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Author Topic: MFC allograft & reconstruction of MCL finally had surgery  (Read 13500 times)

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Offline Sam451

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MFC allograft & reconstruction of MCL finally had surgery
« on: November 29, 2011, 08:12:57 PM »
Ok, I will start from the beginning.  I fell into a stairwell back in November 2009. I tore my shoulder, broke my hand, tore my lateral meniscus,and tore the cartilage off my medial femoral condyle. I have had microfracture with a partial minisectomy in April 2010. That failed and I had an osteocondular autograft in December 2010. That also failed. Turns out my OS was great in his day but retired after the autograft. I am thinking age may have been a factor in the poor outcomes. I have switched surgeons and feel very confident in my new guy. he did a scope in August to determin his course of action.

Yesterday afternoon I had an MCL reconstruction where he secured the cadaver ligament with screws. He implanted the cadaver plug of bone and cartilage in the injured site on the femur.   He also replaced the spot on the lateral femoral condyle where the other OS took the autograft from as it was killing me and catching tendons when it would bend or srtaighten.

The surgery was planned for 2 1/2 hours. It ended up taking nearly 4. Bcause I was under so long I was very nauseas until this morning. I even have a patch for nausea and was taking anti nausea medication.

I had a nerve block placed for pain. This creates the strangest feeling. My foot feels like it is partially asleep. When I touch it, it feels like it's someone else's foot I'm touching. I can deal with that though seeing as its keeping  most of the pain away. A bit nervous for tomorrow when the block will be gone.  :-[  I can already feel it a little and I have the block as well as oxycontin and oxycodone.

I will post how recovery goes along the way. I know it helped me to read stories.

Jenni
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #1 on: December 01, 2011, 01:34:39 AM »
DAY 3

Moving on to day three of recovery. Holy cow, I have never had this much pain after a surgery before. They gave me a nerve block and as that wore off I swear I thought I was gonna die it hurt so bad. I am taking both oxycontin and oxycodone for pain and it still hurts. My OS changed how much I can take and it seems to be improving but man this hurts.

On top of all the pain, the nerve block has worn off enough to feel the pain yet my foot is completely numb. They said it would be gone by now but that sometimes it can last longer. Lucky me, worn off enough to feel the pain but not enough to be rid off the side effects.  >:(.

I am non weight bearing for three weeks and in a locked brace. Well thats the update.

Jenni
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline KSTL

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #2 on: December 02, 2011, 04:08:37 AM »
Jenni,

I feel your pain.  This surgery was the most pain I have every been through.  I am 3 1/2 months out.  I went to the surgeon today and was put on a cane to help with walking.  I know you feel you can't make it, I sometimes thought I was going to die.  The first month is the worst.  I know I could never sleep even on the drugs.  I just want to tell you it does get better.  I still have pain but nothing like the beginning.  I want you to know you have support because the mental part of the recovery is just as hard as the rehab.  I was in a locked brace for 4 weeks, mostly in bed on the CPM machine.  The CPM machine helped with moving a lot.  I was not aloud to weight bear for 8 weeks.  It took me almost 5 weeks to get my leg strength.  This was my 3rd surgery so I know what you are going through.  Keep us posted.  I will keep you in my thoughts and prayers. :)

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #3 on: December 02, 2011, 03:22:06 PM »
DAY FOUR

OK so I get the pain under control but I get nauseas so I back off painkillers and no more nausea but pain again. I am working on finding that happy medium where I can deal with the pain but also not be sick. Hopefully I will get it figured out soon.

I did venture outside the house yesterday only because my son received a top honor in football for his season and wanted to see him receive his medal. I came straight home to the couch and iced. He has his first basketball game tonight and I am trying to figure out how I can go and prop my leg up lol. The things we do for our kids.  I know I shouldn't but we will see. I am sure I will pay for it pain wise if I go  :-[

The best thing I am doing for my knee is the icing. I love my game ready unit and how it circulates ice water around the leg and knee. It alleviates a great deal of pain.

I will continue to update throughout the recovery. Please feel free to add to it your stories. I know reading about others helped me to prepare.

