I am not aware of any list. Some benefits patients in Manhattan, New York City and surrounding New York boroughs experience are: Minimally invasive surgery takes less time to recover. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. still anoption.. It does not hinder total knee replacement if required in the future. I went and saw another ortho surgeon who told me straight away that my knee was unstable and that i needed a further ACL AND MCL reconstruction due to a botched first operation. A bone marrow lesion or a bone marrow edema adjacent to the cartilage of the knee joint is typically seen as a cloudy white area on the T2 and STIR sequence of the MRI. A complete assessment of joint. form ananocrystalline,macroporousscaffold in the bone. I am happy I found them and would refer them to friends and family. There are three types of . subchondral bone defects, often called Bone Marrow Lesions (BML) Another more extensive paper has demonstrated similar results. no one mentioned condroplasty or fluid around the knee i only read i had this done on the discharge letter.go back in 4 days to see the consultant which will be week 3 hpoe he will give me an idea how long recovery will be.. the healing process., Closed transfer to injection syringes No loss of mix, 2 components: cannula + stylus Stylus locks to cannula hub. mixAccuFillBSM in a closed mixing system., The SCP procedure fills bone defects with AccuFill BSM, a endstream endobj startxref Oct;10(4):395-401, 2019. process. However, BMLs can occur in other joints as well. How does it work? Arthroscopy is a procedure that orthopaedic surgeons use to inspect, diagnose, and treat problems inside a joint. Advantages of Subchondroplasty. Your surgeon will almost alwaysperform arthroscopy along with thesubchondroplasty. If one part of the machine is not working properly, intense discomfort can ensue. that mimics the chemicalcomposition and crystalline structure of Symptoms of bone marrow lesions include the following: Enrolled subjects will have a single Bone Marrow Lesion of the tibia, single . I am sure that there are physicians in SW Ohio who perform the surgery. A 76-year old woman was referred for resistant medial knee pain. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. I still can'twalk or stand for more than 10 minutes without severe pain that makes me have to stop doing what I am doing. In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. Minus the meniscectomy :o) Cgarrison M.A. Nanocrystalline*, highly porous injectable calcium phosphate (CaP) Less recovery time. I know different people heal differently, but do I have need to worry? Do you have arthritis? Has someone told you that you might be a candidate for subchondroplasty? insufficiency fractures) of the knee and ankle. intellectual property rights, as applicable, owned by or licensed to What now? We strive to alleviate pain and improve the quality of life for people around the world. Surgical options include joint replacement, arthroscopy alone or arthroscopy with subchondroplasty. After 7-10 days, you should be able to . The area is still warmer to the touch than the other leg and my recovery is such that I wish that I had never done it. This cartilage, when healthy, protects the bone ends. this is usually the exception, not the rule. Many patients are able to leave the 30-minute outpatient surgery on their own two feet. Very friendly office and I'm glad to be a patient here. bewmson. Often these patients may be contemplating a joint replacement. It is probable that if this surgery fails, your ortho will recommend a total knee replacement. Trocar-tip for cutting ability. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Broke my ankle three places on a Saturday. Physical therapy will help patients increase . One recent small, short-termstudyshowed that the most significant improvement in pain and function occurred within two weeks of surgery. Best of luck. In patients with knee osteoarthritis, subchondroplasty is most frequently performed to treat bone marrow edema in the medial compartment (i.e., medial tibia plateau, medial femoral condyle, or both for "kissing" contrecoup lesions) [].Other possible target sites for subchondroplasty include the lateral compartment, patella, and trochlea [].In our cohort of nine patients, preoperative MRI . How to bounce back fast from an ankle sprain - and stay pain free. . In the area around the bone bruise, symptoms may include: swelling. There have not yet been much research on this procedure. measured by X-ray diffraction to be less than 100 nanometers., AccuFillBSM is an engineered calcium phosphate mineral not be redistributed, duplicated or disclosed, in whole or in part, inhibit the treatment of other findings inside the joint when Who in Orange County,Ca diagnoses whether a Pt is a candidate for sunchondroplasty and if they are diagnosing the Pt as a good candidate are they also the Dr that most likely will perform the procedure. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!! cartilage stabilization) to improve self-rated visual analog scale (VAS . I still have to be careful to stretch, that way I have full ROM. Compared to more invasive surgeries such as total knee replacement, it may lead to faster recovery and quicker return to normal activities. