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Offline Amanda1975

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What are...
« on: August 21, 2007, 10:16:05 PM »
Thickness Lesions

Can anyone tell me??

Seems everytime I go to PT they tell me about something else that is going on in my knee.

Amanda
Degenerative Left Knee due to Maltracking Patellar Grade 3-4
Operation 25th June 2007
Lateral Release, Microfracture, shaved intrapatellar pad and Menisci Tidy Up
Right Knee chondromalacia patellar Grade 1
PT and HT awaiting review

Offline Jaci

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Re: What are...
« Reply #1 on: August 22, 2007, 06:06:07 AM »
Amanda,

In general terms like _____-thickness lesion refer to damage to articular cartilage-- the shiny gristle-like stuff that covers the ends of bones. It's sometimes called chondral damage as well. Since you had microfracture, my guess is that there was a full-thickness lesion to the articular cartilage somewhere in your knee. You have articular cartilage on the back of the knee cap and on the ends of the femur and tibia. Microfracture is only done when the damage goes all the way through the cartilage and to the bone beneath. The chondral damage can occur as the result of trauma or due to wear and tear. Here are some links to some info on chondral lesions and microfracture on the Steadman Hawkins website (Dr. Steadman developed microfracture):

http://www.steadman-hawkins.com/knee_chondral/overview.asp

http://www.steadman-hawkins.com/knee_microfracture/overview.asp

You might want to look and post down in the microfracture bulletin board. There are lots of people who have gone through the procedure.

You can ask your OS for a copy of the report from your surgery. That way you'll know a bit more about what was done.

Take care,

Jaci
« Last Edit: August 22, 2007, 06:12:06 AM by Jaci »
10/03 Twist injury
12/03 Menisectomy- tears ACL, MCL, & LCL missed by OS
Arthrofibrosis ROM 38-68
3/04- 4/08 Multiple scar tissue procedures:
6 scopes w/LOA, AIR, LR, chondroplasty, synovectomy, bone spur & plica removal
3 insufflations, many injections
Chronic AF, patella infera, IPCS

Offline Amanda1975

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Re: What are...
« Reply #2 on: August 22, 2007, 11:42:56 AM »
Thanks Jaci

That was very helpful.  I did have a patch of cartilage missing, it was 7mm by 5mm, it seems that it would be classed as grade 4 on the steadman site.  Reading the after care part on that site has me concerned because I didn't have half the care that was recommended, still thats our National Health Service for you.

Looks like I could have another 3-4 months of healing to do yet before it feels anything like it should.

Amanda
Degenerative Left Knee due to Maltracking Patellar Grade 3-4
Operation 25th June 2007
Lateral Release, Microfracture, shaved intrapatellar pad and Menisci Tidy Up
Right Knee chondromalacia patellar Grade 1
PT and HT awaiting review