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Author Topic: Chondromalacia/bracing/scar tissue surgery  (Read 939 times)

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Offline LP

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Chondromalacia/bracing/scar tissue surgery
« on: September 09, 2004, 09:10:32 PM »
Hello knee friends.  I would like to hear from anyone with info or experience in the following:

(here's some background: ACL surgery left knee, 2 years ago,  scar tissue problems - waiting for 3rd surgery in December.  wear brace on bad knee.   for past year, pain and weakness in right/good knee.  overcompensating.  much daily PT.  now said to have chondromalacia in right/good knee.  have right knee brace now too to get thru til next surgery and afterwards during extensive PT.  Fear more problems with right knee)

1.  Anyone know about braces for "good" knee to help it support "bad" one?   will this make the knee weaker to depend on brace?  
2.  Anyone know about chondromalacia - short term, long term?  does bracing help it?  told it is in right/good knee.  
3.  Once the bad knee is finally better (understatement!) does the good knee finally come around too or is it usual to have permanent damage to fix in that knee next?
4.  what kind of doctor treats the chondromalacia? OS?  rheumatologist?  bone and joint specialist?  
5.  different subject - degenerative osteo-arthritis in feet.  multiple surgeries to fuse bones is recommended.  pain meds of no help anymore.  anyone have success with this procedure?  not sure we want to go that route.
6.  waiting for next surgery is getting really tense.  his nerves are shot.  wants surgery now but due to work, is trying to wait for December.  any advise on how to best hang in there - any pre-op advise.  he's doing extensive PT whole body to be in best shape for surgery.  

Thanks to any an all who can encourage us.
Linda.

Offline Linds

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Re: Chondromalacia/bracing/scar tissue surgery
« Reply #1 on: September 09, 2004, 10:19:48 PM »
Chondromalacia is a softening of the cartilage that is on the back of the patella (kneecap) usually.  Chondromalacia is more of a symptom than a diagnosable condition. As it suggests that something isn't right in the joint biomechanics, thus causing the damge/softening of the cartilage in the first place.  The cause of the chondromalacia has to be addressed before it's going to go away.
Chondromalacia isn't really a treatable condition either. They can clean it up (debride) and that sort of thing, but other than as I said before treating the underlying cause..there is really very little they can do for it , other than anti inflamms that sort of thing.
I hope that makes sense. I have Chondro in both of my knees...however we are treating the maltracking of the patella to try and slow down the progress or stop the progress of the Chondromalacia, not treating the chondro itself.  If it get's severe enough they will sometimes try drilling holes in the cartilage to get it to scar up and protect the articular surfaces, or other such procedures. Try posting this message to the Patella Femoral Board, there are lot's of Chondro patients there.
Also, how was your Chondromalacia diagnosed? Xrays can be used if they show the "crab meat sign" but the best way to diagnose is through arthroscopy.
Take care and goodluck
Linds
« Last Edit: September 09, 2004, 10:22:08 PM by Linds »
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?