KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: carolined on November 12, 2005, 05:20:19 AM

Title: Anyone have microfracture "healing response" on acl?
Post by: carolined on November 12, 2005, 05:20:19 AM
Hello all, just sitting here on the cpm machine after having surgery on tues 11/8.  I went in for a revision acl repair, mcl repair, meniscus repair, patella shaving and scar repair... 

What I woke up with was completely different.  The MRI showed a complete tear of the acl and a severe tear of the mcl on top of a previous mcl sprain/laxity along with three pages worth of other crap.  When the scope went in, the acl was still partially intact so my surgeon at the Steadman Hawkins clinic in Denver Dr. Schlegle performed a "healing response"  which is esentially a microfracture of the femur end of the acl attatchment and a trephination (lots of holes poked) into the acl itself.  Apparantly, this procedure causes a "super clot" (great term- maybe a halloween costume idea!) of blood and bone marrow.  This lets the body heal itself.  Bode Miller the ski champ had this procedure done with great results.  The same was performed on the mcl.  The Meniscus was trimmed and repaired , scar cleanup, patella shaved and  a microfracture was done on my femoral condyle to try to repair the cartilage defficiency there.  Whew!  Anyway,  I am so far doing great.  Hardly any pain at all.  I received a femoral block (DO NOT HAVE SURGERY WITHOUT ONE OF THESE!) and have not needed a pain pill at all.  Eight years ago when I had my first acl recon surgery I was in severe pain for a loooong time. The only downside so far is that I have to be non-weight bearing for 6 weeks.  I was not prepared for that!  Rehab is going well, I already have almost full rom! 
      Has anyone else had this type of  surgery done.  I am interested in the long term results and especially curious about the healing response of my acl when it is not the original part! 

Thanks for any input. Hope everyone is healing well!
Title: Re: Anyone have microfracture "healing response" on acl?
Post by: kittent1211 on November 12, 2005, 05:35:41 PM
I can only speak on the microfracture part of your surgery.  Microfracture (as you may already know) is used to treat damage to the glideing surfact of the knee.  The problem with this type of injury is that medical science hasn't come up with a real good solution for it.  The new cartilage is not like the origional stuff and wears out a lot more easily the then stuff you are born with.  I used to be really into hiking but I have had to give that up if I want my new cartilage to last. How long the patient can expect the replacement cartilage to last is unknown and depends greatly on how many high or medium impact activities the person participates in.  If you want to make your cartilage last the longest possible time then you have to trade in your high and medium impact activities in for very low and no impact activities.  I am allowed to swim and ride a bike, that's it...nothing else.  It's hard for me to accept that I can't ever go hiking again and that has been the most difficult part of the whole thing.  I also worry about what happens if I get into a situation where I have to run, where it's matter of life and death that I run.  Will it distroy my new cartilage?  I know, being non-weight bearing for 6 weeks is totally brutal!  My microfracture was a surprise as well so I had not prepared to be off my feet for 6 weeks.  I have some ideas for things that may help make life a little easier for you.  (Ebay is a good place to go for most of this stuff 'cause they ship it to your house and you don't have to drag you butt around a store.)  Get a couple of thermos bottles with handles so that you can carry food and beverages by the handle while you are hopping on your crutches.  Have a friend or neighbor pick up foods for you that are easy to prepare or that require no preperation at all such as cold cuts and cheese, fruits and vegtables, granola bars etc.  Books, magazines, games, video games.  Use paper plates and cups because they are easy to carry, you don't have to worry about breaking them and you don't have to worry about washing them.  Get your self bags with handles on them for carrying stuff around the house.  (Disposable ones are good for messy stuff. ) 
I still have a lot of questions myself but my doctor is really good at answering them and I will post them on the microfracture part of this site as I get them.

Teresa
Title: Re: Anyone have microfracture "healing response" on acl?
Post by: carolined on November 12, 2005, 06:29:01 PM
Thanks for the suggestions!  The thermos idea is defineatly a great one.