Crutches are important to help regain a proper range . Hard to say without knowing all the details and reviewing images. I am a tennis player, 63, and am going crazy from not being able to play. I am so happy he is my doctor. pain or tenderness that continues after a skin bruise has disappeared. visualization and treatment of findings inside the joint. The next week(2) I used the krutches all the time faithfully participating with my pt routine but learned at the end of the week exactly what 25% weight bearing is that's 40 lbs per step On my bad knee. I am not aware of any list. It leads to faster recovery and quicker return to normal activities. Some physicians recommend using a cane for extra support during weeks 2 through 6. Zimmer Biomet or its affiliates unless otherwise indicated, and must . syringes.Theprefilled kitincludes all components to hydrate and covered by insurance. One of these system malfunctions is a bone marrow lesion, a microfracture or swelling in the soft bone right below the knee joint. Hopefully, these will give us more information about subchondroplastys efficacy. KNEE - SUBCHONDROPLASTY PLEASE READ THESE INSTRUCTIONS COMPLETELY AND ASK FOR CLARIFICATION IF NECESSARY - DIRECT QUESTIONS TO YOUR NURSE BEFORE LEAVING THE HOSPITAL OR VIA PHONE/EMAIL TO DR COLE'S STAFF AFTER ARRIVING HOME EMERGENCY HOTLINE # 312-243-4244 WOUND CARE Loosen bandage if swelling or progressive numbness occurs in the extremity. Most commonly, this problem occurs in the knee. Citation, DOI, disclosures and article data. I am sure that there are physicians in SW Ohio who perform the surgery. bone,resorbs and is replaced with newbone during the healing process.1,2. Knee osteoarthritis (OA) is a common form of arthritis that causes joint pain and stiffness. %PDF-1.5 % Unfortunately, I do not treat patients with hip arthritis. I had a chondroplasty 8 weeks ago, I was on a CPM machine for 6-8 hrs a day since the surgery, and on crutches for the same time. The area is still warmer to the touch than the other leg and my recovery is such that I wish that I had never done it. Aquatic exercises are also useful because they take the weight off the knee. "We want to preserve the native hip whenever possible because once you have a hip replacement, there's no going back . We strive to alleviate pain and improve the quality of life for people around the world. The IOBP procedure treats these pathologies through a core decompression of the lesion and a direct . It does not hinder total knee replacement if required in the future. Good luck. yusrina27606 john041952 . How to bounce back fast from an ankle sprain - and stay pain free. I still have to be careful to stretch, that way I have full ROM. cortical bone is intact. Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result. Subchondroplasty is, however, contraindicated in patients with a BMI (body mass index) greater than 40 or those with severe misalignment of the knee joint. Passive Knee Extension to Zero Straighten leg by sliding heel downward with your involved foot. The patient is usually discharged on the same day after the surgery. I had chondroplasty, meniscal work, and a cyst removed from my ACL of my right knee on 2/26/10. I had a torn meniscus & patella damage. A vision requires leadership to become reality. 55 0 obj <> endobj Doc I have had one hip replacement due to what I refer to as being a human german shepherd. Sports Medicine Center for Musculoskeletal Care 333 East 38th Street New York, NY 10016 Tel: (646) 501-7223 ! 5 mL of synthetic bone substitute was injected with firm steady pressure . If all goes well, the results of your subchondroplasty will last for many years, allowing your knee to once again work like a well-oiled machine! access to the defect. Brand new office, same great doctors! I was scheduled off for 2 weeks and was able to return after 1. My appointment with Dr. Vaksha was amazing. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. A preoperative visit will occur at the time of enrollment. I am going to start water therapy soon. agood choice for use in the smaller bones of the midfoot and forefoot, *The grain size of the hydroxyapatite (HA) crystals that form as part A subset of these patients may respond to asubchondroplasty, and therefore they would be able to avoid joint replacementat least in the short-term. In short, osteoarthritis is a degeneration of your joint. This study evaluates the efficacy of knee arthroscopy with adjunctive subchondroplasty (i.e. Without knowing the details of your case, I cannot even guess when you might be having such problems. Bone defects are filled withAccuFillBone Substitute Material Doctor did agree it is an individual recoup. I just had a chondroplasty done 1 1/2 weeks ago. Furthermore, this surgery is inadvisable for anyone with active infection in the joint of concern. Distribution to any other recipient is prohibited., For product information, including indications, contraindications, Before the procedure, the BMLs are first