Microfracture
One method of trying to heal cartilage losss is to make small holes in the underlying bone with a pick, or awl. There are stem cells in all adults- all throuhgout life. These cells are not as good at healing as embryonic cells, but nevertheless may still be up to the task. If the holes can
stimulate" leakage of the marrow adult stem cells, then with some luck they may repopulate the area of defect and and "become" cartilage or like carrtilage. Early motion of the joint, is thought to help this change occur.
Microfracture may be more useful for small areas than large ones; also, it may be unpredictable- how is one to know if the stme cells cooperate? if there were some way to guarantee this, or to encourage it along, then microfracture may have an increasing place in the options for this disease.
posted by Dr. Norman A. Marcus, MD @ 9:47 AM
7 comments
7 Comments:
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Dr. Norm,
How long is the recovery from Microfracture surgery of the knee? How long would a patient be on crutches? What would the physical therapy be like?
Dr. Norm,
I have 5% range of motion in my MTP joint and have heard good things about microfracture on knees. Do you know of any orthopedic surgeons who are doing micro fracture/cheilectomies on patients suffering from hallux rigidus (stiff big toe)?
I just had a fusion of my right toe (MTP). The cartilage was completely gone and I was in excruciating pain due to the bone spurs and arthritis. My surgeon fused the toe bone with 6 screws and now my arthritis and bone spurs are gone. I am in recovery stage but will heal fast I am assured.
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