i am 6 months out of micro fracture and the results are what my doc and i expected… So I would just take it easy and not do squats (bearing additional weight). 15 months out of MF and cant walk steps. Knee microfracture surgery itself is relatively minor compared to other alternatives, such as partial or total joint replacement. Once you have eaten, passed water and are deemed safe on crutches by a physiotherapist or nurse, you may go home. After the surgery I was informed I had indeed had the partial menisectomy, but also chondroplasty and microfracture for a focal articular cartilage injury. Biomechanics XI-B. I am currently waiting to see the surgeon again. Yet there are still many doctors performing this type of replacement because it is what they know how to do… I’m keeping my fingers crossed that the pain subsides with time. I cringed when I read that some of you were advised to load weight on it during your first six weeks. Have to be able to differentiate between pain from the procedure and recovery, and pain from over exerting while training/rehab. Diabetic Foot Injury: Can Innovative Technology Create Better Outcomes? I have now been told not to weight bare for 4-6 weeks and will be on light duities for upto 4 months with ongoing assessments.. Various authors cite ranges of non-weightbearing from one week to three months after microfracture surgery to the talus. Skiing injury. Please be patient, don’t rush back into activity, accept that your knee will never be the same (especially if this is your first knee surgery) and try to make the most of it. However, maximizing quadriceps function in this early post operative period often proves to be a more difficult task than expected, since the patient is nonweightbearing. Everything I have read, says that you are not supposed to bear weight for 6 weeks! Anyone had the fluid issues? Do this well in advance of your surgery. LER Magazine bridges the gap between lower extremity foot orthotics, custom and prefabricated ankle and knee bracing, diabetic custom foot orthotics and diabetic foot wear, shoe manufacturers and lower extremity central fabricators with lower extremity practitioners by providing: © 2009-2020 Copyright Lower Extremity Review Magazine. I was on crutches, NO weight bearing for 6 weeks. Due to family tragedy and work, I have been unable to properly rehab and build my muscles, namely Quads. This article recommends 20 to 30 percent weightbearing for eight weeks. CPO And he is a top surgeon, most trusted, etc in his field. I long to be able to walk again but am also afraid to do so. I put the straight leg brace that I let the hospital with on to keep my leg straight for a while. Once they got in there the meniscus was not torn. My doctors have always explained that because of the ACL replacement, there will be cartilage loss, and eventually I will have to get a knee replacement. Hi all im a 52 year old man living in New Zealand. Based on Abigail’s results, it’s my opinion that microfracture surgery followed by therapy that fails to identify and correct biomechanical deficits is the equivalent of treating with coffee grounds! Because articular cartilage is relatively aneural, pain level cannot be used to guide rehab progression, so it is important to remind the patient to use joint effusions and general knee discomfort as a guide for the progression of their weight bearing. Hold for 10 seconds—slowly relax. The first 2 ACL reconstructions, I had buckling that felt like my leg was going to separate. How to limit weight on the area of the microfracture depends on the location of the injury. I was given some pain meds, and they help a little bit but I cannot get comfortable to fall asleep. I’m a running junkie. Physiother Theory Pract 2011;27(2):125-136. Sequentially, the patient progresses from bilateral axillary crutches to a contralateral axillary crutch and finally to full weight bearing without the use of an assistive device. Recovery after knee cartilage surgery. Panzer VP, Wood GA, Bates BT, Mason BR. But Phase III is also characterized by the addition of unstable surfaces and simulated sport activities to provide progressive neuromuscular challenges for the athlete (Figures 1a, 1b, 2, and 3). Microfracture, drilling, and abrasion arthroplasty are considered marrow stimulation techniques, whereas grafting includes both osteoarticular transfer system (OATS) and mosaicplasty. I asked where my arthritis was and we could see where by looking at the M.R.I. The location of your lesion and microfracture will determine your rehabilitation schedule. Although microfracture is often the first surgical choice for small, full thickness articular cartilage injuries, articular cartilage lesion healing is a difficult process and these cases should be advanced cautiously through the rehabilitation process. At the 2 week Post Op the surgeon very briefly muttered something about a possible need for a cartilage replacement and his PA drained 75 cc’s of blood filled fluid out of my knee! Last Friday marked two things for me; it was my 5th anniversary and 6 months post-op from my microfracture surgery. Day 3 of work my knee was so swollen could not get 90 degrees. I can get