Advertisement - Hide this advert





Author Topic: More questions, than answers following surgery....  (Read 2195 times)

0 Members and 1 Guest are viewing this topic.

Offline gazkitch

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 1
More questions, than answers following surgery....
« on: April 10, 2019, 07:01:12 PM »
Hi,

Apologies for the very long post.....

I recently had knee surgery with my local NHS hospital on the 1 April 2019.

I managed to get sight of the post-op report, and these were the OSí findings:-

Inspection of the PFJ revealed normal findings throughout.

The medial femoral condyle had dengenerative changes that were grade II (partial thickness chondral damage with fragmentation of the surface).
The medial tibial plateau had degenerative changes that were grade II (partial thickness chondral damage with fragmentation of the surface).
The medial meniscus was normal with probing and viewing of PL portal.
No ramp lesions, but a large band of scar tissue, which would give appearance of RAMP on MRI scan.
The medial meniscus was mildly degenerative
The lateral femoral condyle had early degenerative changes that were grade I (softened, but no defects).
The lateral tibial articular surface had early degenerative changes that were grade I (softened, but no defects).
The lateral meniscus was degenerative.
The ACL was femoral detachment with scar tissue in the notch. The PCL was normal to probing.

Operative procedure:-

The medial femoral condyle was not treated.
The medial tibial plateau was not treated.
The medial meniscus was not treated.
The lateral femoral condyle was not treated.
The lateral tibial plateau was not treated.
The scar tissue was released, using a combination of shaver and coblation.

Recommendations:-

Decision to do further surgery should NOT be taken lightly. Concerns about arthrofibrosis for intraarticular surgery. Would recommend physio only.


My main questions are:-

Is my ACL still partially attached, and will it ever heal?

Have I got the beginnings of arthritis & am I a candidate for knee replacement in the future?

Given that I canít have any more surgery, will I still be able participate in sporting activities, or will I have to buy a Yoga mat?


Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4646
  • Liked: 375
  • Neelie knee!
Re: More questions, than answers following surgery....
« Reply #1 on: April 10, 2019, 10:05:35 PM »
All sounds pretty ok given youíre 49?

You should probably avoid a lot of running on roads, but walking (or golf, hiking), swimming, cyclinggood for the degenerative knee along with strength stuff in a gym if it floats your boat plus physio and stretching to keep your muscles balanced and supporting the knee well. Keep your weight in the normal range.

Yes, you might need a TKR in 15-20 years as lots of people do but your  knee is certainly in better nick than mine!

Oh and donít diss yoga and Pilates, they are fantastic for health, flexibility, and overall physical and mental wellbeing!

Do your physio diligently to get over the scope and then get back to your normal life and activity  :)
« Last Edit: April 10, 2019, 10:07:46 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 gazkitch

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 1
Re: More questions, than answers following surgery....
« Reply #2 on: April 10, 2019, 10:29:08 PM »
Thanks for the reply Vickster, as always!   :)

I'm already doing Pilates...  so all good!

Can you clarify what the OS meant with the ACL femoral detachment observation? 


Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4646
  • Liked: 375
  • Neelie knee!
Re: More questions, than answers following surgery....
« Reply #3 on: April 10, 2019, 10:41:33 PM »
Iím afraid I donít know but clearly he didnít feel a recon is needed. Whenís your follow up?
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 gazkitch

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 1
Re: More questions, than answers following surgery....
« Reply #4 on: April 10, 2019, 11:00:42 PM »
He won't do the ACLr because of my Arthrofibrosis problems. .

I'm due to see him in Clinic on the 15th May.