Granted, the recovery time is slightly longer than an arthroscopy, but it may be worth it in the end. His expertise gave me my life back. Usually performed along with This field is for validation purposes and should be left unchanged. Dr. Karkare is very knowledgeable, helpful, and caring. . She also has pain frequently. Dr. Vaksha was very thorough and kind. ), age, and level of activity all contribute to healing time. The patient portal made it easy for me to access all my documents including work notes. Dr. Forest T. Heis describes how it works: "It is a . I eventually got scheduled to have arthroscopic surgery on Dec 6th. I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha. He is very compassionate. 55 0 obj <> endobj Doc I have had one hip replacement due to what I refer to as being a human german shepherd. What does it treat? These improvements mostly continued for six months after surgery. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. Subchondroplasty is a minimally-invasive technique which has been used for the treatment of subchondral lesions (e.g. of life. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. Very friendly office and I'm glad to be a patient here. Im sorry. I wish you the best of luck. .elizabeth .thank you so much . I had chondroplasty last July had meniscus tear had to have a brace in for 6 weeks still painful and swollen 7 month on I'm now going in for surgery on right 1 same again on 11th February. I was on crutches for the first day, then went to one crutch do to lack of mobility. It is a rare cause of knee pain and disability. The diagnosis included: Primary osteoarthritis. 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. I fought it for years, as I was just afraid. Sorry to hear about that condition. It leads to faster recovery and quicker return to normal activities. This study evaluates the efficacy of knee arthroscopy with adjunctive subchondroplasty (i.e. The Subchondroplasty procedure is a minimally invasive surgery designed to treat subchondral defects. My orthopedic doctor kept recommending knee replacement . It may take up to 8-10 weeks to heal completely. The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). Find out more about Orthopaedic . Subchondroplasty Post-Op Knee Rehabilitation . Getting worried as I can't really do my job without being on my feet a lot. He had is team ready at the hospital and operated on me within 6 hours after my injury. graft substitute material that is intended for use to fill bony voids Subchondroplasty Post-Op Knee Rehabilitation Program Finally, this procedure has been shown to reduce the need for knee replacement in those who had been considering a knee replacement before their subchondroplasty. It leads to faster recovery and quicker return to normal activities. Subchondroplasty Procedure is the innovative new joint preservation procedure developed by Zimmer Knee Creations to treat the microfractures that develop just under the joint surface in painful knees. The place is clean and organized.The staff is wonderful. Could this procedure be an option? (2012). 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. It does not hinder total knee replacement if required in the future. A subset of these patients may respond to asubchondroplasty, and therefore they would be able to avoid joint replacementat least in the short-term. The 6 Most Common Causes Of Middle Age Nontraumatic Shoulder Pain. The "rule of thumb" for recovery is 1-3 months from surgery to "on the feet", but I have known people who are up and walking in a week and some that are still having problems after a year. By definition, secondary osteonecrosis of the knee occurs secondary to an insult. 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. AccuFillBone Substitute Material (BSM). Theminimally-invasiveSCPprocedure isusually performed along with Like all medical issues, arthritis can come in different patterns. Subchondral insufficiency fracture of the knee: a non-traumatic injury with prolonged recovery time. The patients usually will have two to four stitches after the procedure. Leading the industry in providing quality, consistent The office staff is the best, love Andrea.You wont find a better doctor. It does not hinder total knee replacement if required in the future. Masking: Single (Participant) Masking Description: Patients will be randomized at the time of surgery to either the control group or the intervention group. PiCC line and 6 weeks of antibiotics with tests of blood counts deemed a qualified success. I had subchondroplasty 12 weeks ago, and it still hurts to walk. