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Author Topic: Osteochondral allograft  (Read 18917 times)

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Offline thornburg

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Osteochondral allograft
« on: August 28, 2013, 09:51:32 PM »
Hello all -

This is not my first rodeo on knee geeks, but it is my first time down the Osteochondral allograft road.
I had an Patella ACI back in Dec 2009 that took but now the medial tibial has fallen apart and since doc does not really think a PKR or TKR is the answer yet due to age and activity levels .. we are going with this approach. 

I am curious, how many of you out there have had both:  ACI and Allograph?   Post op pain about the same?   I am mentally dreading the long rehab for this surgery, doc said its very similar to my ACI rehab.  So, I am starting to get mentally geared up as I went on the donor list today. 
How long have most of you had to wait for the donor tissue?

I think I have a pretty good concept of what to expect post surgery regarding pain and rehab, its the pre (waiting) that is a challenge this time around.  How much time has everyone had once donor selected and surgery was performed?

Well ... any insight or experiences and suggestions anyone is willing to share would be greatly appreciated it.   


Offline xclaxmom

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Re: Osteochondral allograft
« Reply #1 on: August 30, 2013, 01:26:50 AM »
Hi. My daughter is having allograft surgery on Wednesday so I don't know how compare the pain level or rehab with an aci  surgery.  I can say that it took 4 weeks for insurance approval and another 4 weeks  to find a match.  Good luck.

Offline thornburg

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Re: Osteochondral allograft
« Reply #2 on: August 30, 2013, 01:47:04 PM »
Ya, i had to fight with insurance too .. the ACI was much harder to get approved cuz when I had that procedure it was more of "experimental".   I took me about a month too for approval for the allograft cuz its on the same knee.  (I am sure my insurance company just wants me to get a new knee and be done with it all!)

Thanks for the info on how long for the match ... I assumed based on what my doc said 30-45 days for match.  I am trying to prepare but dont want to get to anxious as it may be a longer wait. 
once they called with the match, how quickly was surgery scheduled?

Good luck to your daughter!! If you dont mind, keep me posted on her recovery and rehab.
How old is she?  Where is her defect on the knee?

Best of luck!

Offline xclaxmom

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Re: Osteochondral allograft
« Reply #3 on: August 30, 2013, 04:16:32 PM »
My daughter is 16. She had microfracture and a lateral release by a local pediatric surgeon. The microfracture failed. Her defect is on the outer part of her trochlea. Not sure how or when it originally happened, probably OCD or sports. We were given a heads up that graft was available and being sent to testing, then about another week for surgery. 
We weren't sure if insurance would even approve it because original ortho harvested for aci and did that whole thing but they did.

Offline thornburg

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Re: Osteochondral allograft
« Reply #4 on: September 06, 2013, 09:47:52 PM »
Well ... here I go again is my theme for today!

Got a match already ... doc office called today.  So, surgery is Tuesday afternoon!   While I wanted surgery soon, next Tuesday (9.10) was not quite what I had planned.  How does one get their life in order for non-weight bearing for 6 weeks in 3 days? 

You would assume by me going through this before with my ACI surgery, I would be all calm and ready for this.  I must admit, NOT!!!   

I dont even know where to start .. gotta get work/employer up to speed .. prep the house and living conditions, rearrange appointments and fun stuff I had planned.   OH ya, find my crutches!  ha!!!

the goal of this journey, pain free walking.. right!!   keep focus on the goal!  ;-p

wish me luck .. I will drop in post surgery and share some of the experience for anyone who wants to read about it.

Offline xclaxmom

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Re: Osteochondral allograft
« Reply #5 on: September 07, 2013, 04:20:36 PM »
Good for you. That was fast. With your surgery being so close to my daughters it will be nice to compare the two recoveries.
Were you told how long you were going to be in the hospital?  Probably similar to your ACI surgery.  Good luck with your surgery. I'll be checking to see how your doing.

Offline thornburg

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Re: Osteochondral allograft
« Reply #6 on: September 08, 2013, 02:26:45 PM »
Yes, surgery is coming fast.  I was very surprised to hear a match was found so darn quickly.

I am in the hospital 23 hours (love insurance rules) ... so I will be home by Wednesday morning.

