Banner - Hide this banner





Author Topic: stupid question  (Read 1196 times)

0 Members and 1 Guest are viewing this topic.

Offline stgiles16

  • SuperKNEEgeek
  • *****
  • Posts: 2326
  • Liked: 0
    • My photo album
stupid question
« 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
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
Fibromyalgia
Arthrofibrosis
LOA & PKR 2/15/06
RA
in pain mgmt
TKR JAN 2012

Offline dm

  • SuperKNEEgeek
  • *****
  • Posts: 1304
  • Liked: 19
  • I hate my knee!! :(
Re: stupid question
« Reply #1 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.
multiple arthroscopies 2/00,3/01,6/01,1/03, 12/07,10/10. chondromalacia, severe medial joint space narrowing following 3 partial menisectomies, chronic pain problems, kneecap problems, OCD lesion, failed mfx.

Offline Heather M.

  • SuperKNEEgeek
  • *****
  • Posts: 4007
  • Liked: 13
    • Check out my photography!
Re: stupid question
« Reply #2 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
« Last Edit: January 11, 2005, 02:03:49 AM by hmaxwell »
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell

Offline stgiles16

  • SuperKNEEgeek
  • *****
  • Posts: 2326
  • Liked: 0
    • My photo album
Re: stupid question
« Reply #3 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
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
Fibromyalgia
Arthrofibrosis
LOA & PKR 2/15/06
RA
in pain mgmt
TKR JAN 2012















support