Cartilage Repair Basics - ACI / Denovo NT / Chondroplasty / Microfracture / Dr F...

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  • Опубліковано 8 вер 2024

КОМЕНТАРІ • 146

  • @blungazz
    @blungazz 8 років тому +22

    Finally, a video with answers! Thanks

    • @robnelsonfilms
      @robnelsonfilms 8 років тому +1

      +Terry Tio Thanks for the comment Terry. I've tried to spell out some of the solutions.

  • @javiermelendez1988
    @javiermelendez1988 4 роки тому +7

    Thank you as a 21 year old who had this happened to me, I fully understand what you went and are going through. To everybody with this type of injury, we will make it. I thought I was never going to be able to walk well again after limping for 6 months I finally started walking well again. Thanks for the video, it is greatly appreciated!

    • @gowtamigeetha1686
      @gowtamigeetha1686 4 роки тому

      Hi. May i know how much cartilage damage you have and which operation you went for??

    • @jasonsmith8506
      @jasonsmith8506 3 роки тому

      What treatment u went through plz need help

    • @javiermelendez1988
      @javiermelendez1988 3 роки тому +1

      @@gowtamigeetha1686 it was the knee chondroplasty

    • @javiermelendez1988
      @javiermelendez1988 3 роки тому +1

      @@jasonsmith8506 I had the knee chondroplasty done on mine I was able to go back to sports with little to no pain, but nevertheless you should ask your doctor what’s best for you, it depends on the size of the fracture too.

    • @jasonsmith8506
      @jasonsmith8506 3 роки тому

      @@javiermelendez1988 u mean u did microfracture right

  • @Draconic
    @Draconic 8 років тому +3

    beautiful! years ago when I was studying human anatomy, the proff. told explained the cartilages are avascular, therefore, have poor healing but didnt explain how it could very slowly grow back. this vid and the other vid I watched in ur ch really helped me to understand more about this type of tissue. :) keep it up!

    • @sheeryrosa1643
      @sheeryrosa1643 3 роки тому

      My Miniscus repair +Acl reconstruction tell me about it

  • @TDubsKid
    @TDubsKid 7 років тому +7

    I injured my knee a year ago and have persistent pain, I have a clean MRI and x-ray, tried tons of therapy, rest and a cortisone injection. nothing worked so I'm going to have it scoped, really hoping I don't have a cartilage defect, hopefully they continue making progress in cartilage regeneration

    • @SeeHowItGoes
      @SeeHowItGoes 4 роки тому

      What was the result? I’m in a similar spot

    • @jasonsmith8506
      @jasonsmith8506 3 роки тому

      So is there a cartilage damage

    • @renuka394
      @renuka394 Рік тому

      Any updates on this?

  • @spiderlilynorth
    @spiderlilynorth 3 роки тому

    Glad to finally find not only an easily absorbed better explanation of my own injury but a channel that I want to subscribe to. Cheers.

  • @toddmusic
    @toddmusic 2 роки тому

    I think age a big factor in your choices too. Great info. Thanks a lot.

  • @omstygomsty
    @omstygomsty 9 років тому +5

    Dr. Saw at the Kuala Lumpur sports medicine centre is one of the best cartilage repair surgeons in the world. He is lecturing American Surgeons on the latest techniques on how to repair cartilage using a new form of surgery and stem cell therapy. His treatment will regenerate a knee joint with type 2 collagen which is the cartilage type that sustains impact and far superior to subcondral drilling techniques they have used for years.He has a number of videos on UA-cam. Check them out for yourself. He is not a salesman but a genuine academic physician and has many unbiased scientific research papers published and clinical trials verifying his claims. He has been trained in the UK.
    You mentioned in your helpful video that once you damage your cartilage it will never be the same again. That may be the case at present but advancements in medical science is moving so quickly that that is all going to change in a matter of a decade.

    • @robnelsonfilms
      @robnelsonfilms 9 років тому +1

      james hartnett Interesting. Are they going to have a video of his talks? If so, send them over. I'd love to see it.