diagnosed on a T2 Fat Suppressed MRI. Didn't find the answer you were looking for? Dr Vaksha, is a great doctor very professional knows what he talking about. Elevate your leg above your heart helps control your pain as well as applying ice to your knee for 15 minutes 3-4 times per day. injury to the bone.AccuFillInjectable Bone Substitute Material is a In those cases, subchondroplasty would not help much, if at all. Treat patient with upmost respect. In some cases, an open or mini-open procedure is necessary for Typically there is diffuse arthritis and the symptoms are due to limitations in range of motion and diffuse arthritis. Oct;10(4):395-401, 2019. He takes time to listen and offer suggestions to help you get better. Thank you Dr. Karkare.SincerelyVito Congro. ), No resolution of BML with conservative Watch the video of Dr. Marc Pietropaoli discussing the Subchondroplasty knee repair procedure during a segment on Bridge Street (Channel 9 WSYR).. Knee Repair vs. Knee Replacement: Unlike traditional "knee replacement surgery" in which the diseased or damaged knee joint is removed and replaced with an artificial one, subchondroplasty, which literally means 'surgical repair below the . Full recovery may take 3-4 months, however. It is done in patients who present with pain around the knee and are found to have a stress reaction (sometimes called a fracture) underneath the articular cartilage. What now? I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . Immediately after surgery, you are permitted to put all your weight on your surgical leg. Any help would be greatly appreciated. When was this surgery performed? One recent small, short-termstudyshowed that the most significant improvement in pain and function occurred within two weeks of surgery. Knee Hip Knee Pain Injection Foot / Ankle Shoulder Pectus Surgery Sports Medicine Trauma Hand/Wrist By Location Use the form below to search for a doctor by location Find a Doctor. as of today,I can walk with a little bit of pain..but my real concern is a pain I get once in awhile when I go to walk around an object, like a table, where my leg turns to the right? Very friendly office and I'm glad to be a patient here. day. Subchondroplasty for Treating Bone Marrow Lesions. Typically, an outpatient Return to normal activities expected 6-8 weeks. 2 sizes. healing process. I am 22 weeks post chondroplasty and Lateral Meniscus clean up. Google . However, BMLs can occur in other joints as well. Thank you all and specially Dr. VAKSHA for everything and getting back on track. . Perform 2 sets of 5 repetitions. May use . Fear that I may have pushed a wee bit too much, but not so given my instructions. you should check with your surgeon to find out which procedure he performed. I certainly am able to walk without krutches and wonder how much damage may have been caused by not using them initially maybe knocking off the scab on the chondroplasty. He had is team ready at the hospital and operated on me within 6 hours after my injury. If one part of the machine is not working properly, intense discomfort can ensue. tissue. AccuFillBone Substitute Material (BSM). Theminimally-invasiveSCPprocedure isusually performed along with . The procedure hence not only takes care of the pain and disability due to the pathology, but also helps in delaying or preventing the need for a knee replacement surgery in the future. My situation is very similar, the thing is though is was able to walk the sunday morning after my friday surgery and felt great until Thursday morning. When these stress fracture type lesions are not able to heal with conservative means then invasive procedure like subchondroplasty may be needed. Following a time lapse of 4-5 minutes after the CaP injection, the trocar should be reinserted into the injection cannula before all instrumentation can be safely removed. Who in Orange County,Ca diagnoses whether a Pt is a candidate for sunchondroplasty and if they are diagnosing the Pt as a good candidate are they also the Dr that most likely will perform the procedure. , This material is intended for health care professionals. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. . In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. If you choose to undergo subchondroplasty, you will be put under general anesthesia. Do you know anyone Ortho doc in the Tampa, FL/St Petersburg/Saraota, FL area that performs this procedure on the hip? Advocates say it's easier, less invasive, and has a quicker recovery time. If your BML persists on an MRI and symptomatic beyond three months, a subchondroplasty may be right for you. These improvements mostly continued for six months after surgery. Hip subchondroplasty is a viable alternative to hip replacement. COLUMBUS, Ohio - Doctors at The Ohio State University Wexner Medical Center are using a procedure called Subchondroplasty to give patients with damaged hips more treatment options and ultimately avoid replacement surgery. I was on crutches with weight bearing