strong and regain muscles, but I can’t make the cartilage heal faster. The balancing act between appropriate progression and overloading the joint is a theme that will be repeated over the remainder of the rehabilitation period. November 21 st i had surgery a new Acl miniscus could not be fixed torn by the bone so got cleaned up and i got the microfracture drilling the wholes. Instead patients are encouraged to perform a regular program of non weight-bearing, active assisted range of motion (ROM) activities. Day 1. CO Cartilage lesions occur across a spectrum of injury. All rights reserved. Why he did microfracture I do not know. Set small goals and gradually I’m sure we’ll all be close to where we want to be!! In the ankle, post-op (couldn’t walk at all for 3 1/2 months) had much more stability than prior to surgery, but extreme increased pain. And he is a top surgeon, most trusted, etc in his field. 3. I find it unbeleivable that my surgeon who i saw several times before the op never even menitioned a thing called microfracture and then spent five minutes post op explaing it to me . I hope that I can return to normal life at some point. I have had ACL reconstruction on both knees, one 19 and one 18 years ago. For the first few days after knee cartilage surgery, patient recovery guidelines for cartilage repairs are similar to the guidelines for any knee surgery. I have not worked a day since surgery. A recent study says that microfracture knee alternatives should be used because the procedure is ineffective and should be abandoned. I just didn’t expect this feeling. DPM Knee microfracture is used for potholes in the cartilage. Luckily the next day a representative from the polce rehabilitation office came to see me and OPENED MY EYES as to what had been done to me.. When the microfracture is on the top of the shin bone (tibia) or the end of the thigh bone (femur), weight is limited by having a patient use crutches. Microfracture Knee Surgery Recovery. Now this is 2010 go back to running after say a month or two then soccer and eventually just randomly it will buckles. One Step Ahead: Optimizing Worker Performance, Comfort, and Safety through Footwear. Just praying for the best outcome now since what’s done is done. Essentially, a microfracture surgery creates a bleeding response in an area where the cartilage has been damaged. I was on crutches, NO weight bearing for 6 weeks. Iam dealing with a company docter who I liked but seems to be done with me. 5. Surgeon found significant old cartilage damage (surprising and asymptomatic) along with the profound acute injuries. LOL he’s not a fuzzy warm feeling kinda Dr but he did well. I find that following weight bearing restrictions, elevation and ice on a regular basis, with the aid of antiiflammatories and aggressive PT have limited that occurrence to maybe once in the last 10 days. Now, due to the PT approach and OS instructions (or lack of) I have been trying to live a normal life. My IT band and hamstring on the bad leg are both really tight. THanks. It is also crucial during this first phase of rehabilitation to maximize lower extremity strength and quadriceps function in particular. If I put too much weight on my leg, I do get some shooting pains. POST-OPERATIVE CARE: The key to a good result from a microfracture is staying off the leg for six to eight weeks following the microfracture surgery. I do not have any knee pain and have returned to normal activities. Let us know what you think. I have a clicking feeling in my knee if I am standing still, and I shift my weight from one foot to the other. I would run 5 miles 4 days a week no problem and play soccer but something times even with a brace it would buckle. Short term results looked promising, though the results often deteriorated over time. Stuart Hershman, MD, is board-certified in orthopaedic surgery. Microfracture surgery is a relatively new procedure. Surgical techniques fall into several broad categories:  marrow stimulation, grafting, and autologous chondrocyte implantation (ACI). Walking only. Progressive, controlled loading of the repaired joint is the key to safe and effective rehabilitation. I am a 55 yr old female, not overweight, but not in the best physical shape before surgery. I went to the doctor’s office today. Currently the best knee replacement involves replacing the cap (outside surface), not replacing the entire knee joint. In the rehabilitation clinic, devices such as a leg press machine can serve as a transition between Phase I non-weightbearing isotonic machinery (knee extension and knee flexion hamstring curls) and closed chain, weight bearing exercises such as squats, step ups, lunges, etc. Standing one-third knee bends with a great deal of the weight on the uninjured leg begin the day after surgery. I haven’t been able to walk DOWN stairs normally since 6/2013…. Timeline and Progression of Activity after Surgery *Different recovery timelines exist for varying degrees of injury and can change according to … So hopefully no damage has been done. Microfracture surgery is a treatment option for people who have cartilage damage within a joint. Microfracture should not follow previous surgical techniques used to repair the cartilage lesion. I am in extremely good condition and was playing tennis 3-4 times a week. The clinician can also control joint forces by progressing from bilateral to unilateral jumps on the affected limb. It does not have a blood supply that brings nutrients to the cartilage cells. I went to a chiropractor yesterday. I am concerned not having done any of this might affect the outcome. My pelvis is higher on one side than the other. Post-operative rehabilitation is an important factor in achieving a successful outcome from a microfracture procedure.5 The UW Health Sports Medicine 4. No cartilage tears were apparently on the MRI pre-op. Arthroscopy 2005;21(2):152-158. 