Advertisement - Hide this advert





Author Topic: Just out of sugery,could someone please explain my surgeons comments.  (Read 891 times)

0 Members and 1 Guest are viewing this topic.

Offline fatchopslim

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
The following notes are on my physio referral letter.

1. Medial plica resected
2.Gd 3 changes patella i loose flaps debrided
3. Areas  of grade 3/4 changes patella-femoral area
 ???
 All comments appreciated
« Last Edit: June 10, 2007, 10:58:39 PM by fatchopslim »

Offline plantgeek58

  • SuperKNEEgeek
  • *****
  • Posts: 1358
  • Liked: 0
Hi Fatchopslim,
I'm not an expert, but I think I can help you out here. First of all, a plica is a fold of synovial membrane that about 50% of all people have. Normally, it doesn't cause any problems, but it can become thickened and inflamed if impinged upon by other structures in the knee. Then it will start to cause pain. Your OS apparently found yours to be irritated and he simply removed it. That's standard procedure and shouldn't interfere with the normal working of your knee.
Grade 3 changes to the patella means you had damage to the cartilage covering the underside of your kneecap. Damage is graded from 1 to 4, with 4 being actual bare spots where the cartilage has completely worn away. Grade 3 means it's getting thin, but isn't bare bone yet. Loose flaps means that some of the cartilage was hanging down and the OS shaved it off to smooth the surface. That's also standard procedure.
The patello-femoral area refers to the part of the knee where the kneecap meets the femur. Apparently there is some more extensive damage there, with some spots of bare bone, perhaps from a kneecap that hasn't been tracking correctly in its groove.
That's all I can tell you, based on the info you provided. Hope it helps.
Terre
RK 7/04 part. m. menisc., plica resect., MF
    3/05 part. m. menisc., open OATS
    1/07 part l. menisc., MF, patellar chondroplasty
    9/08 MF
LK 11/04 & 8/06 part m. menisc.
     7/07 LR, patellar tendon debrid., part m. menisc.

Offline fatchopslim

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Thanks for the info plantgeek58. :)
 Great response in plain Englsih for us non-medical types.
Your comments on mis-tracking were spot on, this was the main cause of my condition brought on by muscle imbalance in my leg after a Gilmours Groin hernia 3 years ago.
Will need to look after my knees in future!

Thanks again for your help
SM

Offline zeni

  • MICROgeek (<20 posts)
  • *
  • Posts: 12
  • Liked: 0
  • User's Text
Medial Plica on kneeguru-

http://www.kneeguru.co.uk/html/knee/knee_anatomy/medial_plica.html

Articular cartilage repair on kneeguru, explanation of grades with images

http://www.kneeguru.co.uk/insights/doku.php/articular-cartilage/overview


Offline fatchopslim

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
Thanks Zeni,
                    healing well on now although still weak and swollen.
Thanks for the links

SM ;)















support