Arthrofibrosis - great threads on the bulletin board

[ken4971]

Heres my situation:

- medial meniscus surgery Jan25
-2 months of excessive swelling, cruthes, then cane
-left quad wasting, 3cm diff than right
-failed 30 day rehab program, could not engage, too painfull
-can get full extension but flexion stops up at 110
-cortisone injection had no effect
-2nd MRI done july21, shows residual medial meniscus tear still present and now patella tendon is short relative to the patella, i have patella baja
-see OS on Aug 28.....    btw, he did not want 2nd MRI done, this was requested by my pain specialist which I had to lobby/sell hard to get ??
- in an 'individualized' physio now, trying to get quad bulk and strenght
-  i guess my OS is going to have to go back in and re-do menisectomy, and remove scar tissue build up
any thoughts from anyone, or help???

[missmyknee]

Hi Ken

Where do you live (country and/or state)?  You will want to see an OS who has experience with arthrofibrosis /excessive scar tissue or AF for short. If your tendon has showed changes, such as shortening, this can become permanent and will pull the patella low in baja /infera position. This will damage the cartilage on the backside of the patella. Early recognition and treatment is key to giving your knee the best possible outcome for success. I suggest you read the info links referenced in earlier posts on this thread.

If you live in the U.S. ,we have a list of doctors who are experts in AF, with positive feedback from patients who used them.... in the U.K and E.U, the list is smaller and not many that posters have had experience with. Here is the doctor link:

http://www.kneeguru.co.uk/KNEEnotes/primers/whos-who-knee-surgery/whos-who-arthrofibrosis-surgery

Pam

[ken4971]

Thank you Pam
   I live in Vancouver island,BC, Canada, Nanaimo.  Its not if my tendon has shown signs, it is positive on MRI and noted:
 quote:    Findings,    " The patella tendon is short relative to the patella suggestive of patellar baja"

also,  Impression:  " Findings suggestive of Patella baja" 
   
  so  what about doctors in Canada,  Vancouver, Victoria, BC, or Nanaimo where i live.

any other help/tips.
if my existing OS downplays this should i be concerned abot this, is this to a serious enough stage that something medical wise has to happen.  Is surgery most likely needed??  and how soon should things start to happen,  this has started since Jan.25,2012  until now.

Thanks

Ken