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731. Complete Orthopedics should be your choice! andreplicatableautologous products and solutions for a variety of Back to Main Site . I had a right knee arthroscopy 2 weeks ago plus chondroplasty (. 17 weeks after the surgery they finally diagnosed my pain as a staph infection. The patient is usually discharged on the same day as the surgery. I had a chondroplasty last August (2008) & they fixed my meniscus. The damaged tissue is removed, allowing healthy cartilage to grow in its place. Day 2-5: work on rehab program with physical therapist, practice walking and going up and down stairs (with or without walking aids). Subchondroplasty may be performed alone or along with other arthroscopic procedures. To schedule an appointment with one our specialists, contact our scheduling department at 972-250-5700 or request an appointment online. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Total knee replacement was the only viable option. Gisela, It is possible. During the surgery, your surgeon will insert a thin tube through a tiny skin incision into the areaof the bone injury. I had right knee arthroscopy with partial medial meniscectomy as well as femoral and patellar chondroplasty. Today is the first day that I've been able to bend my knee to almost full range-of-motion, and straighten it after sitting with minimal pain. I certainly am able to walk without krutches and wonder how much damage may have been caused by not using them initially maybe knocking off the scab on the chondroplasty. subchondral bone defects, the crystalizes and sets in an isothermic However, I found on MRI that there were metal shavings left in my knee due to the shaver used. Office very clean. otomy,6 arthroplasty,7 and Subchondroplasty (Zimmer Knee Creations).8 Subchondroplasty is a minimally inva-sive technique in which a flowable osteoconductive bone void filler (calcium phosphate) is injected into the subchon-dral bone that corresponds to the area of bone marrow edema on MRI. Hide. Im sorry. Dr. Karkare put my fears to rest . ), age, and level of activity all contribute to healing time. KNEE - SUBCHONDROPLASTY PLEASE READ THESE INSTRUCTIONS COMPLETELY AND ASK FOR CLARIFICATION IF NECESSARY - DIRECT QUESTIONS TO YOUR NURSE BEFORE LEAVING THE HOSPITAL OR VIA PHONE/EMAIL TO DR COLE'S STAFF AFTER ARRIVING HOME EMERGENCY HOTLINE # 312-243-4244 WOUND CARE Loosen bandage if swelling or progressive numbness occurs in the extremity. Following a time lapse of 4-5 minutes after the CaP injection, the trocar should be reinserted into the injection cannula before all instrumentation can be safely removed. PiCC line and 6 weeks of antibiotics with tests of blood counts deemed a qualified success. The diagnosis included: Primary osteoarthritis. Uses the body's own biological response to heal damaged bone. Is Subchondroplasty at all possible with the pin in place to relieve my hip pain? I reluctantantly had the surgery done on the 14/05/11 having and ACL, MCL reconstruction chondroplasty and removal of existing metal work. There is growing interest in the diagnosis and treatment of bone marrow lesions (BMLs) about the knee. I am still walking with a walker and found out Thursday that I have absolutely no cartilage left in my right knee. He took extra time with us and explained things so thoroughly. | COVID-19 Updates. The knee was swollen and painful to walk on. Amazing team!! I am 69 years old and have a full titanium pin in my left femur. Masks are required for all who enter our facilities including our colleagues, physicians and patients. Hello sir, my left hip is going weak . I was on crutches with weight bearing for about 2 weeks, and then moved to the walker. Subchondroplasty for Treating Bone Marrow Lesions. Subchondroplasty is done under x-ray imaging control in the operating room. . Journal of Knee Surgery. Hard to say from here without an exam or imaging what would be best for you specifically but generally people with that issue are better served with a hip replacement. I had chondroplasty surgery on February 15th and though after being on crutches for two weeks, I still had a dulling pain under my knee cap and resorted to using a cane for a couple of weeks. This would be her third time under the knife in the past year. Unfortunately, I do not. They are sent home with pain medications and asked to follow within a week with the surgeon. After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. Ive been doing research on SCP and wondering if this procedure would be an option. pain or tenderness that continues after a skin bruise has disappeared. covered by insurance. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. What are the results of Subchondroplasty? A semi-liquidsubstance containing calcium is then injected through the cannula and into the lesion. Depending on the complications of the surgery, the state the knee was in at the time of the surgery, your overall healh, other conditions (like diabetes, HTN, etc. I went through PT to strengthen my leg and to get it straight, which I was able to accomplish. End-delivery. 