Why Microfracture Fails
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- เผยแพร่เมื่อ 30 มิ.ย. 2024
- More on the blog here www.stoneclinic.com/blog/why-m....
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Microfracture is a surgical technique used to repair damaged articular cartilage by making multiple small holes in the surface of the joint to stimulate a healing response. While short-term results may often look promising, over the long-term, results often tend to deteriorate over time. Dr. Kevin R. Stone explains why.
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You may learn more about the microfracture procedure and alternatives here www.stoneclinic.com/blog/why-microfracture-fails.
Call The Stone Clinic at +1 (415) 563-3110 for an appointment or Complimentary Virtual/Phone Consultations are available for patients outside the San Francisco Bay Area: www.stoneclinic.com/consult
In 2016 while playing football I had injuries and was found to have bucket handle tear Medial meniscus (Rx. Meniscectomy), in 2020 football injury and had ACL (ACL reconstruction) and this year (no games or sports yet) chondral defect (OCD), and the doctor did micro fracture surgery today is POD 15th day. On knee braces and non weight bearing. This is the third surgery same knee. Hope it heals :)
Best of luck to you, Nishal. We wish you the best in recovery.
Hi Dr Stone, is articular paste grafting the same (or very similar) as Autologous matrix-induced chondrogenesis (AMIC)? If it isn't what are the benefits and downsides to both in comparison as a general guideline? thanks
Hello there. This page should be helpful in getting the answers you're seeking. It has links to our outcome studies, a video description overview, and a video of the actual surgical procedure being performed. Hope it's helpful thanks www.stoneclinic.com/articular-cartilage
Hi Dr.Stone,
I had about 5mm of my cartilage degenerated in the ulnar side of my wrist. My doctor, who seems to be the best hand surgeon here, said that although microfracture may fail in the knee, in case of the wrist it gives more promising results as wrist is not a weight bearing joint. So the chances of the thin cartilage generated by microfracture will usually be enough for me for my life time. I unjderwent TFCC repair and microfracture surgery with a PRP injection last week in India?
Any ideas? Should I still consider your stem cell treatment for better results?
Hello there, Yash. Since these are complicated, clinical questions, we will not be able to offer any advice via social media. However, if you would like to arrange a consultation to speak to Dr. Stone, you may do so by following the instructions on this page www.stoneclinic.com/consult
Hi Dr. Stone Could you compare the differences and how this works eventually between a cartilage restoration membrane and Articular cartilage paste grafting, please :)
Hello, Tomas Tomas. Dr. Stone does not monitor and personally manage the comments for our TH-cam channel. Procedure details and the published clinical research data from #StoneResearchFoundation can be found here www.stoneresearch.org/articular-cartilage
@@stoneclinic thank you
I've had 2 microfractures on my talus due to a lesion caused by inversion/dislocation in my mid 20's. I'm hoping by the time I may need another procedure these grafting options become more advanced and reliable. Microfracture seems incredibly archaic. I would love to avoid an ankle replacement. I'm 48 now.
Hi there. Thanks for the comment. Really do encourage you to learn more about what we do with arthritic ankles. There are very few (most of which are not very desirable) treatment options for arthritic ankles. We've had tremendous success with ankles that has helped keep our patients from ankle replacement/fusion. Providig a couple of links here 1) How to Avoid Ankle Fusion www.stoneclinic.com/blog/ankle-replacement-vs-ankle-fusion-video-blog . 2) Patient stories from those who've successfully gone through our BioAnkle program www.stoneclinic.com/patient-stories/treatments/ankle-cartilage-repair.
We wish you the best!
I’d be curious to know if Greg Oden or Brandon Roy (two former Portland TrailBlazers who had multiple knee surgeries) had this specific procedure, if it was available during their time, and if they did have it, why their knees still failed.
I’m not expecting a specific medical response, merely wondering out loud.