KSTL- you are right in that the mental support of someone dealing with the same thing is huge. I would love to get updates on how you are doing and how the recovery goes.

Jenni :D
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #4 on: December 05, 2011, 12:36:28 AM »
DAY SEVEN :P

Let me start off by saying, when the OS tells you to stay at home with the leg elevated and icing, you really should listen to him. I made the mistake of going to my son's season opener for basketball and have been paying for nit for two days. My mom asked me yesterday if the pain was worse than labor and I said YES. This is the absolute worst pain I have ever been in in my life. The funny thing is that this is the forth surgery so why didn't any of the others hurt this way?  I go in for my post op on Tuesday and will share how that goes.

I hope I am not scaring anyone that is waiting for this procedure. I have heard of some who have relatively little pain.  That is usually me. I never use all my pain killers but this time I am going to run out prior to my post op.

Prayingnthe pain meansnthat it actually worked this time.

Jenni
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline KSTL

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #5 on: December 07, 2011, 04:06:47 AM »
Jenni,

I am so surprised you did both.  After the surgery my OS told me I pretty much had to stay in bed with my leg on ice or in the CPM above my heart for swelling.  After the second surgery, I was in the same situation of my son graduating so I went.  I paid for days with pain.  You are right about this surgery pain being worse than labor.  That was a piece of cake. 

Are you still have nausea?  Call the doctor to get pills for that.  It will help.  Take the pain pills. 

Last Thursday I went to the OS.  He took X-rays and the graph looks great.  I am down to one crutch outside and learning to walk with a cane.  It does hurt but it is getting better.  I have a limp but hope it will get better.  My leg buckles and the knee pops when it is bent.  I hope it gets better because it hurts.  I am at week 14. 

Please keep updating.  Talking about it really really helps.  Even family members do not understand what we are going through, it is not a normal surgery.  People look at me funny when I say knee surgery so instead I say fracture in the femur.  They seem to understand more.

Karen

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #6 on: December 07, 2011, 06:54:55 AM »
STARTING WEEK TWO OF RECOVERY

So I went to my post-op appointment today.  I was anxious to get the gauze removed. I have been wondering what the incisions look like. Well now I know. I have a total of five new incisions. Yes I said five. Two are from the MCL reconstruction. They are each aprox. 2 inches long and are located medially of course. Then I have a 2 inch incision just medial to my knee cap. This one was for the MFC Allograft. I also have two smaller incisions on the lateral side of my meniscus where the new OS fixed the old OS's poor autograft donor site.

The OS was pleases with the look of the incisions and said the swelling didn't look too bad. I don't want to know what bad swelling looks like than because you can't even see my knee cap lol.   I feel like I have cankles.

I am not using a CPM because of the MCL reconstruction. I have to keep it locked in extension and slowly start adding ROM back. They are planning to start opening up the brace in two weeks. They will add 20-60 degrees at a time. My OS also wants me to start putting very light body weight at 4 weeks out. He would like me off crutches by 8 weeks. We will see.  I was on crutches for quite a bit longer than that after the autograft.

I paid the price for going to the basketball games last weekend. WAY too soon. I went to another of my son's games tonight and it was not as bad. Still paying though  :(.

The pain meds are making me shaky. I hate taking them. I hate the pain worse though so I continue.

Karen, I am taking an anti nausea med but sometimes just the lack of sleep, lack of food and pain make me I'll anyway.  The frustrating thing is that the anti nausea meds blur my vision. I can't win.

Oh, also the x-rays he took today looked good as well.
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #7 on: December 22, 2011, 06:04:20 AM »
Well I am three weeks post-op. Let me say that this has been the hardest three weeks of my life as far as pain goes. I know I said this before but I really was not prepared for the pain to be so intense. If I am up for too long or if I have the ace wrap off for too long the swelling is bad and the leg just aches!!

I went to my OS today and he said that everything looks great. The x-rays show that the screws from the MCL reconstruction look good. The ligament is tight and holding steady. My OS said that the majority of the pain is coming from MCL and that is normal. Made me feel better knowing that nothing is wrong but sucks that I have to deal with it.

