The Problem: My recovery from the mosaicplasty was troubled from the start. Lots of bleeding, swelling, numbness all the way down to my right foot, and a flared up Baker's cyst had me off to a slow start. My OS had prescribed 30 days of meloxicam after the surgery and towards the end of that first month my inflammation cleared enough to get more aggressive with PT and start cycling. I probably overdid things, but the effective anti-inflammatory medication fooled me into thinking I was getting away with it. I definitely cycled a bit too much. During the 2nd month of recovery, I started to get severe stiffness in the knee and just above and below it. Sometimes this was accompanied by a slight burning sensation, faint redness, and a warm knee joint. A follow-up MRI showed severe scarring of Hoffa's fat pad and synovitis. 6 months into PT, I was getting stronger, but the stiffness and other synovitis symptoms were not improving. My kneecap mobility was poor and not improving even though I was working on patella mobility every day.
The Surgery: Yesterday, I underwent an arthroscopic procedure to "clean up" the inflamed mess created by the OATS, mosaicplasty, and partial meniscectomy that I underwent last December. Here is a recap of the surgery summarized from the surgical notes:
- The medial patella facet, the lateral patellar facet, and the trochlea were all grade 2 and loose areas of cartilage were debrided to a stable rim.
- The osteochondral grafts in the medial femoral condyle (from the previous surgery) were intact.
- The graft donor sites on the lateral femoral condyle were intact. There was slight cartilage overgrowth on one that was debrided using a shaver.
- Significantly scarred Hoffa fat pad was resected.
- Parapatellar tendon releases were performed.
- Synovitic inflamed tissues in the medial gutter, lateral gutter, and suprapatellar pouch were removed.
Day 1: I feel pretty good for the first day post-surgery. I took my meloxicam (30-day prescription) and a baby aspirin (7-day prescription) with my breakfast. I iced for 30 minutes twice early in the day using a Game Ready cryotherapy machine that I have rented for two weeks. I did my first home PT session (quad set, SLRs, knee ROM, gentle patellar mobility, stretching) and did okay. Pain free knee ROM was well past 90 degrees. I needed 2 crutches to walk yesterday after the surgery, but have been getting by with a single crutch today.
Hopefully this is a new beginning for me in recovering to full activity. It has been a frustrating 6+ months with limited progress. I've learned a lot of things from this forum that I wish I had known before my first surgery. I'm posting here to "pay it forward" and hopefully help other learn from my failures, and hopefully soon, my successes.