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Author Topic: Good recovery and then all of a sudden ... what can this be?  (Read 841 times)

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Offline Dave33

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Re: Good recovery and then all of a sudden ... what can this be?
« Reply #15 on: July 11, 2019, 05:54:07 PM »
@Dave33 I am wondering if you had an MRI in between. Wonder if you can see if cartillage is bad on it. Does anyone know?

Hi Celina - a had an MRI about 4 months post the tt/mfx surgery, as I recall, as I was part of a study; there was "some" fill at that time, but there was no question that it wasn't going to be a true hyaline cartilage fill, particularly at the age I had it done (I believe I was mid 40's at the time).

Regardless, without a "realignment", I'd expect any MFX or cartilage regen procedure to simply wear down again over time, just like the original cartilage. Even though I had a TTO, I was told to expect this to be a "buying time" procedure, as apposed to anything remotely permanent.

I'd guess the MRI should give you some indication of "fill", and likely your age and functional results should give you some indication of fibrocartilage/hyaline blend that your fill became.

all the best.

 

Offline Celina1989

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Re: Good recovery and then all of a sudden ... what can this be?
« Reply #16 on: August 09, 2019, 09:03:34 AM »
So today I had my MRI result and it is what I already thought:
He called the edge of last mfx surgery "ragged" so the cartillage hasn't filled in nice enough. Also there might be a little loose piece of cartillage in my knee.
He thought the best plan was to do surgery and clean and check the cartillage but after advice here I am going for hopefully one less surgery and going straight to a specialist (Maastricht, Netherlands). Hopefully he can clean and repair it all at once.

Although I am kind of happy at least something came out of the MRI I wished it was something easy to fix. Now waiting for surgery and a probably long recovery again. I was going to start my master in Septembre but now will have to delay it with a year.

Online Vickster

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Re: Good recovery and then all of a sudden ... what can this be?
« Reply #17 on: August 09, 2019, 01:38:53 PM »
What sort of repair does the specialist offer? Some do involve two surgeries (MACi/ACI), a scope to harvest cells to grow into a graft and then an open op to implant the cells over the defect

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 Celina1989

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Re: Good recovery and then all of a sudden ... what can this be?
« Reply #18 on: August 09, 2019, 04:41:36 PM »
The most common surgeries they do are Mfx, OATS and ACI. I think OATS is most suitable as it says that it is mostly used if bone is damaged as well.

My research found these two cartillage specialists who are working in the hospital where I am going: Dr. P.J. Emans and Dr. P.Z. Feczko. By chance that anybody had surgery by one of them or at the hospital in Maastricht?

Online Vickster

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Re: Good recovery and then all of a sudden ... what can this be?
« Reply #19 on: August 09, 2019, 04:51:54 PM »
One of those two specialists are in the KG database

https://www.kneeguru.co.uk/KNEEnotes/knee-surgeon/dr-pieter-emans
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 Celina1989

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Re: Good recovery and then all of a sudden ... what can this be?
« Reply #20 on: August 11, 2019, 08:20:44 AM »
Thank you Vickster, i checked some list on the website but I think I overlooked him. Hope it is going to be him.















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