Re: tkr for chondromalacia ?

[Guest guest]

There IS a kneecap prosthesis. The backside of the kneecap & the trochlea are

replaced

http://www.avonpatella.com/index/ap_pag_scientific-redirect/ap_pag_case-presenta\

tion-problems.htm?wa=2. My doctor pooh-pools this as not reliable, and

somewhere on that site they say (or used to) that if you've had this replacement

and later need a TKR, you have to get a certain brand of knee implant. Note

that if you just go to www.avonpatella.com you have to tell them you're a doctor

to get the info.

There used to be another site, but they completely changed it & removed any

reference to a patello-trochlear replacement. I don't know what that means --

maybe it did fail.

And then there are unicompartmental replacements -- like replacing the end of

the femur and the backside of the kneecap. I don't think most OS's are real

comfortable with that, but you can always pressure them. Docs will respond to

pressure sometimes.

Ann

tkr for chondromalacia ?

Whenever anyone finds out that I have a knee problem they always

suggest that I have a tkr. Mind you, these well meaning advisors are

not experts. After several opinions my doctors have not recommended

any sort of surgery even though the knee problem has put severe

limitations on my daily functioning. It was always my understanding

that I was just not a good candidate for surgery, that there was

nothing they could do surgically for me that they were optimistic

about. However, with tkrs being all the rage I want to know why they

are not considered an option for chondromalacia. Is it because

alignment issues would interfere with a " new " knee and prevent it from

functioning as well?

I know we have some real veterans in this group. Does anyone have any

information about surgical options besides the lateral release?

[Guest guest]

All the surgeons I talked to said that TKR is the only real cure for

chrondromalacia, they just don't care to do it before the mid 50s.

Mike

MT

tkr for chondromalacia ?

> Whenever anyone finds out that I have a knee problem they always

> suggest that I have a tkr. Mind you, these well meaning advisors are

> not experts. After several opinions my doctors have not recommended

> any sort of surgery even though the knee problem has put severe

> limitations on my daily functioning. It was always my understanding

> that I was just not a good candidate for surgery, that there was

> nothing they could do surgically for me that they were optimistic

> about. However, with tkrs being all the rage I want to know why they

> are not considered an option for chondromalacia. Is it because

> alignment issues would interfere with a " new " knee and prevent it from

> functioning as well?

>

> I know we have some real veterans in this group. Does anyone have any

> information about surgical options besides the lateral release?

>

>

>

>

>

>

>

>

[Guest guest]

I think American docs are more conservative than European docs (lawsuits?) --

from what I've read, they've been doing posterior kneecap/trochlea replacements

for years.

Ann

tkr for chondromalacia ?

> Whenever anyone finds out that I have a knee problem they always

> suggest that I have a tkr. Mind you, these well meaning advisors are

> not experts. After several opinions my doctors have not recommended

> any sort of surgery even though the knee problem has put severe

> limitations on my daily functioning. It was always my understanding

> that I was just not a good candidate for surgery, that there was

> nothing they could do surgically for me that they were optimistic

> about. However, with tkrs being all the rage I want to know why they

> are not considered an option for chondromalacia. Is it because

> alignment issues would interfere with a " new " knee and prevent it from

> functioning as well?

>

> I know we have some real veterans in this group. Does anyone have any

> information about surgical options besides the lateral release?

>

>

>

>

>

>

>

>

[Guest guest]

That would actually be the next thing I would look into if necessary.

Mike

MT

tkr for chondromalacia ?

>

>

> > Whenever anyone finds out that I have a knee problem they always

> > suggest that I have a tkr. Mind you, these well meaning advisors are

> > not experts. After several opinions my doctors have not recommended

> > any sort of surgery even though the knee problem has put severe

> > limitations on my daily functioning. It was always my understanding

> > that I was just not a good candidate for surgery, that there was

> > nothing they could do surgically for me that they were optimistic

> > about. However, with tkrs being all the rage I want to know why they

> > are not considered an option for chondromalacia. Is it because

> > alignment issues would interfere with a " new " knee and prevent it from

> > functioning as well?

> >

> > I know we have some real veterans in this group. Does anyone have any

> > information about surgical options besides the lateral release?

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

It's certainly a lot less radical. The question is, with the limitation on the

kind of TKR you can get later, how limiting is it? One would want to do a lot

of research before one committed oneself to a very limited type of TKR, esp.

since technology in TKRs will advance between now & then.

What I don't understand is, since they can glue tendons to bones, why can't they

make a whole new kneecap with the anterior side made of something glue-to-able,

glue the patellar tendon onto it, put in a new trochlear groove if needed, and

be done with it? No more pain.

Ann

tkr for chondromalacia ?

>

>

> > Whenever anyone finds out that I have a knee problem they always

> > suggest that I have a tkr. Mind you, these well meaning advisors are

> > not experts. After several opinions my doctors have not recommended

> > any sort of surgery even though the knee problem has put severe

> > limitations on my daily functioning. It was always my understanding

> > that I was just not a good candidate for surgery, that there was

> > nothing they could do surgically for me that they were optimistic

> > about. However, with tkrs being all the rage I want to know why they

> > are not considered an option for chondromalacia. Is it because

> > alignment issues would interfere with a " new " knee and prevent it from

> > functioning as well?

> >

> > I know we have some real veterans in this group. Does anyone have any

> > information about surgical options besides the lateral release?

> >

> >

> >

> >

> >

> >

> >

> >