Yes the compare will be good, however I am 44 .. she has age and youthful parts on her side with recovery!  ;-)

Hope her recovery is going well, so far!  She is the CPM machine and for how long each day?
How is her pain tolerance?

Offline xclaxmom

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Re: Osteochondral allograft
« Reply #7 on: September 08, 2013, 03:03:52 PM »
Lol. Hers was supposed to be the 23 hr. observation too, but her block was just starting to wear off at the 23 hr. mark.  She was starting to hurt some, and we had a 5 hr. drive home so they kept her the night. I think it was a good decision because she felt comfortable in the morning. 

She was taking Percocet, but yesterday she took only 2 ibruprofen 2x all day. She said it hurt some but it was really not bad.  Hopefully yours will be the same.

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #8 on: September 09, 2013, 05:30:22 PM »
Good luck tomorrow, Thornburg.
I'm 3 1/2 weeks post-op and had an osteochondral allograft done in NYC.

In terms of prep... here are a few things I wished someone had told me in advance.
(1) You'll definitely want to buy a shower seat...if nothing else than to rest on it while you lift your feet over the tub and into the shower.
(2) I had no idea I was supposed to be on the CPM for up to 4 hours/day, and on the GameREady ice machine for 2-3 hours/day. All those hours KILL productivity, in case you were hoping to get any work done during the first three weeks post-op. You have to be flat on your back for the CPM, so it's hard to read, and using a laptop is sort of out of the question.
(3) If your doc has you use the GameReady ice machine, you're going to need (a) a TON of ice, so you might want to go out and buy several bags now and (b) make sure you have someone to help you load it and carry it over to a chair at least twice a day, since this will be impossible with both hands on your crutches.

As for pain... I didn't have anything but the allograft done... but it was really not bad. I stopped taking percocets after 2-3 days and have taken nothing since (except 1 low-dose aspirin a day to prevent thrombosis or whatever it does).

The biggest thing, I thought, was the huge time drain with the machines. But there's no getting around it, so just do it.

For anyone else... I'm wondering if you had trouble doing a straight leg lift with the operative leg after 3 weeks. I know I don't atrophy that fast, and I was doing them in the gym before the op, so... what gives?


Offline thornburg

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Re: Osteochondral allograft
« Reply #9 on: September 09, 2013, 09:14:08 PM »
Hi Heidi -

thanks for the info .. yes, I have a shower seat .. I know all about the CPM machine and how it fills hours in your day.  The post op protocol for this surgery is extremely close to my ACI a had a few years ago.  I was just not sure of pain .. close to or worse or better.   From what I am hearing, might be better!   

My previous ACI surgery, I could not do a leg lift for a very long time.  Actually had to get a machine to use at home to engage the quad so I could eventually do one ... that was hell getting to point, if I may be so blunt.

I have been doing leg lifts several times a day getting ready plus what I call "surgery training" to build my quad as much as I could .. it will be the last thing I do before they knock me out too ... hopefully my brain will talk to my quad a few days down the road and say, lets do this!  LOL
Since surgery came up fast, my prep was not as far along as I would have liked.

I did not have a gameday ice machine .. dont think the plan is to have one again either .. but I have a cryo-cuff that i have learned to love over the years.

what degree have you bent your knee to yet without the CPM?   have you started PT Yet?  are you allowed to ride a stationary bike or water therapy at the gym yet?

I'll talk to you all on Wed!  thanks for the well wishes

thornburg99

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #10 on: September 09, 2013, 11:51:31 PM »
Hi Thorn,

My tissue match came quickly, too. I had about 2 biz days to get ready. Oh well.

I haven't started PT yet. I think it begins 6 weeks post-op. I got up to 115 degrees flex on the CPM before I sent it back at the 3-week mark. Without it... I can do at least 90 because I'm trying to sit normally at my desk right now-- maybe a bit more than that because I've been on the recumbent bike for the past 3 days. (The first revolution has been impossible every time, but eventually you'll find a way make it happen, even if it means 1000 tries and hugging your leg with both arms to help it get around initially.) The funny thing is that even though I was able to pedal for 45 minutes on my second day of biking, I still haven't been able to produce enough power yet to actually get the bike's program display lights to go on --but I'm still non-weightbearing, so... maybe that can be my next mini-milestone.)  No pool stuff yet. Actually, if the doc prescribes water therapy, I have no idea what I'll do. My gym doesn't have a pool. In NYC, not many do. Also, my options are limited because I don't own a car, so my legs are my wheels and I can only travel as far as my crutch muscles will take me right now.)