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Dr. Vaksha is excellent. Aquatic exercises are also useful because they take the weight off the knee. 17 weeks after the surgery they finally diagnosed my pain as a staph infection. Ill let you know when the data is available. Trying to build inner muscle, and walk on mid-inner arch of feet now (years of pain made me flat footed, stiff legged). Subchondroplasty or IntraOsseous Bioplasty is a viable and evidence-based procedure which helps not only giving pain relief, but also in delaying or preventing knee replacement. hXmoH+1QzRDHHk(pJO#!6S+b;g])`iRA""$3Y ,c#$q8WcA#\3h!F}hLrVFHF(HV@1E}t,/x3-!eEK)jeKsJOtYcn0%EE{1t{Pl]~"rwA\itOo|zo2&)XwhA9BK#MgY`s&+|qHPc 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. Any experience with Subchondroplasty in the knee? We were in Pt. Setting up physical therapy is right there as well.I'm so glad I found this place. Higher level studies with a comparison to patients treated without subchondroplasty are getting underway (here and here). It does not hinder total knee replacement if required in the future. If they are not relieved with conservative means, advance imaging including x-ray and MRI may be needed. . warnings, precautions, potential adverse effects and patient You will be given a prescription for outpatientphysical . I am a tennis player, 63, and am going crazy from not being able to play. I work as a nurse. 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. The staff was super friendly and down to earth. 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. you should check with your surgeon to find out which procedure he performed. 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. Driving Directions. endstream endobj startxref I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . My pain is in the front of my knee. 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 69 years old and have a full titanium pin in my left femur. Subchondroplasty: Filling the Void in Your Knee I must successfully train the patella to shift to the inside somehow. 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 . Subchondroplasty also resolves the associated edema. The patient is usually discharged on the same day after the surgery. I am so happy he is my doctor. The patient is usually discharged on the same day as the surgery. Jefferson and my wife, Mary Ann, broke her hip. Less recovery time. There are three types of . I'm a year past lateral meniscus w/ optional Zimmer Subchondralplasty. Google . 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). Among the available treatments is a slew of nonoperative options and surgery. The technique may often prevent, or at least delay, the need for total knee replacement. Surgical options include joint replacement, arthroscopy alone or arthroscopy with subchondroplasty. bone graftsubstitute, thatmimics the properties of cancellous The knee was swollen and painful to walk on. Nothing can replace the relationship you have with a physician. 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. what is the recovery time for subchondroplasty. I suffered with pain in both knees for years. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. The purpose of this study was to verify the replacement of CPC with new bone after subchondroplasty for the first time in humans. Hi, thank the lord I found this forumt.so relieved. 0 Responses. My recovery was amazing. 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. Discuss all treatment options with your patient. When was this surgery performed? When these stress fracture type lesions are not able to heal with conservative means then invasive procedure like subchondroplasty may be needed. Office Hours The Baylor St. Luke's Medical Group 17198 St Lukes Way Suite 600 The Woodlands, TX 77384. Any help would be greatly appreciated. If your BML persists on an MRI and symptomatic beyond three months, a subchondroplasty may be right for you. A vision requires leadership to become reality. Thank you. I was told to not put a load on the knee in the bent position, so no jumping my horse for a few more weeks. 1, 2, 3 Often, they are represented on fluid-sensitive magnetic resonance imaging (MRI). Subchondroplasty requires a doctor to bore a small hole in the hip joint and use it to inject a bone substitute material into the joint filling any voids and open spaces. The IOBP procedure treats these pathologies through a core decompression of the lesion and a direct . Subchondroplasty: Knee Repair; Rotator Cuff Injuries & Bio-Inductive Shoulder Patch; Golf Injuries & Treatment; . 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. 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. Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs. Radiographic imaging should be usedto confirm that the adjacent My meniscus cartilage was worn out on the inside before surgery. Courtesy and kind would be an understatement. 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. Arthroscopic image showing articular cartilage damage. I wish you good luck. of the amorphous and crystalline mixture of calcium phosphate sets are Subchondroplasty Procedure. future procedures. A meniscectomy is typically performed when you have a torn meniscus, which is a common knee injury. createdosseous defects or osseous defects created from traumatic What a great place! These patients are initially treated conservatively with antiinflammatory medications, ice, elevation and compression. In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. %PDF-1.5 % A list of national and international resources and hotlines to help connect you to needed health and medical services. I just had a chondroplasty done 1 1/2 weeks ago. I am Vedant Vaksha, Fellowship trained Spine, Sports and Arthroscopic Surgeon at Complete Orthopedics. Smaller lumen and shorter length is designed to be Subchondroplasty is a minimally invasive surgery that helps to repair bone fractures and bone marrow edema (aka "bone bruises") that are painful and debilitating. Surgery was never in question . 