While we clearly do not know the specifics of their treatment, it is possible. Microfracture is the most commonly used procedure for articular cartilage repair and while, results tend to diminish over time, they are effective in getting athletes back on the field quickly.
I lived in Portland during their time with the Blazers and had season tix. Yes, both of them had multiple microfracture procedures. Both Brandon and Greg had degenerative arthritis I believe, as in it was less from acute injury and more natural. This was so unfortunate for them and no surgery was going to fix either of them. I've had 2 microfractures of the ankle, one around the same time as them. Smooth / hard articular cartilage will not grow back, and the fibro cartilage that results from microfracture is a very poor substitute. It does not imbed /bond istelf well into the 3d structure to the bone.
I have a osteochondral defect in my knee on weighbearing 1.3cm by 1.3. Had microfracture 14 months ago and have the same pain as bf surgery. The surgery showed it did something but i have no relief from it. What a nightmare.
So sorry to hear about that, Joe. Here is an article Dr. Stone recent wrote regarding failed cartilage repair. I hope it helps www.stoneclinic.com/blog/failed-articular-cartilage. If you would like a consultation from Dr. Stone on the best approach to repairing your knee, you can arrange a free consultation at www.stoneclinic.com/consult
Currently 18 months post surgery and still have issues . Have you found a solution yet Joe?
Hello doctor, I was hyped but the video ended without you giving us advices to prevent damages to the body caused by microfratures. My shins are filled with holes from training, I'm taking calciumc magnesium and vitamin D3 pills, is it helping me?
With all my due respect.
Hello there, we cannot provide specific clinical advice on individual medication/supplement use. This video is regarding the microfracture surgical technique as it is used to repair osteoarthritis, not mini fractures of the bone caused by impact activities. Regardless, if you are experiencing pain and injury from your activities, we definitely recommend seeing your physician or orthopedist. The sooner issues are addressed the less damage it causes to all your joints.
I had my first arthroscopy on my right hip December 3rd all Spurs labrum tear and a whole micro fracture I recently in July the 7th of this year had another arthroscopic surgery due to another labral tear in the hip joint come to find out today that the microfracture procedure did not work I have been in pain since December 3rd of last year and after the second surgery it is not getting any better I have not been able to return to work I am on long term disability which isn't very much a month and I have medical bills piling up I don't believe that both procedures helped
How are things now?
How do u think about utilizing microfracture for increasing height? There is a method called 'ankle fracture'. Do u think it is possible?
No. This technique is intended to repair small areas of damaged cartilage tissue to allow for smooth movement for the articular cartilage bearing surface. Anything trying to increase height would be highly improbable and unadvisable.
I had ACLR, partial medial meniscectomy and a microfracture on the medial femoral condyle (3kvcm defect, 3B grade) 11 months ago. To this day I experience sharp pain on a specific angle when weight bearing, sometimes also when just moving the knee in motion when it passes that specific angle. Should I be concerned ? I have a feeling something is not right. I also heard from some patients that the cartilage over-reproduced in other words, grew too much and it bothered the joint space. How would you know that is the case and what can be done if that problem occurred?
Hello, Zan. A new MRI or x-ray is the only real way to determine what is occurring inside your knee. And based on those images, Dr. Stone or your orthopedist could advise on the best course of treatment. If you would like our help in investigating the injury, you may arrange a complimentary consultation at www.stoneclinic.com/consult
Also the article on which this video is based has more information on some of the challenges with the microfracture procedure www.stoneclinic.com/blog/why-microfracture-fails
I had microfracture surgery, and it worked great. I was able to compete in BJJ and fight mma a lot more thanks to the surgery. Maybe I was lucky, but I also did rehab very diligently without fail. I think that might be one reason why I had a better outcome than others. I spent 6 hrs a day in the rehab machine and I did my exercises every day even with pain. If you don’t follow through the rehab then it can fail easily. I credit my surgeon and rehab therapists for my ability to come back to the sport. My only complication was overusing my “healthy” arm too much at first.
