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Author Topic: How can I find a good surgeon for ACI (patellar) procedure  (Read 1567 times)

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Offline slub007

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How can I find a good surgeon for ACI (patellar) procedure
« on: April 12, 2005, 08:22:45 PM »
I live in Washington, DC and my surgeon has suggested that I may have to have the ACI procedure on my knee as it has not responded well to the microfracture. I know that Dr. Steadman is one of the best in regard to microfracture and ACI surgeries. I just don't know if I can afford to fly there and have this done. What is the best way to go about finding out who the most qualified, EXPERIENCED surgeons in my area. I really don't want someone getting their feet wet at the expense of my knee.



Offline Heather M.

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Re: How can I find a good surgeon for ACI (patellar) procedure
« Reply #1 on: April 12, 2005, 08:46:01 PM »
I'm a patient of Dr. Steadman, and he does not do ACI that I know of.  Other doctors in the clinic might, but I don't think so.  We talked about it, and he had a pretty negative take for my particular problem--patellar lesions.

There is a doctor in Boston who is supposed to be the Bee's Knees with respect to ACI--Dr. Tom Minas.  Also, there is one in Atlanta--Dr. Scott Gilogly (I know I spelled that wrong).  And I think Johns Hopkins has a good knee group working there.

I know it's expensive to fly to Vail--I'm about to do that in a week--but I can't recommend highly enough seeing a specialist of Dr. Steadman's caliber!  There are a few good docs out there working on the Holy Grail of orthopedics--cartilage restoration.

Anyway, to find someone in your area go to the Genzyme web page (they are the lab that grows the tissue for ACI/Carticel procedures).  They have a doctor search that allows you to find someone in your area...if there is one.  But you are right, that you don't want someone who hasn't done lots of these procedures before.  You will have to interview the doctors and see if you can get a feel for their experience level yourself.

Also, you might want to go to Georgetown or GW and go to their libraries (especially the med school ones).  You can also access PubMed online and buy articles.  There should be a database you can use to search for articles written on ACI and cartilage restoration.  Then, you look at the names of the authors and the names of doctors cited in the reference section of the papers.  Take those names and plug them into Google or the American Association of Orthopedic Surgeons, and find out where the doctor practices.  That's how I found Dr. Steadman's name for my particular problem, which is arthrofibrosis (excess scar tissue).  Dr. Steadman has done a number of articles on the topic, so his name came up repeatedly in my research.

Another source which has had a bit of a squirrely search engine is http://www.findarticles.com

Heather

PS Dr. Tom Minas has had the best success, hands down, working with patellar lesions.  Dr. Steadman has refused in the past to do microfracture on my patellar lesions, but that was because my mechanics were completely messed up.  I'm going to ask him again in a week...we'll see what he says....
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
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Offline casey2291

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Re: How can I find a good surgeon for ACI (patellar) procedure
« Reply #2 on: April 14, 2005, 03:39:50 AM »
Hey,

I just had microfracture done by a doctor at Johns Hopkins.  She sent my cartilage away to the lab in case I need to have ACI done.  I personally think she is excellent.  I'm not sure how much experience she has with ACI.  I didn't ask, but she must do the surgery if she sent my cartilage away.   I have heard from my OS who recommended me that she is one of the top names in knee surgery in the Baltimore area and my PT told me that he heard that she is awesome.   If you want me to give you her name and number just let me know and I will send you a private message. 

Casey  :)
LOA #2 and hardware removal 12/15/08-new cartilage from ACI looks "GOOD"
LOA on left knee 3/18/07
ACI and HTO on left knee 10/22/07
scope of right knee on 6/21/07
microfracture left knee 3/18/05