    • @vhalen6983
      @vhalen6983 9 років тому +1

      I did the exact procedure from Dr Saw for my hip, no luck, however I did meet people who regrew normal hyaline cartilage back tho and continued their sports as if they had never had a knee problem to begin with.

    • @BassetHoundBoys
      @BassetHoundBoys 7 років тому

      VHalen69 can you contact me regarding hip procedure with Khay Saw Young

    • @davesharma6173
      @davesharma6173 7 років тому

      james hartnett

    • @RJManeri1
      @RJManeri1 7 років тому

      Your body can create its own stemcell regeneration through fasting.Look it up.I refuse to get surgery.Like whats the point if i cant do the stuff i used to do?

  • @thetambay684
    @thetambay684 Рік тому

    "... one you damaged it you're really back to when you started before."
    Tears drop from my eyes

    • @saidulislam-jr4ox
      @saidulislam-jr4ox Рік тому

      😢 injuries suck. You can’t really find a way out. You can’t try multiple treatments unless you are super rich.

  • @AmirKhan-bl5se
    @AmirKhan-bl5se 8 років тому +4

    im having the same problem hate it man

  • @vhalen6983
    @vhalen6983 9 років тому +1

    They're better options out there check out Dr. Broyles in Baton Rouge, Louisiana.

  • @jacobmcanally8434
    @jacobmcanally8434 6 років тому +1

    Going through the same thing right now with Dr. Fleischli. He decided to do an allograft so right now we are waiting on the donor. Hopefully we can grab a match soon. I’ve been down for about 5 months now.

    • @DBogey
      @DBogey 3 роки тому

      Jacob - How'd your allograft go? I'm heading in to have it done next week.

    • @DBogey
      @DBogey 2 роки тому

      @Roman Kover There's still some pain (very, very little), seems more tendon pain than the actual surgery site. Its been 1 year today that I had surgery. I did run a few miles about 40 days ago and had some pain afterward but that went away. Dr. said I can start running again but need to start with really low mileage. From what others have told me, it's a good 18 months until no real pain. Leg extensions are still weak and single-leg semi-squats are the same. At the seven month mark, I was backpacking and carrying canoes in Minnesota :) Background - I was running around 20 miles per week, played competitive racquetball, and not unusual for me to hike 25+ miles in a day.

    • @heruhss3769
      @heruhss3769 2 роки тому +1

      @@DBogey how are yours surgery?

    • @DBogey
      @DBogey 2 роки тому

      @@heruhss3769 Knee if good. By 7 months I was able to backpack and carry a canoe on my trips. I'll be at the 2yr mark in October. I'd say the knee is like new for a 53 yr old :)

    • @heruhss3769
      @heruhss3769 2 роки тому

      @@DBogey you need yearly injection after doing surgery?

  • @neilmacphail2534
    @neilmacphail2534 5 років тому +4

    how are you so positive haha i love it

  • @KingKing-eo9mk
    @KingKing-eo9mk 4 роки тому +1

    Moringa is best supplement for cartilage growth

  • @HaleyChamberlain
    @HaleyChamberlain 9 років тому +3

    Fantastic ROB! Love how you did this one. ;)

  • @garymtpickett
    @garymtpickett 3 роки тому +1

    How is there donor cartilage from someone under 2? That seems messed up.

  • @musicfan6282
    @musicfan6282 8 років тому +1

    Could you comment in greater detail on stem cell, or other plasma derivative, therapy?

  • @manphoolpatwari6918
    @manphoolpatwari6918 3 роки тому

    You are alive

  • @khalidsaifullahbanday2841
    @khalidsaifullahbanday2841 4 роки тому +1

    Meniscus trims lead to arthiritis within a decade then why so many trims are done.

  • @wishbone103
    @wishbone103 3 роки тому

    It is now 2021. How effective is it today and where can I have regeneration done and at what cost?

  • @josefinaguerra7836
    @josefinaguerra7836 2 роки тому

    I am going to have this done in a few weeks 😳😩

  • @Hajjat
    @Hajjat 7 років тому +1

    Any luck with restoring your cartilage :(? On same boat and wonder what you may have tried so far!

