KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: ridgeline on October 01, 2010, 06:49:12 PM

Title: Trying to identify a surgical procedure
Post by: ridgeline on October 01, 2010, 06:49:12 PM
My doctor as spoken about a arthroscopic procedure that used to be done to those with PFS but no longer is due to evidence it made knee issues worse, not better, often resulting is cartilage full thickness injuries.

He described the procedure as basically shrink wrapping the patella cartilage (with something?) thus creating a smooth surface and alleviating pain.
He is following new research that indicates by doing this procedure under cooler temperatures (than in the past) results are good.

Anyone have any idea what procedure he is speaking about. I've tried searching but haven't found anything that sounds like what he is describing.

thanks
Title: Re: Trying to identify a surgical procedure
Post by: ridgeline on October 08, 2010, 04:49:15 PM
bump
Title: Re: Trying to identify a surgical procedure
Post by: Lottiefox on October 08, 2010, 06:15:06 PM
I've never heard of anything shrink wrapping the patella cartilage. Some instruments used to be used to smooth cartilage which were hot, but fell out of favour as they could cause damage to underlying bone/cartilage that remains. Is he talking about procedures that now use things like burrs or shavers to smooth rather than heat?

can't think of anything else....
Title: Re: Trying to identify a surgical procedure
Post by: KW on October 08, 2010, 07:55:22 PM
Why not call the Dr office and Ask the name of the procedure?
Title: Re: Trying to identify a surgical procedure
Post by: ridgeline on October 11, 2010, 01:00:41 AM
Lottiefox -
he did describe it being used years ago but, as you state, docs stopped doing it b/c of making things worse due to the temp/heat of whatever it is they did.
But he did say it was a way to smooth cartilage almost like a shrink wrap.

The only thing I can find that seems close is: Thermal Capsulorrhaphy. Seems common with shoulders, found a little,(very) relating to knees.
Though he stated he's keeping an eye on new research claiming the technique is actually successful as long as they do a better job of controlling or limiting the heat (ie. cooler).

KW - yeah i guess. I'm just curious and not feeling like bothering his office for it. I'll just ask him next time I'm in there which will be a few months so thought I toss it out to the board.
Title: Re: Trying to identify a surgical procedure
Post by: cdubb on October 11, 2010, 02:03:53 AM
I've actually had a thermal capsular shift on my shoulder, which ended up failing and requiring an open procedure.  It didn't work on my shoulder and I believe really isn't even used on shoulders anymore because of the failure rate, but I have never heard of it being done on knees....and I have PF problems and having an ACI/AMZ next month.-