Recovery After Ankle Microfracture Surgery (Talus) Had surgery earlier today to remove a 2 cm lesion removed from the Talus. Brad…I am a 37 year old female. I would say this hasn’t worked for me. I researched the operation thoroughly (study results, ideal candidates, Six weeks on crutches, the recovery being very dependent on allowing the blood clot to heal so the cartilage can regrow) before making the commitment to a long boring recovery. The rehab is so hard when you have a house and family to look after which was frustrating at times. Take the antiinflammatories advised by your physician and do the research and make a decision to do SOMETHING. 8. Take care of it. They stand by their six-month timetable, but it’s been more than seven months since Bogut went under the knife, and his return date is still up in the air. 8wks later started physio and eventually got back to normal the best way I could but knew deep down I would never be the same! they decided to do micro fracture surgery as well. 14. tomorrow I’ll comment on my rehab later. Dont do it! These perforations are separated by 2 to 4 mm. A strong, well functioning quadriceps muscle appears to be beneficial for healing of the fibrocartilaginous clot by absorbing ground reaction forces, which would otherwise be partially borne by the joint surfaces. MD I have endured this surgery once already when I was 34. J Orthop Sports Phys Ther 1998;28(4):192-202. So fast forward to now surgery in Feb 14. Microfracture surgery anyone had it? Three months later attitude is positively adjusted, apprehension still exists but has diminished and I am finding that MF rehab is as much an art than it is a science. But still used them both for a week. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. 6. Surgical techniques fall into several broad categories:  marrow stimulation, grafting, and autologous chondrocyte implantation (ACI). If it doesn’t he is going to send me to a cartilage specialist. It sounds like you’ve done a lot more physical activity than I’ve been able to do so far. and possibly some arthritis. I am 33yr old women I had surgery when I was 14 then 15 to remove cartilage, I have developed traumatic osteoarthritis. Now more than 2. So I had the repair and microfracture 2 weeks post-injury. Rehabilitation must protect the area treated by microfracture as well as maintain the strength and motion of the knee joint. Microfracture is a surgical technique that has been developed to treat chondral defects, which are damaged areas of articular cartilage of the knee. My guess is that if it wasn’t a muscle issue, and that it was more structural, then I wouldn’t be able to even do even ONE stair. It’s been tough to say the least and at 5-1/2 weeks was permitted to ditch the crutches. Just praying for the best outcome now since what’s done is done. Stitches were removed and I was told I could walk without crutches on level surface… no stair climbing, be very careful… nothing beyond walking at a slow pace, no pivoting with weight on knee, etc. In the meantime I have adjusted my diet as my ability to out work a bad diet no longer exists. I was in the hospital 5 days and unable to walk! A recent study says that microfracture knee alternatives should be used because the procedure is ineffective and should be abandoned. Microfracture surgery is a relatively new procedure. Bleeding and fat droplets are observed arthroscopically if the technique has been performed correctly. The number of microfracture holes created depends on the size of the lesion being treated. Clin Orthop Rel Res 1975;(110):177-196. My knee swelled, and I was miserable for a good month. If the patient is struggling with the progression to weight bearing, aquatic therapy and water walking can be very beneficial. 3. Because articular cartilage is relatively aneural, pain level cannot be used to guide rehab progression, so it is important to remind the patient to use joint effusions and general knee discomfort as a guide for the progression of their weight bearing. Recovery From NFL Knee Surgery. I know I can walk and trust me I have tried with minimal pain but I rather it just heal. Saved my life. And he is a top surgeon, most trusted, etc in his field. I have “pushed” the envelope a bit by riding a stationary bike (every day starting at the 2 week mark) but haven’t had any pain associated with it. Please be patient, don’t rush back into activity, accept that your knee will never be the same (especially if this is your first knee surgery) and try to make the most of it. I am blessed with a surgeon/friend who I trust and who has been in touch with full disclosure regarding with what my expectations should be and their timetable. At pre-op on 10/3/13 no problem you’ll be on a bike tomorrow and skiing by Christmas. No doctor knows exactly what is wrong with my knee, but according to MRI and X-ray, my knee looks pretty good. My knee needs movement or stiffness occurs. The patient will be NWB and use two crutches to protect the repair site and allow the site to heal properly. It’s been six weeks, saw the Dr. and he said if this didn’t calm down he would give me a cortisone shot and maybe start on synvisc. Have to be able to differentiate between pain from the procedure and recovery, and pain from over exerting while training/rehab. Steve, I just wanted to comment and say my OS said I could bear weight immediately but only because of the size of my cartilage lesions. ACI surgery is one option but apprehensive due to invasive procedure. All range of motion returned within a few months. If you do not let the blood clot do it’s thing and regrow cartilage, the contact will be directly on the bone. I am almost 4 weeks post-op now and I am being very aggressive with PT, although strengthening the quad is not as productive as I would like to see. The fluid just keeps coming back.. any sugestions or advice. The technique was frequently used in athletes after they injured their joints. Microfracture surgery is an articular cartilage repair surgical technique that works by creating tiny fractures in the underlying bone.This causes new cartilage to develop from a so-called super-clot. 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