  • @trailkrum6750
    @trailkrum6750 8 років тому +1

    I've had 3 ACL reconstructions and a high tibial osteotomy in my left knee (Judo did it for me). I may have damaged the articular cartilage in that knee jumping down from a boulder last spring. Still, I thru-hiked the John Muir Trail this summer. I now face the same dilemma that you faced: what are my options? Am I stuck with a bum knee? So thank you for making this informative video! (I'm a big fan of your video and photography tutorials!)

    • @simd510
      @simd510 7 років тому

      figure anything out for your knee?

  • @BosisofSweden
    @BosisofSweden 4 роки тому +1

    I have done the micro fracture on 3 x 4 cm on my right knee and it did not go excellent. I can not run or jump any more and I have been wanting to do something about it. Did the doctor ever mention why you can't use stem cells?

    • @BosisofSweden
      @BosisofSweden 2 роки тому

      @Roman Kover nope

    • @user-wb2yv7ll9d
      @user-wb2yv7ll9d 2 роки тому

      Thanks for sharing your experience. Hope you are doing better.

  • @Tanya-dc4ne
    @Tanya-dc4ne 4 роки тому

    Upload more like this.. Plz....

  • @benny4015
    @benny4015 7 років тому +2

    Didn't the doctor mentioned about PRP.

    • @cangunduz7996
      @cangunduz7996 5 років тому

      Benny they do prp after the surgery, at least that’s what they did to me

  • @kimkang3637
    @kimkang3637 Рік тому

    how your knee like now. how much for operation cost.? unlucky that it did not has this surgury in thailand. can u provide me detail .

  • @brand_account74
    @brand_account74 8 років тому +2

    Have you ever heard of PRP (platelet rich plasma) or adipose derived adult stem cell injections?

  • @aebm
    @aebm 6 років тому

    Hello. So at the end what did work best for you? I'm in the same scenario here. Thanks a lot!

  • @UHFStation1
    @UHFStation1 3 роки тому

    All those options and still can't be good as new in any amount of time? How can't we be further along by now? Surly this has been studied since the 80s?

  • @honantong
    @honantong 8 років тому +1

    my doctor only found a grade 4 cartilage damage (4mm x 9mm, can see the bone) when he was doing arthroscope on my left knee to remove plica. I don't know why he didn't diagnose it through MRI. Later while looking at the MRI , I could actually identify the place where the cartilage was not there because of the strong white color in the MRI. So he performed microfracture, now it's been 8 weeks already. I didn't have much rehabiliatation, just did CPM and some straight leg raising. I don't know what else I should do to help the fibro cartilage grow better.
    Now my right knee also hurts. I didn't have surgery because lack of diagnosis . Should it be possible to diagnose it through MRI??? any idea?

    • @MrAlexanderhofmann
      @MrAlexanderhofmann 5 років тому

      Hong A How did the microfracturing work out ? What is your longtime outcome ? :)

    • @BT-km7nl
      @BT-km7nl 4 роки тому

      even with xray it should be diagnosable

    • @Mario9640
      @Mario9640 2 роки тому

      Had exactly the same thing hapen to me,they saw it only when they performed the surgery and drilled small holes.Since I was fine for 7,8 years and recently I got seriously injured again

    • @user-wb2yv7ll9d
      @user-wb2yv7ll9d 2 роки тому

      @@Mario9640 The small hole thing worked for you until the re-injury? Hope you are better.

    • @Mario9640
      @Mario9640 2 роки тому

      Well my knee is not in a good condition,but I didn't have issues whit it long time.Was never the same but was mostly pain free.Now I had a very heavy patellar dislocation and damaged what was left still standing in that knee.
      I am not shire they recommend the drilling cartilage heal stimulation any more but .....

  • @maroela2
    @maroela2 5 місяців тому

    Is your new channel called PictureFat?

