:


"From what i understood from your story, a large part of your medial meniscus on the left knee has been taken out because it was torn. in that case, you need indeed to have a new meniscus because the risk for arthrosis is significantly higher in the knee after a large meniscectomy. for large meniscus defects, meniscus allograft transplantation is a very good solution and actitfit is good solution for smaller meniscus defects. If you have an MRI scan of your knee, i would be able to tell you which solution would be best for you.

Both meniscus allografts and actifit are being done on a regular basis in our clinic. We have performed over 50 actifits and over 250 meniscus allografts. The results of the actifits are currently being analysed for publication!"

So propably solution for me is medial meniscus transplantation and not Actifit. Next month I'm going to take new MRI-pictures and hopefully I will meet mr. Verdonk as soon as possible in Belgium and talk with him about my options.


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 07/01/2010 03:54 AM
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JuhaH

Posts: 6

Hi there,

Last december I was skiing telemark in Alps and had an accident where I and broke my medial meniscus really badly. After 2 weeks from accident went under the knife. About 80% from my medial meniscus was taken away from left foot. I'm not able to do any sports because knee is hurting so much. I can only swim and do water running.

I'm now 35-years old athlete and now I feel that I'm crippled for the rest of my life. My orthopedist says that I have maybe 5-10 years before I have bad arthrosis. I have to fight for my leg and find how I could repair my meniscus before it's too late.

I called to several orthopedist here in Finland and in hospital called Dextra they started to talk about new invention called Actifit from Ortec (read more about Actifit -> http://www.orteq.com/en/Innovation/15/The-Actifit-procedure.php). Orthopedist said that they have done not more that 300 operations with Actifit and only 5 of them here in Finland. I would like to hear more about Actift and results they have achieved. New medial meniscus sounds like a dream come true to me. I'm going talk about possible Actifit surgery with my orthopedist next month. I have to find some solution for this problem. If you have more results about actifit implant please keep us up to date.


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 03/05/2009 01:20 AM
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Wesknee

Posts: 1

Hi Christina

My name is Wesley, from Durban, South Africa. i too am a very athletic person, passionate about playing rugby, it's true what you say that family does not care whether you play again or not, as i am in the same boat as you, would give anything to play again. I recently had ACL reconstruction, with the lateral and medial meniscectomy. So my knee is pretty messed up. Now they are saying because of the meniscectomy i cannot run ever again. I live a very athletic lifestyle, white water rafting, off road bike riding etc. So it is important for me to have maximum stability, which i will not get because of the missing cartiladge. So my research has led me to the replacement surgery which i will go for. I will keep you posted if you have not recovered fully from your knee 'disease' I call it a disease because it can ruin your life. i know it ruined mine. Keep well and stay strong!!
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 01/06/2009 12:48 AM
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karlsalskov

Posts: 3

Hi , I have a lateral meniscus tear and would like more info on the implant that is being done at Orteq.
Any advice would be greatly appreciated.
thanks
Rocky
rockysalskov@qwest.net ( best way to reach me )
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 12/16/2008 09:38 AM
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Pollysknees

Posts: 1

If you are now considering Meniscal repair surgery, this video is worth a look. The folks over at Orteq in the UK have developed a brand new material which is transforming the way in which meniscal surgery is performed!!

HTTP://WWW.YOUTUBE.COM/WATCH?V=YVP-79Z8V54

During surgery, the damaged meniscus is removed and replaced by the implant, which, once in place, encourages the cartilage to re-grow around it. When the cartilage has re-grown, the sponge-like implant completely dissolves – as if by magic! This breakthrough in technology means that patients receiving the implant will now be able to return to their normal day to day activities much sooner than before.

Previously, implants have been of bovine origin (derived from cows!) and did not always completely dissolve.

AMAZING STUFF!
Delete
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 08/22/2008 10:50 AM
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mike5sep

Posts: 1

i had medial subtotal meniscectomy on my left knee in august 2008. my lifestyle has changed a lot since then.. i am a 26 year mechnaical engg . after the surgery i have not been able to climb steps...visit my sites , stiffness troubles a lot , all the symptoms of osteoarthritis have started showing...i am really thinking to undergo meniscal transplant...is it advisable ...will i return to my prevoius activity level? i was an active theatre artist also...i really miss all those...i have not been able to live my life fully...

please suggest ......

mike
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 04/07/2008 04:58 PM
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aggiecatcher

Posts: 3

I had one in December...it was a rough surgery due to the bone drilling, but it seems like it was worth it. I'm pain free for the first time in years.

I was non-weight bearing (actually 10%), for 4 weeks, then WB as tolerated for the next two. I have diligently rehabbed, including 1-2 hours per day every day since the surgery. I iced a lot (still do each night), and I made sure to follow my OS's directions to a T. Good luck.
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 03/26/2008 10:00 PM
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Sprinter

Posts: 2

Karl,
Mine was a medial meniscus. 1/3 was removed. they were unable to repair it. the surgery was August of 2007. I think we ought to invent some super gel meniscus replacement. We could probably make some good money.
Larry
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 03/26/2008 07:59 PM
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karlsalskov

Posts: 3

Hi , I saw your listing about miniscus replacement and I wondered if it was a lateral meniscus, which mine is.
Mine is now starting to bother me a great deal after orthoscopic surgery 10 yrs ago. I would like to find out more information about this if I can !
Thank you for any info you may have. . . . cheers Karl
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 03/25/2008 02:09 PM
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knee101

Posts: 1

Does anyone have any clue what the recovery process is like. I'm going in for a Meniscus Transplant at the end of April and was wondering what my summer recovery is going to entail? When can you expect to be up and walking..?
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 12/07/2007 11:57 PM
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ms_civie

Posts: 13

I don't actually need a meniscal transplant but I had been reading these posts and I was having surgery today so I thought I'd ask my OS about it just out of curiosity.