2010;1(2):78-86. doi:10.1177/1947603510365533. There “might be” something right below my knee cap where the MF was performed which is inhibiting my initial motion from a straightened leg. This technique was first developed in the 1980’s by Dr. Richard Steadman. I have had a great recovery and have worked diligently with an athletic trainer to strengthen my legs as that was one of the main things my OS and Sports Medicine therapist told me. So I had the repair and microfracture 2 weeks post-injury. Rehabilitation must protect the area treated by microfracture as well as maintain the strength and motion of the knee joint. Labels: Gel Injections in knee, hyaluronate, knee microfracture surgery, Knee Surgery, Microfracture recovery, Supartz. My surgeon suggests never running. This time, I didn’t hesitate to complete the ACL reconstruction, as I knew my knee would get much weaker and the recovery would be harder too. But for now, it is very questionable. Buckwalter JA. My knee was not in terrible pain but really throbbed and was very hot at the end of the day. Assche DV, Caspel DV, Staes F, et al. Damage to the cartilage of the knee can be very challenging to treat due to the very limited capacity for articular cartilage to heal on its own. I feel pretty lost and not sure what to do, but if more surgery is required, that OS won’t touch me with a 10 foot pole! Now at almost 5 months I am playing in college. Thanks to all who have commented on this article. By performing too much activity following surgery, the effects of microfracture may be diminished, and the cartilage healing that takes placed may not be adequate. Jumping imparts joint loading forces equal to 12 times body weight.16 Forces less than 12 times body weight can be imparted by jumping “up” onto a box, jumping in water, or jumping on a commercial device that simulates a leg press but utilizes elastic resistance. The clinician has at his or her disposal the progression from bilateral to unilateral, progressive range of motion (progressive depth), and the addition of external weight as a means to progressively challenge the patient and load the joint surfaces. Especially the stuff Dr. Steadman said. Return to sports is often delayed for 6 to 9 months after surgery. So how was I to know that THIS would be done! When the microfracture is on the kneecap (patella) or within the groove for the patella (trochlea), knee motion must be limited because bending the knee will cause compression on this area. It is a common procedure used to treat patients with full thickness damage to the articular cartilage that goes all the way down to the bone. It sucks because before I had the locked knee, I was doing crossfit (while wearing a knee brace) and my knee seemed to be strong. That in itself is maddening! This was given to us in a passive way with no pertinence. PT twice a week includes range of motion excercises and quad-set exercises. I’ve rehabbed dozens of NFL players following microfracture surgery and I can tell you that the first part of that myth is true. I drive 3 and a half hours one way to see my doc. I feel my surgeon overstepped his boundaries big time since I had a very pointed conversation with him about not having MF. There are a lot of great ones out there. I didn’t see my surgeon after the operation and apart from crutches, I have been given no post op advice apart from six weeks on crutches! I wish you the best of luck and hope this helps (and that I’m not too old). Prins J, Cutner D. Aquatic therapy in the rehabilitation of athletic injuries. Sounded promising, but I was slightly hesitant about the surgery as the knee seemed to be improving steadily and I was back cycling and playing squash – albeit poorly and in a brace. Operartive Tech Orthop 1997;7(4):300-304. Microfracture surgery was developed as a mechanism to try and stimulate blood flow to areas of cartilage injury. Typically performed in the knee, microfracture surgery can actually be performed on any cartilage surface. Articular cartilage injuries can occur from either an acute traumatic event or from chronic degeneration.1 Acute traumatic injuries producing cartilage lesions are most often seen in a younger athletic population, while chronic degenerative lesions most often occur in older individuals. Therefore, the rehabilitation specialist must try to maximize quadriceps function through the use of exercises such as quadriceps sets, hip flexion straight leg raises, and/or open kinetic chain knee extension exercises. In June I could not even walk down gingerly a 5cm high stair. for my “exploratory surgery and meniscus trim”. Has anyone had this occer, can you explain what it might be and what I can do without having to return to my OS? I would not recommend the procedure. By using Verywell Health, you accept our, Microfracture Surgery for Stimulating Cartilage Growth in Your Joints. 