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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 . They are asked to elevate and ice and use pain medications as directed to take care of the pain and swelling in the knee joint. Crutches are important to help regain a proper range . Ice: Knee swelling is expected and is diminished with Ice pack to the knee 20 minutes four times daily for 3-14 days. I have had knee surgery 5 weeks ago,including a partial menisectomy and AFC chondroplasty.The consultant said my knee is a mess,and he may need to replace the kneecap as there is a massive gap in the cartilage. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. From the time I entered Dr. Karkare's office for the first time until now, his staff has been amazing. Surgery was never in question . Best of luck. 55 0 obj <> endobj Remain non weight bearing no matter how good your knee feels,(read this article) : http://*************.com/knee_chondroplasty.htm. Ive been told I need a total hip replacement. A brace is not typically required. Usually they have an acute onset of increased symptoms. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 2023 - Jeffrey H. Berg, M.D. Substitute Material (BSM). Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. Been going to this place before my accident and after I had my knee surgery. form ananocrystalline,macroporousscaffold in the bone. of the amorphous and crystalline mixture of calcium phosphate sets are Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. If they are not relieved with conservative means, advance imaging including x-ray and MRI may be needed. Great experience, the Doctor is nice but the staff is incredible. These are essentially micro fractures and therefore billing for the necessary arthroscopy and fracture fixation is usually accepted. A total knee replacement was offered; however, the patient was interested in conservative treatment, so she was referred to interventional radiology for consideration of a genicular nerve block. Good luck. Did the chondroplasty get you to "pain free" for a while? The front and back office people are amazing and so helpful. Im 58 and would like to wait to get a hip replacement. It represents stress reaction and edema in the area. Any experience with a meniscus repair? fluoroscopically-assisted intervention that targets and fills BMJ Case Rep 2015; . He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. Most commonly, this problem occurs in the knee. . Those issues you mentioned are often responsible for stress fractures. On occasion, these forces can cause bone bruises. These are small fractures in the bone marrow. Recovery and Follow-up. The patient is usually discharged on the same day as the surgery. Ive been treating my hip pain (osteo-arthritis) with stem cells over the last 2 years with good results looking for an alternative to total hip replacement. Bioplasty is a variation in which a wider decompression is done and the drill hole is filled with biologic material in the form of Platelet rich Plasma (PRP) mixed with Demineralized Bone Matrix (DBM). I fought it for years, as I was just afraid. Im sorry to hear that. Context: Symptomatic bone marrow lesions on MRI in patients with knee osteoarthritis are strongly associated with progressive deterioration of the joint and an increased risk of progression requiring joint replacement surgery. Consequently, patients with arthritis sometimes dont get adequate relief from any nonsurgicaltherapies and their only options for alleviating their symptoms may be surgery. The surgeon performed an ACL and a subtotal meniscetomy whilst leaving the MCL alone. The diagnosis included: Primary osteoarthritis. 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! Six plus weeks ago, I had arthoscopic knee surgery and a chondroplasty procedure. Is Subchondroplasty at all possible with the pin in place to relieve my hip pain? We offer this Site AS IS and without any warranties. It was the afternoon of Friday Sept. 24. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. Physical therapy will help patients increase . It does not hinder total knee replacement if required in the future. tissue. The purpose of this study was to verify the replacement of CPC with new bone after subchondroplasty for the first time in humans. I would highly recommend this office. truly-injectable bone substitute material. So happy how I been treated and how well I am getting. I had my surgery on April 12, 2012. What Ankle Fracture Treatment Is Right For You? This surgery is done in an outpatient setting. Your Physical Therapist at Physician will allow you to put weight on your knee as tolerated. Bone loss associated with shoulder instability can lead to more frequent instability and can be more difficult to c, COVID-19, Our Metabolism & Our Orthopaedic Health. In that