Advertisement - Hide this advert





Author Topic: Should i have another knee op when the first one went wrong  (Read 841 times)

0 Members and 1 Guest are viewing this topic.

Offline FJ

  • Regular Poster
  • ***
  • Posts: 67
  • Liked: 0
Should i have another knee op when the first one went wrong
« on: November 17, 2005, 10:05:12 AM »
I had surgery earlier this year for plica removal.  the surgery was not really a success, as i still had knee problems afterwards.
i've since had another mri and i have a suspected horizontal tear to the medial meniscus at the back.  (on the first mri there was no tear, so the tear must have occured during surgery or at PT)

my OS has said he would like to do another athroscopy.
however, he has also said that there's nothing that can really be done for the problem, and that partial removal of the meniscus might be done.  i'm not really keen on having any meniscus removed to be honest.  i think that it puts you at more risk from OA. he has also said, that pain symptoms associated with meniscus tears can decrease over time.

however, i still have intense pain, particularly when the knee is torqued, ie if i sit cross legged.  but, when my knee is aligned i'm OK.

what do you think?  should i have surgery?
i am loathed to think that my knee could get worse, which is exactly what happened after the first surgery.
plica syndrome
athroscopy left knee plica removal
meniscus degeneration
osteo arthritis

Offline stgiles16

  • SuperKNEEgeek
  • *****
  • Posts: 2326
  • Liked: 0
    • My photo album
Re: Should i have another knee op when the first one went wrong
« Reply #1 on: November 17, 2005, 01:49:46 PM »
Have you thought about getting another opinion? Getting another surgery is a personal choice. I never wanted any surgery but my surgeon would tell me what would happen if I didnt fix certain problems and he ususally convinced me to go for it. One thing that he cannot convince me to do is more cortisone LOL.
If I were you, I would get another opinion before making this decision. Maybe even more than one opinion.
good luck
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 Nettan

  • SuperKNEEgeek
  • *****
  • Posts: 13862
  • Liked: 7
  • Stronger then yesterday...thanks Sis...
Re: Should i have another knee op when the first one went wrong
« Reply #2 on: November 17, 2005, 03:28:58 PM »
I am with Missy in this. You need more information to make a descision. Maybe a second opinion could be helpfull.What does this doc think you have for odds if you do surgery or if you don't do surgery ? Look for the best opinions for longterm.
Best of luck to you !!

HUGS NETTAN  8)
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline FJ

  • Regular Poster
  • ***
  • Posts: 67
  • Liked: 0
Re: Should i have another knee op when the first one went wrong
« Reply #3 on: November 17, 2005, 04:39:36 PM »
I had 2 OS's look at the MRI and both advised surgery.

Having said all that, when I said I wanted to delay surgery to have time to think about it, both said 'that's a very good idea'.  i also said i had doubts about whether surgery would actually help and they both agreed with me.

When I asked whether meniscus tears like mine could heal both said yes, although it would take years, and i wouldn't get back to 100%.  I told them that I had read / heard meniscus tears can never heal and they said they do athroscopies all the time and see old tears that have healed.
I was baffled, but both are highly regarded OS's in London.



plica syndrome
athroscopy left knee plica removal
meniscus degeneration
osteo arthritis

Offline Heather M.

  • SuperKNEEgeek
  • *****
  • Posts: 4007
  • Liked: 10
    • Check out my photography!
Re: Should i have another knee op when the first one went wrong
« Reply #4 on: November 17, 2005, 10:39:51 PM »
Some information that might help:

http://www.steadman-hawkins.com/meniscus/overview.asp   Yes, meniscal tears *can* heal, but only if the tear is in an area that has circulation, and only if it is stable so the pieces stay together long enough to mend.

The tear showing on MRI may or may not actually be there...false positives are not uncommon.  More info on MRI technology here:  http://www.kneehippain.com/patient/i_mri.html

With regard to ongoing pain, unfortunately plica syndrome can actually be evidence of an underlying and painful problem know by many names, most commonly patellar mal-tracking or patello-femoral syndrome (PFS). Read more here:  http://www.steadman-hawkins.com/pate/overview.asphttp://www.kneehippain.com/patient/pain/surgery.html (go down to media plication, middle of page),   http://www.kneehippain.com/patient/pain/pain_causes.html   And plica can actually come back, especially if the underlying condition of the mal-tracking kneecap is not addressed.  This is a very frustrating condition to treat.  And the mechanisms of pain--what actually causes the pain itself--are not always crystal clear.  Sometimes, the irritated plica is removed, but the pain was really the underlying tracking disorder.  Or you could develop a completely new and unrelated complication, such as a meniscal tear or scar tissue (arthrofibrosis) or tendinitis or something like that.

So anyway, read up on meniscal injuries, and find someone who is really a specialist in complicated cases.  If you want to post the general region where you live, someone may be able to help you with a recommendation to a good doctor.

Unfortunately, persistent knee pain after one procedure is very difficult to deal with.  It's hard to know whether you are dealing with the original pain, a new spin on the old injury (like plica with underlying PFS), or a complication from the surgery itself (like scar tissue or something).  Also, it's important to know that a torn meniscus which is not addressed and dealt with in some way can cause arthritis down the line as well, so don't assume that if you tear your meniscus and don't have surgery, this will keep you from getting arthritis...it can be a case of darned if you do, darned if you don't.  But personally, I think your chances are better with surgery done by a competent doctor.  Otherwise, the torn bit can flap around, break off chunks, cause continual pain and swelling...it's a mess.

Heather
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 Ronxski

  • SuperKNEEgeek
  • *****
  • Posts: 753
  • Liked: 0
  • User's Text
Re: Should i have another knee op when the first one went wrong
« Reply #5 on: November 18, 2005, 12:53:37 AM »
I agree with Heathers posting. If your tear is in the area of blood supply it can heal. But not if it isn't . And it can tear more and get worse then you will have to deal with Arthritis sooner.

I chose to have mine trimmed when it is only 10 to 15 percent gone instead of when it got bigger than you are bone on bone more so .  My tear had gotten bigger in the 3 months I waited to get it done.

Hope you get some good results with whatever you choose. Ron
partial meniscus removal, posterior horn of medial meniscus tear,horizontal cleavage type. Dec. O4
Age 56
back to cross country skiing and biking.















support