The OSTEOARTHRITIS DEPARTMENT => KNEE ARTHRITIS - Injections into the joint => Topic started by: Stelfox on July 25, 2014, 07:43:50 PM

Title: Hyaluronic Acid Injections or Arthroscopy
Post by: Stelfox on July 25, 2014, 07:43:50 PM
Hi everyone,

I haven't posted anything on here for a while, so Iíll give you a brief situation.

I am 26 years old and had a sporting injury caused by wakeboarding and these are my operations:

1st op Oct 2006: Left knee ACL graft repair, small medial and lateral meniscus removed.

2nd op Nov 2009: Left knee 1cm micro fracture (MFX) carried out on lateral femoral condyle and some more lateral meniscus removed.

3rd op Sept 2011: left knee 2cm micro fracture (MFX) carried out on the same are as before

I also have some osteophytes growing around the edges of my knee.

My Knee is stiff and swells only slightly after 12 hours on my feet, but no acute pain.
I havenít done any sport since my last op and I have been having issues ever since my last op. I went to see to different specialists last year June 2013, both gave me contradicting answers. John Webb in London suggested operation to implant a synthetic bit of cartilage to my lateral femoral condyle. Andrew Unwin in Windsor suggested that that wouldn't solve any issues and i should try acupuncture.

After carrying out the acupuncture I was fairly pleased with the results and never had any swelling or didnít even think about my knee for about 6-8 months.

I had an MRI last year June, which didn't show up anything significant. I had a bone blood scan which showed a hot spot around my MFX, but still unclear whatís causing me the stiffness and small amount of swelling. He says that my ACL is too vertical and doesn't act as an ACL should, but my knee isn't unstable but I don't do any twisting or sport type activity to see if itís unstable. My knee hasn't deteriorated since last year when I had all the tests, just canít seem to solve this issue

Mr Unwin has offered the Hyaluronic injections, or Arthroscopy to find out whatís going on inside my knee to provide any future ops such as the Synthetic cartilage implant.

If anyone has any experience of this I would greatly appreciate you info. Im not sure if should go for the injections or the arthroscopy.

Thank you if you have read this :)

Gareth Stelfox
Title: Re: Hyaluronic Acid Injections or Arthroscopy
Post by: MDAL on July 25, 2014, 08:05:13 PM
HA could help the knee flow better, with more viscous fluid. But it will hardly do anything for the inflammation and stiffness...

If you have PRP available in your area, it might be a better shot for those kind of issues and it may also help with the durability of the MFX...

I would avoid too many surgeries... unless the situation really justifies it...
Title: Re: Hyaluronic Acid Injections or Arthroscopy
Post by: Stelfox on July 27, 2014, 05:51:47 PM
Thank you for your reply, I will speak to Mr Unwin about PRP
Title: Re: Hyaluronic Acid Injections or Arthroscopy
Post by: Minsk on May 04, 2015, 10:41:58 PM

I followed your posts about your issues after MFX surgery. I have the same complaints...

Did you do the PRP and if so how did it worked for you?