case, changes in the bone from repetitive or excessive forces often can cause pain. It does not hinder total knee replacement if required in the future. Would highly recommend. Aquatic exercises are also useful because they take the weight off the knee. I am going to start water therapy soon. Overall for most patients, it is a relatively safe procedure with risks similar to isolated knee arthroscopy. I am still walking with a walker and found out Thursday that I have absolutely no cartilage left in my right knee. My recovery was amazing. still anoption.. This procedure is only helpful for a small subset of patients with arthritis. This was my 1st time breaking something in my 27 years on this planet. When enough bone cells die, the bones begin to weaken and break down. injury to the bone.AccuFillInjectable Bone Substitute Material is a Am I necessarily looking at injections of some type to stave off knee replacement surgery? The aim of the present study was to evaluate subchondroplasty of the knee regarding its applicability and results in terms of function improvement and prevention of evolution of joint degeneration. 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. .elizabeth .thank you so much . Ill let you know when the data is available. Knee Surg Sports Traumatol Arthroscop, 17, 607-616. TheSubchondroplasty (SCP) Procedure Knee Surgical Technique, TheSubchondroplasty(SCP) ProcedureFoot & It also allows us to remove any of the injected substance that might inadvertently get into the joint through the uncovered bone. SCP Procedure does not preclude The patient is usually discharged on the same day as the surgery. I am a tennis player, 63, and am going crazy from not being able to play. 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. subchondral bone defects, often called Bone Marrow Lesions (BML) Started Phys Tx and still felt good. My appointment with Dr. Vaksha was amazing. 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. Hello sir, my left hip is going weak . 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. natural human bone mineral.1,2, An engineered calcium phosphate compound that flows readily to fill From the time I entered Dr. Karkares office for the first time until now, his staff has been amazing. Symptoms. Im sorry, I have no way of knowing who performs this procedure anywhere. Citation, DOI, disclosures and article data. Recheck with the physician is in 7 to 10 days to remove sutures and assess surgical healing. I had chondroplasty surgery on February 15th and though after being on crutches for two weeks, I still had a dulling pain under my knee cap and resorted to using a cane for a couple of weeks. Discuss all treatment options with your patient. Best of luck in your search. So about one month after our initial meeting I had the first knee done. Many patients are able to leave the 30-minute outpatient surgery on their own two feet. 17 weeks after the surgery they finally diagnosed my pain as a staph infection. It leads to faster recovery and quicker return to normal activities. Spang JT, et al. Peer-reviewed data Most commonly, this problem occurs in the knee. I was seen on time. I'm a year past lateral meniscus w/ optional Zimmer Subchondralplasty. These patients are initially treated conservatively with antiinflammatory medications, ice, elevation and compression. Fluoroscopy provides the surgeon with intraoperative real time X-ray images of the surgical area to guide the surgeon. The place is clean and organized.The staff is wonderful. 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. Any experience with Subchondroplasty in the knee? My surgeon says there is no swelling and told me to give it more time. Bone defects are filled withAccuFillBone Substitute Material Granted, the recovery time is slightly longer than an arthroscopy, but it may be worth it in the end. Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up. that mimics the chemicalcomposition and crystalline structure of His expertise gave me my life back. In fact, up to 200,000 athletes suffer ACL tears each year, making it one of the most common . Full recovery may take 3-4 months, however. It does not hinder total knee replacement if required in the future. Answer Question. I went through PT to strengthen my leg and to get it straight, which I was able to accomplish. It leads to faster recovery and quicker return to normal activities. Radiographic imaging should be usedto confirm that the adjacent There is growing interest in the diagnosis and treatment of bone marrow lesions (BMLs) about the knee. 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 . In those cases, a subchondroplsty may also be helpful. withAccuFillBone Substitute Material., AccuFillBSM is an engineeredcalcium phosphate mineral compound, a My recovery time took only six days before I played a full on 100% basketball game. Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! i have just found out what a chondroplasty is and i annoyed to learn that the 4 1/2 years prior my first surgery my unstable knee has done considerable damage to my cartilage in which i should need this procedure done. However, BMLs can occur in other joints as well. Total knee replacement was the only viable option. I'm in more pain than I have ever been in my whole life. I am still in a significant amount of pain. Subchondroplasty Procedure. Report / Delete Reply . Enrolled subjects will have a single Bone Marrow Lesion of the tibia, single . They may also have joint line tenderness secondary to pathology inside the knee like a meniscal tear. It does not hinder total knee replacement if required in the future. 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 . Advocates say it's easier, less invasive, and has a quicker recovery time. If the bacterial infection has been fixed, have you undergone any physiotherapy after the surgerysorry, you haven't shared enough details on this. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Likewise, removal of the few needed stitches usually occurs in about a week. So subchondroplasty is mostly used in the knee joint. self-setting,macroporous,osteoconductive, calcium phosphate bone Driving Directions. What a great place! Total knee replacement was the only viable option. She also has pain frequently. Logerstedt DS, et al (2018). are the primary cause of joint pain, not the intra-articular In the area around the bone bruise, symptoms may include: swelling. The hole is filled up with bone cement or paste to support and allow healing. Back to Main Site . The staff here are great, I was seen at the time of my appointment and was well taken care of! bone graft substitute that resorbs andis replacedwith new bone The purpose of this study was to determine whether prior arthroscopic application of a CPBS, for repair of magnetic resonance imaging-identified subchondral fractures associated with osteoarthritis (procedure referred to as subchondroplasty . Your surgeon will make three holes in your knee and use imaging to visualize the exact location of the damaged bone. Minus the meniscectomy :o) Cgarrison M.A. Get to know Zimmer Biomets leadership team. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best. Nanocrystalline*, highly porous injectable calcium phosphate (CaP) AccuFill BSM is replaced with new bone during 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. Has someone told you that you might be a candidate for subchondroplasty? JOSPT, 48(2), A1-A50. It is relatively common. Sports Medicine Center for Musculoskeletal Care 333 East 38th Street New York, NY 10016 Tel: (646) 501-7223 ! I just had a chondroplasty done 1 1/2 weeks ago. It does not hinder total knee replacement if required in the future. subchondral bone defects, the crystalizes and sets in an isothermic Hi, thank the lord I found this forumt.so relieved. createdosseous defects or osseous defects created from traumatic graft substitute material that is intended for use to fill bony voids If you've been dealing with knee pain for more than three months, and the discomfort increases with walking or standing, it may be time to see Dr. Nicola about Subchondroplasty. I take care of patients with ailments of the neck, back, shoulder, knee, elbow and ankle. In short, osteoarthritis is a degeneration of your joint. Resources from TheReadyPatient.com. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. I had subchondroplasty 12 weeks ago, and it still hurts to walk. Recovery time for subchondroplasty is typically much less than a joint replacement - about six weeks, rather than four to six months. Sounds like you had Dysplasia. The patient is usually discharged on the same day as the surgery. ), age, and level of activity all contribute to healing time. Thank you all and specially Dr. VAKSHA for everything and getting back on track. I was on crutches with weight bearing for about 2 weeks, and then moved to the walker. . endstream endobj startxref Is this therapy is useful for me. I hope he is correct. or gaps of the skeletal system of the extremities, spine (i.e. EXPECTED RECOVERY: Walking without crutches approximately 6-8 weeks after surgery; Back to work within 3-4 months following surgery if laborer, desk type work may return 2-3 . joint. Knee osteoarthritis (OA) is a common form of arthritis that causes joint pain and stiffness. It leads to faster recovery and quicker return to normal activities. The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). The procedure was first popularized for knee patients and has developed a . It affects the bone, soft tissues and primarily the cartilage lining the bones. After my six week checkup this week, my knee still had considerable pain in it and I am still unable to