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Author Topic: MRI says 4mm subchondral lesion of the medial femoral condyle  (Read 1583 times)

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Offline CaptSteve

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Also says small knee effusion. Mild tricompartmental degenerative changes. I do not see convincing evidence of meniscal tear or ligament injury.

Pain is significant.  I am 48yo male.

What does MRI mean, and what are options?

Offline michelel

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Re: MRI says 4mm subchondral lesion of the medial femoral condyle
« Reply #1 on: June 25, 2009, 05:30:45 PM »
Hi there, s orry youre having pain, with your knee.  I too had a 2x4 MFC osteochondral lesion.  I had a MFX surgery first.  Upon research I have found that most OS want you to do this surgery first.  However, it is not very effective on lesions greater than 2cm.  My MFX failed, I was then sent to a specialist for evaluation for an OATS or ACI procedure.  OATS is wherethe OS takes plugs of cartilage and bone from a nonweightbearing part of your knee (same Knee) and put it into the place where your defect is (after they remove and drill out the defect), thats called OATS Autograph.  OATS allograft is where they get the cartilege and bone plugs from a cadaver.  Then ACI involves a scope to harvest cartilage cells, the cells are then sent to a lab usually Genzyme where they grow.  After about a month you go back in and have the real deal where they first obtain a periosteal patch from your tibia, then they glue and sew the patch over your defect and inject the cells under it, and secure the patch with more glue.  Its along recovery, all of them.  I ended up having to have a uni replacement because my defect grew and I also developed one on my tibia where I then had a kissing lesion.  I am 8 days out of my uni, so i dont know how good it will be but my hopes are high.  Theres a website CartilageDoc.org, that is very good, and just go on Google and type Autologous Chondrocyte Implantation (ACI), or OATS or even knee pain.  ALso look on the home page on this site in the arthritis section, theres a bone marrow stimulation section for MFX, ACI, and OATS sections.  Good Luck.
PEACE & LOVE
Michele
Right Knee:  1983 meniscal tear scope debridment &lateral release. 1991, 1997, 2001
2003 scope meniscal tears. 
8-08 MFX MFC lesion FAILED.
 4-09 Went in for OATS-not a canidate.
 6-09 Uni Right MFC.

Offline CaptSteve

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Re: MRI says 4mm subchondral lesion of the medial femoral condyle
« Reply #2 on: June 25, 2009, 08:21:43 PM »
Thanks Michelel  I learned a lot from your post. 















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