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Author Topic: Meniscus Scaffolds  (Read 4423 times)

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Offline fraz

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Meniscus Scaffolds
« on: May 23, 2015, 01:46:45 AM »
Has anyone here heard of Ivy Sports Medicine?- I put a link below -

http://www.ivysportsmed.com/en

Offline neiljk

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Re: Meniscus Scaffolds
« Reply #1 on: May 31, 2015, 03:52:40 PM »
Nope, looks similar to Actifit though in principle and there is quite a bit on here about those. Their website isn't listing any UK surgeons yet.

Offline fraz

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Re: Meniscus Scaffolds
« Reply #2 on: June 07, 2015, 11:07:21 PM »
From what I've read online there are two main biological collagen meniscus implants available.

1. Menaflex
2. Actifit

Can anyone comment on these as any info would be helpful eg - differences etc...or maybe they are both pretty much the same with the difference being two different manufacturers

Offline Actifitman

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Re: Meniscus Scaffolds
« Reply #3 on: June 10, 2015, 06:39:29 PM »
I had the Actifit implant a few years ago, when I reached the point where I could barely walk. Its been a long recovery, but I'm glad to say, I can now walk for 20 miles, run for 2 miles, and cycle for 100miles. However, I am not 100% the way I was before I tore my meniscus and I doubt whether I ever will be. If I try to do anything extreme eg squats, while bearing large weights, 20mph on my bike for 2 hours, or just generally overdoing it I do suffer from mild pain when standing, and this can last for a few days. I'm still improving very slowly even after all this time.

Offline Actifitman

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Re: Meniscus Scaffolds
« Reply #4 on: June 10, 2015, 10:18:40 PM »
I had the Actifit implant a few years ago, when I reached the point where I could barely walk. Its been a long recovery, but I'm glad to say, I can now walk for 20 miles, run for 2 miles, and cycle for 100miles. However, I am not 100% the way I was before I tore my meniscus and I doubt whether I ever will be. If I try to do anything extreme eg squats, while bearing large weights, 20mph on my bike for 2 hours, or just generally overdoing it I do suffer from mild pain when standing, and this can last for a few days. I'm still improving very slowly even after all this time. My full story is on here.

Offline fraz

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Re: Meniscus Scaffolds
« Reply #5 on: June 12, 2015, 12:59:58 AM »
Gee if you can walk for 20 miles you could maybe run further than 2 miles???-

How much of your meniscus was torn?- small amount or large amount?-lateral or medial or both?-
Glad to hear you are making progress-but sorry to hear its been slow-
Am I correct to assume you will get progressively stronger meniscus wise over the next year or two?

Actifit can just be a small segment can't it? If just a small proportion is damaged?

Offline Actifitman

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Re: Meniscus Scaffolds
« Reply #6 on: June 12, 2015, 03:12:36 PM »
To anyone sending me personal messages, the kneeguru site won't allow me to reply and am therefore answering the queries here. I was recently asked whether I travelled to Brussells Charleroi and yes that is the case. I did consider an Actifit in the UK but it was a lot more expensive and the surgeons were less experienced with the Actifit implant. I was asked about radiologists dismissing concerns about features pointed out by patients on MRI's. I've sent my recent MRI's for an independent review online for peace of mind more than anything and secondly I didnt have a formal report. It costs from 40 depending on the radiologist that you prefer/ select. It as very efficient and professionally done. The one I uploaded my DICOM files to was a was called 'diagnose me'. Hope this helps.

Online Vickster

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Re: Meniscus Scaffolds
« Reply #7 on: June 12, 2015, 04:09:08 PM »
You need 20 posts to reply to PMs, you're on 18 (the games section is a good place to up your post count)
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 fraz

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Re: Meniscus Scaffolds
« Reply #8 on: June 14, 2015, 12:32:56 AM »
Thanks Actifitman,
You'll be sending pm's in no time-just post more on the forum :)-
It would be good to know how much more it costs in the UK for Actifit procedure-Someone mentioned 6,000 in Belgium but alot kor in UK-How much more-?
I now know I need some surgery-the meniscus situation is not serious but it needs to be dealt with-tears and some symptoms but not crippling yet-time to step in and insist its dealt with!- The place in Antwerp, Belgium is the best place to have this done apparently-they organise transport to and from airport someone mentioned or was on their website- If I did have this done in Belgium I would need to stay, probably for a few weeks minimum as I wouldn't be able to drive which would cost money to leave car at airport and accomodation in Belgium so after all is considered may not be much different to Uk costs if I stayed at home with knee brace and crutch but being able to hobble about.