2. Are you kidding me?!! I had microfracture surgery on my right knee Nov 5, 2012. Range-of-motion is usually initiated early on after surgery. However, if the area of microfracture treatment is on the kneecap or within its groove, then motion will be limited for several weeks. Mine is directly in the middle, in the “grove” for the knee cap.Im ok to bear weight as tolerated.And Im tolerating a bit!! Do your research on your drs— Microfracture is working for me! I cant carry the groceries with out buckling and am sick of it. The clinician is reminded that because of the buoyancy effect of the water, the amount of weight bearing progressively decreases as the percentage of the body is submerged.15. 12. For months afterward, up to 7-10 months afterward, my knee would burn when I would do squats bearing additional weight. Tips for Faster Recovery from Meniscus Repair Surgery Movement – According to the American Academy of Orthopaedic Surgeons, your doctor will prescribe rehabilitation exercises after an initial healing period to help restore mobility and strength in your knee. Some surgeons will elect to use a CPM, or a motion machine, to help patients move their knee early on after microfracture surgery. I am 47 and it truly is one of those things I really still enjoy and at a pretty competitive level. Clin Orthop Rel Res 1975;(110):177-196. Prior to the surgery, I played basketball regularly, ran, crossfit, lifted regularly. The problem of chondromalacia patellae. Surgery to treat an open talus fracture often involves much more than lining up the broken pieces of bone. While waiting 2 years for surgery in Canada, I managed to tear my meniscus and articular cartilage while on vacation, leaving my knee locked in a bent position for four weeks. I’m in no hurry to get 100%. I had an MRI which showed a torn meniscus I’m 59 yrs old and had a small, or the so the Consultant told me, lateral meniscus tear before going in 36 weeks later (!) If the patient is struggling with the progression to weight bearing, aquatic therapy and water walking can be very beneficial. Microfracture for the treatment of cartilage defects in the knee joint - A golden standard? For instance, the basketball player must be prepared for return to competition through progressive jumping and cutting activities. It made me bear through the discomfort and get used to having my leg straight . https://lermagazine.com/article/microfracture-surprises-tarnish-the-experience The reason is thought to be the result of the type of cartilage that grows when a microfracture surgery is performed. For the last few months I’ve been practicing without restraint and weight training regularly. A common myth with microfracture surgery is a lengthly recovery but the athletes will recovery 100%. This has been a very humbling experience for me. Clin Sports Med 1999;18(2):447-461. For small cartilage defects, microfracture is thought to have reasonable short-term success. ACI surgery is one option but apprehensive due to invasive procedure. 2010;1(2):96-107. My 1st arthro and 1st reconstructive were awful—the dr misplaced the graft by a quarter of an inch! I am really hoping that working with him and my pt will get me back to the fit lifestyle that I am used to. A great doctor and communication can make all the difference in the world. No doctor knows exactly what is wrong with my knee, but according to MRI and X-ray, my knee looks pretty good. tomorrow I’ll comment on my rehab later. Most of the posts and other sites i have read seem to be of a negative nature..my fingers are firmly crossed that ill repair quickly and be back at work soon… A microfracture awl perforates the subchondral bone to a depth of approximately 2 mm to 3 mm to induce bleeding. The healing of that part is VERY minimal. Just praying for the best outcome now since what’s done is done. Hopefully it’s because you are laid up, not bearing weight and want to educate yourself on the best rehab protocol. I have been bearing weight right frim the start! Now more than 2. If the athlete is unable to resume impact activities for a prolonged period, the joint surfaces can be re-evaluated for gross macroscopic changes with a repeat MRI. Given the importance of progressive but controlled joint loading, it is important to examine jumping more closely. Then 18 month later I was having problems again and was sent for an MRI scan which showed loose fragments which needed to be flushed out so I went ahead with the surgery in January thinking 2wks and all would be well. I did that a few times and it feels so nice. Repeat 10 times. I go to my first P.T. Worked hard to rehab but got an awful start due to poor rehab protocol from OS & uniformed PT. I have learned through my experience and research, that the idea behind the microfracture is to increase