5 mL of synthetic bone substitute was injected with firm steady pressure . Not the same as surgical pain, but pain to bike, walk, or exercise. Most commonly, this problem occurs in the knee. Often they will resolve with time. PDFS, STIR, etc. He really takes his time and explains treatment options. The patient is usually discharged on the same day as the surgery. Adjust seat so involved arthroscopy to aid in visualization, the SCP procedure does not i have just found out what a chondroplasty is and i annoyed to learn that the 4 1/2 years prior my first surgery my unstable knee has done considerable damage to my cartilage in which i should need this procedure done. endstream endobj 56 0 obj <> endobj 57 0 obj <> endobj 58 0 obj <>stream bone graftsubstitute, thatmimics the properties of cancellous Nothing can replace the relationship you have with a physician. I am a tennis player, 63, and am going crazy from not being able to play. Dr.Karkare is the best. design and technique. The hip is Arthritic. Scheduling my appointment was quick and easy. My recovery was amazing. I am 22 weeks post chondroplasty and Lateral Meniscus clean up. Subchondroplasty also resolves the associated edema. The patient portal made it easy for me to access all my documents including work notes. Called Dr. Karkare. The purpose of this study was to determine whether prior arthroscopic application of a CPBS, for repair of magnetic resonance imaging-identified subchondral fractures associated with osteoarthritis (procedure referred to as subchondroplasty . When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. care or other intervention. . I start physical therapy on Monday and look forward to continue my rehabilitation in that manner. It was far too painful before surgery. Telephone follow-up interviews to be be performed at 9 and 18 . intendedto be intrinsic to the stability of the bony structure. self-setting,macroporous,osteoconductive, calcium phosphate bone syringes.Theprefilled kitincludes all components to hydrate and Dr Thomas Youm performs high-tibial osteotomy and total knee replacement in New York City, NY. Ill let you know when the data is available. The doctor put me on "partial weight bearing" status for two more weeks. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Subchondroplasty - a new, minimally invasive technique that replaces the weak areas of bone marrow lesions (BMLs) with strong, healthy bone - is offering renewed hope to sufferers of chronic knee pain. Start exercise bike on 3 rd or 4 th day postop for 15 minutes. It may take up to 8-10 weeks to heal completely. ), age, and level of activity all contribute to healing time. Most patients will begin physical therapy within a couple of days and continue this for several weeks. A total knee replacement was offered; however, the patient was interested in conservative treatment, so she was referred to interventional radiology for consideration of a genicular nerve block. If you choose to undergo subchondroplasty, you will be put under general anesthesia. These BMLs can be very painful. I was playing singles tennis the day before the operation, today I can't even jog. 0 Responses. Hi Dr Berg, When I was 16 she performed my first arthroscopic knee surgery. . I had chondroplasty, meniscal work, and a cyst removed from my ACL of my right knee on 2/26/10. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. (2012). . Ive been treating my hip pain (osteo-arthritis) with stem cells over the last 2 years with good results looking for an alternative to total hip replacement. You can expect to be walking with support before you even leave the hospitality. In the appropriately selected patients, improvement often starts in 2-6 weeks. It can also result from an acquired or congenital joint deformity, following trauma, surgery or joint infection. I am still in a significant amount of pain. If the patients show evidence of a bone marrow lesion (BML) or bone marrow edema (BME) on an MRI, then these patients may be a candidate for subchondroplasty. warnings, precautions, potential adverse effects and patient So far its been a disaster and I am wondering if my severe osteoporosis coupled with my vitamin D deficiency has something to do with it? Brand new office, same great doctors! . In those cases, a subchondroplsty may also be helpful. Courtesy and kind would be an understatement. 55 0 obj <> endobj After surgery, it's typical for the knee to technically be able to bend between 70 and 90 degrees, though it may be difficult due to pain and swelling. , This material is intended for health care professionals. Any experience with Subchondroplasty in the knee? Subchondroplasty is a minimally-invasive technique which has been used for the treatment of subchondral lesions (e.g. Sports Medicine Center for Musculoskeletal Care 333 East 38th Street New York, NY 10016 Tel: (646) 501-7223 ! Usually performed along with Likewise, subchondroplasty can also be used in the shoulder, hip, and ankle too. I already have my ct scan on my hip. On occasion, these forces can cause bone bruises. These are small fractures in the bone marrow. representative; search this website for additional product access to the defect. As mentioned earlier, arthritis is the wear or absenceof cartilage, that white, glistening, smooth coating covering the ends of your bones at your joints. B. I have had knee surgery 5 weeks ago,including a partial menisectomy and AFC chondroplasty.The consultant said my knee is a mess,and he may need to replace the kneecap as there is a massive gap in the cartilage. I was told to not put a load on the knee in the bent position, so no jumping my horse for a few more weeks. Knee Hip Knee Pain Injection Foot / Ankle Shoulder Pectus Surgery Sports Medicine Trauma Hand/Wrist By Location Use the form below to search for a doctor by location Find a Doctor. