Spacer

Microfracture Failure

< REFRESH >
Topic Title: Microfracture Failure
Created On: 06/17/2008 05:31 PM

View topic in raw text format.

Bookmark and Share

 06/23/2008 06:28 PM
  Print this message

Author Icon
stakro

Posts: 20

Before I had the microfracture done, my ortho, a second opinion ortho and my physician (who has a specialty in sports medicine) all discussed doing the gel injections. We came to the conclusion that it was just a short term fix and wanted more of a long term fix to give me time so we could hold off on knee replacement for as long as possible. So, we decided to either do Neocart (which is like the next generation of ACI being done at TRIA Ortho Center in MN here or microfracture. The Neocart is still in the study phase, so I opted (along with the recommendation of the study coordinator) for the microfracture. The lesion on the medial side of my femur was pretty large, which makes it susceptible to not working as well. I do know that there are options as well - ACI/OATS as well as possibly an osteotomy. All of which don't sound like fun, but it's funny. When you get to the point that your whole life is compromised by your knees, you'll do almost anything for the chance that they will work well again. I don't even care how painful a surgery or recovery from it is anymore, because the daily pain is no walk in the park either. What frustrates the daylights out of me is that the recovery is quicker and more successful for knee replacement than any of the other surgeries they are doing/considering for people in our situation. That sucks! I understand why they don't want to do knee replacement in younger people, but it stinks to have such a crappy quality of life. I can't play volleyball or softball anymore. I have to think about how my knee is feeling before I go shopping or go on long excursions. I am fortunate to not be in as much pain or as debilitated as it sounds like you are though. I sympathize with you and really hope you get some answers soon.
    REPLY     Quote     Top     Bottom    
 06/23/2008 05:15 PM
  Print this message

Author Icon
arizona_Cripple

Posts: 16

Glad to hear you are seeing some progress.

What really ticks me off is that many people are not informed that the gels injections for some people are an option rather than surgery. Since I live in AZ, 2 athletes actually had very similiar lesions, and one used gel injections (Anquan boldin) and the other had microFX (Amare stoudemire). both seem to be doing well, but just goes to show gel injections can temporailay help the problem without the possibility of micrFX making it worse.

I'll let you know how Steadman goes. Not that I don't understand your nervousness, but I've basically been crippled for 14 months, and since Steadman accepted me, all I can think/pray for is that he can help me walk again without extreme pain.

There is a Mayo clinic, but all OSs (and I've been to 7) have referred me to Dr Carter (Amare's surgeon.). An OS in Dr Carter's practice (TOCA), Dr Dean Cummings, performed the microFx on me that left me in this conidition. The TOCA clinic has since said there is nothing they can do since they do not kow how to fix, me, in fact their exact statement was we are only like auto-mechanics can can do so much. I never thought I'd be in a situation that a OS would operate on me, leave me crippled, and tell me they have no idea what went wrong, but they say there is nothing they can do. It's a pretty helpless feeling.

Anyway best of luck, and let me know abotu your progress. I know you don't want to even think about it, but you probably have the option of other types of surgeries. At least that should give you peace of mind that you can get better. I've heard ACI is painful but very successful.
    REPLY     Quote     Top     Bottom    
 06/23/2008 03:12 PM
  Print this message

Author Icon
stakro

Posts: 20

Thanks for your story, AZ. You sound like you are doing much worse than I am. I really hope you find something helpful when you go to see Dr. Steadman. If not, have you thought of checking out the Mayo Clinic? There's one down there in AZ, right?

This waiting to see if the surgery was successful is driving me crazy. I just want answers to why I get pain in one area when I move one way and why it hurts in another area when I do something else and why I can't straighten my leg out when I put weight on it, etc. I am an elementary teacher so I'm on vacation until summer school starts in July. I have actually been seeing some improvement since I haven't been on it all day, which has been a treat. My PT had me stop working with him for now, since I'm able to do all my rehab exercises on my own at the club. I'm just checking in with him every now and then to see where I am and what I should be doing. He was really good at not pushing me too far to make things worse. I have been in PT off and on (more on than off) for the past 2 years between my knees and back, so he knows what I can and can't do. I have also decided not to do the injections right now. I also had a pretty bad lateral meniscus tear that my surgeon cleaned up when I was having my microfracture done. He told me it was a bad one and that if I tore it any more I'd be in trouble. So, I am having pain in that area of my knee as well, plus am having a lot of loud clicking and snapping there too. Very annoying! It's really amazing how "all consuming" knee pain/problems are.

