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Author Topic: 16 y/o daughters osteochondral allograft  (Read 19040 times)

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Offline xclaxmom

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16 y/o daughters osteochondral allograft
« on: September 06, 2013, 02:25:01 PM »
I thought I should try to post my daughters story to out help others that may have some questions regarding this surgery. This board helped us when we were trying to figure the whole thing out.

My daughter had a previous previous microfracture ACI biopsy, and lateral release last year. We were told by her previous OS that she had a torn meniscus but came out of surgery being treated for a defect on her trochlea. We had never even heard of any of these conditions or treatments.  So it was definitely a shock.
After first surgery, the pain never went away. She says pain got even worse.  After not really feeling comfortable in her pediatric OS experience dealing with cartilage we decided to take her to some specialists to get their opinions. That is where we landed with her needing an osteochondral allograft.


Offline xclaxmom

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Re: 16 y/o daughters osteochondral allograft
« Reply #1 on: September 07, 2013, 03:58:31 PM »
Home from the hospital. Surgery lasted 1 and 1/2 hours. She was in hospital for 2 nights. She is in a locked brace and can be full weight bearing as long as brace is on.  She has no exterior stitches to be removed, just glue so she won't have her next Dr. appt. for 4 weeks.  She was able to shower which she said felt great. Pain has been manageable.

Offline thornburg

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Re: 16 y/o daughters osteochondral allograft
« Reply #2 on: September 08, 2013, 02:30:38 PM »
wow .. full weight in the brace!  that is awesome!
(I was told no weight bearing for 6 weeks - our difference might be location of implant)


How is the bending?  can she bend it yet?  how about a leg lift?   from past history, the leg lift is key!

Awesome she seem to be doing well .. keep up the great recovery!


Offline xclaxmom

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Re: 16 y/o daughters osteochondral allograft
« Reply #3 on: September 08, 2013, 03:26:25 PM »
We were told that she doesn't engage the trochlea until her leg is bent, which makes since because squatting and stairs, etc. hurt her the worst.
She can't really lift her leg yet because of the nerve block I think. 
Therapy wise, she can bend to 45 with NO weight but she can just go to maybe 20 because it hurts.
No cpm.
With her microfracture, she was at 50% weight bearing In locked brace. It's interesting how every doctor has there own protocol.
I don't know if you have used an ice machine or plan on using one but my daughter loves it. Her Dr. felt a bag of peas worked as well but she really wanted one so we bought one off of Craig's list.  It was a $25 worth spending.

Offline xclaxmom

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Re: 16 y/o daughters osteochondral allograft
« Reply #4 on: September 14, 2013, 02:55:34 PM »
10 days post op
She went back to school 5 days after surgery with no problems. She also went to therapy twice last week and was able to bend to 45 and multiple different straight leg lifts with her brace on. Her quad is firing but her pt wants it to fire more.  I don't think she has had any pain , possibly she just hasn't told me but she's not taking anything either.
All in all things are going well except for the fact that she can't drive. For a 16 year old to have her independence taken away I think is the hardest for her.  I have to remind her it's just temporary.

Offline thornburg

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Re: 16 y/o daughters osteochondral allograft
« Reply #5 on: September 14, 2013, 11:18:59 PM »
Back to school after 5 days .. wow, very impressive!  to be young again!   ;D
Good for her .. I am so happy to hear she is doing so well and progressing along at a fast pace

I get the independence issue .. i struggle with that too and this is my 5th knee surgery in 4 years, it does not get any easier, unfortunately!

Well, I am so happy she is doing well!

Offline Heidi Ductable

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Re: 16 y/o daughters osteochondral allograft
« Reply #6 on: September 19, 2013, 10:46:51 PM »
How's your daughter doing this week?  I hope all's well.

Maybe she's even started to enjoy having a chauffeur?  (wink)  I wish...

Offline thornburg

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Re: 16 y/o daughters osteochondral allograft
« Reply #7 on: September 20, 2013, 05:20:41 PM »
Hows the daughter doing?   She managing school, crutches and such ok?

Is she weight bearing or not too?  She been allowed to do anything more in her rehab protocol?

just wanted to check in!

have a good weekend and talk to ya next week!
- thorn

Offline xclaxmom

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Re: 16 y/o daughters osteochondral allograft
« Reply #8 on: September 20, 2013, 10:46:38 PM »
Hi Heidi and Thornburg my daughter is doing good thanks for asking.

