Aa
A
A
A
Close
Orthopedics & Sports Medicine Forum
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal

articular cartilage damage in knee

re:  full thickness articular cartilage damage .9cm right knee weight bearing area

30 year old very active athletic female

want a LONG TERM solution!  should i microfracture, aci, oats . . .
6 Responses
700223 tn?1318165694
MEDICAL PROFESSIONAL
Each has its own advantages and disadvantages.  While microfracture has the quickest and easiest recovery period, it is the least preictable in the long term.  OATS is usually used for lesions less than 2.5 cm and ACi for bigger lesions.
Many surgeons recommend starting with microfx, and then trying oats or ACI if needed.
Avatar universal
Therein lies my confusion.  
microfracture - is it fair to say that i'll definitely need another surgery in 3 years max?
oats - isn't there a high chance of complications with the donor site?  isn't there a high chance of the plug not fitting properly into the lesion?  won't i need another surgery in 6 years max?
aci - after all that, couldn't the cartilage grow in as fiborous anyway?  won't i need another surgery in a few years with this option too?

frankly, the feeling i get from the doctors is that it's hopeless.  no matter what i do, i'm going to need surgery for the rest of my life.  i'm only 30, yet it's over.  i can't even walk let alone run like i used to.  vicodin is the only thing that takes the edge off the pain.  i'm discouaraged and extremely confused.  thank you for your help.  
700223 tn?1318165694
MEDICAL PROFESSIONAL
I think your confusion lies in  not understanding the statistics.  All of the tthe surgical procedures have a reasonable success rate.  I fyour surgery is successful, you may never need anything more,
Avatar universal
can't possibly find the words to thank you enough.  finally, clarity.  
Avatar universal
will viscosupplementation prevent further damage to my knee or is it better to undergo surgery as soon as possible?

thank you again.  your answers are so concise.  
700223 tn?1318165694
MEDICAL PROFESSIONAL
viscosupplementation will give you symptomatic relief, but will not fix the problem,  since your lesion is small, I dont think I would delay and risk making it larger
Popular Resources
Find out if PRP therapy right for you.
Tips for preventing one of the most common types of knee injury.
Tips and moves to ease backaches
How to bounce back fast from an ankle sprain - and stay pain free.
Patellofemoral pain and what to do about it.
For people with Obsessive-Compulsive Disorder (OCD), the COVID-19 pandemic can be particularly challenging.