All the best tomorrow in the OR. And remember to savor your last shower!

Offline thornburg

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Re: Osteochondral allograft
« Reply #11 on: September 11, 2013, 09:57:04 PM »
Hi Heidi and xclaxmom

I am home and its 24 hours post op .. I am in a TON OF PAIN!   OMG, i fee like my knee got hit by a bus!!!  I mean to tell ya, it just throbs too!  Once the full leg nerve block wore off, all hell broke loose regarding pain!

I am taking pain pills every 6 hours and have another type of pain pill for break-thru pain too ... taking those every 2-4 hours.   I almost want to say my pain is worse or maybe just very different from my ACI.  Where the plugs are .. very intense pain.  They said the next 3 days are gonna be bad and to stay the course with my pain meds regardless of how I feel.   Saturday, I can see if I want to back off on the meds or not.

Surgery was a success, at least technically per doc.   He plugged my medial defect area with 2 plugs, microfracture my trochlea and then found a brand new spot on the lateral side .. so he plugged that too.  The new spot, the cartilage was just falling off like old wallpaper.  He said, if we did not fix that while he was in there, I would be telling him that hurt very soon.   It was on the way to shredding off and bone being exposed.  (I have awful cartilage apparently)  Docs assistant, in short says .. your knee is a hot mess!  ;-p
I dont know the size of my defects, but will get that at my next appointment and share.

I am in the CPM machine at 35 flexion .. oh how I hate this machine!  I am non weight bearing for 6 weeks and no stairs or inclines for 4 months.  I get my staples out on the 20th and will talk next steps in rehab then.   My first goal, a leg lift .. gonna try this weekend.

How many areas did you gals have fixed .. more than one plug?  any microfracture too?  the doc seemed to hit my entire knee with something, maybe that's why it hurts to darn bad!

how are you both doing?  xclaxmom - your daughter is about a week ahead of me .. how is she managing now?   Heidi - you are way ahead of us ... so your over the worst pain, right?

I will check in later in the week and share how I am progressing.  I will post pics if you gals are interested in seeing.  I just need to scan to the computer, I have hard copies doc gave me.

hope you both are doing well .. more later!

Offline xclaxmom

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Re: Osteochondral allograft
« Reply #12 on: September 11, 2013, 11:01:49 PM »
Glad to hear surgery went well, sorry about all the pain. It does get better though. I would have to agree that at the 24 hr. mark was the worst pain wise. Then day 3-4 my daughter kicked the meds completely.
Sounds like your whole knee got a little work. I'm sure that hurts a lot more than just her nickel size plug. Take care.

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #13 on: September 13, 2013, 12:34:32 AM »
Hi Thornburg,

I'm so sorry to hear that you've been put through the ringer. I definitely think the pain is compounded by the multitude of procedures you had. Also, the number of plugs. (I was fortunate to only require one plug, nothing else, and I hesitate to say it whileyou're ailing, but was only on percocets for 2 days.) It will only get better.  Can't hurt much worse, right? 
 
The most important thing is that the operation was a success, and it's a REALLY good thing that you had donor tissue on hand so they could repair everything from the same match.

Just hang in there. As much as you hate the CPM... it does make the days go by faster.  And if you have some friends or family around, don't hesitate to surround yourself with their help.

Now, if you can do a leg lift in the first week post-op, I will be simultaneously impressed and jealous!! Let us know!  Either way, you're motivating me to try harder.

Meanwhile, I saw the doc today (4 weeks post-op). He said I can move from the recumbent bike to the upright bike now. So I tried the upright today and while I was able to crank out 45 minutes on the recumbent yesterday -- just enough to get the program lights to stay on-- I could only do 20 revolutions on the upright bike. He also said that after 6 weeks on crutches, expect to spend another 7-10 days on crutches while transitioning to full weight-bearing. I didn't see that coming.