The grafts look to be holding steady but of course they don't really show up on x-ray so we won't know until we get farther out and do the MRI. I am hopefull that this surgery worked as I really don't want a knee replacement at the age of 40.

I am very happy as the OS unlocked my brace a little bit today. I can now bend my knee to 60 degrees. It's the little things that make me happy  ;D  I am not allowed to walk on it or put pressure other than the weight of the leg meaning I can touch my toe down and that is it.  Baby steps is a major thing to remember when it comes to allografts.  I get excited for the small steps because you never really see a huge jump.  Its such a long rehab that you must celebrate the little successes or you can get very depressed.  My OS also wants me to start Physical Therapy next week. It's only ROM to 60 degrees and light quad strength. He says that PT should help with the knee pain. Not so sure about that as I think it could create greater pain but we will see.

I am having good and bad days mentally lol. The pain combined with being laid up can cause some depression but nothing over the top. Just some days I feel down. I want to be out enjoying the holidays and the traditions with the family. I can't even do the baking as I cannot stand for at long. I am thankful for my boys and all the help they have given me. Going to try to go see the lights tomorrow.

I will update how the PT goes. Can't wait until I can walk again.
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #8 on: December 29, 2011, 01:42:11 AM »
Well things seem to be progressing. They are just progressing VERY slowly. One setback is a suture abscess. Apparently this is what happens when a dissolvable suture does not dissolve.  Because of this I was blessed by being able to spend Christmas eve morning in the ER getting the abscess lanced. I am now on pain killers and antibiotics that kill my stomach. The pain is still pretty intense. The worst part is that it is constant. It is very wearing.

Well that's it for now.
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #9 on: January 09, 2012, 02:32:52 AM »
WEEK SIX

well I've made it through six weeks of recovery. Holy cow I didn't think it was going to be this hard. I finally am over the hump of non stop pain in just the past couple days. Don't get me wrong, I still have bad days but at least I am not on pain meds around the clock. I am only taking 3-5 pain oils a day. Seems like sleeping is actually the worst. I wake up in pain most every day. Some days I wake up crying the pain is sooooo bad. Other days it's just a massive ache. The Drs and physical therapists all say the pain is normal based on everything that they did. If they say so lol.  ::)  The OS says it is mainly coming from the MCL Reconstruction.

I am still NWB.  I will be up until I see OS next week. I am still in the leg brace with ROM to 60 degrees. I believe they will unlock the brace completely and I will get to start putting pressure on my leg. I am able to touch down my leg just no additional weight.

I am getting anxious to find out if this surgery worked. I know I will not know for sure for at least three more months. After four failures I think I am at a point of being unable to believe it could work. I trust this OS but when you haven't had any success, even though it was a different OS before, it makes it difficult to believe I could have a positive outcome.

My PT got me a TENS machine to use on my own. It has been a life saver for the pain. It is a great way to help manage the pain. If you are having pain issues I would highly recommend getting a prescription for one of these. It works by basically masking the pain receptors with the electrical impulses. I have it one about 16-20 hours a day. When I started using this I decreased my pain meds from 8+ a day down to 3 a day.

Feel free to contact me anytime with questions about the process and or the recovery. I am still pleased I went through with the surgery. I just need to continue to stay positive. That's the hard part. It's been over two years of sitting on the couch with my leg iced and elevated so sometimes that frustration and a little depression are hard to hold off but a wonderful husband makes a big difference. Without him I would be lost. Just make sure you have a support system in place.
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #10 on: January 10, 2012, 05:32:14 PM »
Oh, I forgot to share that my abscess should finally heal. As I was cleaning it, it popped like a pimple lol. :P I posted a link to where you can see a picture of what came out. The stitch finally was "spit out". I am hoping that the incision will now heal. I have had it cut open two times while the ER doc and my OS dug through it looking for the stitch. Both Drs said they were not sure there was a stitch still there even though I pointed it out. They thought it might just be skin. Yeah right, I am pretty sure this proves them wrong and me right lol. ;D Always trust your instincts people.