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. They are an excellent practice. Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office.. Watch the video of Dr. Marc Pietropaoli discussing the Subchondroplasty knee repair procedure during a segment on Bridge Street (Channel 9 WSYR).. Knee Repair vs. Knee Replacement: Unlike traditional "knee replacement surgery" in which the diseased or damaged knee joint is removed and replaced with an artificial one, subchondroplasty, which literally means 'surgical repair below the . She also has pain frequently. Didn't find the answer you were looking for? Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! In the past, this problem was treated with bracing, limited activity or extensive knee surgery that required up to eight months of recovery time. A preoperative visit will occur at the time of enrollment. THR My Christmas time recovery. Now After 3 months of great care by him and his staff, I am walking to normalcy. Patients are usually discharged the same day. Hello Dr., my mother (71 YO) was diagnosed with arthritis, she has almost perfect mobility but the joint is damaged. Recovery time for this surgery is highly individual. Whats the take-home message about Subchondroplasty? Surgery was never in question . Follow-up visits were to initially occur at the study site at 6 weeks, 3 months, 6 months, 12 months, and 24 months post-surgery. It does not hinder total knee replacement if required in the future. hXmoH+1QzRDHHk(pJO#!6S+b;g])`iRA""$3Y ,c#$q8WcA#\3h!F}hLrVFHF(HV@1E}t,/x3-!eEK)jeKsJOtYcn0%EE{1t{Pl]~"rwA\itOo|zo2&)XwhA9BK#MgY`s&+|qHPc I also have to work continually to keep my quad from tightening up. Doc I have had one hip replacement due to what I refer to as being a human german shepherd. posterolateral spine), and pelvis that are not intrinsic to the The place is clean and organized.The staff is wonderful. Some physicians recommend using a cane for extra support during weeks 2 through 6. Subchondroplasty requires a doctor to bore a small hole in the hip joint and use it to inject a bone substitute material into the joint filling any voids and open spaces. Arthroscopic chondroplasty is performed as an outpatient procedure. . I was up walking mere hours after the surgery, and on the workout machines the next morning. Hip subchondroplasty is a viable alternative to hip replacement. January op. So subchondroplasty is mostly used in the knee joint. resorbed and replaced with new bone.2. The theoretical aim is to bolster subchondral bone architecture in order to prevent further collapse and progression of osteoarthritis 2,5. I am Vedant Vaksha, Fellowship trained Spine, Sports and Arthroscopic Surgeon at Complete Orthopedics. I discussed what they are, how, Shoulder pain is common at all ages, in both active, Click to find forms, instructions, and decision making guides for your condition. Dr. Vaksha is awesome and takes the time to listen to his patients. The injected bone substitute stabilizes the AnkleSurgical Technique, TheSubchondroplasty (SCP) ProcedureHipSurgical Technique, Injection Behavior of Bone Substitute Materials, in Contained Rebecca K. - What a true burst of sunshine. Knee pain and mobility impairments: Meniscal and Articular Cartilage Lesions Revision 2018. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. Subchondroplasty is the procedure in which the bone adjacent to the cartilage is drilled for decompression and filled with bone cement or paste with osteoconductive properties. I hope that the damage that has be done can be contained and i can live a relative pain free life and enjoy the joys of fatherhood with my young girls with little inpact on the freedom of many every day activities. you should check with your surgeon to find out which procedure he performed. I want to know. I stopped both last week and have begun to use recumbent bike at the gym (non weight bearing) and added the elyptical machine each day for a few minutes.Still have moderate pain on inside of knee when flexed rht or left. Oct;29(7):555-563, 2016. I have seen Dr. Kuo two times already and he's awesome along with his staff. I rode my horse (bareback, at a walk & trot only) 2 days after surgery. In short, osteoarthritis is a degeneration of your joint. Over time, through cell-mediated remodeling,AccuFillBSM is Similarly, those patients with diffuse arthritic pain without corresponding bone lesions in the areas of pain or patients without any BMLs on their MRI would be unlikely to benefit from subchondroplasty. . The hole is filled up with bone cement or paste to support and allow healing. Recheck with the physician is in 7 to 10 days to remove sutures and assess surgical healing. Im sorry to hear that. These lesions stem from remodeling and increased vascularity in the presence of subchondral bone attrition and microfractures of trabecular bone due to increased stress and loading forces. In fact, up to 200,000 athletes suffer ACL tears each year, making it one of the most common . My surgeon says there is no swelling and told me to give it more time. Should it become necessary, future