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

Posted on 2/19/18 at 5:22 pm
Posted by SabinBear
Member since Jan 2018
1145 posts
Posted on 2/19/18 at 5:22 pm
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.
Posted by NoShow
Member since Feb 2013
2339 posts
Posted on 2/19/18 at 5:23 pm to
That doctor has boat and condo fees to pay!
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89566 posts
Posted on 2/19/18 at 5:42 pm to
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 2/19/18 at 7:45 pm
Posted by TheBaker
Prairieville
Member since Jan 2004
4309 posts
Posted on 2/19/18 at 5:44 pm to
Yeah...that would be a ROCKY recovery.
Posted by el Gaucho
He/They
Member since Dec 2010
53021 posts
Posted on 2/19/18 at 5:45 pm to
Why not get your conceal carry and not worry about running?
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
65751 posts
Posted on 2/19/18 at 5:45 pm to
We don’t need your cutting remarks around this joint pal.
Posted by Darth Aranda
Naboo
Member since Dec 2016
2487 posts
Posted on 2/19/18 at 5:50 pm to
Just put a little Temper-Pedic pad in there
Posted by Kentucker
Cincinnati, KY
Member since Apr 2013
19351 posts
Posted on 2/19/18 at 5:53 pm to
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.
Posted by member12
Bob's Country Bunker
Member since May 2008
32096 posts
Posted on 2/19/18 at 5:56 pm to
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.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 2/19/18 at 6:10 pm to
quote:

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

It works, and works very well.
Posted by Wolfmanjack
Member since Jun 2017
1022 posts
Posted on 2/19/18 at 6:11 pm to
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.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 2/19/18 at 6:34 pm to
quote:

It's a brutal surgery though.

Not really, its like 45 mins. It hurts but thats what nerve blocks are for.
Posted by dewster
Chicago
Member since Aug 2006
25373 posts
Posted on 2/19/18 at 6:36 pm to
Did you choose a specialty yet, OMMG?
This post was edited on 2/19/18 at 6:38 pm
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 2/19/18 at 6:40 pm to
Yep, this topic right here
Posted by bopper50
Sugarland Texas
Member since Mar 2009
9150 posts
Posted on 2/19/18 at 6:47 pm to
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.
Posted by Evolved Simian
Bushwood Country Club
Member since Sep 2010
20554 posts
Posted on 2/19/18 at 7:20 pm to
quote:

using the operating room for that 15 minutes


I'm certain you're grossly understating the time for that.
Posted by Happygilmore
Happy Place
Member since Mar 2009
1810 posts
Posted on 2/19/18 at 7:43 pm to
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
Posted by AlceeFortier
Member since Dec 2016
1795 posts
Posted on 2/19/18 at 8:46 pm to
What did insurance or medicaid actually pay the dr?...
Posted by CrimsonTideMD
Member since Dec 2010
6925 posts
Posted on 2/19/18 at 8:53 pm to
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
Posted by unotiger21
Member since Sep 2010
934 posts
Posted on 2/19/18 at 8:59 pm to
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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