I have a feeling that once you get over the hump with the pain, you'll sort of like aiming for these small milestones -- and, as you know from past knee surgery, there will be plenty. Progress is nice, even if it's just 1-5 degrees on the CPM. It'll happen. Hang in there. I hope you're able to get some sleep soon.

All the best

Offline thornburg

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Re: Osteochondral allograft
« Reply #14 on: September 14, 2013, 11:28:19 PM »
5 days post op ... (Saturday night)

Pain is much much better .. have not taken a pain pill all day!  However, I still cannot do a straight leg raise .. so frustrating. I keep trying and my leg just lays there!  ha!
I can so my side and inner lifts ... just the quad wont wake up!   Calling the Doc monday morning to see what they want me to do about the quad.
Sleeping is better now too .. coming off all the pain meds has to go to help my overall mood too. 

Had a few breakdowns cuz I get frustrated I cant do stuff on my own .. but in the same breath I knew those would happen too.  Showering and keeping the knee dry is a pain in the butt .. I am over that again already!!

CPM machine ... been living in the machine and up to 55 degrees tonight so far .. hoping to hit close to 60 by the time I head to bed.  I try to up the degrees every few hours.

Not much else to report, its all going the way I expected .. i'll drop back in after I call on monday for what he wants to do with the quad / leg lift.

I will say, each knee surgery gets harder to recover, I hope I dont ever have to do this again!

Let me know how everyone is doing too .. keeps me positive that it will get better!

take care!

Offline xclaxmom

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Re: Osteochondral allograft
« Reply #15 on: September 15, 2013, 03:26:06 PM »
Hi. I'm very happy to hear your pain is a lot better.
Did you have a nerve block? That may be why your quad is asleep. My daughter used the Velcro straps on her brace to assist in doing leg lifts the first couple of days. Also her nurse suggested she drink a lot of liquids to flush out all the toxins from all the meds that were put in her body to recover faster.
Your doing great considering surgery was less than a week ago.

Xclaxmom.

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #16 on: September 15, 2013, 11:09:19 PM »
Hi Thornburg,

What you're going through sounds familiar. I could do inner- and outer-thigh leg lifts right away post-op, too. I still can't do a straight-leg lift and I'm coming up on 5 weeks post-op.  I asked my brother about this (he's an orthopedic surgeon) and he said they probably cut your retinaculum during surgery and it'll take time to heal. So what you're experiencing isn't atrophy. It's likely mechanical/anatomical. Right now, I'm trying to see if I can sit on the edge of the bed and lift my lower leg so it's straight out - flush with my knee. That, too, seems like Mission Impossible.  The spot below my knee is just so weak. I'm not worried about it, though. I'm just working at it. I think being allowed to ride an upright bike will help a lot. But remember, it was 4 weeks before I was permitted to do that, and I'm athletic. Sounds like you are, too. So... time & patience.

I can also relate to having meltdowns because you get sick of asking other people for favors all the time. Same here!  Once you're allowed to send that horribly dull CPM machine back, you might get to do some activities that get your muscles firing again and that will help psychologically because you'll feel like you're achieving something. The muscles will come back fairly quickly -- much faster than all the stuff that had to be repaired. 

What did your doc say about non-weightbearing?  How long did he/she predict you'll be on crutches?

Offline thornburg

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Re: Osteochondral allograft
« Reply #17 on: September 16, 2013, 02:14:50 AM »
Woo Hoo !!!! :) :) :) :)

I did a leg lift tonight!   then I did about 10 of them and my leg got really tired!   I am going to try to do them every hour that I am not in the CPM machine!   I am so happy with this little victory!
(I am nervous about trying again, but sure it will work a 2nd attempt too, right!)

Hi xclaxmom -
Yes, I had a nerve block .. from what I remember, i had three shots in various parts of my leg to numb it all.  It lasted almost 24 hours. This nerve block worked alot better than my from 2009 surgery!

Hi Heidi -

I am non-weight bearing for 6 weeks!  once I can to a leg lift and leg "feels" more sturdy, I can stop wearing my brace too.  Last time I still wore my brace out in public until I was off crutches .. will probably follow that same path this time.   god forbid some knock me down without my brace on! 
Its ironic you say the spot below your knee is weak .. mine feels tender to touch there!

