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re: Cadaver cartilage grafts- anybody done this crap?(Knee issue)

Posted on 8/18/22 at 8:29 pm to
Posted by armsdealer
Member since Feb 2016
11546 posts
Posted on 8/18/22 at 8:29 pm to
quote:

There is always a chance of rejection but she said it’s basically zero


Yeah, the are nuked pretty good, but I am not sure what they use. I pulled some papers, total failures of all kinds are a little over 3% and rejection was 0.61% out of that 3% of rejections making it pretty rare. If there are no living cells there is nothing for your immune system to kill. Looks like the biggest problem is reabsorption but that isn't life threatening. Sure would be a PITA though to have to do the surgery again.
Posted by CincinnatiTiger
Cincinnati, OH
Member since May 2010
904 posts
Posted on 8/18/22 at 8:35 pm to
Don’t even try to lie. She’s a big gal ain’t she? 215?
Posted by Sponge
Member since Nov 2018
3838 posts
Posted on 8/18/22 at 8:45 pm to
There are a few different ways we can replace cartilage: CartiMax, OCA, MACI, etc.

Several factors determine which one is best for you that usually revolve arounds size and location of the deficiency, but we've had great results with each.

ACL reconstruction is a different animal. Statistically, usually cadaver grafts have a higher rate of failure compared to autograft (depending on your age), with hamstring having a slightly higher failure rate than BTB and Quad tendon.

This post was edited on 8/18/22 at 9:41 pm
Posted by NOFOX
New Orleans
Member since Jan 2014
9963 posts
Posted on 8/18/22 at 9:07 pm to
Had it for my ACL reconstruction. Rehab was faster. No problems.
Posted by LSUBoo
Knoxville, TN
Member since Mar 2006
101938 posts
Posted on 8/18/22 at 9:12 pm to
Had an ACL repaired with cadaver ligaments in 2004 and the other one in 2018, zero issues with recovery or rejection.
Posted by mtntiger
Asheville, NC
Member since Oct 2003
26708 posts
Posted on 8/18/22 at 9:12 pm to
I have cadaver bone grafts in my neck. No issues.
Posted by nated14
Baton Rouge
Member since Nov 2009
880 posts
Posted on 8/18/22 at 9:36 pm to
I did it after a snowboarding incident ACL MCL and PCL and was back to full speed in 6mos. The rehab was a bitch and I never missed a session
Posted by saderade
America's City
Member since Jul 2005
25764 posts
Posted on 8/18/22 at 10:14 pm to
quote:

There are a few different ways we can replace cartilage: CartiMax, OCA, MACI, etc. Several factors determine which one is best for you that usually revolve arounds size and location of the deficiency, but we've had great results with each.
ACL reconstruction is a different animal. Statistically, usually cadaver grafts have a higher rate of failure compared to autograft (depending on your age), with hamstring having a slightly higher failure rate than BTB and Quad tendon.
This is the best advice here. Not sure why everyone is talking about ligament tears, that is not what the OP is asking about.
Personally I went through this issue recently after I had an injury that resulted in a large cartilage defect in the knee. After a knee scope was only partially successful I got 4-5 opinions from different orthopedic surgeons. Several recommended a cartilage graft as an option. On the other hand it is a very invasive and long term recovery and some doctors and physical therapist said it was 50-50 if the surgery would be beneficial long term. Eventually I continued to strengthen my leg enough to avoid additional surgery and have returned to all activities. I know I’ll eventually need a total knee somewhere down the line.
Posted by LSUJML
Central
Member since May 2008
46985 posts
Posted on 8/18/22 at 10:32 pm to
quote:

Sure would be a PITA though to have to do the surgery again.


I have a really high pain tolerance, never took the morphine they gave me & only took Percocet at night to help me get comfortable enough to sleep in brace
I wasn’t released to drive for 8 weeks & 10 weeks out I’m only about 70% back to normal
No way in hell would I do this again, I’m getting to the point where I’m starting to worry that I won’t get back to 100%
Posted by CajunAlum Tiger Fan
The Great State of Louisiana
Member since Jan 2008
7883 posts
Posted on 8/18/22 at 10:57 pm to
I’m 52 and had an OATS procedure (cartilage plugs from a cadaver) in January of 2020 right before Covid. Straight leg non weight bearing and no driving (right leg) for 6 weeks was the worst part. Rehab was pretty easy for about 3 months and I hiked over 30 miles during a Wyoming/Idaho vacation in August of that year.

I would do it again without hesitation.

Posted by blacroix
Member since Sep 2019
281 posts
Posted on 8/19/22 at 1:41 pm to
Wife had it for her 1st ACL replacement. Popped again 15 years later and they put another one in. She hasn't had any problems with the second one and we went skiing about 2 years after the second surgery.
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