  • @debrablack9946
    @debrablack9946 8 років тому +2

    I am supposed to have patellaofemoral operation on April 11, 2016. I am scared to death. I have bone against bone under the patella ONLY. I am missing cartilage in that area only. I have cartilage behind the knee so I don't have to have a total knee replacement. Is cartilage regeneration or restoration a viable option for me instead of a partial knee replacement? I need help FAST!!!

    • @sportology1
      @sportology1  8 років тому

      +Debra Black Hey Debra, I'm glad you spent the time to look up the video. It's a tricky decision for sure. I would say that your doctor is the best resource to ask here. I don't think you'd want to choose knee replacement until it's your last option. What you're doing sounds like a good option. Knees are frustrating though, aren't they? ... - Rob

    • @debrablack9946
      @debrablack9946 8 років тому

      +Sportology, Can you tell me if the cartilage restoration works for a knee with NO cartilage under the knee cap? Or do you have to have "some" cartilage? I really need an answer ASAP because surgery is scheduled for April 11th (three weeks away). I have been looking for something to come out that would be able to put cartilage in the knee without actually having to have a replacement metal part. I don't need that.

    • @sportology1
      @sportology1  8 років тому

      +Debra Black - Well, I think cartilage restoration only works when you have some cartilage. Again, I'm no doctor though - I just made the video about the options.

    • @debrablack9946
      @debrablack9946 8 років тому

      +Sportology It's a great video. I called the office number for the doctor and they said that they are closed today. If I have to, I will come to North Carolina. I am serious about this. I don't have constant pain, just occasionally. I think if they can squirt liquid cartilage under my knee cap, I will be good to go!! LOL!

    • @sportology1
      @sportology1  8 років тому +1

      +Debra Black Well, the one nice thing with Dr. Fleischli here in Charlotte is that he is a specialist Ortho-doc. That's all he does is cartilage repair.

  • @michaelcatalina2749
    @michaelcatalina2749 7 років тому

    So a replacement knee operation in two hours and this treatment 2-4 years. Should I bite on a bullet in the meantime to control the pain !!

  • @Hajjat
    @Hajjat 7 років тому

    Very useful! Have you tried PRP injection?

  • @chetan0409gmail
    @chetan0409gmail 6 років тому

    Hello Sir,
    In 2011 whenever I was making any overhead movement, my shoulder was dislocating So I underwent my 1st surgery in April 2012 where he stitched up my shoulder joint. One year went by but there was no improvement in my shoulder condition so I took MRI scan. In MRI scan it showed pus in my shoulder joint. So I underwent another surgery which was done by Dr. Dinshaw Pardiwala in April 2015 where he cut opened my shoulder & cleaned that pus.He said it's a total shoulder cartilage loss. Now stitches from the 1st surgery started to come out.
    So is there any way to regenerate shoulder cartilage & what would it cost?

  • @zakwanfaiz772
    @zakwanfaiz772 7 років тому

    i'm also get cartilage injury in 22 years old which is very young and i have been done my cartilage surgery last year..after cartilage repair.. can we run as usual? because i'm still feel a little pain at my cartilage... can you share your knowledge and advise me what should i do for the best recovery? thanks

  • @leoherbas8602
    @leoherbas8602 5 років тому

    Prolotherapy,PRP Therapy, Oh AND TRY STEM CELL THERAPY AND YOU WILL RUN AGAIN!!!!HOPE YOU CAN BECOME PAIN FREEE!!!!!!!!!!!!!

  • @fordgt402
    @fordgt402 8 років тому

    Do they have like artificial cartiladge ?

  • @gaganpreetkaur8466
    @gaganpreetkaur8466 3 роки тому

    How are you now? How's your leg now?

  • @jamesram4869
    @jamesram4869 8 років тому

    i love these videos. and also, when is "the future video" coming out?

  • @Khali2K
    @Khali2K 7 років тому +1

    did he mentioned anything about, what if they remove the cartilage all together? I would appreciate the answer. my partner just got out of surgery, he had his cartilage removed on the elbow

    • @JohnSmith-fk5rr
      @JohnSmith-fk5rr 6 років тому +2

      The only time they would remove cartilage all together is if they are performing a total joint replacement. Your joints can't function without cartilage for the most part so just taking it all away is not an option

  • @EduardoGomez-bf8ew
    @EduardoGomez-bf8ew 2 роки тому

    Where this doctor have his facility?