Hi there, Jimmy. Thanks for sharing your experience. So glad to hear you were able to return to high-level athletics with your procedure.
What's up man! I just had microfracture surgery due to an osteochondral defect in my knee - was that what you received microfracture for?
I used to be a collegiate athlete but had knee pain post grad for 4 years and finally got surgery.
I'm only day 5 post op but doing a ton of research so I can get back to being a normal person...
How long were you non weight bearing and how long until you could walk on it again?
I've just never been comfortable with my knee and don't remember life without knee pain unfortunately!
@@15GarrettB Good luck bro! I had the surgery in my shoulder, but apparently microfracture surgery was initially designed for helping repair knees. It is very painful, but it is important to do your rehab every day. They sent me a maching to move my arm up and down. I started only a few days after surgery and used it until I could moved the entire range (took a few months). I also started rehab exercises the week after surgery and did them every day, though I only went to the therapy place 2x a week for 6 months. All in all, it took me about 6 months before I was competing again. However, looking back I think I should have waited a few more months. The biggest issue is that I compensated by overusing my "good" shoulder. Make sure you don't overuse your good leg and I think that you'll be back in 7-9 months or so!
@@15GarrettBhey man, we had the same surgery for the same case but i did it like 4 days ago. Do u have any tips to tell me or anything that u need to share with me so ik what to do or to not do?
@@15GarrettB and if u can share your number with me
I have 2-3 cm detached fragment on my right knew. Which technique can help me on this situation?
Hello @Driton. It sounds as if you may have some loose bodies in your knee. Providing a link with treatment details for that issue here www.stoneclinic.com/loose-body-knee-joint. If we can be of any help you may make an appointment by calling us at (415) 563-3110 or, if you do not live in San Francisco, you may arrange a complimentary phone consultation where Dr. Stone reviews your case personally. Just follow the instructions on this page www.stoneclinic.com/consult
I had a modified brostrom surgery on my left ankle. My doctor over drilled thru my talus cartilage and thru my calcaneus cartilage with bio-absorbable anchors. I have a 6mm defect on the top of my calcaneus now. 2 years of pain, mixed with the inability to get good sleep. Changed who I am. Micro-fracturing the subtalar joint a waste?
P.S. I’m 35 years old.
Hello, Steven. That is not our approach to repair. We've achieved outsanding results with Dr. Stone's cartilage repair technique: articular cartilage paste graft. Here is a link to some of our patients who experienced a similar injury. th-cam.com/users/hashtagbioankle and you can learn more about our approach to ankle repair www.stoneclinic.com/bioankle
I had 2 micro fracture surgeries and they both failed. The pain never went away and following MRIs still showed defects. On my third surgery, the surgeon used bio cartilage. Keeping my fingers crossed that it works this time. I used to play soccer 3-4 times a week and the injury was on my left ankle.
Hello, @mastibaji. Sadly, your story is all too common. We wish you the very best outcome possible for your upcoming surgery.
@@stoneclinic Thank you very much! I'm at the end of 6 weeks now (post surgery) and there's barely any pain.
oh no, what failed about the microsurgeries? I just had that done today in my right ankle and curious to know your process
@@upclosesneakers6875 First off - you cannot think pessimistically at this point. You have to be an optimist and truly believe that you will heal.
Even if things doesn't go as planned, there's still hope through the process I went through. I'm currently pain free, can run and have no issues with that ankle.
I know that it is hard to take advice from strangers over the internet but if you were to listen to just one - then please, please be positive that you will heal. Cross the other bridge if you must but do not think about it right now. Good luck!
@@mastibaji I am very happy to hear that you have healed. I am dealing with cartilage problems in my wrist which thankfully isn't weight-bearing, but still gets sore. I pray that it will heal one day. Through hope and God all things are possible.
But tell me your story, how did you fully recover?
