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Author Topic: Meniscal Transplant Question  (Read 3386 times)

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Offline spatch

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Meniscal Transplant Question
« on: March 06, 2008, 02:49:26 PM »
Hi Everyone,
I am new to this site.  I have had 7 surgeries on my left knee.  I am 39 years old and have been an athlete all my llife.  I initially injured my knee playing soccer.  I switched to triathlons and was hit by a car while training for a race, which caused several more surgeries.  I have had 2 ACL replacements and a meniscus repair.  My last surgery was in June of 07 and the doctor took out my entire medial meniscus cartilage.  I have had quite a bit of pain since.  I am still biking and swimming but have stopped running completely.  My doctor recommended a meniscal transplant and I am currently on the donor list.  I have a couple of questions about the transplant surgery.

1) How long did you wait for a donor?  My husband and I met late in life and we have a 18 month old baby.  We would really like to try for a brother or sister.  My doctor said I should understand that if I don't do the surgery now that I might not be a candidate in a year, he said I am just on the cusp of being a candidate now.

2)  Also, were you able to resume some running/jogging after your recovery from the surgery?  Just wondering because my doctor said I could jog after but I was wondering what everyone else's doctors told them about running. 

Any information would be very appreciated.

Thanks,
Monica

Offline ruggerite

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Re: Meniscal Transplant Question
« Reply #1 on: March 07, 2008, 06:47:20 PM »
Hello,
I'm about 6 months post-op. I did not have to wait for a donor. Mine was cryo-preserved as are I believe most transplants. I was fortunate enough to find a doctor who did regular transplants and i only had to find a date when the doctor was available to do the surgery.

About running or jogging, my doctor said I should be able to do it eventually and my knee was in a pretty bad shape but its still swollen.The doctor attributes the swelling to a microfracture procedure he did at the same time. I don't think i will be able to jog for another month or two. The rehab is time consuming and somewhat painful and takes patience, and hard work.

Good luck!
1994 - Right knee menisectomy
2002 - Right knee menisectomy
2003 - Right knee ACL reconstruction and Menisectomy
2007 - Right knee lateral meniscus tranplsant + oats + microfracture

Offline spatch

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Re: Meniscal Transplant Question
« Reply #2 on: March 08, 2008, 11:24:16 PM »
Thanks Ruggerite,
My doctor said we had to wait for a match and that could be 6 months to a year for a donor match.  I didn't even think to ask him if he has done this surgery a lot before.  I should do that for sure.  I really had never heard of this before I saw him and have just stumbled on this forum.

Thanks for the info and did you have to wait long before you could drive again?



Offline ruggerite

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Re: Meniscal Transplant Question
« Reply #3 on: March 10, 2008, 05:10:56 PM »
http://www.kneeguru.co.uk/KNEEnotes/node/285 has a list of knee specialists for each state.

It took me about 6 weeks to drive. It may take you less time. My brace was removed after 4 weeks and dr gave me the go ahead to drive. I couldn't bend my knee enough because of the swelling and had to wait for a few more days.
1994 - Right knee menisectomy
2002 - Right knee menisectomy
2003 - Right knee ACL reconstruction and Menisectomy
2007 - Right knee lateral meniscus tranplsant + oats + microfracture

Offline spatch

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Re: Meniscal Transplant Question
« Reply #4 on: March 11, 2008, 12:25:46 PM »
Thanks Ruggerite!!

Offline rkent

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Re: Meniscal Transplant Question
« Reply #5 on: March 16, 2008, 03:29:46 AM »
Hey Monica,

I am 6 months post op from a medial meniscus transplant (on my left knee as well). It was my fourth surgery and so far, so good. I injured my knee originally playing soccer, the summer before my senior year in high school.
I had to wait about 5 months for a donor (I know the unknown-wait time is almost unbearable and makes it VERY hard to plan anything!).
I will never run (or do anything as high impact as that) on my new knee. I am so thankful for my donor and that this surgery has worked. I am in virtually no pain, and am very happy with the results. I feel as though trying to run would just add lots and lots of undue pressure on my knee and it is just not worth the risk. I am able to walk (without pain) as well as bike. For some reason, swimming was difficult for my knee prior to the surgery, so I have not tried to do that since my operation. However, I am very happy to be functional again and would trade a working knee for a nice run any day!

I wish you lots of luck with all of this! If you have any questions at all, feel free to ask :)

Rachel
2002 - ACLr and Medial Meniscus trim
2003 - Medial Meniscus Scope
2004 - Medial Menisectomy
2007 - Medial Meniscus Transplant

Offline spatch

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Re: Meniscal Transplant Question
« Reply #6 on: March 19, 2008, 01:16:04 AM »
Thanks Rachel,
That is actually really good advice about the running.  I am thinking I probably won't either in hopes that I can still hike and bike when I am older.

It is good to hear from someone who had good things to say about the results of this surgery.  I am really nervous about it from all I have read it sounds like it might be a really hard recovery.

Thanks again!
Monica

Offline Stevenh

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Re: Meniscal Transplant Question
« Reply #7 on: April 09, 2008, 03:26:22 PM »
Hi I am new to this forum but have had 3 jobs on my right knee after my full body weight going over on my right knee at full speed while running playing soccer back around 1994 ish.  I did my ACL, damaged cartilage and chipped a bone which I had repaired but had to go back to get the ACL graft peared as it scarred up and I couldn't fully straighten my leg.  After this though I was fine and returned to playing soccer etc.  14 years later now in 2008 my knee is getting sore and I fear a serious lack of cartilage is the cause of this.  I am booked in for a MRI scan and asked my surgeon for the details of exactly what was done to my knee % of cartilage taken etc.