Nothing too exciting to post. My daughter is just over 2 weeks post op. Her quad is firing much better. At pt they added leg lifts without the brace on, which she says is much harder to do without her brace because it's hard to control leg to stay straight even though there isn't the additional weight of the brace. He also has her doing some stretches. She would like to do some core workouts but she feels it in her knee so she stops.

The glue on her incision is completely gone and scar looks good. Hers is on front of her knee cap. Maybe 5 inches long. Swelling is a better, she is still icing 15 min at least 3x a day.   She has completely ditched the crutches. 100% weight bearing if brace is on and locked at 0. She is very happy to not be using crutches this time around. She is only allowed to flex to 45* when non weight bearing, that is no problem.


Offline thornburg

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Re: 16 y/o daughters osteochondral allograft
« Reply #9 on: September 21, 2013, 02:51:33 AM »
Hi again!

After reading your post tonight, it finally hit me it sounds like your daughter's rehab protocol is very close to what my ACI protocol was from my 2009 surgery.   I was able to walk in a brace, no bending.  I am the opposite now .. I can bend all I want .. no weight!

Since I had my allograft in different place than your daughter, our post op instructions appear opposite.

I have the same scar (in fact he went down the same place as from my ACI surgery) ... doc said .. why give you another!  I was like, thanks!  Mine is about 6 inches down the middle too!

Super glad to hear she is doing so well .. sounds like I am jealous of her walking without crutches and she might "envy" my bending!   ;) :o :)

tell her to keep up the leg lifts ... they are important!

talk to you later! 

Offline xclaxmom

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Re: 16 y/o daughters osteochondral allograft
« Reply #10 on: September 24, 2013, 01:12:35 AM »
Hi all.
Nothing too exciting happened today or over the weekend, but for some reason my daughters knee has been aching. Hopefully it's nothing to worry about.

Offline xclaxmom

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Re: 16 y/o daughters osteochondral allograft
« Reply #11 on: October 01, 2013, 03:50:25 PM »
Tomorrow is her 4 week anniversary.
The ache that she was having last week is gone. She felt like it was soft tissue rather than from the graft area. Really no changes at therapy or increase in her range of motion. She has her 4 week appt. on Friday so that should be a little exciting with some changes.
On a different note. She was asked to homecoming. So dress shopping with her brace, well, it is was it is.  She is really hoping to where heels but she never wears them and Im too worried about the instability.  She insists that she'll ask the Dr. for his permission.
Hope everyone else is doing well. Heidi and Thornburg sounds like you both are doing great.

Offline Heidi Ductable

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Re: 16 y/o daughters osteochondral allograft
« Reply #12 on: October 04, 2013, 07:15:48 PM »
Great story! Glad she's well. Congrats to her on being asked to Homecoming!  I can't even imagine trying to dance in heels right now, though.  If the doc says no, just remember... there's always the prom!  ;)



Offline xclaxmom

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Re: 16 y/o daughters osteochondral allograft
« Reply #13 on: October 05, 2013, 02:50:33 PM »
4 week post op doctor visit went well for her. Dr. said she didn't need to wear her knee brace at all anymore. It was a total surprise. We thought he would say start slowly increasing rom but nope , she's going from 0 to walking. She is do go to therapy 3x a week and is able to bike as much as she wants and a lot of other stuff.  The only important thing is that she is not engage her trochlea by squatting or going up stairs.
My concern is that without her having her brace on, she will forget she just had surgery and hurt it again. After all it's only been 1 month.
Next appointment is in 6 weeks. Dr. said after next appointment she'll be released for everything except competive sport. Seems to good to be true. Hopefully the old pain won't be there.
Take care.

Offline thornburg

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Re: 16 y/o daughters osteochondral allograft
« Reply #14 on: October 11, 2013, 03:07:53 PM »
Hi!

That is great news she is released to do more stuff/activities!!   good for her, I am sure that makes her feel good being able to use the leg/knee more.

Mom ... ( ;)) her knee will quickly tell her what she can and cant do ... it will be fine!   ::)
stairs are tricky ... just remind her to think before she approaches stairs .. otherwise she will go flying up them and then .. Ouch (speaking from previous experience).   :-\

How is her rom/bending ... much pain there?   Good luck in PT and keep us posted on how the knee reacts to all this new activity!