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Author Topic: Went in for OATS, came out with just scope and referal for ACI  (Read 772 times)

Offline michelel

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Hello everyone, I have just returned from the hospital where I was suppose to have OATS.  My defect is MFC and was 2cm x .5cm 8 months ago, and now its 4cm x 2cm MFC and when my OS got in there she said the damage was too extensive for OATS and she wasnt able to find a donor site due to the damage.  All she did was debridment.  She has refered me to another OS who performs ACI. She said I needed ACI or PKR. Ive been doing a lot of research on ACI, and from what I got the success rate is about the same as OATS. Upon looking at the pics from my scope she has marked several pics as follows:MFC grade 4, unstable peripheral flaps MFC, grade 2 medial plateau, grade 2 thinning posterior MFC, grade 3 , 4, and 2+ posteriorly,grade 4 medial and lateral trochlea ridge.  Now I dont know buy that sure seems like an awful lot wrong for ACI to even be considered.  I mean can the defects other than the MFC even be fixed with or without ACI?  I hope one of you fellowkneegeeks can help me out here and help me understand this better.  I am really upset that OATS wasnt attempted.  I was so looking forward to the next chapter to begin.  My quality of life sucks right now, my pain level is severe, and I just want to get better.
Thank You,
Michele
Right Knee:  1983 meniscal tear scope debridment &lateral release. 1991, 1997, 2001
2003 scope meniscal tears. 
8-08 MFX MFC lesion FAILED.
 4-09 Went in for OATS-not a canidate.
 6-09 Uni Right MFC.

Offline Peg Leg

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Re: Went in for OATS, came out with just scope and referal for ACI
« Reply #1 on: April 30, 2009, 01:54:55 AM »
Michele,

You should talk to David3.  He went to Boston and Dr. Minas did Carticel on 4 locations in his knee and he is almost 2 years out and doing really well.  His was a salvage case and it sounds like it was a huge success. The key here was he went to the very best Dr. for the job. Keep researching and hang in there!

peg leg
10/06  Miicrofracture Rt knee on mfc
defect was 1.3x2, small defect under patella
04/07 Arthroscopy/Cell harvest for Carticel
06/28/07 Carticel surgery ,Rt. Knee
12/27/07  Scope to debride Patella lesion,Rt. Knee
4/17/08  Fulkerson AMZ, Rt. Knee
6/25/09 ConforMis BiCompartmental Knee Replacement