Advertisement - Hide this advert





Author Topic: Anyone know any good cartilage doctors in Australia?  (Read 307 times)

0 Members and 1 Guest are viewing this topic.

Offline Lee1984

  • MICROgeek (<20 posts)
  • *
  • Posts: 9
  • Liked: 0
Anyone know any good cartilage doctors in Australia?
« on: March 05, 2018, 06:51:30 AM »
Looking for good cartilage doctors renowned for their work specifically in OATS treatment (allograft, autograft) in Australia. I have read on the forums about doctors in USA, but that is abit far for me and would need multiple visits back and forth I would say. Heard dr bugbee and others are recognised for thier work in cartilage transplantation in the USA but was wondering if anyone knew in Australia?

I have also searched hi and low for other forums and places specific to Australia but couldn't find anything that gave good information on good drs  :( I am also checking drs profiles in australia from thier websites made through http://www.yourpracticeonline.com.au/ site helping drs create websites, and also, https://www.ratemds.com/best-doctors/?verified=true&country=au&specialty=orthopedics-sports which rate AU drs, but it just feels like I am guessing on which doctor to get without really knowing thier experience. My last dr seemed ok but butchered my knee and left alot of scaring so I am wary now about which dr I see..
« Last Edit: March 05, 2018, 07:03:49 AM by Lee1984 »
Left knee
- 2005 car crash garde IV lesion lateral femoral condyle
-2011 ACI, chondromalcia type result
-2013 lateral facistectomy of left patella

Right knee
- Bone bruise and blister in intercondylar notch

Offline Vickster

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4176
  • Liked: 316
  • Neelie knee!
Re: Anyone know any good cartilage doctors in Australia?
« Reply #1 on: March 05, 2018, 07:56:59 AM »
a couple of places you could look on here

http://www.kneeguru.co.uk/KNEEnotes/specialists

http://www.kneeguru.co.uk/KNEEnotes/primers/whos-who-knee-surgery/whos-who-articular-cartilage-repair

http://www.kneeguru.co.uk/KNEEnotes/knee-surgeon/prof-david-wood

Have you considered Dr Saw in Malaysia and his well regarded and now established microfracture and stem cell technique?  There are posts on here and the wider net. You could check his profile in the link too

If you want to know about a surgeons experience, do research but more importantly ask them how many surgeries they have done that are the same and also their success and published data. Also ask to speak to past patients if you can

There is a global association called ICRS for specialists in cartilage repair, look at their membership

Make sure you also thoroughly research the different procedures, the success rates, the rehab, potential outcomes good and bad, as well as alternatives such as replacement, osteotomy (which may be needed if your leg is not aligned as if so, the possibility of a graft failing is much greater). Size, location of graft and state of the rest of your knee isn't also crucial. Try to get several opinions if you can
« Last Edit: March 05, 2018, 08:04:19 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Lee1984

  • MICROgeek (<20 posts)
  • *
  • Posts: 9
  • Liked: 0
Re: Anyone know any good cartilage doctors in Australia?
« Reply #2 on: March 06, 2018, 06:09:03 AM »
Hi Vickster,

Thanks for your knowledgeable reply. I have looked into this information you supplied and it has been very helpful, still processing it all. I see you mentioned Dr David Wood in Aus, is there much track record with him that you know of? I see he was in the list there..

I had a little light-bulb moment after I posted this post remembering my mum said to call teaching hospitals to find out information so I was thinking of speaking there and seeing who they believe is best at what I am looking for and do some research like you said.

I feel so judged when I ask surgeons about thier surgery's, but doing some research I found only my last dr was only a few years out of training so yeah I got to do some better research like this.

I just know from my MRIs that I got a blister and quite deep bone bruise in the bone so I was considering a graft transfer to be the best option which would get rid of that signaling in the bone and hopefully keep the transfer area healthy. I just don't see it getting any better and the risk of the graft failing may be worth it to remove this cheese grater effect I am getting in the intercondylar notch where the blister is.
Left knee
- 2005 car crash garde IV lesion lateral femoral condyle
-2011 ACI, chondromalcia type result
-2013 lateral facistectomy of left patella

Right knee
- Bone bruise and blister in intercondylar notch

Offline Vickster

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4176
  • Liked: 316
  • Neelie knee!
Re: Anyone know any good cartilage doctors in Australia?
« Reply #3 on: March 06, 2018, 08:05:15 AM »
I don't know anything about Australian surgeons but he's listed as a cartilage specialist so the site owner must have done her research. , also as he's a prof he will be published and experienced. Check out his experience and CV. He's clearly doing ACI if you look at his publications here. You could also email him. Don't feel judged, it's your knee, a surgeon's job is to fix patients or at least improve the situation

https://www.socrates.uwa.edu.au/Staff/StaffProfile.aspx?Person=DavidWood2

When you say blister, is the cartilage through to the bone? How big is it? How did it happen? Is it a weight bearing area, not sure about the notch...but I would guess not as it's the bottom of the condyles that take the weight on walking (right where my big defect is  :( )

This is a good UK site which explains the different main cartilage repair techniques

http://www.kneeclinic.info/problems_articular_cartilage.php

There's an articular cartilage primer and other relevant resources in the learning portfolio
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Lee1984

  • MICROgeek (<20 posts)
  • *
  • Posts: 9
  • Liked: 0
Re: Anyone know any good cartilage doctors in Australia?
« Reply #4 on: March 07, 2018, 04:03:02 AM »
Yes, I see that he has done alot of research on ACI in that webpage. The only reason I am steering clear of ACI at least just cartilage repair (and not bone as well), is that I had A ACI on my left knee and it just grew really soft and veiny type cartilage, by soft, I mean like a sponge as my last doctor gave me the video. I researched and the reason I think was is because when the subchondral is bruised it cant restore the area correctly so the cartilage is filled in but the pain was the exact same really.

