Banner - Hide this banner





Author Topic: Failed Microfracture...May Get OATS!  (Read 4938 times)

0 Members and 1 Guest are viewing this topic.

Offline ski-bum

  • MINIgeek (20-50 posts)
  • **
  • Posts: 47
  • Liked: 0
Failed Microfracture...May Get OATS!
« on: January 15, 2010, 12:36:24 AM »
I am almost 10 months after microfracture to the left medial femoral condyle with a very experienced cartilage surgeon.  I have had a very difficult time with the recovery; still with pinpoint pain in the exact area of the microfracture.  My surgeon has not confirmed the fact that the microfracture has fail, but I have felt that way from the very start.  I decided to get another opinion so I headed to the east coast and saw another cartilage specialist.  He evaluated my knee and carefully looked at my recent MRI and feels that in fact my microfracture has failed and insted of cartilage fill to the defect, I actually had bone refill.  He described the sensation of walking as if you have a pebble inside your knee that constantly irritates the knee with weight bearing. 
He believes that because the lesion is small (1 x 1 CM) that I am a condidate for an OATS procedure.  He feels that I have a 90% chance of excellent results with this procedure and although he is known for ACI with unloading osteotomies, he really believes that he can accomplish an excellent outcome with a single arthroscopic OATS!!!
Not sure how to take this???

ANY EXPERIENCE with OATS?  Please advise!!!

MARC
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee

Offline AndrewH

  • Regular Poster
  • ***
  • Posts: 110
  • Liked: 0
Re: Failed Microfracture...May Get OATS!
« Reply #1 on: January 16, 2010, 07:37:52 PM »
Sorry to hear that the microfracture failed Marc but hopefully you can now finally get it fixed. As you know I've been following your progress as I'm about 3 months behind you after microfracture. Unfortunately my progress has seemed to mirror yours - I still have the same pain in the area of the microfracture. MY OS has discussed mosaicoplasty with me and I've to go back around the 12 month mark although I'll probably go back at around 10 months if there is no progress.
June 09 - Microfracture to MFC right knee 1.5 x 1cm
July 10 - Mosaicplasty to MFC right knee 1.4 x 1.2cm (4 plugs) plus mosaicplasty to small lesion on patella (1 plug) and microfrcature to another small lesion, also on patella

Offline Dad3

  • Forum Faithful
  • ****
  • Posts: 180
  • Liked: 0
    • Perfectly Personalised Ltd
Re: Failed Microfracture...May Get OATS!
« Reply #2 on: January 18, 2010, 04:06:54 PM »
I'm about 7/8 (cant remember exactly how many) weeks post OATS and ACL recon - so bear that in mind.

I walked for about 2 miles yesterday, across ice strewn pathways and today i did about 3 miles, again across ice strewn pathways in a local park whilst pushing my two year old in his stroller - ALL WITHOUT PAIN  ;D

I still have swelling (also have CMP and a knackered VMO, so my patella is maltracking) but my knee feels so much better post op, that i am very  ;D

My MFX failed, but i knew that from day one and so did the surgeon - so i never really gave it the chance to work, but OATS is a well established procedure and has a reasonably considerate post-op strategy.

My OATS was on the MFC, approximately 2 x 2 cm's - so fairly broad and according to my OS, the largest size he would attempt with OATS.

All the best
RT Knee collapsed 08/2009
MRI 10/2009 - torn ACL
Arthroscopy and MFX - 10/2009
ACL and OATS 11/2009
RT knee lateral release, mosaicplasty and medial reefing - 22nd September 2010.
Still not 100% OK :(

Offline ski-bum

  • MINIgeek (20-50 posts)
  • **
  • Posts: 47
  • Liked: 0
Re: Failed Microfracture...May Get OATS!
« Reply #3 on: January 20, 2010, 03:59:47 AM »
Dad3
I really appreciate your post and am so happy that you are doing well. 
1) HOW LONG DID YOU WAIT BEFORE YOU DID OATS?
2) HOW DID YU KNOW THAT IT FAILED?
3) HOW LONG DID YOU HAVE PAIN PRIOR TO MICROFRACTURE?

THANS FOR YOUR RESPONSE...

GOOD LUCK!
MARC
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee

Offline Dad3

  • Forum Faithful
  • ****
  • Posts: 180
  • Liked: 0
    • Perfectly Personalised Ltd
Re: Failed Microfracture...May Get OATS!
« Reply #4 on: January 20, 2010, 10:40:29 AM »
Marc in response.

My first operation was originally to repair my ACL, but when the surgeon got inside my knee with the arthroscope, he found the cartlidge damage - which wasnt originally picked up. So he did a MFX and debridement and then woke me up.
The following day, he came and told me that he had found the cartlidge damage and therefore couldnt proceed with the ACL repair, as he needed mine and the insurance companies OK to fix the cartlidge, before doing the ACL.
It also kind of didnt help that i was awake at 6am the following day, and had about 2 hours of quiet time before the nurses came in, to do with as i wanted, and as my knee didnt hurt, i spent a while walking round the hospital (bored), without crutches as i could weight bear. It was only about 9 am that the surgeon came in and said not to weight bear and use crutches etc.  ::)

Prior to MFX, i wouldnt say i was in a great deal of pain. My primary problem that i went to see the OS for was the knee stability - i used to have to crawl upstairs as i couldnt trust my knee to take my weight.
I actually have more pain now, due to VMO problems and the CMP, but this is primarily associated to bending and straightening of the knee whilst weight bearing.
RT Knee collapsed 08/2009
MRI 10/2009 - torn ACL
Arthroscopy and MFX - 10/2009
ACL and OATS 11/2009
RT knee lateral release, mosaicplasty and medial reefing - 22nd September 2010.
Still not 100% OK :(

Offline ski-bum

  • MINIgeek (20-50 posts)
  • **
  • Posts: 47
  • Liked: 0
Re: Failed Microfracture...May Get OATS!
« Reply #5 on: January 22, 2010, 01:48:48 AM »
Dad3
Thanks again for your response.  I wish you quick healing!!!

Anyone else out there had a failed microfracture with a successful OATS procedure?  Please respond and if possible give details.  I am not afraid to have another surgery, but I would like to have some confidence that there is a good chance of improvement. 

Anyone?

Thanks
Marc
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee