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Author Topic: osteotomy and microfracture recovery  (Read 1211 times)

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Offline markyg

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osteotomy and microfracture recovery
« on: July 29, 2014, 09:57:45 PM »
Hi
I am considering having an osteotomy and microfracture op which has been recommended to me. My concerns are over post op recovery time and what i will be able to do with regards too sport and activities.
Im 42,  very active, enjoy the gym and train in jiu jitsu and martial arts.

Is there anybody out there thats has had this op and how quickly can i exoect to get back too what i enjoy, or is that just not going to happen?

Thanks

Offline Vickster

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Re: osteotomy and microfracture recovery
« Reply #1 on: July 29, 2014, 10:34:35 PM »
What sort of osteotomy, which bone is being repaired? It is likely that you won't be able to do anything full on for 3 months, longer for the martial arts.  You'll be non weight bearing for a while, then you'll need physio, then gently back to sort.  You need to discuss this with your surgeon and physio as all protocols and patients are different
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 markyg

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Re: osteotomy and microfracture recovery
« Reply #2 on: July 29, 2014, 10:51:49 PM »
Its hto. Outside of left knee. The flexibility in my knee isnt great now and it is constantly swollen. Its not stopped me doing my activities however, im worried if i dont get it done now it will get worse or be too late. I saw a specialist  2 years ago and he recommended the op back then. Ive stopped running as my knee cant deal with the impact and at the gym ive had to be carefull with squats etc.
I see mixed posts on here about limitations of what you can do post op. Any views would be good

Offline Vickster

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Re: osteotomy and microfracture recovery
« Reply #3 on: July 29, 2014, 10:59:19 PM »
Look at posts from Guam and wonkeydonkey, fairly recent HTO patients.  Look through the changing forces through the knee posts.  I would expect the metal work will cause limitations, but can be removed.  Make sure you have a surgeon who does plenty of osteotomies.  Why are they doing microfracture rather than a more up to date repair technique if you are having the big open surgery.

What can be done really does vary from individual to individual, you just need to make sure you are diligent with rehab, follow the surgeons instructions and dont try to overdo it.  HTO is a big surgery

Good luck :)
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 LAS

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Re: osteotomy and microfracture recovery
« Reply #4 on: July 31, 2014, 04:43:10 AM »
Hi there:  Just wanted to say that my daughter-in-law had the HTO procedure done in Boston at 27 years old.  She had a malalignment condition.  She was 3 months non weight bearing, 6 months in PT and probably a good year before she could get full extension of her knee.   Two years later she had more surgery in that same knee, it was some sort of adjustment to the first surgery (not sure what the surgery was called).    It's a difficult surgery and you  won't be doing anything fancy for  3-4 months at the very least.   You really should get several opinions for a surgery like that.  I agree that the microfracture doesn't seem appropriate.  I would think while they are in there they would do something more sophisticated.   I don't think the microfracture will hurt but it doesn't do a lot of good most of the time.   She is doing fine now but it was a long road.  She didn't go back work for 3  months because she had to be on the CPM machine 12 hours a day and has a desk job.    Hope this helps and good luck whatever you decide.    LAS

Offline markyg

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Re: osteotomy and microfracture recovery
« Reply #5 on: July 31, 2014, 09:42:52 AM »
Thanks for comments. It certainley sounds like microfracture isnt the way to go. Has anyone got any experience of alternative procedures and how successful they have been

Offline Vickster

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Re: osteotomy and microfracture recovery
« Reply #6 on: July 31, 2014, 10:22:33 AM »
What country are you in?  If the UK, try to get a second opinion from Adrian Wilson who is the foremost osteotomy surgeon and also does cartilage repair (I don't know if the latter on the NHS though)

http://hampshireknee.co.uk/

I discussed DFO and cartilage repair (MACI) with one surgeon a few years ago - was told it was too much surgery to do in one go, so you definitely need to understand what the recovery and rehab is going to be like.  Both elements carry considerable pain and recovery times

Good luck :)
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 tinydinosaur

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Re: osteotomy and microfracture recovery
« Reply #7 on: July 31, 2014, 08:21:27 PM »
i've heard that if you are unicompartmental (one side of knee) that an unloader brace might do 'wonders' for you. basically if offloads onto your non-damaged side of knee, buying time. try one out if you can, they are kind of expensive.

i had a (patellar) osteochondral allograft and was NWB for eight weeks, it's a long recovery, they expect 'full' recovery within a year. ie. back to working full time, back to low impact activities. it differs with each person and surgeon though. if it significantly impacts your daily life it would be worth it if you can afford the time to recover. if not, definitely look into alternative options.


Offline markyg

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Re: osteotomy and microfracture recovery
« Reply #8 on: July 31, 2014, 10:11:16 PM »
Ive tried a couple of braces. They havent really made much of a difference.
To be honest i dont really get any pain from my knee unless i have been doing heavy exercise over a period of time. With my work im often on my feet all day and that doesnt help however ive just got to the discomfort and swelling.
Its good to hear all the advice and views.
Im still struggling with the desicion of wether i should get this op or not

Offline markyg

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Re: osteotomy and microfracture recovery
« Reply #9 on: July 31, 2014, 10:11:24 PM »
Ive tried a couple of braces. They havent really made much of a difference.
To be honest i dont really get any pain from my knee unless i have been doing heavy exercise over a period of time. With my work im often on my feet all day and that doesnt help however ive just got to the discomfort and swelling.
Its good to hear all the advice and views.
Im still struggling with the desicion of wether i should get this op or not

Offline LAS

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Re: osteotomy and microfracture recovery
« Reply #10 on: August 01, 2014, 03:37:31 AM »
Hi markyg:  I also wanted to say that my daughter-in-law could not drive as well for 6 months.   I don't  know which knee it is for you but don't plan on driving for a while if it's the knee you use for driving.  She had to be driven everywhere.  Drs. appointments, physical therapy 3 times a week, grocery shopping, anything that was done outside the home.   Her husband had to work all day and therefore she had to depend on us during the day. I would suggest if you do have the surgery get a wheelchair to use with the crutches.  She would not use a wheelchair and that made it more difficult to get around.   Mostly it will be easier for your that way.  I'm not trying to scare you out of the surgery but this is an understatement of what the recovery was.  Hopefully you have somebody to help you and depend on.
Best of luck.  LAS
















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