Friday, November 13, 2009

Knee Surgery

Yesterday I had knee surgery. I had a right knee chondroplasty which is fancy talk for a knee scope. At least that was what the surgery was supposed to be. My knee ended up being in worse shape than both I and the doctor thought it would be. I have a Osteochondritis dessicans (OCD) lesion on the posterior lateral portion of my femur which like having a hole in the bone, on the weight bearing surface of the bone. That hole was a whole lot worse then expected it was the size of a quarter and a few millimeters deep which means it went through the cartilage into the bone. THe doctor also had to do a lateral release of the the lateral compartment of the knee joint. That means the doctor cut the fascia and muscle to release the tension so that the patella will sit in correct anatomical position instead with a tilt. He had to do micro fractures of the bone at the hole in the femur to cause the bone to bleed so it can form a fibrous cartilage callous over the hole to try and prevent it from getting worse. They also did a whole lot of cleaning on top of that. Needless to say I am now non-weightbearing for at least a week and lot more rehab than expected.
The biggest problem is the surgeon was not happy about the state of the OCD lesion in my femur. Apparently he doesn't think the micro fractures is going to help and that I am going to need another surgery. He thinks I need an allograft bone plug to close the hole, or else he is afraid the bone in my femur will die. That surgery is a minimum of 8 weeks nonweight bearing and 6 months rehab. I don't know if it is going to hold. I don't know what will happen as far as throwing if I do it. I know I will most likely need a knee replacement by the my early 30s if I don't do it, but I also don't know how long the surgery would delay the total knee replacement. I am really at a loss as to what to do I never thought my knee was this bad. It pretty much sucks.

1 comment:

  1. I do hope there won't be any need for knee replacement. Undergoing such procedure can be a hassle. Not to mention the post surgery risks especially if you'll be implanted with a defective knee device.