The patello-femoral joint :

Allograft (rejection) for Maquet - - Posted by Riosilia (Riosilia), 4 May 2003

I was just wondering if anyone knows how long I will have to be on antibiotic and other medicines after a bone allograft.  Are there other medications I will have to take?  I'm so afraid of the whole rejection thing.

I'm having a maquet (TTT) and my doctor is planning to use donor bone for the graft that will alivate my tubercle.  Do they have to use an allograft?  Can't they use my own iliac crest?  If anyone had had this, what type of graft did they use?  I'm tryin to find out more about this procedure, so if there is any info I would really appreciate it.

Also, I'm worried about the fact that I had a previous TTT (distal realignment, they moved the tubercle medially).  Is nonunion a problem since I've already had my tubercle fractured and repositined?  Another worry on my list is skin neurosis.  I've been doing some reaserch and it seems like skin problem is a common complication with this sord of operation.  

I'm also having microfracture (for patellar cartilage defect), lateral retinacum repair, and patellofemoral ligament repair so I would really appreciate on any other these procedures.

      Thank you,
        Riosilia
Posted by tek (tek), 4 May 2003

Hi Riosilia,
It sounds like I had something similar to what you are having done.  I had a modified Fulkerson TTT.  They cut my tibia and moved my patella medially, and then they used a cadaver bone to elevate my patella.  I didn't have any problems with rejection of the cadaver bone.  You are correct, they could use bone from your hip, but my OS said that people usually have more problems with that.  I think  I had one bag of antibiotics following the surgery, and didn't have problems with infection, and I had had 4 previous surgeries so I know that it was something that they were concerned about.  I am now having some pain in my kneecap and have just started ROM exercises, and I am just about to post to see if anyone has experienced that after a TTT.  I am 5 weeks post-op.  
Hope your TTT goes well.  Keep us posted.  Take care!  
TEK

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