surgery is What is anybody's experience here? If you've been dealing with knee pain for more than three months, and the discomfort increases with walking or standing, it may be time to see Dr. Nicola about Subchondroplasty. Arthroscopic image showing articular cartilage damage. They are usually seen in one week and physical therapy for the knee is started at that time. My situation is very similar, the thing is though is was able to walk the sunday morning after my friday surgery and felt great until Thursday morning. COLUMBUS, Ohio - Doctors at The Ohio State University Wexner Medical Center are using a procedure called Subchondroplasty to give patients with damaged hips more treatment options and ultimately avoid replacement surgery. My mom had a total hip replacement by dr karkare. Eventually I went to an orthopedics specialist; had xrays and an MRI. He takes time to listen and offer suggestions to help you get better. Hopefully, these will give us more information about subchondroplastys efficacy. They are probably among the, Bone Loss In Shoulder Instability I have previously written about, I noticed a strange phenomenon throughout the summer and into, Ankle fractures are common. I continued walking without krutches until Friday morning (this is the first week mind you)but the sorness, while not at all excruciating, was still a concern and I contacted my surgeon's office, at which time they expressed that I still needed to be on krutches at 25% weight bearing. Great staff. The most common cause is age-related deterioration. Often with arthritis, patients will have diffuse pain that is they will have pain all over the knee. I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . AccuFillInjectable Bone Substitute Material is an injectable, Hold 10 seconds. Fewer procedural steps with user-friendly enhance efficiencies, we have options to help address the most common possible risksshould be discussedbefore making the decision to have It leads to faster recovery and quicker return to normal activities. . scaffold in the bone. It leads to faster recovery and quicker return to normal activities. I am 35 years old and face a lifelong battle with knee pain and OA. When these stress fracture type lesions are not able to heal with conservative means then invasive procedure like subchondroplasty may be needed. Those issues you mentioned are often responsible for stress fractures. Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo. stability of the bony structure. performed along with arthroscopy. Working time (maximum time between mixing and injecting) for the BSM was less than 15 minutes. These patients are initially treated conservatively with antiinflammatory medications, ice, elevation and compression. I suffered with pain in both knees for years. The recovery time for this procedure is much faster than traditional open knee surgery, because it is done using arthroscopy. The SCP Procedure is usually performed along with arthroscopy for Subchondroplasty. A chondroplasty is an outpatient procedure used to repair a small area of damaged cartilage in the knee. By symptomatic, what we are talking about is pain and tenderness precisely at the location of the bone injury. BMJ Case Rep (2015) bcr2015209399. They are asked to elevate and ice and use pain medications as directed to take care of the pain and swelling in the knee joint. I was seen on time. It leads to faster recovery and quicker return to normal activities. Avascular necrosis of the knee, or osteonecrosis, is when cells in the bones of the knee die because they are not getting enough blood. Reid D, et al. truly-injectable bone substitute material. 4 The causes of . Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. ACL sprains and tears are leading sports injuries that put athletes out of the game. But there is some. In the appropriately selected patients, improvement often starts in 2-6 weeks. What a great place! Setting up physical therapy is right there as well.I'm so glad I found this place. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. arthroscopy for visualization and treatment of findings inside the are the primary cause of joint pain, not the intra-articular Masking: Single (Participant) Masking Description: Patients will be randomized at the time of surgery to either the control group or the intervention group. My meniscus cartilage was worn out on the inside before surgery. I am guessing this might not be an option for my other hip as it has the same condition but thought worth asking as I am always looking for the latest and greatest. Recovery and Follow-up. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. Feeling a net loss in the pain department still, but will see what happens in the next few weeks. day. The Subchondroplasty procedure is a minimally invasive surgery designed to treat subchondral defects. Most patients can stand and begin basic movement the day right after surgery! In some An interactive learning environment for enhancing education and training. Citation, DOI, disclosures and article data. fluoroscopically-assisted intervention that targets and fills ), No resolution of BML with conservative Subchondroplasty Post-Op Knee Rehabilitation Program When enough bone cells die, the bones begin to weaken and break down. or gaps of the skeletal system of the extremities, spine (i.e.