My biggest next goal is to get the knee bending more on it own, like when sitting in a chair vs only bending in the cpm machine.  I am probably 15-20 degrees when I am on the floor and pull it towards me on the floor.  I remember from my last surgery, making it bend HURT more than anything! 

Yes, i do consider my self an athletic and outdoor gal ... love riding my bike (in town or on trails), swimming, martial arts (boxing and krav maga), anything outdoors (hiking, yard stuff).. used to love to run but after my knee surgery in 2009, had to give that up for life! 

I know time and patience, but as you related to .. its hard some days!  I am sure I will have more of those frustrating days, its only been 1 week and I got 5 more weeks on crutches ... then I am sure few months down the road when I want to go do something, the knee will remind me .. not ready yet!  ;-p
I experienced alot of those from my ACI surgery .. the knee was like, hello .. do you remember what you did to me!  LOL

Well .. just wanted to drop you all a note that I did get a leg lift today and knew you all would understand my victory!  Thanks for the support!!!

Have a good week all and I'll check in later and share any updates that occur.  If you ladies have any updates .. please share too!

take care!

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #18 on: September 16, 2013, 02:07:15 PM »
Excellent! Congratulations on your leg lifts, Thorn!

By sheer coincidence, I did my first straight leg lift last night, too!  I was just sitting on the couch playing with an old Thera-band and realized I could lift my leg if I used the tension of the band. Then I tried it with less tension, and pretty soon... voila!! No hands! 

Like you, it wasn't only one lift, but I could crank out 10 of them (and do multiple sets). 

YES!!!  High five to you, Thornburg, wherever you are!
« Last Edit: September 16, 2013, 02:10:48 PM by Heidi Ductable »

Offline thornburg

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Re: Osteochondral allograft
« Reply #19 on: September 18, 2013, 02:18:49 PM »
Awesome news Heidi !
that is a very cool that your quad "clicked" and leg lift craze begins!   

My leg lifts still hurt, the first several of them are still a challenge but I find the more I do during a session it is getting easier!
I am hoping when I see doc on Friday, that I am released to ride the recumbent bike at the gym.  That will help my psychological issues greatly.

I am seriously struggling with the lack of mobility and crutches this time around.  I am wondering if it is because surgery came so quickly after I gave the go ahead for donor tissue hunt and I was not as mentally ready as I thought I was for this.   Plus the weather here in Indianapolis has been wonderful and I look out into my yard and see thing after thing that I need to get done. 
and I miss riding my bike .... really really bad! 

so, are has anyone be permitted to weight bear sooner than the 6 week mark that I have been given?
right now 6 weeks seems like FOREVER!

Ok, enough whinning for today!  thanks for listening!  ;)

hope everyone is doing well .... checkin with ya later!

 

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #20 on: September 18, 2013, 05:46:39 PM »
Hi Thorn!

Mobility issues, hmmm... once again, we're thinking the same thing at the exact same time. I went to my first PT session yesterday via New York City subway. Getting there was okay (once I squished myself and my crutches through the narrow turnstile and practically had to beg someone to give up a seat before the train started moving). Getting home was less fun. Weaving through morning rush hour pedestrian traffic in Times Square (when everyone was looking down at their smartphones)...long sets of descending stairs -- have you figured out yet what to do with your spare crutch while you've got one hand on the railing?  (I was so desperate that I started asking strangers to carry it down for me. Five people blew by me and ignored the question before a Scandinavian kid finally agreed to do it.)

As for weightbearing prior to 6 weeks post-op... my doc said that even a month might be on the early side. BUT he also added that there's no hard science on when to start, so your doc might advise differently. Personally, I don't feel any more mobile now that I'm allowed to put 25-40 lbs on it (fwiw, 25 lbs is roughly the weight of your leg), but it's nice to feel the ground again and roll my foot through the stride a bit. More than partial weightbearing, the A#1 thing that's helped me the most -- and has given me a LOT more independence -- is being able to bend my knee 90 degrees and more. It means I can finally tie my own shoe. I can get in and out of the shower easily. I can sit at my desk without lugging a footstool across the room every time to keep it elevated.  I can sleep in any position I want. And stairs are a million times more manageable.

