re: Osteochondral Allograft Transplantation

quote:

---

Sounds like a serious pain in the arse for a year at least.

---

Thats the conclusion I reached. My doctor said it would not delay the need for a complete replacement. I'm in the same boat and going to wait the 10 years. I am going to try PRP in the meantime.

quote:

---

60% cartliage loss, bone on bone when walking to mailbox. shite hurts.

---

If it’s truly bone on bone is this an option?

A knee replacement seems inevitable and there no guarantee this will make you better in the interim. I’d either deal with it as long as you can then opt for knee replacement which has much better likelihood to improve your symptoms.

The other thing to think about is with 2 surgeries you have twice the possibility of complications of surgery.

This is similar to the technique used for penis enlargement.

Really don’t feel like emailing back and forth about it but my advice is that if you are likely heading for a replacement maybe hit the PT for a few wks, take what you learn there to a gym, and just get it strong and stable. You’ll feel better and if you have the total knee you’ll be prepared to fly through the surgery and recovery. Avoid the cartilage graft surgery, they don’t go well.

Hope this helps.

quote:

---

The other thing to think about is with 2 surgeries you have twice the possibility of complications of surgery.

---

Yeah, that is weighing on me.....I think I'll just drain my knee every few months, then have knee replacement in my 60's, I guess. Sucks.

I appreciate the advice....thanks

Are u way overweight?

It’s wise to put it off as long as you can but don’t let age be the sole reason to put it off. Quality of life should be the most important factor in your decision. What good is it waiting until your 60’s if you’re unable to do the things you like to do or need to do and not enjoy them because of pain. Ultimately, you’ll know when it’s time regardless of age.

Where in your knee is the OCA going? Patella or a condyle? Patella tends to be a little easier. How old are you I may have missed it earlier.

I worked for an orthopedic surgeon in nyc for 3 years who did this exact procedure multiple times a week. The success rate is more like 80% when looking at recent studies.

If the OCA is going in the condyle and you have more than just a central large lesion it may not work. Generally the OCA works best if it’s just filling in a pot hole. 60% loss sounds like a lot.

tissue processor

Lifenet health is one of the primary processors of these types of grafts. Some of the success of the graft is dependent of your surgeon matching the plug well. I don't work for Lifenet, but have experience on the donation side so I've sat through a few trainings on this graft.