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Author Topic: Medial Meniscus Transplant & Osteochondral Allograft Transplant Progress Report  (Read 3690 times)

Offline pennstatexc

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I agree with SG in that you need to be proactive in searching out someone who is on top of your surgery and recovery, despite all the other patients they have to take care as well.  That to me is the defining factor between the best doctors, patient care and attention to detail. 

Whether you are a high level athlete looking to get back out on the field or just someone looking to regain their functioning and get their life back, everyone deserves to seek out the best doctor for their care who actually cares!  It is time invested both physically and emotionally, and no one wants to spend longer than they have to on recovery due to mistreatment.

Keep us posted!
Joel Moceri
'11 Rt. Knee Medial Meniscal Repair
'12 Rt. Leg Open Wedge HTO
'12 Rt. Knee Medial Meniscus Transplant & Osteochondral Allograft Transplantation

Offline colorado redhead

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Wow Silverghost,
I hope greatly that you remain strong in your recovery and continue to heal with no complications.  You are correct in your statements re: aftercare.  I meet with the doc in the morning to discuss next steps.  I too, wish that I had opted for a TKR at this point.. Being so young, I don't regret taking a chance at cadaver allografts .  It is just heart-wrenching and a ton of recovery work.  After almost 2 years of recovery, it takes its toll and I'm very strong mentally. 

We do have to be our own advocates when regarding aftercare/protocols.  It is hard when the longterm research is not yet established for these fairly new procedures (less than 20yrs).  These transplants are still considered radically risky.  I wish you the best and keep us posted.  I'm trying to stay positive and hoping that my insurance company does not deny the next procedure.  Claims of approximately $85K have been paid/filed over the last 15 months.  At some point I would expect that my carrier would deny due to malpratice (poor physician diagnosis) which is a situation that I'm not prepared for emotionally.  I do not want any trouble and negative stress, rebuilding our broken bodies is difficult enough.  Hang in there and keep doing the best you can! 

Offline Kikkowin

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HI there,

I am about to do the meniscus transplant + ACL recostruction. I know it won't be easy but  I really feel to be in good hands, which is very important.

However some of the doctors I visited didn't like the idea cause I have VARO legs (bow legs) but the expert I finally contacted (among the best in Italy and Europe) said is not bad enogh to need srugery.

Does any of you have experience on how bad a bow leg needs to be to need an ostheotomy?

any info will be greatly appreciated.

Thanks

kikko

Offline silverghost

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Hi Kikko

Not sure on the exact measurement but they state 'significant'varus alignment to warrant osteotomy...

i think its based on whther they can actually site the new meniscus, i had to have my joint parted by HTO to enable this.  I didnt realise my leg was so bowed until i actually saw the scans!

All i can say is the transplant is hard work really consider the options I certainly would not have jumped at it knowing now what i have been through and am still going through!

Good luck whatever they/u decide on!

Any news from your docs visit colorado?

SG
'96 ACL reconstruction
'09 Arthroscopy/cartilage repair
Diagnosed with Grade 4 OA no medial cartilage and significant varus alignment
'11 fitted with off loading knee brace
'12 HTO, meniscus transplant, acl reconstruction & microfracture all in 1 go!

Offline pennstatexc

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Knowing what I know about bowed legs, and the uneven wear and tear it creates on the knee, I would consider getting it straightened just as a preventative measure for the long haul.  That's what I plan on doing for my left leg (which has no issues currently) per the recommendation of my surgeon.  The degree of bow can worsen over time, and there is a point where an HTO cannot be done if the bow surpasses a certain degree.
Joel Moceri
'11 Rt. Knee Medial Meniscal Repair
'12 Rt. Leg Open Wedge HTO
'12 Rt. Knee Medial Meniscus Transplant & Osteochondral Allograft Transplantation

Offline pennstatexc

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Week 8

I have been back at work for the past two weeks, which feels great!  My job involves being on my feet most of the day with customer service, so being on crutches is obviously not ideal.  The other challenge is swelling/inflammation from being on my feet, and while it does not hurt, it hinders range of motion for the rest of the day.  I am not back full time yet but will be next week.  Driving is going fine, and I started around week 7.  I am not as aggressive as I normally am, but it's better that way to urge on the side of caution for safety!

I began physical therapy at week 6 and have been going 2x/week with a third day by myself.  My hip strength and overall flexibility is improving.  My quad contractions are more powerful making my knee feel more stable.  While I have not done much at all, weight bearing seems like it will take time for sure.  I am able to do calf raises comfortably, but the partial squats are challenging at this point.  While I don't feel pain, the lack of stability along with the swelling are obstacles that need to be overcome before the confidence comes around.  Overall though, my comfort levels have improved.  I am wearing a functional knee brace while I'm out on my feet, and there is a noticeable difference in comfort over the last two weeks.  In regards to my range of motion, 0-60 is no problem now but 90+ still is difficult.  I think I may have maxed out at 110 degrees most recently.  Most of this swelling issues remaining are from the metal plate removal from my HTO.  All around the major incision (8in) there is swelling.  Once that heals, then I'll be in good shape.  I'm thinking it will take another 4 weeks to see a major improvement.

