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Author Topic: Has anyone had the Arthrosurface Hemicap? New PKR option  (Read 22524 times)

Offline mayme

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #45 on: January 07, 2008, 12:54:20 AM »
Rotten,

I wonder why Italy is so far ahead of the US & Britain in cartilage repair. I flew to California last year to consult with a prominent ACI surgeon & he told me the same thing--that surgeons in Italy had been doing a Hyalograft-C procedure with excellent results for several years & were coming out with an even better procedure, which might be what your surgeon mentioned.

Do you recall the name of that procedure?

Sure wish we could get our FDA to approve some new procedures that have several years worth of safe and proven results. My OS said that this one Italian cartilage specialist is a wonderful surgeon (drawng a blank on the name right now) and highly respected.

Oh well, thanks much for the Hemi update; sure sounds good.




Offline rottenkid

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #46 on: January 07, 2008, 04:51:36 AM »
mayme
the FDA roadblocks everything that our OS want to try. The Arthrosurface hemi cap was developed in the USA but the first trials were done in Europe and Australia. We tried to get my work to pay for me to go to Italy for this new procedure but they wanted nothing to do with it. My surgery however did go well and so far I am rather happy with it. Grant you I still have some muscle pain( they did split the quad tendon and part of the muscle).  But all in all I would recommend this to everyone who can take advantage of it. I want to tell the world about this procedure and I will given the chance!
Rotten
Dec 4th 07 arthrosurface hemicap and polyurethane button LK
July 12th 07 arthroscope torn cartilage LK
feb 6th 07 3rd degree sprain MCL 2nd degree sprain ACL LK
Jan 87" bi-lateral release RK
Feb 86" arthroscope cartilage tear RK
Dec 85 'knee drained RK
Oct 85" knee draied
feb 85" arthroscope Rk

Offline stgiles16

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #47 on: January 11, 2008, 04:44:00 PM »
Rotten,
that procedure in italy sounds wonderful to me. Maybe , by the time that my big microfracture wears out, it will be approved in the US and i wont have to try a second hemicap or ACI on that lesion. truthfully, the thought of another procedure at all totally freaks me out. i have been thru so many surgeries now that the thought of another rehab might just push me over the edge lol. i have now made it two years without a surgery and that is the first time in the last 8 yrs that this has happened. i had 8 surgeries during that time and that is MORE than enough. whatever i have to have done to the micro spot, i hope that it lasts a long, long time.  i am hoping to put off a TKR for at least another 15 yrs, might be overly optomistic but that is my goal. i do have pain in that leg and am in pain management but it is still at a level that i can live with it.
keep me posted on your rehab and let me know if you hear any more about any new procedures that i might suggest to my OS in the future.
missy
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
Fibromyalgia
Arthrofibrosis
LOA & PKR 2/15/06
RA
in pain mgmt
TKR JAN 2012

Offline rottenkid

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #48 on: January 12, 2008, 02:27:27 AM »
Missy   Everything is going great with my rehab. Strength is coming back and so is stamina. I rode on the stationary bike today for a half hour with no pain. They are starting to work on squats and balance stuff now. In 25 days I will be at one year since my accident. I worked a total of six weeks last year. I still have about five month left of P.T. before I go back to work. I am working on shedding pounds now. I lost about 15lbs since my surgery and I want to lose at least 20 more. I will keep posting and I look forward to your post.
Rotten
Dec 4th 07 arthrosurface hemicap and polyurethane button LK
July 12th 07 arthroscope torn cartilage LK
feb 6th 07 3rd degree sprain MCL 2nd degree sprain ACL LK
Jan 87" bi-lateral release RK
Feb 86" arthroscope cartilage tear RK
Dec 85 'knee drained RK
Oct 85" knee draied
feb 85" arthroscope Rk

Offline msmcfad

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #49 on: February 22, 2008, 02:58:46 AM »
I have been following this thread with much interest.  I am back to the point of pain with every step and very restricted lifestyle, which I hate.  I'm too young for replacement and honestly ACI scares me to death - the recovery part is just too much for me with young kids and a busy husband and working part time.  Also - without a meniscus I see limited success with ACI.  When I found the information on the HemiCAP it sounded like exactly what I needed.  I am in the Atlanta area so really interested in finding out who is qualified to do knees - lots of shoulders but the only one showing on the Arthrosurface website is a doctor in Columbus.  I was a bit surprised to see my doctor listed there too and have an appointment with him on Monday to discuss.