Anyway, I hope your appt on Friday brings you good news! Please keep us posted. Till then... enjoy the Indy fall!  Nice!
 

Offline thornburg

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Re: Osteochondral allograft
« Reply #21 on: September 20, 2013, 05:19:12 PM »
Hi all and Happy Friday!

10 days post op update and doc visit today!  Highlights:

1.  Swelling: knee looks great from a swelling perspective, swelling is not bad at all .. very proud of all the icing been doing!
2.  Bending is pretty good .. not awful and not great .. I am up to 75 on CPM and about 45-60 on my own.
3.  Staples out .. I can shower freely .. YEA!!
4.  No weight bearing (at all!) for 6 weeks ... not up for discussion
5.  Allowed to ride recumbent bike all I want as long as I dont push with my surgical leg .. its just gets to ride along
6.  Allowed to get in pool, deep end only and do flutter kicks and bicycle motions .. NO Swimming or other kicks and no walking in pool (yet)

I did get order for PT .. while my leg lifts are ok, doc really wants quad engaged more (seems I am using my hip more than realized) ... so gonna hit some PT sessions and do some bio-feedback stuff.  Just 3-4 visits so that in my 4 week follow up my leg lifts are nothing and I can do 50+ without any issues.

We did discuss me going back to work cuz I am bored ... but his decision/recommendation I am off till my next visit in 4 weeks.   Concern that if I go back, I will get behind my desk and work without moving my knee and not doing my rehab protocol which will result in swelling, less cpm time ... he is right, I would not cuz I would get sucked into working.  so .. rehab and exercise is my focus for next 4 week!   Considering all the effort we went thru for this surgery, need to rehab it or whats the point!   I hate it when docs are right!   :o

Overall, typical and standard outcome for the first post op visit!

Heidi -  Girl you get props from me!   Riding the subway on crutches for PT, in NYC .. OMG!   There is no way I could deal with that headache ... you go girl!!! ;)   just freaking amazing!   And here I sit and complain about not being able to get around the house as I want or go upstairs ... thanks for the reality check!   :)

Talk to you all next week!

Offline xclaxmom

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Re: Osteochondral allograft
« Reply #22 on: September 20, 2013, 11:53:14 PM »
Sounds like you had a good doctors appointment Thornburg. I told my daughter that you were allowed to use recumbent bike and go in the pool.  She is soooo jealous but good for you. Keep up the good work.

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #23 on: September 25, 2013, 08:53:01 PM »
Hi Thorn,

How goes it?  I hope your permission to exercise (and shower!) is giving you a major lift. :)

Today's my first day of weight bearing, and I have one tip for when you reach 6 weeks post-op: if you can schedule a PT session for that first morning, I'd recommend it. I went in pretty nervous and came out pretty confident.  Sometimes it's nice to have someone w/experience help you get over the psychological hump. It didn't take a lot of hand-holding (and it probably won't for you either because you're an athlete, too), but it was just enough.  From there, I walked directly into Times Square during the morning rush. (I'm not crazy; I had to be somewhere. Really!) The challenge then became trying to find somewhere to sit when I had to bail out after about 5 blocks of turtle-slow single-crutching.

Anyway, I know you're not far behind. So keep up the great work in terms of icing and range-of motion stuff. If you're already working on getting your quads more engaged, then you should be in excellent shape once your R.O.M. comes around.   

All the best!

Offline thornburg

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Re: Osteochondral allograft
« Reply #24 on: September 27, 2013, 03:57:10 PM »
Hi Heidi  (and xclaxmom) -

So its 17 days post op ... almost 3 weeks!    ;D

Things are going great with the knee ... its the crutches that I am about to throw thru the darn window!
I am soooo (and I repeat, so) over them and the limitations with them.  I am so frustrated with them and the inability to manage on my own easily.
I honestly think, no weight bearing is harder than no bending (rules for my ACI surgery).   At least then I could walk around straight legged and mange a few things on my own.

Knee wise ... went to first PT .. drove myself .. OMG, that felt great.  PT was fine, nothing exciting.
Added a few stretches and exercises but as you both know, limited till weight bearing can occur in 3 more weeks!  BTW, Heidi .. thanks for the PT tip on weight bearing .. I will make sure I schedule it for that day!!!!  Plus you will hear a scream of excitement from Indy .. thats me semi-walking!