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. 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 have been out of work since the surgery. The patient is usually discharged on the same day as the surgery. I went through PT to strengthen my leg and to get it straight, which I was able to accomplish. As mentioned this is typically an outpatient procedure. My mom had a total hip replacement by dr karkare. The staff is truly exceptional, they make you feel comfortable and welcomed. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. Anx-ray-like machine is used toassist in positioning the tube. Therefore, a new surgical method was developed to afford mechanical stabilization and stimulate the recovery of the local trabecular bone. 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. Latest: djklaugh; Today at 5:29 PM; Hip Surgery Pre-Op Area. I still can'twalk or stand for more than 10 minutes without severe pain that makes me have to stop doing what I am doing. Thank you Dr. Karkare.SincerelyVito Congro. The Effectiveness of Post-Operative Rehabilitation Following Partial Meniscectomy of the Knee. Total knee replacement was the only viable option. I would highly recommend this office. Felt absolutely great for first three weeks, like a new person. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. The doctors are amazing,always professional, compassionate and great listeners. Adjust seat so involved I had more cartilage than before the operation and I definitely was in less pain than before the operation. It does not hinder total knee replacement if required in the future. 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. I had a chondroplasty on Feb. 3, 2010 and it still hurts most of the time. The patients are sent home the same day within a couple of hours after procedure. subchondral bone defects, the crystalizes and sets in an isothermic All content herein is protected by copyright, trademarks and other Spang JT, et al. A complete assessment of Likewise, removal of the few needed stitches usually occurs in about a week. I am going to start water therapy soon. Whats the take-home message about Subchondroplasty? Subchondroplasty does not affect the ability . In fact, up to 200,000 athletes suffer ACL tears each year, making it one of the most common . Knee osteoarthritis (OA) is a common form of arthritis that causes joint pain and stiffness. mixAccuFillBSM in a closed mixing system., The SCP procedure fills bone defects with AccuFill BSM, a ), No resolution of BML with conservative ), age, and level of activity all contribute to healing time. A 76-year old woman was referred for resistant medial knee pain. Latest: Sdfoxy1; Today at 5:33 PM; Hip Surgery Recovery Area. 11 gauge cannula . Has someone told you that you might be a candidate for subchondroplasty? Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. Whether youre looking to open a new facility, add a service line or Dr. Vaksha is awesome and takes the time to listen to his patients. L. I was told there was no harm in walking on it within comfort levels w/o crutch. intendedto be intrinsic to the stability of the bony structure. this is usually the exception, not the rule. Full recovery may take 3-4 months, however. 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. My appointment with Dr. Vaksha was amazing. AccuFill BSM is replaced with new bone during BMJ Case Rep 2015; . self-setting,macroporous,osteoconductive, calcium phosphate bone yusrina27606 john041952 . 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. Advocates say it's easier, less invasive, and has a quicker recovery time. crutches, or walker for a short period of time after surgery. Return to normal activities expected 6-8 weeks. Recovery and Follow-up. This exercise regimen will get you moving on your newly improved knee as soon as possible by strengthening the muscles. "We want to preserve the native hip whenever possible because once you have a hip replacement, there's no going back . There is growing interest in the diagnosis and treatment of bone marrow lesions (BMLs) about the knee. (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, Back to Main Site . Unfortunately, I do not. I am 35 years old and face a lifelong battle with knee pain and OA. It is symbolic for stress fracture localized to the bone underlying the cartilage. enhance efficiencies, we have options to help address the most common The reason for nonhealing of these lesions may be increased pressure in the area due to the edema, which is taken care by drilling a hole and letting it to decompress.

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