Banner - Hide this banner





Author Topic: osteochondritis dissecans  (Read 1603 times)

0 Members and 1 Guest are viewing this topic.

Offline tootsiewoots

  • MICROgeek (<20 posts)
  • *
  • Posts: 15
  • Liked: 0
osteochondritis dissecans
« on: November 06, 2010, 11:58:07 AM »
Hi,

My story is as follows. I was a highly competitive athlete and enjoyed jogging, rugby weight lifting and basically any physical activity. I began feeling pain in my knee when I was about 18-19 years of age. At the time I put it down to some type of sporting injury which would in time rectify itself. I was able to “click” my knee by standing on the tips of my toes and often it felt I was “clicking” it back into place. I continued to do this and put up with the mild pain for several years. I did go and see my doctor but they just dismissed the pain as muscular pain and recommended a series of stretches. The pain never rectified and stretches often made it worse so I stopped doing them. I never really had a hard time with the pain but it did feel painful after sporting activities.

I then joined the police force in 2003. I met a lovely girl in 2007. That year she took me to London for a birthday weekend. This is when it all began. We had been walking all over the place visiting all the touristy things. I didn’t have a major problem with my knee just the slight pain as per normal and it felt like it always did. Then after the second day suddenly my knee seized. I could not walk on it at all. I limped back to the hotel room and went to rest it.  It seemed to be ok after a day or two. Upon returning home I went to see my doctor. I explained to her what had happened and she referred me for x-rays. The results of the x-rays showed an OCD lesion in my left knee. The lesion is about the size of a 20p piece. Initially I was told to treat this via conservative measures as it was stable and attached. I had no success in this so was referred back to see the surgeon. In February 2008 I under went micro fracture. I was placed non-weight bearing for 6 weeks and then partial weight bearing. The police force also assisted with physio. The procedure was unsuccessful. As a result in October 2008 I under went screw fixation of the lesion. I had three screws put into my knee. I was once again told non weight bearing for several weeks and then partial weight bearing. The pain was still apparent in the same area and in fact had become worse so I knew it had been unsuccessful. The pain began to occur even when I was sat down doing nothing, which never happened before. As a result I had the screws removed in September 2010. Unfortunately only 2 of the screws could be removed as the third’s head had been threaded. I therefore still have this screw in situ. In November 2010 (Yesterday) I went to see the Surgeon. Unfortunately he was not in clinic so I will be having to go back in December. However I was told by the ESP that he is considering either the O.A.T.S procedure or ACI as the next course of action. I am now aged 28 married (To that wonderful girl). My wife is very supportive and does a lot for me. Without her I would find it 100% harder. My mother in law has been a God send. Although I’m not sure she fully understand the seriousness of the injury she is extremely helpful and I could not ask for better in laws. She basically does everything for me- with a bit of sarcasm thrown in!  The surgeon is highly qualified and been part of the ACTIVE trials for ACI for several years (www.active-trial.org.uk). I trust him 100% and have complete faith in his capabilities. He has experience in both the ACI and O.A.T.S procedure. He maintains that he will fix the problem or at least alleviate some pain so that I can return to full duties. (I have been back on full duties between the operations as I can still run if absolutely necessary –Life and death). I have been feeling very low about things recently and although I don’t like to show my emotions I feel totally helpless. I appreciate that any form of high impact sporting activities will be limited to me in the future so have started swimming and biking. Trying to keep your head up and not feel down about things is the hardest thing for me. I appreciate it’s not a life threatening illness but it is life changing. 

My question firstly is has anyone undergone either of the procedures before? Secondly which procedure is considered the best? I know that both will involve a long period of rehab. I am willing to throw myself at anything I am told to do by the surgeon in order to get back on track.   

Offline vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 4890
  • Liked: 411
  • Neelie knee!
Re: osteochondritis dissecans
« Reply #1 on: November 06, 2010, 12:44:30 PM »
There are separate OATS and (M)ACI sub forums to look through, plenty on here have had one or other or both procedures in the UK and overseas.  Here  http://www.kneeguru.co.uk/KNEEtalk/index.php?board=51.0

 Which one is better depends on the individual, the location of the defect (is yours on the femur?) and the preference of the surgeon (where are you in the UK). (M)ACI is a bigger procedure (indeed, is two operations, an arthroscopy to arvest cells and a big open surgery to reimplant them), with a strict rehab and nothing much in the way of sport for at least 6 months.  OATS is usually open surgery too, but one operation

You need to ask the specialist lots of questions and his recommendation given your circumstances so that you can decide which is best for you.

I too am potentially going down the MACI route (not an athlete, but fell off a bicycle , oops).  This forum is extremely helpful in providing real life feedback on the surgeries, rehab and future prospects from real people who have been down these roads before
 
Good luck :)

« Last Edit: November 06, 2010, 12:46:52 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline tootsiewoots

  • MICROgeek (<20 posts)
  • *
  • Posts: 15
  • Liked: 0
Re: osteochondritis dissecans
« Reply #2 on: November 06, 2010, 12:49:56 PM »
Yes my defect in on the femur. Live in Yorkshire. Thanks for your response. I am sure I will have plenty of questions for him.  :)















support