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Author Topic: Microfracture & skiing  (Read 1903 times)

Offline ski bum

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Microfracture & skiing
« on: December 03, 2010, 10:55:28 PM »
As you can tell from my name, I'm a skier.  Had microfracture in mid-October (so am now at around 8 weeks and half-weight bearing, due to stop next week & start PT).  My surgeon claims that I'll be able to ski in late January.  Any other microfracture skiers out there?

By the way, I can go for short periods of time without crutches without pain--but I am more comfortable with the crutches still.  My 'defect' was about 2cm across and resulted from a ski injury in December 2004.  In January 2005 I met my new allo-grafted ACL (and two knee surgeries later, to clean up scarring), the knee is stable & generally fine/pain--except for the pothole, which is slightly away from the full-weight bearing part the femur.  It was caused by the original injury and has just gotten bigger with time/age (I'm 60 and very active).  Apparently, I was on bubble for getting microfracture due to the size and the somewhat sketchy nature of the bone in the pothole--but the surgeon felt it was worth trying.  My recovery has gone well (although I haven't exercised the knee as much as requested:  1.5 hours/day on a bike or, in my case, a rowing machine).  I had *no* pain or swelling post-surgery at all.

So--skiers, comments?

Andy
12/23/04:  complete ACL tear, partial LCL, tibia bruise
1/19/05:  allograph ACL
7/8/05:  AIR-scar tissue & ACL graft girth reduction
8/4/05 nearly full ROM-released to ski
8/11/06: AIR-scar tissue, grade 3 cartilage potholes on femur
10/13/10:  Mfx, L knee to fix 3cm pothole

Offline Daenae

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Re: Microfracture & skiing
« Reply #1 on: December 05, 2010, 07:22:40 PM »
I am not a skier but I did have a microfracture on Oct 20th. I am still crutch bound and frustrated.  How were you able to move to weight bearing so fast.  I put toe weight down but I can't walk with my leg yet.  It feels weak like my knee is going to give out.  I want to know what else I can do to get walking sooner.  My surgeon has signed off for me to start on the bike and elliptical but I can't even walk so can't do the elliptical.  Did you spend hours a day at home working on strengthening your quads?  I just can't see myself using my knee yet.  I'm so sad.

Offline AndrewH

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Re: Microfracture & skiing
« Reply #2 on: December 07, 2010, 01:32:37 PM »
I had *no* pain or swelling post surgery following mfx last June either (1.5cm2 on the mfc). My mfx failed in that the pain while walking was just as bad after surgery as it was before (even though the defect fully covered over with fibrocartilage).

Daenae - I had mfx last June and mosaicplasty this summer along with mfx on another defect. This was open knee surgery this time where the pain post surgery was pretty bad for 2/3 days - much worse than mfx. Indeed, I couldn't even do a straight leg raise until the 5th week post mosaicplasty. However I was able to ditch the crutches within a couple of days both times after 6 weeks of nwb.

Everyone is different but I think a lot of it is down to confidence. I just ditched the crutches and went for it.

Try going to 1 crutch first of all then try walking on your own but taking the crutch with you just in case.

June 09 - Microfracture to MFC right knee 1.5 x 1cm
July 10 - Mosaicplasty to MFC right knee 1.4 x 1.2cm (4 plugs) plus mosaicplasty to small lesion on patella (1 plug) and microfrcature to another small lesion, also on patella

Offline Seattlemark

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Re: Microfracture & skiing
« Reply #3 on: December 08, 2010, 06:43:12 AM »
I had mfx on my left knee in June and right knee in July, both on he lateral Condyles (in addition to cleaning of the meniscus and back of the knee caps). In both cases I ditched my crutches after 1 and 3 days. From what I've heard and read, mfx on the medial condyle is much worse so perhaps this is partially why I was able to walk crutch-free so quickly. Some of it may also have to do with my age (36) as well as prior to my surgeries (for what I thought was simple meniscus surgery) I spent a good amount of time strengthening my quads as I had heard this would speed my recovery. In fact people were amazed how "normal" I was walking 1-2 weeks after each surgery. My left knee feels about 80% better. My right knee (the worse of the 2) has good and bad days. Recently it has had bad days for no apparent reason. Next week is my next followup with the OS. I had originally hoped to be able to return to basketball by Feb-March. Now I'm not so optimistic about that. But we shall see.

I guess my recommendations to all that can is to try and strengthen your quads/thighs and hamstrings as much as you can PRIOR to surgery.
6/25/10 - Partial lateral meniscectomy and microfracture lateral femoral condyle, debridement of patella and trochlea of LEFT knee

7/19/10 - Partial lateral meniscectomy and microfracture lateral femoral condyle, debridement of patella and trochlea of RIGHT knee

Offline jt801

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Re: Microfracture & skiing
« Reply #4 on: December 09, 2010, 02:37:47 AM »
Hi mark-i have to ask if your defects of the lateral condyles were in weight bearing areas?
12/99 left knee lateral release and plica removal
1/09 right knee chondroplasty and microfracture LFC

Offline Seattlemark

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Re: Microfracture & skiing
« Reply #5 on: December 09, 2010, 03:29:22 AM »
Yes they were/are.
6/25/10 - Partial lateral meniscectomy and microfracture lateral femoral condyle, debridement of patella and trochlea of LEFT knee

7/19/10 - Partial lateral meniscectomy and microfracture lateral femoral condyle, debridement of patella and trochlea of RIGHT knee