Then its down to experience of UK surgeons not having performed as many ops as the euro belgium surgeons- but english surgeons are very good right?- and have been trained by Actifit too-

They may say I'm not a candidate (unlikely?)-

Online Vickster

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Re: Meniscus Scaffolds
« Reply #9 on: June 14, 2015, 09:12:46 AM »
I expect you'd be best to make a private appointment with one or  two of the UK surgeons who do it (there are only a couple of meniscus transplant experts/teams in the UK I can think of immediately, one in London, one in the midlands).  Get all your imaging and op reports together, you'll need a referral from your current specialist or GP.  As with a lot of these things, there will be a range of costs depending on the patient

The big cost can be hospital fees (around 4/5 of the cost of an arthroscopy based on my recent one), those will likely be less outside London

I was quoted around 10-12k for MACI in 2010.  I expect meniscus transplant will be in that ballpark, perhaps less as it's only one surgery (unless an exploratory scope is needed first to determine suitability)
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 fraz

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Re: Meniscus Scaffolds
« Reply #10 on: June 14, 2015, 11:07:01 AM »
Hi Vickster,

Interesting you mention hospital fees 4/5's of total costs-10-12k quote for MACI?-Was this for the lateral/femoral condyles?
I'm not seeking a meniscus transplant and would only think of one if there was no possibility of Actifit Collagen Meniscus segment  but if it comes to that thanks for the info on London and Midlands :)

There is an Actifit surgeon North Yorkshire way and also one in London and also the one in Belgium so enough options there!

Online Vickster

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Re: Meniscus Scaffolds
« Reply #11 on: June 14, 2015, 12:46:39 PM »
No the 4/5 is for a scope based on mine in Feb. surgeon and anaesthetist fees around 600. Hospital around 1800 from memory. For a MACI you have the harvest scope, then growing the cells which is expensive. For the arthrotomy to implant you'd be in hospital for several days. It's a longer surgery, so surgeon and anaesthetics fee more. Much higher aftercare costs too. You can see a fee schedule on the wpa site. Yes, my defect is lateral femoral condyle but due to kissing defects I wasn't suitable based on the harvest scope
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 Actifitman

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Re: Meniscus Scaffolds
« Reply #12 on: June 14, 2015, 04:35:52 PM »
In answer to the questions:
Actifit cost 6000 in Belgium vs 12000 for the UK.
I can run comfortably for a couple of miles and after that it feels uncomfortable and I instinctively feel like stopping to protect my knee (I have grade 4 lesions behind my patella that appear to have partly healed over on my recent MRI and I dont want to dislodge the new cartilage). Theoretically I could run a marathon but I just don't think its a good idea. The amount and position of meniscus that  was replaced was 50-60% of my medial meniscus posterior horn included. I was in and out of Belgium within 3 days. I definitely wouldn't recommend that to anyone, it isn't like recovering from an arthroscopy, its much worse. I believe the Actifit takes 5 years to fully develop. I had a good infill, but it never replaces the full thickness of meniscus. For that reason running, carrying weight and jumping from heights is something that I now avoid.

Online Vickster

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Re: Meniscus Scaffolds
« Reply #13 on: June 14, 2015, 06:35:32 PM »
Here's a list of UK surgeons. Tim Spalding is the chap I was thinking of in the Midlands. Interestingly Ian McDermott in London isn't listed. He may only do cadaver transplants

http://actifit.info/find-a-surgeonchile/uk/
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 fraz

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Re: Meniscus Scaffolds
« Reply #14 on: June 14, 2015, 07:04:51 PM »
Hi-a reply to vickster-
Ian Mcdermott does or can use actifit (arthroscopy.co.uk) and is his favoured cmi ahead of menaflex (bovine)-its on his website-quite alot of helpful info for patients struggling to get accurate info :)

Sorry you did not get the maci done in your knee-what has been done to help your problem then?
For the maci-the surgeon takes a small piece of articular cartilage then grows this in vitro in a lab - is any blood or bone marrow taken for the expansion?

I've had SVF for a patella defect left knee and maybe medial condyle too- patello femoral -but meniscus is worse in right knee with patella ok in right knee-

12k sounds alot -for actifit -double the belgium price- question is for a stay in belgium if i was suitable what would accommodation cost?- it would still be cheaper than 12k though wouldn't it? -a nice [email protected] with a reasonable rate close to hospital knee clinic would be best-

Would actifit still cost 12k in north england-say harrogate- there is an actifit surgeon there?
Thanks for the posts-its amazing the medical knowledge that you learn when you need to learn it in search of a solution.
« Last Edit: June 14, 2015, 07:15:40 PM by fraz »















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