The surgery in Italy sounds very interesting - wish I knew the name to investigate more.  I'll ask my dr. on Monday what he knows about it.  Once his office canceled an appt. I had because he was going to Italy.
8/5/2005-LK subtotal meniscectomy & patellar shaving
10/2005-unable to bear weight on LK, put NWB, MRI shows osteonecrotic lesion
1/26/2006-left knee microfracture for OCD,  biopsy for ACI
7/06&07 Supartz injections, minimal improvement
2014-MRI/films show bone on bone w/cysts,
sched for PKR 6/2/14

Offline rottenkid

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #50 on: February 22, 2008, 05:50:02 AM »
msmcfad
 How are you. I am ten weeks post op and feeling real good.I ride a stationary bike daily and walks are getting longer and longer(even though it's freezing here in the mid west). My doctor thinks the Italian paste procedure is going to be the next big thing. For one it is done through an arthroscope so healing will be a lot faster. What it sounded like to me was they inject this paste and let it harden and then buff it out so it's slick and shinny. Basically thats it how much simpler can it get. In about a month I will be beginning work harding P.T. I guess it's more intense and it's five days a week. As far as my weight lose I am down 26 pounds with another 10 to 15 to go. I've been playing catch with my kid in the house and doing more chores. I am starting to feel like a human again. Best of luck to all you out there and keep on posting.
Rotten   
Dec 4th 07 arthrosurface hemicap and polyurethane button LK
July 12th 07 arthroscope torn cartilage LK
feb 6th 07 3rd degree sprain MCL 2nd degree sprain ACL LK
Jan 87" bi-lateral release RK
Feb 86" arthroscope cartilage tear RK
Dec 85 'knee drained RK
Oct 85" knee draied
feb 85" arthroscope Rk

Offline stgiles16

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #51 on: February 22, 2008, 08:49:50 PM »
hey guys, i had my 2 yr checkup for my arthrosurface hemicap yesterday. i was in the clinical trial. i have now been released (until my microfracture in another spot wears out). Doc told me yesterday that the screw is now officially apart of my body. yippee. the screw has stayed in the correct position for two years so no more xrays , bet i glow in the dark by now lol.

if i had to do it over again, i would definately go with the hemicap anytime. the rehab beats microfractures hands down.

good luck to all who try it.
missy
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
Fibromyalgia
Arthrofibrosis
LOA & PKR 2/15/06
RA
in pain mgmt
TKR JAN 2012

Offline msmcfad

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #52 on: February 22, 2008, 11:01:09 PM »
Hey guys,

Rotten congrats on the weight loss!  I am doing the same thing and so far with success.  I have an advantage I think in that I had my gallbladder out 5 weeks ago and have been having some troubles with many foods since, especially foods with fat.  Notice I'm not complaining!  That, combined with low carbs has really started to work. 

I wanted to ask Rotten & Missy if you have an intact meniscus in the knee you had the HemiCAP put in.   I see where you both have had previous cartilage work and am wondering if that was meniscus cartilage.  I had a tear and the doctor took out my entire meniscus!  I am hoping that does not make me contra-indicated for a HemiCAP.

I am so glad to hear the recovery time is better than for micro-fracture.  I think I was surprised how long it took to recover from that surgery - much longer than my meniscus removal surgery (although that one did lead directly to my chondral lesion.)  One of my doctor's daughter's had the ACI procedure and did fine - she was in her 20s and in college and had mom and dad to take care of her for a few weeks....and then only herself to be responsible for after that.  I don't know how some do it who have kids and are working etc.  I simply can't even go there in my mind.  I've been limping for almost three years now and living with pain with each step and worse pain with each misstep*.  I am so ready to be able to hike or even play doubles tennis - use the elliptical that's gathering dust....

Did anyone ask what happens if for *some* reason the HemiCAP has to be removed...what goes on with the joint then?  I read the goat study and found it interesting that some cartilage grows over the HemiCAP.  I guess that's the process of incorporating it into your body.

Also, did you notice a relief of pain right away - I mean after the obvious post-op pain was resolved?  I'm just wondering - I have the deep aching pain but also the sharp jolting pain right over my defect.  Wondering if that went away early on after your surgery.

Missy - my biggest fear is having too much radiation!  I have had SO many x-rays over the past three years - it seems like every time I see my OS they do another set.  I've actually declined a CT for something else - made them order an MRI instead!  i just didn't want the additional radiation.
8/5/2005-LK subtotal meniscectomy & patellar shaving
10/2005-unable to bear weight on LK, put NWB, MRI shows osteonecrotic lesion
1/26/2006-left knee microfracture for OCD,  biopsy for ACI
7/06&07 Supartz injections, minimal improvement
2014-MRI/films show bone on bone w/cysts,
sched for PKR 6/2/14

Offline stgiles16

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Re: Has anyone had the Arthrosurface Hemicap? New PKR option
« Reply #53 on: February 23, 2008, 01:06:20 AM »
hi,, i do have an intact meniscus. alll of my cartilage work has been on the MFC.  as far as i know, there is no tissue over the screw but who knows, as long as it works, i am happy.  Doc has never said what happens if the hemicap has to be removed but i would assume that it would mean either a traditional PKR or a TKR. what else would you do with that big hole in your femur?

My OS did not do ACI on me because i have a history of arthrofibrosis and it would have been too much of a gamble for me. i did not want the rehab anyway so the hemicap was good for me. it did releive the specific pain that i was having  post op but i had other issues with the knee that it did not correct. i just chose to live with those for the time being. i am sick of surgery.

as for the radiation, i was joking although i have had literally over 20 xrays on that leg. xrays are safe nowadays so i would not worry too much if i were you. i always get at least 3-6 different views of xrays done, every visit so i really dont worry but if you get a hemicap, expect to have lots of xrays to check position.
good luck
missy
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
Fibromyalgia
Arthrofibrosis
LOA & PKR 2/15/06
RA
in pain mgmt
TKR JAN 2012