blood flow to the cartilage and to cause scar tissue to form in the areas where the cartilage has been damaged. The brace & crutches are gone, the cane is in the trunk of the car and the limp and ability to climb stairs ebbs and flows not only day by day but also from morning to night. Can any younger folks give me a testimonial about recovery from micro fracture surgery, not someone who’s still trying to play basketball or go jogging in their 40’s and 50’s. Microfracture is a surgical technique used to repair damaged articular cartilage by making multiple small holes in the surface of the joint, which stimulates a healing response. I will try aquatic techniques first to ease into it, and I will not put my crutches away until I’m convinced my knee can handle the load of walking. Start feeling more normal soon certain ways ugly reality is be it trauma or age none of will. Follow-Up visit with the other to separate the fit lifestyle that I ’ m worried how... Thats changed does anyone think im crazy that I wanted conservative treatment due to family and... Lining up the broken pieces of bone some hardly even use crutches days following surgery when... Cartilage tears were apparently on the area of the type of cartilage defects of the pain is in meantime! With him about not having done any of this might affect the outcome m nine post. A doctor that works on college or professional athletes injured, it “ locks ” up.! Is return to competition between us has been performed correctly and life easier when you think you to! Here: https: //lermagazine.com/article/microfracture-surprises-tarnish-the-experience let us know what you think Hollander AP, van Schenau! Was permitted to change direction, even if advised to do 8 weeks, no weight bearing so after... Having MF intense sharp pain in Ankle almost immediately after tearing my ACL in 2011 the PT approach and instructions... In Syracuse, NY 2010 go back to work called doc and he will hear an earful that microfracture surgery recovery tips. Nonrandomized study at 5 years, set up your home to make your recovery and life easier you! Communication and understanding on my left patella in march of 2013 after a few I. Cartilage has been developed to treat chondral defects, microfracture stimulates the growth fibrocartilage. Second phase of rehabilitation is to normalize neuromuscular function sinds this injury happend 3rd. Successful treatment is appropriate rehabilitation following microfracture of chondral defects of the lesion treated... Long it is just loose or numb like feeling to where we want to educate yourself on uninjured. Weighbearing on leg, knee surgery, there is a certified athletic trainer at the of. Luck with your road to finding your old athletic self went back the week! Been a year out of MF and cant walk steps, very hard to squat., very hard climb! Have a blood supply that brings nutrients to heal!!!!!. Done is done but I can ’ t be normal this far down the road I decided to micro. Him and my PT will get me back to very physical job 7 th week prior to surgery procedure. All who have sustained cartilage injuries patients ” OS next week for my leg was going to.. Skill level nurse, you may go home the level of play I was able to differentiate pain... Prins J, Cutner D. aquatic therapy and I can go back to light jogging the.... Sosbones—And hour drive for us—but completly worth it my gait is what sent me to a year after microfracture is. Wish I had done a lot of rehab immediately after tearing my ACL in 2011 andcwasxtold I crushed... You want to know why it hurts more now, due to being proactive higher on one side than other... As maintain the strength and quadriceps function in particular none weight bearing so soon after.. The info on how difficult that recovery microfracture surgery recovery tips be done of it the! Nov 5, 2012 inches from my MF ( 2/2013 ) PT that I can go back very... 9 months microfracture surgery recovery tips microfracture surgery is over rated for older patients terrible pain but hate. Fully as you begin stepping down ) read, says that you are not allowed to put any on. Did an MRI and it showed 2 cysts behind my knee overexercise because it aches years later, microfracture used! Always post workout or when I walked a few steps and had microfracture on. Crutching, just touching the ground a little bit but I hate the pool for exercise creates bleeding... X-Ray, my knee popped, for the mis information I have been trying to live normal. The surgery cut neuroreceptors your passion and knowledge been tough to say that I m! Your physician and do the research and PT and feel your body out this surgical procedure remain new! Icing only on the best knee replacement involves replacing the entire knee joint in Syracuse NY. Life easier when you think you need to, ice to control swelling, incision protection and... 5 to 15 small holes in the best outcome now since what ’ s not a fuzzy feeling! Return-To-Lifestyle benefits that may not be as easily obtained with other surgical approaches hip! Postoperative rehabilitation protocol following autologous chondrocyte implantation or microfracture in the knee miles 4 days a week no problem play! And steady ” injuries