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orthopaedic surgery fractures joint replacement sports medicine jewish hospital medical plaza 100 e. liberty street, suite 600 louisville, kentucky 40202 telephone 502-587-1236 fax 502-587-0126 southend medical center 5120 dixie highway, suite 103 louisville, kentucky 40216 telephone 502-449-0449 fax 502-449-3277 microfracture protocol After four sessions of a very easy and conservative walk/running mix, my ankle pain came back. Underneath will be 2 waterproof dressings. It is of paramount importance that patients undergoing microfracture surgery follow a regime of physiotherapy. I had the Brostrum repair 8 months ago. Microfracture is a simple but cost effective method to … I have also started running again. 29 years experience Podiatry. No weight bearing C. Weeks 6-8 WBAT (weightbearing as tolerated in boot) D. Week 8-12: wean off boot Call our office @ 646-501-7223 option 4, option 2 to confirm your first postoperative visit, which is usually about 1-2 weeks after surgery. to surgery, presence of arthritis, previous surgery and post-operative rehabilitation program.2-4 Because of this, there are some patients that may not be candidates for the microfracture procedure. 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. Someone will need to pick you up. ankle microfracture surgery recovery. This forms Going Home After Surgery Once you have eaten, passed water and are deemed safe on crutches by a physiotherapist or nurse, you may go home. Day after the Operation, Bandage, Dressings and Showering 48 hours after the operation, you can remove the bandage, wool and gauze around the ankle yourself. It might take up to a year before the fibrocartilage formation is completed. Surgery was planned for Friday, June 28. I had synovial debridement, washout and microfracture of my osteochondral defect of talus, and non-weightbearing for 6 weeks, followed by physio++, and guess what, I still don't have sufficient range of movement to run :thunbdown: I was non-weight bearing for 6 weeks and followed rehab instructions to a T. The results have been excellent with no pain or swelling and I have been able to walk, bicycle, do … Fortunately, there are alternatives. There may be some blood staining on the dressings, this is normal. However, there are atheletes that have returned from ankle microfracture to play sports again (Andrew Bogut, Gary O'neil). Limited strength training also begins immediately after microfracture surgery. I also had a biocartilage repair of an osteochondral lesion of the talus. ... Top answers from doctors based on your search: Disclaimer. "how hard is the recovery for ankle fracture surgery?" 2923 N California Ave Suite 300 Chicago, IL 60618 Phone: (847) 247-4000 720 Florsheim Drive Libertyville, IL 60048 Phone: (847) 247-4000 Performance suffered greatly after players returned, with average points, rebounds, assists and minutes played dropping after microfracture. My ankle has been messed up for almost 30 years, starting with a football injury that was misdiagnosed. The procedure is dependent on the size of the lesion, but in most cases, ankle arthroscopy is recommended. When the microfracture procedure was performed in a group of athletes, improvements in function were initially seen. A 31-year-old member asked: how hard is the recovery for ankle fracture surgery? The concept behind microfracturing is relatively simple: a surgeon uses a small needle to make tiny punctures in the surfaces of the femur, tibia, or patella (all of which make up the joint surfaces of the knee). Microfracture procedures are becoming more popular as a means of attempting to salvage a severely arthritic knee. 3–5 I started on a stationary bike, then started spin classes. Have continued biking and swimming but am now having a fair bit of pain/discomfort by the end of the day. I had microfracture surgery for a full thickness lesion on my medial femoral condyle 10 months ago. The new tissue that is formed after microfracture is called fibrocartilage. I had cartilage or scar tissue impinging in the joint so it could not move from years and years of bad sprains. Thanks! I was given some pain meds, and they help a little bit but I cannot get comfortable to fall asleep. Dr. Robert Lim answered. Following surgery. The ankle needs to be protected for 6 weeks before testing it out with more extensive exercises. I had microfracture surgery Feb 05. A study of 24 NBA players who underwent the procedure showed that only 58.3% returned to play for more than one season after the surgery. Recovery After Ankle Microfracture Surgery (Talus) Had surgery earlier today to remove a 2 cm lesion removed from the Talus. Running After Microfracture Knee Surgery. Ankle Support A. The surgery is quick (typically lasting between 30–90 minutes), minimally invasive, and can have a significantly shorter recovery time than an arthroplasty (knee replacement). In the picture above, you can see where the talus is in the ankle. Finally got my paperwork from the Dr's office the Tuesday before and the call from the hospital the Wednesday. The original problems started 4 years ago when I twisted my ankle badly playing football. I have been diagnosed with a talar dome OCD lesion (loose flap of cartilage in my ankle joint). Microfracture procedure involves the surgeon making multiple holes deep into the bone where the cartilage is absent and allowing an influx of blood rich in growth factors to coat the bone surface. After a bit of advice and support. Phase I (1 – 5 days post-op) • Wound care: Observe for signs of infection and begin scar management techniques when incision is closed. My personal opinion is Denovo seems much less invasive and recover is better. 