The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: janbrady on May 07, 2007, 06:09:27 PM

Title: Osteochondritis Dissecans
Post by: janbrady on May 07, 2007, 06:09:27 PM
Hello, I am new to the board but not new to knee troubles.  I tore my acl and fractured my tibial plateau in a skiing accident in 1992.  The knee was fairly good until 2002 when I had a patellar tendon reconstruction and a torn meniscus repair.

I had surgery 2 weeks ago to repair two torn meniscus and haven't been able to walk since.  The OS diagnosed it as Osteochondritis Dissecans.  I tried aqua therapy today but even that was excruciating.  I can't seem to find much information or very many people with this condition.  Can anyone help?
Title: Re: Osteochondritis Dissecans
Post by: brattkids on May 08, 2007, 11:40:45 PM
I have this condition due to a trauma.  I have had several surgeries to fix the defects with the last in 2005. I still have some pain but NOT nearly what I did.

What info can I give you??

Title: Re: Osteochondritis Dissecans
Post by: janbrady on May 09, 2007, 09:37:01 PM
Any information or experience you have would be helpful.  What type of surgery did you have to repair it and how long was your recovery.  I can walk only with my leg straight if I bend it there is a sharp jolt and it catches.  Last night it caught in my sleep and woke me up.  I am nervous about another surgery considering I could walk when I went in for my last one and now I can't.

Any advice?
Title: Re: Osteochondritis Dissecans
Post by: brattkids on May 09, 2007, 11:55:28 PM
due to my insurance having what is called step therapy, I had to have microfracture first, even though my OS said my defects were clearly too large for that. When that didnt work I had the OATS (Osteoarticular Transfer Surgery) where they took good cartilage from the non weight bearing portion of my knee and put it in the defects. With this surgery I was non weight bearing for appx 8 weeks and partial weight bearing another 2. The surgery was an open procedure with a 6" incision but I can tell you that even with that incision I was in less pain then before the surgery. When the defects were filled in it was a great relief.

There were  bumps in the road along the way but I feel for me it was the best thing to do. I had constant pain 7 to 9 on a 10 scale all the time. I had catching and locking also it was horrible. I also had the incident where catching or just horrible pain would wake me up.

I  think the worst part for me was the non weight bearing for so long and being on crutches but I started telling myself that every day was one day closer to the end.

I would let pain, discomfort, and inability to do even your daily activities be your guide as far as having the surgery. I got so fed up with not being able to walk, ride my bike, or even doing general things like sitting at a movie with my kids that I had enough and had the surgery and I am so happy I did. Yes there are still some days (especially when it is going to rain) that the knee is sore but nothing like it was.

Title: Re: Osteochondritis Dissecans
Post by: janbrady on May 10, 2007, 07:01:16 PM
I went to see my OS today because the pain is not any better and the aqua therapy was excruciating.  I have also been waking up at night if my knee moves in a certain direction it gets "caught".

My OS did not give me any confidence.  He said that because the shot he gave me didn't work and neither did the aqua therapy that he just didn't know what was wrong.  He would have to do another scope to find out why it was catching.  He said he had never heard of this happening in the 20 years he has been an OS.

He is perplexed that it catches when I am weight bearing and non weight bearing.  He said the knee looked good when he repaired the meniscus. 

I didn't like the idea of surgery just to see what was going on inside my knee.  When I asked him what would he do when he found out he had a let's wait and see attitude.  I like my OS (he was the same OS who performed my patellar tendon reconstruction and several meniscus repairs) but he is scaring me with his "I just don't know" attitude.

In the meantime, I can walk with a straight leg or on crutches.  Feeling a little scared, hopeless, frustrated and just want to walk normal.
What do you think?