• RATE YOUR SURGEON ON OUR NEW JOINT SURGEON LOCATOR

    Your opinion matters so please click on this announcement to find out how to rate the surgeons you have worked with

    You could also go to the Surgeon Locator via the blue nav bar at the top - find the tab "Surgeon Locator"

OATS OATS surgery what to do next ??

allylaw25

new member
Joined
Nov 12, 2019
Messages
2
Age
37
Gender
Female
Country
United States United States
I took a fall off my bike just over two years ago. First surgery was micro fracture March 2018 with no success. First OATS procedure was Dec 2018 with two allografts, one on the medial femoral condyle and the other in the trochlear groove. I slipped and fell in January in the snow and damaged the graft on the medial femoral condyle but this wasn't discovered until April. In March 2019 the doc could see overgrowth in the joint so he went in with a scope and cleaned up the joint line. In April 2019 an MRI was done and it was found that the MFC graft had devascularized and needed to be replaced. In August 2019 I had another OATS procedure to replace the damaged graft. Here we are 12 weeks later with no swelling yet I cannot get away from the joint line pain. What do I do now, sit tight, second opinion, push for a PKR or TKR? The pain is mentally taxing this has been over a two year journey, most days I struggle to even walk. I was previously a sponsored triathlete. Any advice is appreciated.

I had an MRI last week and the doc says everything looks good and to keep on with the protocol.

Here are the actual wording from the MRI report:
Again demonstrated is an osteochondral grafting of the medial femoral condyle the more anterior graft is similar in appearance with osseous edema within the graft and mild low signal centrally. Medially, portion of the graft protrudes beyond the native cartilage similar to the prior examination. The more posterior graft demonstrates somewhat improved incorporation with less edema. Number, there is residual edema peripherally within the graft. There is incongruence of the graft and the native cartilage posteriorly. There is mild edema in the adjacent native bone which has decreased. The medial meniscus is intact. There is mild medial joint line spurring. The lateral meniscus is intact. The lateral compartment cartilage is preserved. The ACL and PCL are intact. The MCL is intact. The lateral support structures including the iliotibial band, biceps femoris tendon, lateral collateral ligament, and popliteus tendon are intact. Tearing of the medial distal quadriceps fibers is unchanged. There is no evidence of complete tear or retraction. The patellar tendon and the medial and lateral patellofemoral retinacula are intact. There is moderate thinning and fissuring of the patellar cartilage without interval change. There is a small joint effusion. There is no Baker's cyst.

CONCLUSION:

REDEMONSTRATION OF GRAFTING OF THE MEDIAL FEMORAL CONDYLE WITHOUT CHANGE IN THE MORE ANTERIOR GRAFT AND WITH MINIMAL INCREASED INCORPORATION OF THE MORE POSTERIOR GRAFT WITH RESIDUAL CHANGES DESCRIBED ABOVE AND INCOMPLETE INCORPORATION.

NO EVIDENCE OF MENISCAL TEAR.

UNCHANGED MODERATE PATELLAR CHONDROMALACIA.
 

Jockette

FORUM ADVISOR
Forum Advisor
Joined
Aug 29, 2017
Messages
14,836
Age
63
Location
Delaware
Gender
Female
Country
United States United States
Hi and Welcome!

I have alerted our upper level medical experts to come and talk with you.

I’m sorry it’s been such a long haul for you. I’ve got a partial that hasn’t gone well, and it’s been 2.5 years for me, so I understand how draining this can be.

Just so you’ll know what we’re all about I will leave you our Recovery Guidelines for future reference. They do apply to knee surgeries other than joint replacement. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.

Knee Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​


4. PT or exercise can be useful BUT take note of these

5. At week 4 and after you should follow this

6. Access to these pages on the website

The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?

Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?

There are also some cautionary articles here
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in the majority of BoneSmart’s forums, we ask that each member have only One Recovery Thread. This policy makes it easier to go back and review the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 

BoneSmart #1 Best Blog

Staff online

Forum statistics

Threads
48,877
Messages
1,337,106
BoneSmarties
30,843
Latest member
MollyUK
Recent bookmarks
0

Top Bottom