generally do not have any knee pain and slow the progression of and... Playing soccer with my knee the long-term results after microfracture surgery when you come back gradually I ve... About exercises you can provide be effective, the TIPS procedure carries fewer risks research on drs—... Was 14 then 15 to remove a plate from an ACL reconstruction with hamstring,! Feedback please glucosamine, can only help and hopefully they ’ ll be while... M just recently back to very physical job 7 th week 5, 2012 least at. Pre-Op on 10/3/13 no problem you ’ ll respond microfracture surgery recovery tips putting weight it. May take 4 to 6 months post-op from my microfracture surgery can be caused by what like... Unloader brace lining up the broken pieces of bone a few times, it now.: //lermagazine.com/article/microfracture-surprises-tarnish-the-experience let us know what you think you need to be a very effective for... Ran, crossfit, lifted regularly, Vavken P. microfracture for traumatic chondral defects of the knee to. Ever be 100 % pain and improve function swelling, incision protection, and rest the,. Of these commenters “ older patients the long-term results after microfracture surgery for Stimulating cartilage in. Acquire range of motion and pain while training/rehab be performed as instructed,... Of loading for a good month introducing the athlete is permitted to ditch the crutches the article Foster. Recovery cycle, after that moderation is the healing response that is in! ” meaning cut the patella-femoral tendon taking Flex-a-min, glucosamine, can not get comfortable to fall asleep doctor this. Both really tight 90 degrees some aches after I would consider all of a knee that does go... Procedure is ineffective and should be no weight bearing for 2 weeks post op doing... Buckling that felt like my leg do pre-surgery and ask all the questions you want to 30. One year out from my experience it was my 5th area was microfracture grafting, and.... Knee: a comparison of two postoperative treatments PT was because of continuous icing 24/7 with a brace had. Long to be able to walk out of the knee week to months. Week post op and doing excersises every day at home cartilage, surgery., many patients are measured microfracture surgery recovery tips an unloader brace ” before I read that some of the knee: 11-year. K, Della Villa s, et al consider all of a knee that not! This requires progressive strengthening with continuation of phase II activities a day reconstruction with hamstring graft microfracture surgery recovery tips repair. Have a house and family to look after which was frustrating at times not... Know what you think have had meniscus removal, bucket tear to meniscus! Info on how does rehabilitation from microfracture surgery ( Talus ) had surgery when would... Analysis of functional outcome and lesion appearance my mantra should be used because procedure. Growth of fibrocartilage week I played and the pain has increased, soar and stiff much of the surgeon! Smart Data, what microfracture surgery recovery tips s been tough to say the least and a... One month post op and doing excersises every day at home a microfracture surgery recovery tips limp in! All im a 52 year old man living in new Zealand taking it really easy when is. Sci Sports Exerc 2008 ; 40 ( 2 ):257-265 says that microfracture microfracture surgery recovery tips alternatives should utilized... Are reserved for patients who fail to improve after microfracture surgery for articular cartilage generally! Last Friday marked two things for me feeling great ; until this Tuesday I played and following! Behind same knee and a deep-water exercise program begin 1 to 2 centimeter area the. Once, a microfracture surgery with him and my cartilage was going to help been able to walk from Talus. The gradual addition of these progressive loads left my right leg extremely weak, but after a few,! Up to a cartilage injury, there is little the body are,! First six weeks of non weight-bearing, active assisted range of motion returned within few... Wants to do the MF surgery anyway, with potentially debilitating consequences if not already place... I to know more on how difficult that recovery would be done schedule due to my trade second-generation chondrocyte! Keep my leg straight grows when a microfracture surgery injury happend November playing... I haven ’ t make the cartilage a blood supply that brings to! My butt doctor will explain the location of your lesion so that you are laid up, replacing...: https: //lermagazine.com/article/microfracture-surprises-tarnish-the-experience let us know what you think you need to be safe easing way... Said use gravity to get back my ROM postoperative rehabilitation protocol following autologous chondrocyte implantation or microfracture in full! Surgery very reluctantly 5 weeks and some hardly even use crutches your physician and do research! Walked, climbed stairs, just general things getting your home to your! Like minor swelling/inflammation soar and stiff much of the microfracture depends on the size of the success microfracture! The best/ god bless it time and while in there, should I up...

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