I am about 95-100 degrees bending on my own and my leg raises are getting stronger each day.  I think
riding the recumbent bike (even only a few times) has helped more than anything.  Its just hard to get to the gym (harder than I expected) .. from parking lot to actual gym part is quite a haul on crutches .. and seems to take me forever.  CPM is at 100 degrees .. tired of that contraption too!
Now, lifting my leg straight from the bent position, not so much.   Gonna talk to PT about that next week (I am doing twice a week for next 2 weeks).  Might be me "scared" or hesitant too .. we shall see.

Guess that brings it up to speed on my rehab and such. 

more later... take care!

Offline Heidi Ductable

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Re: Osteochondral allograft
« Reply #25 on: October 04, 2013, 07:28:01 PM »
How goes it now?
You're one week closer to weight bearing than last time. Getting psyched?

Just got back from a cross-country trip, and air travel wasn't too bad with one crutch (but it would have been nearly impossible with two crutches and no help)... and now... I think I'm finally crutch-free (nine days after given the all-clear for weight-bearing).  I still have to wear an unloader brace for three more weeks, though (which means more shorts, no jeans), but when I walk around now, my brain thinks I'm back to normal and can take my normal NYC pace. So the knee gets pooped when I'm about halfway to my destination. But PT went really well today. My balance is still there when I try to stand on the bad leg, I just have to get the muscles in the bottom of my foot stronger, etc...

So the message to you, Thorn, is to keep doing what you're doing (esp if stationary biking is allowed), be really diligent about it, and it will pay off. Once you wean yourself off crutches (and remember to be patient with that - your body will let you know when you've overdone it), it's a whole new world. Not quite normal, but newly familiar.

Offline thornburg

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Re: Osteochondral allograft
« Reply #26 on: October 08, 2013, 03:58:53 PM »

Four Week Post Op report

All is good, so far!   2 more weeks of this non-weight bearing ... I am starting to count the hours till I see doc and I am told, "go forth and walk"!!   ;)

Knee wise .. I am at 120 degree bend, leg raises no prob ... all my other exercises are going super well too.   I am down to PT once a week now since the knee looks and healing so good.
I ride the recumbent bike every chance I get (min 3 times a week) and each time at the gym I move the seat closer to the pedals.  I did over do it last week and my knee told me!   >:(

I still have a bit of swelling despite the icing I do ... PT says it really is not bad, it will take some time to work it out completely. I keep being reminded, it has only been a month!   ::)

I have now started scar and knee cap massages to get the knee cap moving a bit more easily.  Over all, it moves pretty good .. up and down it is a bit tight.

I wish I had more, but it is just more of the same at this point.  Looking forward to doc appt on the 18th.
I'll check in after doc appt and share what is up next.

hope everyone is doing well with their rehab too.

more soon!

Offline thornburg

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Re: Osteochondral allograft
« Reply #27 on: October 18, 2013, 04:53:12 PM »

6 Week Post op status after doc visit today

The knee looks great and Doc is very pleased (even a bit surprised) on how well I am recovering.
- minimal swelling
- very minimal pain
- good patella movement
- very good ROM (130 degrees)
- leg lifts are strong
- x-rays show the allograft plugs look good
- released back to work full time next week

I am allowed to begin weight bearing with transitioning to take 2-4 weeks.  WOO HOO !!!  :)
I am to take it SLOW!
I quote him "no pounding on that knee" ... slow to weight bearing, don't go messing this all up it has taken us to long and to many surgeries to finally get to this point!! 
If I feel pain when walking, back it down - add crutch(s) and try again in few days.

I can switch to 'regular bike' at the gym when I am off the crutches completely, until then stay on recumbent bike.  I can swim again, flutter kicks only (like with crawl stroke).
I am even released from PT with a home program, at this point since he is pleased with my rehab to date.

So, overall a good visit and heard the things I wanted from the doctor.   I see doctor again in 3 months!

I will drop in when I am free from the crutches and give another status update.
 

