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Author Topic: Cartilage Transplants in the UK  (Read 739 times)

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Offline thor999

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Cartilage Transplants in the UK
« on: December 22, 2014, 11:52:04 AM »
Hi folks
has anyone had a cartilage transplant in the UK? I've had a medial meniscus arthroscopy which has left me in pain and with next to no cartilage. :( I'm in my 40's and due to osteopenia I need to do impact sport/weight lifting. However the op has left me unable to do this and my thought is a transplant.

T

Offline Vickster

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Re: Cartilage Transplants in the UK
« Reply #1 on: December 22, 2014, 12:12:18 PM »
If you have a look in the meniscus forum, there are a few posters.  There are only a handful of surgeons that do meniscus transplants in the UK, and not necessarily on the NHS outside a trial (although as experimental, insurance companies will undoubtedly endeavour to wriggle out of paying)

http://www.kneeguru.co.uk/KNEEtalk/index.php?board=19.0

This guy is in the UK  http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=64148.0 (he has posted elsewhere too  http://www.kneeguru.co.uk/KNEEtalk/index.php?action=profile;area=showposts;u=37168)

Unfortunately, due to lower success rates and cost, they are generally reserved for younger patients (under 30) with no major damage to the bone surfaces.  You'd need to discuss options with the surgeon.  You may find an osteotomy to off load may help (or an unloader base), and delay the need for a replacement

There's some info here (and elsewhere on the site).  http://www.sportsortho.co.uk/left-navigation/treatments/knee/meniscal-transplantation

A physiotherapist should be able to work with you on suitable activities too

Good luck :)
« Last Edit: December 22, 2014, 07:58:58 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 ema_b85

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Re: Cartilage Transplants in the UK
« Reply #2 on: December 24, 2014, 09:23:37 PM »
Hi, I'm 29 and I've just had quiet complex knee surgery, Ttt, mpfl reconstruction, Microfracture, etc.
I have cartledge loss in just one 1 area and my surgeon says that there is nothing that can be done. Hence why he tried Microfracture, he told me that cartledge transfer aren't very successful and are not available on the nhs.
This maybe different from area to area though.
Think you might be best speaking to a physiotherapist about suitable activies
Good luck with your recovery x
Fall whilst kickboxing aged 14yrs (2000)
subluxations >10 over 15 yrs
MRI scan: 12/13
Diagnosis 02/14: trochlea dysplasia, lateralisation of the patella, patella Alta, mpfl rupture, damage to back of knee cap ++
22/09/14 - Fulkerson osteotomy, MPFL Reconstruction, Microfracture, chondroplasty

Offline Vickster

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Re: Cartilage Transplants in the UK
« Reply #3 on: December 24, 2014, 09:49:52 PM »
I think the poster is talking about meniscus transplant and not articular cartilage transplant (I.e. To replace the meniscus cartilage between the bones to provide the cushioning/shock absorption) rather than fix the holes / arthritis in the shiny cartilage covering the bones (which is what Microfracture is designed to do) :)
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