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Old 12-01-2007, 09:27 AM   #1
James Dent
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Medial Femoral Condyle Resurfacing

I have had an OATS procedure on my right knee -5 years ago with a tibial tubercle transfer at the same time.

I recently went for an MRI scan - last month - and this is the report:

"Evidence of a past tibial tuberosity transfer. There has also been past OATS grafting of the medial femoral condyle.

On this study there is evidence of subchondral cystic change starting to develop within the weight bearing area of the medial femoral condyle centrally. Areas of susceptibility artefact do make it very difficult to assess the state of the overlying articular cartiledge in this region but I would suspect this is the area of past grafting. What I take to be graft donor site is situated further anteriorly. This subchondral cyst would suggest that there is an early arthropathy starting to develop in relation to the medial compartment. There is a small effusion within knee. Menisci appear intact as do the cruciates."

I saw the doctor on Friday and he said he was unsure how long it would be before I need the femoral medial condyle resurfacing - could be 5- 10 years. It could be less..

I do no impact training at all just swim - weights - row etc since I had the op 5 years ago.

It sounds like the medial condyle is deteriorating. Do any crossfitting knee specialists have any advice? I know there is a wealth of experience in this community. Any and all answers very greatly received.

Thanks

James
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Old 12-01-2007, 04:09 PM   #2
Aileen Reid
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Re: Medial Femoral Condyle Resurfacing

Even though I've had heaps of knee problems I will make a comment thats not from my knee experience. A couple of years ago I hurt my foot. CT scans showed cysts and all sorts of bad stuff, I was told to stop running etc etc. And it did hurt. I finally got some advice from a guy over East that treats ballet dancers. He said leave it, don't intervene. He said worst case scenario the joint will naturally fuse. Anyway in time it went away. No more problems. I'm still running.

Not sure if that's relevant or helps in your case. I guess the point is, intervention is not always the thing to do and given time and a bit of rest often our bodies will heal themselves.

I need to take that advice more often myself! :-)
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Old 12-03-2007, 05:50 AM   #3
James Dent
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Re: Medial Femoral Condyle Resurfacing

Aileen -

Thanks for your feedback. Yes its always a difficult decision - further treatment or accept the results you have. I find the advice tends to split into those two camps. I will wait and see how it bears up.

Thanks
James
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Old 12-06-2007, 09:21 AM   #4
John C. Brown
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Re: Medial Femoral Condyle Resurfacing

It seems to me, and again I am no medical professional, that a cyst growing in the condyl underneath a bone graft would carry the potential of some serious follow on procedure.

As far as I can tell, your best bet is to make the surrounding muscles, ligaments and tendons as strong as you can before needing another surgery. This should, in theory, lessen the time it takes for rehabilitation. My biggest question would be is there any evidence that the cyst is causing a seperation between the good pre-existing surface and the graft, and have they tried to find out at what rate the cyst is developing?

As long as the Doc thinks the joint is solid right now, I would train on it and listen to it. If it is telling you to back off, then do so. Thanks for posting this, I am studying for a related degree right now and all of this absolutely fascinates me, please keep your progress, regress info posted. And by all means, stay healthy and good luck!
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Old 12-06-2007, 03:26 PM   #5
James Dent
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Re: Medial Femoral Condyle Resurfacing

John

Thanks for your reply. Crossfit never fails to amaze me on the depth and breadth of knowledge of its members. I am getting a second opinion on the cyst and will try to get the MRI pictures and post them. I wiil keep you up-to-date.

The knee now is solid and will only "scream" if I train very intensely. I was a member of a rowing club and was combing WOD's with 5-10k rows...that started to hurt. If I keep to fewer reps and heavier weights its ok. Swimming is fine. Cycling hurts if I climb out of the saddle. Running is a distant memory. A 15 mile run was the cause of the original injury. Part of a marathon training programme, part of an overall picture to do an Ironman triathlon. Try again!

But they say everything happens for a reason. If I didn't get injured - I wouldn't have found Crossfit - etc etc..

You and Aileen have given solid advice for a solid knee

Good Luck with the degree

Thanks
James
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