Turns out my OS has performed meniscal transplants (Queen's University Sports Medicine in Kingston, Ontario - if anyone is wondering). He said he's done it before but emphasized that it's NOT something you want done unless there's no other options available. It is after all a transplant. He compared it to wearing someone else's shoes - they weren't made for you so they'll never be a perfect fit. Not to mention plenty of other risks involved including finding a suitable donor, inheriting diseases from donor, your body rejecting the new transplant, a long recorvery period, etc. Plus it's a relatively new procedure so doctors still aren't aware of the longterm effects yet.


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 12/06/2007 12:31 AM
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ms_civie

Posts: 13

MacDoogie,

You said you had it done in Canada? Whereabouts? I've heard that there are only a few places in the world where you can get this kind of treatment, and if you can get it down for free so much the better.

It's been almost two years since your post though. If you're still on this forum could you discuss how you're knee's doing now?
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 08/08/2007 08:52 PM
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JavierM

Posts: 1

Please let me know where did you have the surgery. How are doing now?
How much did it cost and how long was the recovery period. Any information will be welcome.
Thank you.
JavierM
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 02/17/2006 02:17 PM
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patrickh

Posts: 3

Hello MacDoogie,

I think I am a candidate for this surgery. I had 1/3 of the medial meniscus removed 5 years ago and was ok. Though, now I am getting pain just walking and it is not going away.

If you don't mind answering a couple of questions that would be great? I am searching for a Dr at this time. Jack Farr of Indiana recommended someone in my area, but he is so busy, my appointment is October 5th. I wish you the best and a speedy successful recovery.

What is the estimated time for recovery and what do you have to do for therapy?

Are you on Crutches presently?

What is the surgery like? Big scar?

If you're up to emailing you can write to me at pholde01@netscape.net, I understand if you do not want to give out any further information.

Thank you,

Pat Holden
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 01/24/2006 04:25 PM
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MacDoogie

Posts: 1

Hi there,
I'm not sure if you still are wondering about this topic. But I just recieved a meniscal transplant. I am 6 weeks into my recovery. I was a very competetive volleyball player but could not play anymore because of my injury. I am only 21 now, I am the youngest to have this surgery done in my area, I am from Canada though. So far everything is going perfect, the surgery went perfect and physio is slow but I can tell a difference already. I had 5 surgeries before I finally went for this one. In my opinion if there is no other possible options she should speak to her surgeon about it. Although if she hasn't tried every option go with anything else possible because it is a long road of recovery. Hope I helped, feel free to ask me anything else you want.
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 12/04/2005 03:23 PM
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Cruz07

Posts: 2

Hi, My name is Christina Cruz and I'm 17. I LOVE to play BASKETBALL/VOLLEYBALL. I'm a very competitive athlete and was looking forward to playing college ball. I tore my ACL my freshman year so of course I had to sit out for that season. Then I played half my season of my Sophmore year and then had to go back in for meniscus repair but I damaged too much of it and it all had to be taken out. Now I'm supossed to have another surgery scheduled on the 27 for a meniscus replacement. So yes you can have a " Meniscus Replacement." Your mensicus will have to come from a cadaver. I was sooo thrilled to hear about this but then I heard that there are risks to this surgery. You can get any deases that the cadaver had and its not for sure the surgery will help the knee. Like there's a chance of the meniscus transplant failing. I guess this procedure is a new thing. So sorry if I really didn't give you a suffiecent amount of info. I'm still really debating on wether to have this surgery or not. My mom really could careless if I have it for she doesnt' really care to see what sports mean to me. But if you find out any information at all about this procedure " Meniscus Cadaver Transplant" please let me know. Thanks and just tell your daughter to keep her head up because there's someone out there that knows what she's going through. Thanks!

Christina


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 11/15/2005 11:51 AM
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napseyzoo

Posts: 1

Hi all....

Is a meniscal replacement possible? I can't find much literature on it. My daughter had a severe tear to her left meniscus, she's 14..had surgery-a repair which entailed 5 anchors, and drilling etc, then had to go back and have part of the meniscus removed last week, her first surgery was in July. She's now in recovery for that.
The challenge is, Basketball is her LIFE...she isn't playing right now of course, season just started this week, but she's hanging with the team and her coaches are very supportive, whether she can play or not, she's "part of the team". It's her freshmen year in High School....she'll be CRUSHED if she is out permanently due to the injury...which yes, did happen playing ball!

My concern is, if she continues to have problems, what to do!! I thought of a replacement, and figured they can replace a whole knee, why not a meniscus....but can't find any info and haven't yet asked the OS about it.

Anyone have any info?

Thanks!


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