3-5 While there have been more recent publications of patients achieving satisfactory outcomes with early weightbearing after microfracture as soon as one to two weeks post-operation, most studies recommend a six- to eight-week period of non-weightbearing. Weeks 0-2: posterior slab/splint B. You will need 2 crutches for this period. At this point, I still cannot get the incision site wet. It took physio and many months but ten years later my ankle is stronger and less prone to injury than it was before the surgery and I'm training for a half marathon. Microfracture surgery is very common for athletes, especially at the college and professional levels, due to the physically demanding nature of their careers (Damaged cartilage in athletes is no surprise due to the amount of stress placed on the knee joint). Walking Aftеr Microfracture Knees Surgery. Return to sports is often delayed for 6 to 9 months after surgery. 3 Weeks After Surgery (Second Post-Op Appointment) I had my second post-op appointment 19 days after surgery. CHICAGO — A review of per-patient average charges for cartilage repair surgery showed microfracture had the lowest charges, supporting the … Until instructed differently because оf your doctor, уоu wіll uѕе crutches tо TDWB fоr 6 tо 8 weeks subsequent уоur surgery . I have continued stretching 4-6 days a week, just trying to get range of motion back. The patient will be NWB and use two crutches to protect the repair site and allow the site to heal properly. I think i went to school after 5 or 6 days after microfracture. Weeks 2-6: Aircast/CamWalker type boot. Standing one-third knee bends with a great deal of the weight on the uninjured leg begin the day after surgery. I had arthroscopic ankle surgery in 2005. Ankle Arthroscopy With Microfracture for Osteochondral Defects of the Talus Suman Medda, M.D., Ian M. Al’Khafaji, M.D., and Aaron T. Scott, M.D. Was on crutches for 6 weeks, PT for several months. Various authors cite ranges of non-weightbearing from one week to three months after microfracture surgery to the talus. Honestly i think my doctor screwed up the surgery. Lysholm knee scores improved from 56.8 to 87.2 after surgery while Tegner scores rose from 3.2 to 6 at the two-year follow up. Stationary biking without resistance and a deep-water exercise program begin 1 to 2 weeks after surgery. I had microfracture surgery in 2002 which helped, but my ankle has never been “right”since it was injured. I was told to stop running at the time of diagnosis (Nov 2019). I had ankle microfracture surgery on August 5th, currently non weight bearing for 6-7 weeks. I was given some pain meds, and they help a little bit but I cannot get comfortable to fall asleep. Post-operative rehabilitation is an important factor in achieving a successful outcome from a microfracture procedure.5 The UW Health Sports Medicine The long-term results after microfracture surgery are more concerning. I will be heart-broken if I can't run again, but I also don't want to do anything to damage my ankle again. Is it normal to still have pain one year post-op? After Davis visited with two ankle specialists on Friday, it was determined that he will avoid baseball activities and running for the next four weeks and will be re-evaluated Sept. 1. Recovery After Ankle Microfracture Surgery (Talus) Had surgery earlier today to remove a 2 cm lesion removed from the Talus. This is normally after 2-4 hours after surgery. The spin classes have been great for building the quad muscles back. Does anyone have advice on returning to running after micro drilling? Abstract: Therapeutic arthroscopy with microfracture leads to fibrocartilaginous repair and is an effective treatment of Microfracture Surgery If pain is not resolved with conservative treatment of osteochondral lesions, surgical treatment may be recommended. Microfracture surgery is performed arthroscopically. Just like the physiotherapist from another hospital who sees us after her microfracture surgery. Ankle Arthroscopy with Microfracture Precautions: The patient will be splinted to restrict ROM. Microfracture surgery fails at an alarming rate ending the careers of many pro athletes. Yоu ѕhоuld place a maximum of 20 percent оf уоur body weight оn thе surgical leg. Microfracture surgery. Keep the dressings dry for 3 whole days after the operation. I was told I needed to stop by and pick up an anti-bacterial soap that I had to shower with night before surgery and day of surgery. Microfracture—the puncturing of holes to release marrow blood in joint surfaces with cartilage injuries—is reported to be failing in most cases after a few years. For the first 2 weeks, no weight should be placed through the plaster. Microfracture also called microfracture surgery, is a articular cartilage repair surgical technique performed to promote the healing of damaged cartilage with the use of stem cells (progenitor cells of the body) that works by creating tiny fractures in the underlying bone. It is … No food or drink after midnight Thursday. The use of a machine to bend the knee (called a continuous passive motion or CPM machine) is recommended for 6-8 hours per day for 6 weeks after surgery. The call from the Talus and they help a little bit but i can not get to! 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