I injured my ankle 3 months ago and it wasn’t healing, so I got an mri and found out I had torn cartilage in my ankle the doctor told me the only way for the pain to go away was to do the surgery or I could just push through it. Im a gymnast and I was going to do the surgery but now hearing how common it is for the surgery to fail I don’t know what I should do. Help!
So sorry to hear of your ankle injury struggles, Angela. We've helped many gymnasts and patients with ankle cartilage issues over the years, using Dr. Stone's alternative to microfracture: the articular cartilage paste graft technique. We can't accurately advise of you the best course for your injury over the internet. However, you may arrange for Dr. Stone to personally review your injury by following the instructions on this page www.stoneclinic.com/consult. For a full overview on our biologic repair of ankles you may download our Saving My Ankle Guide here www.stoneclinic.com/saving-my-ankle-guide. Hope that's helpful! Please contact the clinic staff at (415) 563-3110 for any further assistance.
How’s your ankle doing? I injured my left ankle 20 months ago (running and sprained), it’s much better than after in initial injury. However, it’s not what it once was and I’ve not been running since. Not sure about surgery.
Is it possible to increase height by activating pituitary growth hormone after the growth plate is closure and How much inches grow possible?
Hello, Tanveer. We can't really answer that question. Manipulating pituitary growth hormones is not something we do or have any experience to give you a helpful answer. This question is probably best asked of an Endocrinologist.
7 1/2 months post op from micro fracture surgery and still cannot do an air squat with out a 7 on the pain scale. College basketball player hoping to return to sport
We're sorry to hear of the progress in your recovery. Please let us know of any way we can help. We are happy to assist with post-op physical therapy, surgical revisions, etc
Any update?
@@setasonte6392 yeah so it's been about 2 years now, and it has SUCKED. Definitely was not able to return to sports. I still can't run for more than a few minutes at a time with out pain so I bike a lot instead. I can lift weights and do compound lifts but not very heavy. The cracking and popping my knee does is ungodly. But it should be noted I only did formal physical therapy for 4 months then did things on my own after that. Still trying to get back to normal.
@@cortezsb7727 wow that is crazy , im trying to get back into football and my surgeon basically told me microfracture and il lbe back playing in 3 months lol i have not heard one success story
@@setasonte6392 I really hope it works out for you! Things are different for everyone. But just be aware it might take longer. I was 21 when I got the surgery and outcomes are supposed to be best for young people.
hi, what the new method name?
Hello there. The technique for cartilage repair used by Dr. Stone is articular cartilage paste grafting. You may learn more about it on this page www.stoneclinic.com/articular-cartilage. Or for more information on how this is incorporated into our surgical program to avoid artificial knee replacement, you may download our Saving My Knees Guide at www.stoneclinic.com/saving-my-knees
I have both knees with debilitating condition. I say it is necrosis. Pain and inability to walk without pain. X-ray shows nothing. Have you treated anyone like this before from using crutches. Thanks
So sorry to hear of your condition. X-rays and MRIs are needed to get a full picture of an injury as the MRI will give insights into any issues with your soft tissues. If you are experiencing debilitating pain, something is clearly wrong in your knee. And if your current orthopedist cannot identify the issue, we suggest seeking another opinion. If we can be of assistance, please follow the instructions on this page www.stoneclinic.com/consult. We would require a recent MRI & x-ray to review your injury and provide a diagnosis. Best of luck to you.
@@stoneclinic thank you, x-ray is necessary, but it doesn't show anything. Just pain. Doctor refused mri or bone density or all 5 factors of blood. Must be something disfunctional, degraded that doesn't show on x-ray.
@@omviuvenitlalumina my step son had the same issue, knee pain but x-ray showed nothing and they ended up doing surgery today, said they would go in and explore and fix any problems they saw. They did micro fractures and repaired 2 torn areas on the meniscus. I will admit I thought the doctors were crazy to refuse an MRI but willing to do exploratory surgery on his knee, I had never heard of a doctor doing that.