I am interested in the concept of cartilage transplantation and have been doing some research into this and the options are:
1. Cartilage Donor - Is this risky as it could be rejected by the body? - seems to be fairly popular from some posts here.
2. Take cartilage from other part of the knee and paste it to the site where its lacking along with drilling the surface of the bone to create a blood supply to encourage the cartilage to grow.  You can see this on Dr Stones website in San Fransico.
3.  Harvest cartilage and have it grow in a petri dish for 6-8 weeks and then have it transplanted back into the knee thereby reducing the risk of rejection of foreign cartilage.[/font]I am very interested in option 3 as a colleague of mine had it done in Australia back in 2005 and she is now fine but not many places seem to do this type of surgery.  Has anyone had any experience of this in the UK or Western Europe?   

Offline brmuir

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Re: Meniscal Transplant Question
« Reply #8 on: April 16, 2008, 07:33:48 AM »
Hi I am new to this forum but have had 3 jobs on my right knee after my full body weight going over on my right knee at full speed while running playing soccer back around 1994 ish.  I did my ACL, damaged cartilage and chipped a bone which I had repaired but had to go back to get the ACL graft peared as it scarred up and I couldn't fully straighten my leg.  After this though I was fine and returned to playing soccer etc.  14 years later now in 2008 my knee is getting sore and I fear a serious lack of cartilage is the cause of this.  I am booked in for a MRI scan and asked my surgeon for the details of exactly what was done to my knee % of cartilage taken etc.

I am interested in the concept of cartilage transplantation and have been doing some research into this and the options are:
1. Cartilage Donor - Is this risky as it could be rejected by the body? - seems to be fairly popular from some posts here.
2. Take cartilage from other part of the knee and paste it to the site where its lacking along with drilling the surface of the bone to create a blood supply to encourage the cartilage to grow.  You can see this on Dr Stones website in San Fransico.
3.  Harvest cartilage and have it grow in a petri dish for 6-8 weeks and then have it transplanted back into the knee thereby reducing the risk of rejection of foreign cartilage.[/font]I am very interested in option 3 as a colleague of mine had it done in Australia back in 2005 and she is now fine but not many places seem to do this type of surgery.  Has anyone had any experience of this in the UK or Western Europe?   


Hi. Last year i had over half my lateral miniscus removed and also the articular cartlidge on my bone removed about a 4 by 4 hole. And when i was talking to the docotor harvesting cartilage was only a possibility for fixing articular cartilage. I may be wrong but from what i understood that was what that surgery was used for.

Also CMI may be an option it is a fairly new procedure which involves growing a new mensicus using some form of i guess mould. their is a few topics about this on the forum u should check it out

Offline pegleg78

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Re: Meniscal Transplant Question
« Reply #9 on: April 16, 2008, 08:11:08 PM »
Monica,

I had a medial and lateral meniscus transplant done in 2001. I had to wait about 5 months for the medial one and then I had the lateral one done 12 weeks later.

For me I was non weight bearing for 6 weeks after each surgery and then partial weight bearing for about another 6 weeks. That was a few years ago, so the post op protocal may have changed. I had a few reinjuries and had to have my medial meniscus transplant removed in 2005 and had a partial knee replacement done on the medial compartment. I still have my lateral transplant and everything is looking good with that.

I had a baby 6 weeks ago and was really worried how my knee would handle the extra weight of the pregnacy, Everything went great. My knee did really well and I didn't have any increased pain or anything.

Good luck with your decision!

Melanie
99 ACL, med, lat men repair
00 Med menisectomy, lat men repair
01 med, lat meniscus transplant, ACL rev, LR
01 chrondroplasty, manip & debrid
02 med, lat partial menisectomy
03 Arthrotomy,  LOA, LR
05 chrondroplasty, lat men repair, shrink ACL
05  med menisectomy, chrondropla
05 med PKR

Offline brmuir

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Re: Meniscal Transplant Question
« Reply #10 on: April 17, 2008, 12:10:39 AM »
hi pegleg, just wondering if you re-injured because you went back to certain activities or was it just badluck? because i have read in places that transplant will only llast about 5 years im not sure if that is true or not?

Offline pegleg78

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Re: Meniscal Transplant Question
« Reply #11 on: April 17, 2008, 03:54:10 AM »
I reinjured my knee from being accident prone  :o. I had heard that meniscus transplants only last 5 years too, but my lateral transplant is still doing great 7 years later.
99 ACL, med, lat men repair
00 Med menisectomy, lat men repair
01 med, lat meniscus transplant, ACL rev, LR
01 chrondroplasty, manip & debrid
02 med, lat partial menisectomy
03 Arthrotomy,  LOA, LR
05 chrondroplasty, lat men repair, shrink ACL
05  med menisectomy, chrondropla
05 med PKR

Offline brmuir

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Re: Meniscal Transplant Question
« Reply #12 on: April 17, 2008, 04:10:06 AM »
i spoke to my os about transplants at my last appt in feb and he mentioned nothing about them lasting 5 years or nothing negative about the longetivity of it. the only main negative was if the body rejected it.
But on this forum i have read a few stories that they only last 5 years but i havent heard anyone say it happened to them or that it happened from normal wear and tear its all been activity related accidents

Offline hollie9

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Re: Meniscal Transplant Question
« Reply #13 on: April 21, 2008, 12:39:54 PM »
Who is the best doctor in the world for these transplants?  Or a group of the best docs.?

Thanks,

Hollie