KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: stgiles16 on January 10, 2005, 07:33:10 PM

Title: stupid question
Post by: stgiles16 on January 10, 2005, 07:33:10 PM
I just got some of my medical notes and have a question. From my very first knee surgery it says"chondral fracture with grade 3-4 chondramalacia of the medial femoral chondyle" Now does this mean that the darn bone was cracked back then and no one bothered to tell me?? This was in the post op diagnosis section. Any one have any ideas? If the bone was cracked, would they not have told me?

thanks
missy
Title: Re: stupid question
Post by: dm on January 11, 2005, 01:43:10 AM
Heres what I found as the definition of chondral fracture

Chondral Fracture: Fracture to the chondral (cartillaginous) surfaces of bone.

I am guessing there isn't a whole lot they can do for a chondral fracture, aside from tack down the broken off part with a screw or anchor. I'd think that if it's in a non weightbearing area then it might not be much of an issue, but if it is in a weightbearing area and has been anchored, that may or may not be significant.
Title: Re: stupid question
Post by: Heather M. on January 11, 2005, 02:03:20 AM
Chondral fracture with grade III-IV chondromalacia--it's just another sign of the degradation and damage done to your articular cartilage.

Check this page out, it will really explain a lot:
http://www.steadman-hawkins.com/knee_chondral/overview.asp

Saying 'fracture chondral layer' or cracked articular cartilage is pretty much the same thing.  It has nothing to do with the bone in there--you haven't fractured the bone.  To me, it says that you've had ongoing, chronic problems with 'chondromalacia' that have advanced to the point that the articular cartilage surface is no longer smooth and friction-free--it's cracked and likely will catch and grind as you go through your ROM.

Heather
Title: Re: stupid question
Post by: stgiles16 on January 11, 2005, 02:23:30 AM
Thanks guys for your replies. That statement shocked me when I read it. The defect is from an injury where my knee hit the dash of the car. So I guess this was just his way of saying that I had a defect.  It wasnt actually cracked, it was completely dug out in one spot.
thanks again
missy