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Author Topic: Patella Cartilage damage - what is next? (MRI Pictures - page 2)  (Read 1475 times)

Offline Brandon123

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Re: Patella Cartilage damage - what is next? (MRI Pictures - page 2)
« Reply #30 on: October 12, 2017, 09:28:06 AM »
Private cartilage repair will typically run GBP 10-15k. That's based on numbers I was given 6-7 years ago (e.g. For AMIC, a single scope procedure)

Many thanks for the info! :)

Offline reflex_nl

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Re: Patella Cartilage damage - what is next? (MRI Pictures - page 2)
« Reply #31 on: December 14, 2017, 12:20:00 PM »
Hi Guys,

Quick update: I decided to go ahead with Shetty's proposal and get CT scans and MRI's and X-yas. The third MRI within a year. Hence, I traveled back to the UK - see below the results. His conclusion was that I do have tracking issues. Patella tilt and patella shift. Hence he recommended to perform an MPFL reconstruction, a lateral release and the MCIC cartilage repair. A bit of a shock to me; but without addressing the bio mechanics the cartilage repair would not hold. He gave it a 80% chance of success.

If you look at the pictures, you notice a few things
  • You can see the left knee patella is not in the same spot compared to the right
  • You can see that some (fibro) cartilage has grown back in the hole
  • The trochlear groove is flat, hence a risk of dislocating the knee cap
  • Their is a bony avulsion on the MPFL patella attachment area
  • Meniscus and other ligaments intact
  • The patella is clearly tilted laterally

Strangely enough...  sometimes when the knee cap sits "ok" I don't have much pain; but when it tracks wrong, simple walking already hurts (luckly this happens once twice/each month). However, after a year, I still cannot do any sports and I'm at risk for further damage...

Hence, I have to go to surgery to improve the situation.
RK Patella Luxation in 2000
RK Scope grade 2 damage to patella
RK PT for 4 mths, recovered 90% after 4 years
LK Patella Luxation in Oct'16
LK Scope grade 4 damage to patella Nov'16
LK PT ongoing... in a lot of pain...

Offline reflex_nl

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Re: Patella Cartilage damage - what is next? (MRI Pictures - page 2)
« Reply #32 on: December 14, 2017, 12:21:30 PM »
and the MRI pictures...
RK Patella Luxation in 2000
RK Scope grade 2 damage to patella
RK PT for 4 mths, recovered 90% after 4 years
LK Patella Luxation in Oct'16
LK Scope grade 4 damage to patella Nov'16
LK PT ongoing... in a lot of pain...

 















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