Having more comfort, being back at work, and rehab/strength training all have me feeling incredible mentally.  I am extremely thankful to be at this point post-surgery but do realize there is a lot of work ahead.  This recovery is much longer than my previous surgeries, and your patience is truly tested.  Always be smart, listen to your body, and exercise a positive and optimistic outlook.  I cannot wait until I can get off crutches and begin walking.  Hopefully an early Christmas present!  Looking forward to a better year in 2013!

I appreciate everyone's interest and support.

Joel
Joel Moceri
'11 Rt. Knee Medial Meniscal Repair
'12 Rt. Leg Open Wedge HTO
'12 Rt. Knee Medial Meniscus Transplant & Osteochondral Allograft Transplantation

Offline Aggiecatcher

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My five year anniversary of my surgery is tomorrow.  Time flies, and you'll be better before you know it.

Offline pennstatexc

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Thanks AggieCatcher! Hope everything is going well for you and holding up!
Joel Moceri
'11 Rt. Knee Medial Meniscal Repair
'12 Rt. Leg Open Wedge HTO
'12 Rt. Knee Medial Meniscus Transplant & Osteochondral Allograft Transplantation

Offline Aggiecatcher

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My knee is awesome.  Scored a hat trick in my ice-hockey league to celebrate my 5 year anniversary on Monday night.  I took up the game two years ago at 38. I led my league in points last season, and I'm top 10 in then next level up this season.  I would never have been able to experience the rush of ice hockey without this surgery.  It was worth every bit of the recovery.  Good luck all!

Offline pennstatexc

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Week 12

At this point, despite the slow progress, there has been steady improvements in functionality weekly.  For the past week, I've been doing my best to ween off my last crutch.  Even though I'm not quite there yet, I have been able to 'walk' without any crutches for short stretches.  Due to the long recovery period, I am in no rush, so I'd rather err on the side of caution than anything!

I am currently in physical therapy 1x/week but workout my lower body an additional 2x/week.  My range of motion has finally broke through, and I'm probably in the range of 120-130 degrees ROM.  There is still some slight swelling and stiffness, but it's not nearly as bad as just 2-3 weeks ago.  I tend to wear my unloading brace when I'm off crutches, particularly when working out around the gym.

Overall, I'm happy with my progress and feeling great!  Staying confident and optimistic is the key, otherwise your patience will start to wear thin!  Looking forward to that 4-6 month marker and increased comfort levels!

Joel
Joel Moceri
'11 Rt. Knee Medial Meniscal Repair
'12 Rt. Leg Open Wedge HTO
'12 Rt. Knee Medial Meniscus Transplant & Osteochondral Allograft Transplantation

Offline colorado redhead

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Joel,
I'm happy to hear that you are walking, what a great way to ring in 2013!!!  I have not been on the site for a long while.  I love reading your posts, everyone here is informative and supportive. It is refreshing and it's our life  :)  Continue to take your time and heal well.

Silverghost- Thanks for asking.  My situation has evolved and I am heading into surgery #4 to repair my valgus alignment.  I am opposite of you being a knock kneed dancer.  I am still rehabbing from last surgery Nov 20th and will have a distal femoral osteotomy to salvage what's left of my lateral meniscus allograft and revised femur plugs. Dr. LaPrade at Steadman Vail will perform the osteotomy on March 26th.  I have to continue to build my quad/body as I just began walking without aide this week.  I met Dr. LaPrade for the first time on Wednesday.  I am so glad that I finally made it to Steadman for answers that I needed to hear. 

My story is to be your own advocate.  Research the heck out of everything and don't give up fighting for your life.  I will fire my OS next week and am moving over to Steadman.  I've almost everything in order in terms of insurance/files/etc.  My husband is losing his job and insurance at the end of the month so I will Cobra to get through this next round of surgeries.  I'm so thankful that I continued to push for answers to get to the root of my problem/disease.  I am hoping that 2013 is my year and that I will be dancing at the end of the year!!!

I worry about all of the anesthetic in one year.  This will be my 3rd surgery in 10 months but is gratefully needed to salvage my knee.  I know that it's going to be a haul but I'm in, and I believe that I'm finally in the right clinic. Does anyone know LaPrade? 

Best to you all, Happy new knee year!




 














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