@@stoneclinic whats the cheapest place for mri
Can microfrature use to grow height after fusion of epifascial plate plz tell me
As the title of the video suggests, we do not recommend microfracturing as necessary arthritis intervention, as it does not result in durable cartilage tissue. So using it for cosmetic purposes seems unadvisable and it is improbable it could ever result in enough growth to noticeably increase height.
Once an NBA player gets this surgery, 80% of the time it's over
A lot of pounding on the knees
I’m back here because I just heard Penny Hardway say this surgery was the worst decision of his career 😢
Indeed, this outdated surgery destroyed the careers of many players.
Long term MF just won't work. The blood carries stem cells to the defect site but ultimately the blood does not provide a suitable 'scaffold' to encourage cellular spatial organisation or adequate mechanical loading to promote cell function. At best it will put off total joint replacement for a while which isn't a bad thing
It made the damage to the good cartilage bigger
This is just the medical procedure, and doesn't apply to the conditioning technique, right?
Thanks for reaching out. I am not quite sure your question here, but I am providing a page that may be helpful. It has links to our outcome studies, a video description overview, and a video of the actual surgical procedure being performed www.stoneclinic.com/articular-cartilage
@@stoneclinic People in Muay Thai kick trees down to harden their bones through tiny fractures that heal stronger. I've heard that being called microfractures.
@@budgetcommander4849 ha, ha. yes. quite different. we treat martial artists as patients, but down use martial arts to treat patients.
Hello doc... I have chondromalacia patella grade 4 and plica syndrome in my left knee... My doctor suggest me micro fracture surgery...it will work in my case or not... I'm a college soccer player... Hope you'll reply...
Hello, @Sita. Sorry for the delayed reply. Not sure how we missed your comment. I am providing newer articles from Dr. Stone on this subject. Hopefully, this gives you more insight www.stoneclinic.com/blog/articular-cartilage-repair-options & www.stoneclinic.com/blog/why-microfracture-fails . If you need specific information or support, please call us at (415) 563-3110 or arrange for a phone consultation at www.stoneclinic.com/consult
Mam, what happened now? Please reply
Never have Micro fracture , it is a nightmare and doesn't work.
I'm only speaking from first hand experience. Its a nightmare and it doesn't work .hopefully you haven't had it done. If you had I'll guarantee you would agree with me !
gary fff What alternatives do you recommend?
+Digger Vaughn Hi, Obviously I am not a Doctor , or indeed A Surgeon, however I can only speak through being on the sharp end, Micro fracture surgery did not work for me, possibly on youg people , who knows, im late 50s, and currently waiting knee replacements, the recuperation from micro fracture is horrendous, also the machine you have to use for 8 hours a day,is ridiculous, if it worked , fine , but for me , No it didn't , I have also had acl reconstruction again , waste of time and money,and 3 clean ups of the knee including meniscus trimmings, all a waste of time,my knees are total rubbish , so knee replacements,I know people who have dad success,and fewer who havent, but its all down to age, they don't like to replace knees before age of 60, . good luck , I know what your going through, from being incredibly fit and active,im now heavy and unable to work , so significant poorer. the only one bit of advice I can give, is never play squash,or run on hard surfaces.
Noooo! I had it done April 19, 2017!!! I'm praying it works, the pain was driving me crazy. I really hope it works, the discomfort and being so limited is something I would not want to go through again.
Mya's World how are you now?! I'm having this in 2 weeks. thanks
Doctor does shin bone micro fracture increase height ??
That's not something that we perform at our clinic.
That's nice.
Can we increase our height through this technique,????
Likely, no. The amount of cartilage that could be regrown would not be substantial enough to impact height.
@@stoneclinic thank you...... 🙂
My husband had microfracture a month ago how would he know if it fails please
Internal imaging (MRI/xray) of the knee should reveal how the anatomy of has healed. This article has more detail on how/why microfracture results deteriorate over time www.stoneclinic.com/blog/why-microfracture-fails as well as info on how we try to repair failed microfractures