So the blister is due to the subchondral bone underneath that area of cartilage being bruised or bleeding and subsequently over time (I hit it 13 years ago) it slowly could not keep the cartilage hyaline type so it turns all soft with fluid in the cartilage causing a soft area of cartilage. If you scroll down to the picture which says "soft patella cartilage" you will see what I mean http://www.kneeclinic.info/problems_patello_femoral.php

This is my educated guess as my scans show full thickness cartilage but my kneecap actually feels like its falling in a hole then pops back out when I bend my knee. The scans show the deep bruising here http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=71466.msg662241#msg662241 so that is most likely what is happening after my research and previous experiences.

I like the idea of sending a email so I may do that if I can get a hold of some drs emails from their sites, but I like just talking to a dr and not hold any pressure to go with them. I may look through a couple like you said. Hopefully I can find some publications on some other doctors. I think I read the cartilage section but I may give that another look.
Left knee
- 2005 car crash garde IV lesion lateral femoral condyle
-2011 ACI, chondromalcia type result
-2013 lateral facistectomy of left patella

Right knee
- Bone bruise and blister in intercondylar notch

Offline Vickster

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4176
  • Liked: 316
  • Neelie knee!
Re: Anyone know any good cartilage doctors in Australia?
« Reply #5 on: March 07, 2018, 07:47:31 AM »
get in touch with him and ask what other techniques he uses, I'm certain it won't only be ACI

If you want hyaline cartilage, from what I've read, Dr Saw's technique seems to be the most advanced option

My own 2.5cm2 femoral defect is filled with fibrocartilage as you described, but after 8 years it's breaking down. My only option unfortunately will be a TKR hopefully not for 10 years. I'll live with the pain until then

Good luck
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Lee1984

  • MICROgeek (<20 posts)
  • *
  • Posts: 9
  • Liked: 0
Re: Anyone know any good cartilage doctors in Australia?
« Reply #6 on: March 08, 2018, 03:51:47 AM »
I will definitely do that. I saw he has his email listed there I may give him a quick email about my situation.

I like dr saws technique I just am wary about less developed countries and their techniques but it seems like a good idea.

Yeah a weight bearing area would not be good. Mine are ok as they are not in weight bearing areas but limits me a bit.

You could try a oats procedure that is cartilage and bone as long as it integrates ok and lasts it would be good.
Left knee
- 2005 car crash garde IV lesion lateral femoral condyle
-2011 ACI, chondromalcia type result
-2013 lateral facistectomy of left patella

Right knee
- Bone bruise and blister in intercondylar notch

Offline Vickster

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4176
  • Liked: 316
  • Neelie knee!
Re: Anyone know any good cartilage doctors in Australia?
« Reply #7 on: March 08, 2018, 07:29:44 AM »
Unfortunately cartilage repair isnít an option for me now as I have kissing defects and am knock kneed. I went down the MACI road in 2010 but couldnít have the graft for these reasons, about a 20% chance of success after a long and painful rehab.   OATS not feasible because of where the defect is i.e on a curved surface. I now have some arthritis in all compartments. These techniques are only effective for focal defects.

I donít think thereís anything less developed about the facility in KL and certainly jotnthis technique. Indeed everything posted by patients whoíve had the procedure has been very positive in this respect. Malaysia isnít Myanmar  :)

Not a cheap option either, but clearly cheaper than going to the US

« Last Edit: March 08, 2018, 07:42:53 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Lee1984

  • MICROgeek (<20 posts)
  • *
  • Posts: 9
  • Liked: 0
Re: Anyone know any good cartilage doctors in Australia?
« Reply #8 on: March 10, 2018, 06:56:13 AM »
Normally maci or aci is like 70% success rate, so your case was different?

I didnt look into it too much but yeah ill consider dr saws technique.

Ill keep updated about how I go with my doctors and see what news I get  :)
Left knee
- 2005 car crash garde IV lesion lateral femoral condyle
-2011 ACI, chondromalcia type result
-2013 lateral facistectomy of left patella

Right knee
- Bone bruise and blister in intercondylar notch

Offline Vickster

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4176
  • Liked: 316
  • Neelie knee!
Re: Anyone know any good cartilage doctors in Australia?
« Reply #9 on: March 10, 2018, 08:05:58 AM »
Yes because I have kissing defects, opposite one and other on weightbearing femur and tibia, and knock knees which mean TNS lateral side is overloaded where these defects are. Tbh even 70% is low when considering the pain, a long time off work and two years of rehab to see potential benefit.
« Last Edit: March 10, 2018, 08:55:33 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Lee1984

  • MICROgeek (<20 posts)
  • *
  • Posts: 9
  • Liked: 0
Re: Anyone know any good cartilage doctors in Australia?
« Reply #10 on: March 12, 2018, 09:00:02 AM »
Yes, since posting this thread I am kind of stuck on whether to do anything as it could turn out worse, and its not like I have a good knee then to stand on.

I get along ok with most things, its just like surfing and activities here and there I do which can act up this injury, so pretty undecided.
Left knee
- 2005 car crash garde IV lesion lateral femoral condyle
-2011 ACI, chondromalcia type result
-2013 lateral facistectomy of left patella

Right knee
- Bone bruise and blister in intercondylar notch