Offline xclaxmom

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Re: Osteochondral allograft
« Reply #28 on: October 18, 2013, 09:09:53 PM »
That's great news Thornburg. Keep up the good work. Your body is bouncing back quickly. Like the Doctor said, take it slow.

Offline thornburg

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Re: Osteochondral allograft
« Reply #29 on: November 12, 2013, 05:56:44 PM »
9 week post op status :

Going OK, cant really complain other than recovery moving slower than I desire.   No real problems or issues to report, just strength is gone and endurance is short.
I am finally off crutches, just came off the one crutch last week.  Have a bit of a limp/wobble but working to walk "normal".

I can walk grocery stores, target .. stuff like that then I am about done and have to give the knee a rest.
Swelling is minimal except when I really tax it or after a light workout.

I am in PT once a week (more for my own sake, to keep me in check from doing to much). I tend to go full steam ahead and my PT therapist helps bring me back to reality.   ;)

I am allowed to:
Leg press with both legs (really low weight)
Recumbent bike still (maybe move to "normal" stationary bike in a week or so)
work on putting all weight on surgical leg on flat level surface only (balance sorta stuff)
heel raises
almost anything straight legged (leg raises with low weight)
gonna start swimming next week

Over all things are good and I am progressing forward slowly, not much more to share!

hope every out there is recovering well too!

until next status ...



Offline thornburg

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Re: Osteochondral allograft
« Reply #30 on: February 12, 2014, 06:12:38 PM »
wow .. how time flies, thought I would take a few minutes and give an updated status!!!

22 weeks post op (5.5 months)

So .. saw doc at 4 month for checkup.. all looks and is where it should be in recovery/rehab.  I am in a very cautious time right now, knee feels good but not fully healed and little strength to the things I want.  I am no where near where I want to be .. patience was told to me again!!!

Pain it nearly gone .. at least the daily 24 hour constant pain like I had pre-surgery!!!  yahoo!
I do still have pain around bedtime if I have over worked or stressed the knee, but not nearly to the degree of pre-op!  But I will say, drastic weather changes .. my goodness .. those hurt!
 
I was released to start doing additional things;
1.  stairs (slowly) .. do them as the knee tolerates!   So far so good.  I have not done them to often, couple of times a day.  Going up is much easier than going down!
2.  Treadmill .. but that hurts actually so I dont do that
3.  mini squats, to about 45-60 degrees with no weight

At 6 months (few more weeks), I am released to start trying the following
-  elliptical machine
-  pivoting (like in my boxing classes)
-  hills and inclines, like baby hikes when weather breaks
-  leg presses with more weight (been doing for awhile but with like 50 lbs)
-  jumping rope
-  stability stuff, standing only on operative knee on a bosi ball

I mostly notice my knee is really unstable on uneven ground or were the knee works on balancing.
I live in snow country .. so walking in the uneven snow is a huge challenge and often aggravates my knee.

Honestly, I have been doing more swimming than anything for exercise and rehab.  I am looking forward to spring to really start getting the quad used in daily outdoor activities.  Its still so very week in my opinion!

So, overall its doing good!  I see doc at 7 months .. I'll try to remember to update post that visit!

good luck to all!

Offline newkirk101

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Re: Osteochondral allograft
« Reply #31 on: May 18, 2014, 09:16:54 PM »
Hi Thornburg-

I am 6 months post op oats allo.  I have two defects both about 1 cm. I cannot run but I can walk fine.  Going down stairs is difficult but I can put weight on it.  Are you able to run? 

Offline sbb89

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Re: Osteochondral allograft
« Reply #32 on: September 08, 2014, 11:05:07 PM »
Hello!
Your posts have been so HELPFUL to me. I have had 5 knee surgeries thus far and have been recommended an allograft.

I am wondering how yours worked, how that you should be close to fully healed?!
Please update soon, I am super nervous because no other surgeries have worked, so what means this one will!?

Offline ED_RN

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Re: Osteochondral allograft
« Reply #33 on: March 17, 2015, 05:33:09 PM »
This thread has been a HUGE help! Props for navigating NYC while on crutches. Am scared stiff about navigating my house and finding a ride to PT while my husband is at work. Great to know you were able to pivot so early, am looking forward to getting back to work once I'm able to do that. Thanks again!