  • @vhalen6983
    @vhalen6983 9 років тому

    There are better options out there check out Dr. Broyles in Baton Rouge, Louisiana.

    • @Ace-ke7fq
      @Ace-ke7fq 8 років тому

      +VHalen69 Everyone wants lots of money though,.and u have 2 travel,.to get there would b worth it,.but again u need 2 stay somewhere,..

    • @vhalen6983
      @vhalen6983 8 років тому

      His was reasonably priced, the travel and stay are the more complex aspects.

  • @user-bd9hk9iv9v
    @user-bd9hk9iv9v 2 роки тому

    شكرا للرب هنآك أناس يعملون بإتقان في مجال الطب

  • @LordQuiche
    @LordQuiche 4 роки тому

    Good vid!
    What does it mean that my knee is crunchy?
    (I don’t mean clicks and snaps)
    I’m 47, trail and Spartan racer, and I’m worried my cartilage is giving me a warning sign?

  • @michaelb.6282
    @michaelb.6282 4 роки тому

    ACI doesn't work lasted only 1month
    I've had a total 7 surgery
    All Surgeons that has worked on my issues, but I need it replaced but none of them will. Can barely walk definitely can't run let alone jog. My Patella constantly will give out and I immediately hit the floor.

    • @KunaiForce
      @KunaiForce 3 роки тому

      How big was your initial cartilage damage

    • @Alex.1739
      @Alex.1739 Рік тому

      What was your injury pls

  • @jgamble482
    @jgamble482 7 років тому +2

    i am not too keen with the idea of taking your own cartilage and growing it then injecting it. it makes no sense. he already said that our own cartilage takes a while to grow. what ate they doing to the piece of cartilage outside the body to make it grow faster than inside the body?

    • @JohnSmith-fk5rr
      @JohnSmith-fk5rr 6 років тому +7

      Native cartilage has no blood supply so can't regenerate; in a lab they can provide the necessary nutrients and growth factors.

  • @AARONDAVIDGLEASON
    @AARONDAVIDGLEASON 8 років тому +1

    what did you end up doing?

    • @robnelsonfilms
      @robnelsonfilms 8 років тому +2

      +Aaron David Gleason - well, I ended up cutting out running. Mentally that kinda sucked, but my knee is getting better. I can do all the other sports I want to do now - cycling, swimming, kayaking, skydiving, etc.

    • @AARONDAVIDGLEASON
      @AARONDAVIDGLEASON 8 років тому

      +Rob & Jonas' Filmmaking Tips no surgery? I ask because im an athlete, altho mine comes in the form of dance most often since im an actor. I used to play ALL THE SPORTS. now in my 30s. Recovering from Meniscus tear a few years back. I wonder if microfracture, or platelets or putting car oil in the thing would help!

    • @robnelsonfilms
      @robnelsonfilms 8 років тому +2

      +Aaron David Gleason - Oh no. By this stage I did have 2 surgeries already. One was microfracture and chondroplasty (taking out the loose cartilage). The second surgery was to fix the damage after I kept trying to run on it. You probably need surgery if it's painful. However, it's also good to realize you won't be 100% after it's done. We get older and our cartilage just doesn't work like it used to - super frustrating, I know. Now, I'm trying to be kind to my knee to make sure I don't need a knee replacement before I'm 40. Pretty good so far.

    • @AARONDAVIDGLEASON
      @AARONDAVIDGLEASON 8 років тому

      +Rob & Jonas' Filmmaking Tips thank you for comments. i find spinning and yoga help strengthen my legs and thus less pain ;)

    • @robnelsonfilms
      @robnelsonfilms 8 років тому

      +Aaron David Gleason - That's pretty much the advice I got post surgery - strengthen your legs as much as possible without pain and it'll help with other activities.