for about 2 weeks, and then moved to the walker. However, BMLs can occur in other joints as well. Feeling a net loss in the pain department still, but will see what happens in the next few weeks. A subchondroplasty is an outpatient, minimally invasive procedure that aims to stabilize the bone marrow lesion and therefore reduce (and hopefully eliminate) any pain generating from that area. Your surgeon will make three holes in your knee and use imaging to visualize the exact location of the damaged bone. I must successfully train the patella to shift to the inside somehow. Dr. Vaksha is excellent. I still have pain and entering week three donot feel much inprovement. inhibit the treatment of other findings inside the joint when of their active lifestyle, are looking for alternatives to invasive full knee re-placement surgery, and the lengthy recovery process in addition to some lifetime activity limitations (no running/jumping for example) that . Subchondroplasty offers an effective way to treat subchondral bone marrow lesions in the arthritic knee, resulting in improvement in symptoms and early return to activity. I was playing singles tennis the day before the operation, today I can't even jog. After 7-10 days, you should be able to . AccuFillBSM sets hard and remodels into new bone during the I have a stress fracture in my right hip with a lot of pain. The patients usually will have two to four stitches after the procedure. Elizabeth you the best thank you for you help always and you big smile and positive actitud. Therefore, a new surgical method was developed to afford mechanical stabilization and stimulate the recovery of the local trabecular bone. What is subchondroplasty? Medial meniscus tear. Most patients need crutches or other assistance after completion of this procedure. Depending on the complications of the surgery, the state the knee was in at the time of the surgery, your overall healh, other conditions (like diabetes, HTN, etc. care or other intervention. BMJ Case Rep (2015) bcr2015209399. Patients are usually discharged the same day. It leads to faster recovery and quicker return to normal activities. I reluctantantly had the surgery done on the 14/05/11 having and ACL, MCL reconstruction chondroplasty and removal of existing metal work. patient care with ease and efficiency, Modern tools to help your orthopedic surgery center, Personalizedstrategyandsolutionsfor yourambulatorysurgerycenter. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. It was far too painful before surgery. | Login | Healthcare Social Media and Healthcare Online Presence by Symplur. without the express written consent of Zimmer Biomet. Subchondroplasty is a minimally invasive surgery that helps to repair bone fractures and bone marrow edema (aka "bone bruises") that are painful and debilitating. Surgical options include joint replacement, arthroscopy alone or arthroscopy with subchondroplasty. A complete assessment of Often they will resolve with time. Reid D, et al. 83 0 obj <>/Filter/FlateDecode/ID[<55B16038235D3449BF324DCE71942438>]/Index[55 52]/Info 54 0 R/Length 123/Prev 168285/Root 56 0 R/Size 107/Type/XRef/W[1 3 1]>>stream I am still in a significant amount of pain. Immediate help for hip pain. Knee subchondroplasty (SCP) is one of the most novel minimally invasive methods for treating bone marrow lesions (BMLs) and has garnered increasing interest in recent years. It does not hinder total knee replacement if required in the future. Dr Vaksha was so kind and helpful. In fact, up to 200,000 athletes suffer ACL tears each year, making it one of the most common . High tibial osteotomy has also been utilized to decrease load upon the affected femoral condyle, with favorable outcomes. The place is clean and organized.The staff is wonderful. (2012). He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. This surgery is done in an outpatient setting. What Ankle Fracture Treatment Is Right For You? After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . Granted, the recovery time is slightly longer than an arthroscopy, but it may be worth it in the end. Unfortunately, I do not. . The control group will be patients receiving knee arthroscopy alone and the intervention group will be patients receiving subchondroplasty and knee arthroscopy. While lower cost (the procedure runs about one-quarter the price of a traditional knee replacement) and minimized risk are certainly bonuses of subchondroplasty, perhaps the best thing about this new treatment for knee pain is the recovery process. Ice: Knee swelling is expected and is diminished with Ice pack to the knee 20 minutes four times daily for 3-14 days. Six plus weeks ago, I had arthoscopic knee surgery and a chondroplasty procedure. 0 there is a difference between chondrop;asty and micro chodroplasty. insufficiency fractures) of the knee and ankle. It is completely individual. %%EOF But some doctors think that, in time, accelerated joint replacements could be performed in 30 per cent to 50 per cent of all knee surgeries with an estimated savings of about $2,000 to $5,000 per . Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. In patients with knee osteoarthritis, subchondroplasty is most frequently performed to treat bone marrow edema in the medial compartment (i.e., medial tibia plateau, medial femoral condyle, or both for "kissing" contrecoup lesions) [].Other possible target sites for subchondroplasty include the lateral compartment, patella, and trochlea [].In our cohort of nine patients, preoperative MRI . We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. biological needs.. Pathology. If the patients show evidence of a bone marrow lesion (BML) or bone marrow edema (BME) on an MRI, then these patients may be a candidate for subchondroplasty. resorbed and replaced with new bone.2. After about 10 minutes, the paste will harden into a bone-like substance that can adequately support the joint, allowing the fracture to heal and the edema to subside. Subchondroplasty is a procedure perform by orthopedic surgeon to treat injury of the bone marrow or a defect in the subchondral bone. no one mentioned condroplasty or fluid around the knee i only read i had this done on the discharge letter.go back in 4 days to see the consultant which will be week 3 hpoe he will give me an idea how long recovery will be.. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. createdosseous defects or osseous defects created from traumatic (IFU) for full prescribing and risk information, please call 1-800-348-2759, press 4 for 411 Technical Support., Quantifying Your Patient Recovery with ZBEdges Persona IQ and the mymobility Care Management Platform, AAOS Las Vegas 03.08.23, Dealers Choice: ORIF vs. Total Hip Replacement AAOS Las Vegas 03.08.23, Zimmer Biomet Announces Fourth Quarter and Full-Year 2022 Financial Results, Zimmer Biomet Announces Webcast and Conference Call of Fourth Quarter 2022 Financial Results, Presence of bone defect seen on fat-suppressed MRI (T2FS, These lesions are similar to stress fractures and develop due to overload of the bones that make up the knee joint. Research and evidence have shown that these bone marrow lesions are the strong predictor of knee arthroplasty within three years of presentation. Remember if any one exercise is really painful and you don't want to do that one, ask the therapist to recommend an alternate exercise that won't be so painful. What are the results of Subchondroplasty? Best of luck in your search. I would highly recommend this office. posterolateral spine), and pelvis that are not intrinsic to the The patient portal made it easy for me to access all my documents including work notes. I personally approve this content and have written most of it myself. If they are not relieved with conservative means, advance imaging including x-ray and MRI may be needed. I was told there was no harm in walking on it within comfort levels w/o crutch. I suggest discussing with your surgeon about your particular case. Sometimes these fractures are acute injuries, and sometimes they are more chronic, stress fractures. what is the recovery time for subchondroplasty. It represents stress reaction and edema in the area. Broke my ankle three places on a Saturday. Could this procedure be an option? The patient is usually discharged on the same day after the surgery. Use hands to put pressure on leg above patella, try to make the knee as straight as possible. BMJ Case Rep 2015; . My surgeon says there is no swelling and told me to give it more time. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. It also allows us to remove any of the injected substance that might inadvertently get into the joint through the uncovered bone. Hang in there and don't baby it. The staff is very professional and helpful. You can expect to be walking with support before you even leave the hospitality. Recovery time is considerably less and the cost to the patient and insurer is but a fraction of the cost of a total knee replacement surgery. Facts About the Recovery Time for Total Knee Replacement. Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. Usually performed along with Most commonly, this problem occurs in the knee. Some folks respond to sometreatments, and some respond better to other treatments. The most common cause is age-related deterioration. Jefferson and my wife, Mary Ann, broke her hip. The patients are sent home the same day within a couple of hours after procedure. From the time I entered Dr. Karkares office for the first time until now, his staff has been amazing. Please take a look at my profile page and don't hesitate to come in and talk. I stopped both last week and have begun to use recumbent bike at the gym (non weight bearing) and added the elyptical machine each day for a few minutes.Still have moderate pain on inside of knee when flexed rht or left. On occasion, these forces can cause bone bruises. These are small fractures in the bone marrow. Has someone told you that you might be a candidate for subchondroplasty? Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. Would highly recommend. Subchondral insufficiency fracture of the knee is not thought to be caused by bone death but instead by osteoporosis and insufficiency fractures, with histopathologically proven origins in weakened trabeculae and applied microtraumatic forces 6,13. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! It does not hinder total knee replacement if required in the future. Latest: djklaugh; Today at 5:29 PM; Hip Surgery Pre-Op Area. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. . Read Responses. These more diffuse symptoms would notrespond to subchondroplasty. I am 63 and perhaps a bit impatient with the healing process. The procedure was first popularized for knee patients and has developed a . Like I tell my kids."it's a long way from my heart"! ), age, and level of activity all contribute to healing time. demonstrate sustained pain reduction, improved function and quality Hide. TheSubchondroplasty (SCP) Procedure Knee Surgical Technique, TheSubchondroplasty(SCP) ProcedureFoot & In this study, the positive outcomes continued for two years at which time the study period ended. Hi, thank the lord I found this forumt.so relieved. Basically I was told my hip did not form completely and thus I have worn the cartilage out on the top of the hip joints. Compared to more invasive surgeries such as total knee replacement, it may lead to faster recovery and quicker return to normal activities. Surgery was never in question . Subchondroplasty Post-Op Knee Rehabilitation Program The patient is usually discharged on the same day as the surgery. Had lateral release and chondroplasty done Christmas Eve. I had an issue with paperwork and she cleared it right up. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Although subchondroplasty can be an option in hip arthritis, It is used to only address any symptoms that maybe there from painful bone marrow lesions. I suggest discussing this with your surgeon or seeking a second opinion. Best of luck. Frequently Asked Questions Q: What are the risk factors for bone marrow edema? If it wasnt for Dr. Karkares expertise she never would have been able to work. design and technique. | COVID-19 Updates. I am happy to have had this procedure done and hope to have the left knee done this winter. It leads to faster recovery . B. But thanks to a new procedure called subchondroplasty (sub comes from the Latin word for under or below, chondros comes from the Greek word for cartilage and plasty comes from the Greek word for mold), patients can experience relief and better mobility in a matter of weeks. What expectation should I have for a recovery time after which I should be able to walk relatively pain free? In some Likewise, removal of the few needed stitches usually occurs in about a week. Not the same as surgical pain, but pain to bike, walk, or exercise. of life. bewmson. Depending on the complications of the surgery, the state the knee was in at the time of the surgery, your overall healh, other conditions (like diabetes, HTN, etc. graft substitute material that is intended for use to fill bony voids Trying to build inner muscle, and walk on mid-inner arch of feet now (years of pain made me flat footed, stiff legged). Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. Recovery time for subchondroplasty is typically much less than a joint replacement - about six weeks, rather than four to six months. the positive outcomes continued for two years at which time the . Those issues you mentioned are often responsible for stress fractures. Yes, it is still possible to have a total knee replacement after subchondroplasty. Best of luck. It leads to faster recovery and quicker return to normal activities. Your Physical Therapist at Physician will allow you to put weight on your knee as tolerated. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. I'm happy with the results, but have to admit I was surprised at how sore I was for the first 2-3 days. However most people of your mothers age who have hip arthritis not adequately treated by nonoperative means, require a hip replacement to treat their problem.In order to know if a person is a candidate or not, an MRI of the hip and an evaluation by an Orthopaedic surgeon who treats hip arthritis would be required. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731. My suggestion would be to discuss this with your doctors and ask them their thoughts. Dr Thomas Youm performs high-tibial osteotomy and total knee replacement in New York City, NY. I want to know. I had it done 2 weeks ago for severe bone edema and a stress fracture in my heel! I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . What is anybody's experience here? I work out daily, and take anti-inflammatories daily. It is relatively common. Consequently, patients with arthritis sometimes dont get adequate relief from any nonsurgicaltherapies and their only options for alleviating their symptoms may be surgery.