walk without crutches. Return to normal activities expected 6-8 weeks. I already have my ct scan on my hip. When these stress fracture type lesions are not able to heal with conservative means then invasive procedure like subchondroplasty may be needed. Most patients need crutches or other assistance after completion of this procedure. Rebecca is such a kind and understanding person. Recovery time for this surgery is highly individual. I continued walking without krutches until Friday morning (this is the first week mind you)but the sorness, while not at all excruciating, was still a concern and I contacted my surgeon's office, at which time they expressed that I still needed to be on krutches at 25% weight bearing. AnkleSurgical Technique, TheSubchondroplasty (SCP) ProcedureHipSurgical Technique, Injection Behavior of Bone Substitute Materials, in Contained procedures carry a certain level of risk. I reluctantantly had the surgery done on the 14/05/11 having and ACL, MCL reconstruction chondroplasty and removal of existing metal work. Your response on chondroplasty was very helpful. What are the results of Subchondroplasty? arthroscopy for visualization and treatment of findings inside the Since your meniscus is pretty much gone, you are walking bone on bone, which can wear down the joint and cause pain, swelling, inflammation, a shortened leg (resulting in hip and back pain)and other problems. That lasted 2 days with minimal assistance and was able to be full weight bearing by the 4th day. After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. As first described in the knee joint, Subchondroplasty offers the benefit of a relatively simplistic and safe minimally-invasive procedure . The doctor put me on "partial weight bearing" status for two more weeks. . Subchondroplasty is a minimally invasive surgery that helps to repair bone fractures and bone marrow edema (aka "bone bruises") that are painful and debilitating. I am Vedant Vaksha, Fellowship trained Spine, Sports and Arthroscopic Surgeon at Complete Orthopedics. arthroscopy to aid in visualization, the SCP procedure does not Best of luck. Diagnosis and Options 5 Things to Consider When Choosing an Orthopedic Surgeon . Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. 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. The control group will be patients receiving knee arthroscopy alone and the intervention group will be patients receiving subchondroplasty and knee arthroscopy. The dressingis generallyremoved after a couple of days. Journal of Knee Surgery. I wish you the best of luck. It also depends on whether it is done arthroscopically or through incision. Knee replacement recovery time varies slightly from person to person but typically follows this pattern: Day 1: you should be able to get out of bed, walk around with assistance and start your exercises. cortical bone is intact. Dr Vaksha was so kind and helpful. The staff was super friendly and down to earth. What is anybody's experience here? Ideal Candidates for Subchondroplasty. inhibit the treatment of other findings inside the joint when Cartilage. The patient is usually discharged on the same day after the surgery. Subchondroplasty may be performed alone or along with other arthroscopic procedures. The patients are allowed to ambulate as well as do activities of daily living as tolerated. WOMAC scores improved significantly from 47.8 20.5 before surgery to 14.3 13.2 at the one-year follow-up. In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. When was this surgery performed? representative; search this website for additional product Subchondroplasty is ineffective when there is advanced arthritis in the joint. Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo. Dr Thomas Youm performs high-tibial osteotomy and total knee replacement in New York City, NY. Scheduling my appointment was quick and easy. PiCC line and 6 weeks of antibiotics with tests of blood counts deemed a qualified success. Use hands to put pressure on leg above patella, try to make the knee as straight as possible. enhance efficiencies, we have options to help address the most common It is now almost a year later, and I still have pain and soreness. The technique may often prevent, or at least delay, the need for total knee replacement. 