  • @jamesram4869
    @jamesram4869 8 років тому

    awesome ,how about my knuckle?

    • @robnelsonfilms
      @robnelsonfilms 8 років тому

      +James Ram Knuckles are a bit easier to fix the cartilage of... or so I understand. I haven't talked to the hand experts yet but I will soon.

    • @jamesram4869
      @jamesram4869 8 років тому

      i dont even know what i did, but i hit a solid door as hard as i could and my middle finger knuckle is still bigger and uncomfortable 2 months in. vitamin b helped a lot with me feeling my finger again,but not much with the rest of it. what can i do right now ,what doctors should i visit ,since the xray says no bone damage (but i took the xray like 6 weeks in ,so who knows).

    • @jamesram4869
      @jamesram4869 8 років тому

      i guess i could also be doing some types of physiotherapy? but how do i find out what kind of soft tissue damage i mightve done?
      i literally cant sleep because of all the anxiety, cause im a young guy and i want to be out there doing sports and being around people,being healthy, and until recently i couldnt even grab a pen and write properly.
      my hands are my most important tools

    • @sportology1
      @sportology1  8 років тому

      +James Ram - Hmm. Ideally your primary doctor should know exactly who to go see. Here in charlotte, we have a hand and foot hospital... with lots of doctors in it. It's probably going to be in some sort of orthopedic field. Hope you find the right person. Oh, and there isn't going to be a FUTURE video. I just posted a few sound bites from those guys. They're doing great work. That's just what we should all expect in the future.

    • @jamesram4869
      @jamesram4869 8 років тому

      so basically he doesnt want to redirect me to anyone. i had to go 4 times to get him to redirect me to the orthopedic doctor (thats why i went on the 6th week for the xray....it took me a few weeks to convince him i needed a check-up)
      ,who just did xrays and nothing else... i thought soft tissue would require different examination?

  • @ThrowItOnTheGrill
    @ThrowItOnTheGrill 2 роки тому

    Great, so my knee that is very painful to walk on, is going to stay this way unless I have a blank check to give to a doctor. I'm not bankrupt, so I can't get Medicaid and I don't make enough to afford $400/mo for insurance. Whatever happened to just getting a shot of cortisone?

  • @azrielseaman7786
    @azrielseaman7786 7 років тому +2

    hi i love you

  • @Kenkalsi
    @Kenkalsi 7 років тому

    hi,whats email of doctor in video,thanks brother.

  • @vhalen6983
    @vhalen6983 9 років тому

    👍

  • @DrAlexVasquezICHNFM
    @DrAlexVasquezICHNFM 2 роки тому

    Zero mention of nutrition.

  • @makamakaaa
    @makamakaaa 2 роки тому

    Don't go to surgeons before trying a few months of physio. Many of them will convince you into surgery too early.

    • @iFaza3i
      @iFaza3i Рік тому

      that's not a helpful statement and an overgeneralisation. It depends what injury you have and what the surgical options are.
      For example, I had a meniscus tear, that for 5 months I 'rehabbed' and in the end it had to be excised.
      My friend had one and immediatley got a surgical repair and now he has his full meniscus.
      With meniscus tears the earlier you repair them the higher chance of healing.
      The best advise would not be to just try physio.
      It would be to get a full and clear diagnosis of what your injury is, and what exactly the surgical options are, and what are their risks. and then make a decision on how to proceed.
      I am sure there are people who have avoided surgery, rehabbed their injuries and then made things even worse.

    • @iFaza3i
      @iFaza3i Рік тому

      What I do agree with is that they will convince you to have surgery, without giving full and clear explanations of what they will do and what the risks are.
      In that sense you can't trust the doctors and unfortunately have to do your own due diligence on the matter at hand.

    • @Alex.1739
      @Alex.1739 Рік тому

      ​@@iFaza3iHi please could you say symptoms of meniscus tear? Worried I have one thanks

  • @Nat-oj2uc
    @Nat-oj2uc Рік тому

    Juvenile donors wtf?🤯🤯🤯😱😱