Those of you who have had a stitch abscess know the pain that these can be. This was my first and hope it is my last!

http://s1184.photobucket.com/albums/z339/Sam451/
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline KSTL

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #11 on: January 14, 2012, 04:26:31 AM »
I am glad the abscess finally healed.  I know what you are going through.  Some days I did not know if I could make it through the pain.  I am 4 1/2 months out and still have pain.  I am walking around with no help but it still hurts.  I have not slept through the night yet.  I went back to work last week for 2 days and was in so much pain and swollen I could not work the rest of the week.  I did not work this week either.  I have been so lucky my husband and family have been so supportive.  This was my third surgery because the other 2 failed.  I just hope this is not as good as it gets.  When I was NWB, I did something to my shoulder.  I guess with pulling myself up and using the crutches.  It is still hurting.  I am turning 40 in a few months and feel like I am falling apart.  The surgeon is going to take a look at the shoulder on the next visit in a couple of weeks. 

Using stem for pain does help.  I also have a machine for home.  Having someone to talk to about this does really help.  My family is supportive but really does not understand what I am going through.  I feel so helpless.  I really want to work.

I was nwb except for toe touch for 12 weeks.  Keep me updated.

Karen

Offline Sam451

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #12 on: January 14, 2012, 05:50:14 AM »
Karen,

Wow we are so similar in our "issues" lol. I will be having surgery in my right shoulder for a SLAP tear caused from being on crutches for the majority of the past two years.  I too have an amazing support system in my husband and teenage boys. My husband has become quite adept at cooking and cleaning  ;D. I also have my parents close by and my my is my acting chauffeur while my husband is at work. I will have to do something very special for her when this is all said and done.

My greatest fear is a fourth failed surgery. I have been in pain since the original injury over 2 years ago. I want so badly to return to work and get my life back. I am here to talk anytime. You can always email me anytime.

Jenni
Nov 09 Torn MCL, Articular Cartilage & Lateral Meniscus
April 10 Microfracture Failed/menisectomy
Dec 10 Autograft
Sept 11 Chondroplasty
Nov 11 Allograft MCL Recon
Jan 13 Chondroplasty, Lat Release
May 13 TTO/Lat Release
Dec 14 lat retinaculum repair
Nov 15 screw removal tighten lat retinaculum

Offline KSTL

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #13 on: January 15, 2012, 04:26:39 AM »
I wish I could have talked with you during all of these surgeries.  I felt so alone, like I was the only one in the world going through this.  My friends are not understanding the more surgeries I have.  I did not ask for all of this.  I am with you.  I was injured dec 2009.  I just want my life back.  How long has your shoulder hurt.  My started to hurt in Oct.  The doc said give it time.  I really do not feel much of a difference since the last surgery.  I just trying to be hopeful.  What is a SLAP tear.  I just do not want to go through another surgery.  Email me any time.

Karen

Offline dm

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Re: MFC allograft & reconstruction of MCL finally had surgery
« Reply #14 on: January 16, 2012, 05:21:09 AM »
I feel for y'all - walking around on failed mfx... and I think I blew my acl repair a few weeks ago. refuse to have oats allograft done, seems pointless with the level of damage my knee has - to make more holes in it to fix the one on the weight bearing surface... and I've no meniscus on that side anyway... so I'd just be beating on the repair from the get-go... so no, I don't think so.

I'm getting another opinion... if my acl repair did go... and with the failed mfx, and with grade 4 damage to the patellofemoral compartment.... I'm thinking tkr is my better option... and a shorter recovery... doesn't matter that I'm only 40... there's too much wreckage here IMO....

I have been living in chronic pain the last several years, and falling and wrecking my knee real good a year and a half ago (july '10) didn't help. I've been walking on a hole in my femur for almost a year - my pain levels are not nice... and they get worse when I try heavy activities like yardwork.  At least my OS has been decent enough to give me a reasonable enough supply of decent painkillers so that I don't suffer. He knows I hate taking them and don't take advantage of having them, so he gives me enough to get by with. I'd just like to get the dang thing fixed so I don't need any pills!
multiple arthroscopies 2/00,3/01,6/01,1/03, 12/07,10/10. chondromalacia, severe medial joint space narrowing following 3 partial menisectomies, chronic pain problems, kneecap problems, OCD lesion, failed mfx.