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 . I was on crutches for the first day, then went to one crutch do to lack of mobility. The staff is very professional and helpful. Research and evidence have shown that these bone marrow lesions are the strong predictor of knee arthroplasty within three years of presentation. A 76-year old woman was referred for resistant medial knee pain. What expectation should I have for a recovery time after which I should be able to walk relatively pain free? Subchondral Bone Defects: Summary of a Study Conducted at the Hospital Furthermore, this surgery is inadvisable for anyone with active infection in the joint of concern. I have a stress fracture in my right hip with a lot of pain. Highly recommend. The most common cause is age-related deterioration. In a synovectomy procedure, much of the synovium is removed. Unfortunately, I do not. I personally approve this content and have written most of it myself. High tibial osteotomy has also been utilized to decrease load upon the affected femoral condyle, with favorable outcomes. (Arthroscopic knee surgery) The recovery time for arthroscopic chondroplasty is much faster than traditional open knee surgery because it . I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . Compared to more invasive surgeries such as total knee replacement, it may lead to faster recovery and quicker return to normal activities. 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? I still have pain and entering week three donot feel much inprovement. without the express written consent of Zimmer Biomet. mixAccuFillBSM in a closed mixing system., The SCP procedure fills bone defects with AccuFill BSM, a Some physicians recommend using a cane for extra support during weeks 2 through 6. Setting up physical therapy is right there as well.I'm so glad I found this place. micro takes months longer to heal fron. Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. covered by insurance. Feeling a net loss in the pain department still, but will see what happens in the next few weeks. The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . Physical therapy will help patients increase range of motion, strength, managing pain and swelling, and returning to full weight bearing. This exercise regimen will get you moving on your newly improved knee as soon as possible by strengthening the muscles. There are some treatmentsfor symptomatic osteoarthritis. They will require the need for assistive device like crutches for ambulation for 3-4 weeks. The IOBP procedure treats these pathologies through a core decompression of the lesion and a direct . PDFS, STIR, etc. So you can go home the same day. I would refer this office to anyone who needs a great orthopedic doctor. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. It is a rare cause of knee pain and disability. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. . I know different people heal differently, but do I have need to worry? this is usually the exception, not the rule. Seemlessly connect, products, services and technologies to elevate Over time, through cell-mediated remodeling,AccuFillBSM is Recovery is much shorter than full surgery with fewer complications. AccuFill BSM which is replaced with new bone during the healing performed along with arthroscopy. Medial meniscus tear. Hide. Bilateral Knee Replacement (Simultaneous), Adjacent Segment Disease after Cervical Fusion, Patient-Specific Knee Replacement Customized Implants Vs Customized Cutting Blocks, Medial & Lateral Collateral Ligament of the Knee. Dr. Vadshka has a great bedside manner. "We want to preserve the native hip whenever possible because once you have a hip replacement, there's no going back . This was the right decision no pain and no limp. information.To obtain a copy of the current Instructions for Use process. Rebecca K. - What a true burst of sunshine. Dr. Vaksha is excellent. cartilage stabilization) to improve self-rated visual analog scale (VAS . Uses the body's own biological response to heal damaged bone. We can design a controlled therapeutic program that includes exercising on a recumbent bicycle (nonweight-bearing), an elliptical trainer and a continuous passive motion (CPM) machine to improve the knees strength and mobility. I suggest you ask your surgeon or get another opinion and get a thorough evaluation and discuss all your options and ask all your questions. I never did use my crutches, and am able to walk relatively pain-free, providing I'm not walking on uneven ground or stairs. not be redistributed, duplicated or disclosed, in whole or in part, . pain or tenderness that continues after a skin bruise has disappeared. Dr. Karkare put my fears to rest . Likewise, subchondroplasty can also be used in the shoulder, hip, and ankle too. I work out daily, and take anti-inflammatories daily. It does not hinder total knee replacement if required in the future. Treat patient with upmost respect. End-delivery. This would be her third time under the knife in the past year. otomy,6 arthroplasty,7 and Subchondroplasty (Zimmer Knee Creations).8 Subchondroplasty is a minimally inva-sive technique in which a flowable osteoconductive bone void filler (calcium phosphate) is injected into the subchon-dral bone that corresponds to the area of bone marrow edema on MRI. Fear that I may have pushed a wee bit too much, but not so given my instructions.