Again, thanks for the info and best of luck to you. I'd love to hear what Dr. Steadman tells you.
    REPLY     Quote     Top     Bottom    
 06/23/2008 01:51 PM
  Print this message

Author Icon
arizona_Cripple

Posts: 16

Starkro, sorry to hear your situation. I know your anxiety, and nervousness. In my situation I was given microfracture surgery in May ’07, and have never recovered and am much worse than prior to surgery. All doctors in the Phoenix area, I have been to see say there is nothing they can do and since I’m too young for a knee replacement I have to live walking with a Cain/crutches for the next 20ish years (till I can have a TKR). Prior to surgery, being very active and athletic this has ruined my life, and I attribute it all to microfracture surgery.

In your situation, you really have to wait 5-8 months, before they can determine if the surgery failed. In PT, I meet others whose surgery failed and were in more pain like myself that prior to MF. The OS can do MRIs, but the only definitive way is to have a knee scope. Here’s my advice, and I’m not a doctor, but I’ve gone through all types of treatment (pain block injections, synvisc gel, PT 3 different times, etc. . ). First DO NOT have your OS give you cortisone injections. They can deteriorate the cartilage. Try the gel injections; although they did not work for me, they are something that might reduce the pain without major intrusion to the knee. I personally would not participate or push yourself in PT if it makes the knee worse. I am not a candidate for these surgeries (since I have had 4 failed ACL surgeries) , but if you have an ACL and your knee is stable OATS and ACI are other cartilage options. Also, you can get nerve blocks from a pin management doctor, that reduce the pain and might help you tolerate it for periods of time.

I know the frustration and depression that comes as a result of this, so even though I’m not the best person to be telling you this, but you might have options to get better.
Wish me luck, I’m seeing Dr Steadman ( in Vail, CO) first week of July, as kind of a last hope in being able to walk without severe pain again.
Text
    REPLY     Quote     Top     Bottom    
 06/17/2008 05:31 PM
  Print this message

Author Icon
stakro

Posts: 20

Hi there,

I am 4 months post op from microfracture of the medial femoral condyle and the trochlear groove of my right knee. I went in today for another follow up appt with my surgeon. I am still experiencing a lot of pain , especially when I move my knee a certain way (a 10 on a pain scale of 0-10) and as of right now overall it isn't any better than before the surgery. In fact, it may actually be more painful now. My surgeon told me that we could try injections (cortisone - but it could compromise the new cartilage being built or synvisc) if I wanted. He said it might calm my knee down some. I haven't decided whether or not to go ahead with that. He told me that right now there wasn't anything more we can do, just to keep rehabbing and working with my PT, trying to move forward as much as possible. I have to go back to see him in Sept for another follow up appt. I got the impression that he wasn't happy with my recovery.

I would really like to hear from anyone who has had a failed microfracture surgery. When did you know it had failed? What were the next steps after it failed? Any thoughts or information you could give me would be greatly appreciated. I am an active 37 year old and it's really getting frustrating not being able to do the things I like to do. I'm REALLY sick of cheering my softball teams on!
    REPLY     Quote     Top     Bottom    

Bookmark and Share

View topic in raw text format.
< REFRESH >
RSS  

Forgot information?
Login problem??


Sports Readiness
Institute for Sports Medicine: Sports Readiness
Dr. Cynthia LaBella explains why a child's physical and social development ...
more more Featured Videos

 
Dr. Cynthia LaBella
Dr. Cynthia LaBella:
Preventing Knee Injuries in Young Athletes
  more   more Heroes
  Nominate a Hero   Hero Policy
Home | About Us | Press | Make a Suggestion | Content Syndication | Terms of Service
Privacy Policy | Advertising Policy | Editorial Policy
Last updated: Sep 19, 2011  ©1999- 2012 Body1 All rights reserved.