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SabinBear
Alabama Fan
Member since Jan 2018
821 posts

Knee Replacement seems OVER THE TOP for reduced cartilage...
When the cartilage wears out in the knee, it seems a "cartilage substitute" could be inserted and attached, kind of like getting new brake pads on the car. Replacing the entire knee seems to be the one trick orthopedic docs use as their standard job for these knee issues.

Can someone please invent the cartilage substitute? I don't have the free time to do it.


NoShow
LSU Fan
Member since Feb 2013
924 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
That doctor has boat and condo fees to pay!


Ace Midnight
LSU Fan
Between sanity and madness
Member since Dec 2006
65108 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
quote:

Can someone please invent the cartilage substitute?


Well, they can actually do some cartilage movement and microfracture surgery kind of forms a scaffold for that. Problem is - you get the wrong kind of cartilage - you get fibrous which just wears right off.

You're thinking brake pad, which is the wrong mental model - it's more like lubricant - hyaline cartilage (the good stuff) while technically "solid" tissue, is super slick, like a good lubricant (or engine coating if you want a more direct analogy) and that is what is extraordinarily difficult to replace once gone.

I've been watching with some interest (my left knee has been going out for about 5 years - I've tried not to baby it, but I avoid doing too much extra damage to it - I'm still young) - the progress of a product by an Israeli company - it's a biphasic implant that is installed via a form of microfracture surgery - it's organic coral based, and it encourages bone growth underneath and hyaline cartilage growth over the top, with or without lesions, with or without bone loss. It's slowly but surely making it's way through U.S. trials.

Cartiheal's amazing Agili-C

I might be able to run again some day.
This post was edited on 2/19 at 7:45 pm


TheBaker
LSU Fan
Prairieville
Member since Jan 2004
2599 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
Yeah...that would be a ROCKY recovery.


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21
el Gaucho
Southern Fan
bawcomville
Member since Dec 2010
37884 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
Why not get your conceal carry and not worry about running?


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23
soccerfüt
Truth Detective
Member since May 2013
30932 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
We don’t need your cutting remarks around this joint pal.


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Darth Aranda
VCU Fan
Naboo
Member since Dec 2016
1680 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
Just put a little Temper-Pedic pad in there


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Kentucker
Kentucky Fan
Lexington
Member since Apr 2013
13354 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
quote:

That doctor has boat and condo fees to pay!


No shite. I fell off a motorcycle and had to have a partial knee replacement. The bill was $55,000. The surgeon's share for 15 minutes of work was $4,800. The bill for using the operating room for that 15 minutes was $22,000. I paid $4,000 out of pocket. Medical costs are way out of control.


member12
Marquette Fan
Bob's Country Bunker
Member since May 2008
23337 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
quote:

Knee Replacement seems OVER THE TOP for reduced cartilage...


As complicated and as scary as it sounds, it has a very high success rate. Ortho surgeons do dozens of them every day in Baton Rouge.


onmymedicalgrind
pacific NW
Member since Dec 2012
9399 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
quote:

Knee Replacement seems OVER THE TOP for reduced cartilage...

It works, and works very well.


Wolfmanjack
Member since Jun 2017
144 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
Once your pain level is intolerable you'll beg for that knee replacement. Don't forget the physical therapy after and you'll be rolling before you know it. It's a brutal surgery though.


onmymedicalgrind
pacific NW
Member since Dec 2012
9399 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
quote:

It's a brutal surgery though.

Not really, its like 45 mins. It hurts but thats what nerve blocks are for.


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07
dewster
LSU Fan
Pittsburgh
Member since Aug 2006
15779 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
Did you choose a specialty yet, OMMG?
This post was edited on 2/19 at 6:38 pm


onmymedicalgrind
pacific NW
Member since Dec 2012
9399 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
Yep, this topic right here


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30
bopper50
LSU Fan
Sugarland Texas
Member since Mar 2009
2528 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
My knee replacement 2 years ago was the best thing that I have done.

When the pains gets to be enough, you will know.

The worst part of the whole procedure is the constipation from the drugs.

After 2 weeks the rest was a breeze, even the rehab was ok, just do what they say. Don't do any more or less.


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Evolved Simian
Alabama Fan
In a van by the river
Member since Sep 2010
13223 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
quote:

using the operating room for that 15 minutes


I'm certain you're grossly understating the time for that.


Happygilmore
Happy Place
Member since Mar 2009
1544 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
Bio cartilage graft, about a year old technique. Drill holes in your femur apply the bio cartilage (cadaver cartilage mix) and some paste type stuff to seal it in. 8 week non weight bearing immobilized recovery


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AlceeFortier
Member since Dec 2016
1197 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
What did insurance or medicaid actually pay the dr?...


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CrimsonTideMD
Alabama Fan
Member since Dec 2010
4977 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
quote:

When the cartilage wears out in the knee, it seems a "cartilage substitute" could be inserted and attached, kind of like getting new brake pads on the car.


Damn, somebody should have thought of that.

I’m gonna steal your idea, write it up, and get riyyyyach.

Look out Jimmie Andrews, I’m coming for you


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30
unotiger21
UNO Fan
Member since Sep 2010
332 posts

re: Knee Replacement seems OVER THE TOP for reduced cartilage...
I had microfracture done in September of 2016. I’ve had good results. Pain is gone. I’m only 26 though so I don’t know how long it will hold. I asked my doctor and he said if it does wear out I could have another microfracture since I had good results the first time.


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