Just had OATS procedure -- what to expect?

Some of you all may remember my post on here about a year ago. I gave my injury (osteochondral damage in medial femoral condyle) time to heal, and while it did somewhat, it eventually plateaued. Walking was “ok” but running was still “no-way”. Not exactly how I wanted to spend the rest of my life, so I had the OATS procedure two days ago (and I just turned 22 yesterday, so I’m still somewhat young).

The surgeon seemed very optimistic after the surgery – he said it was a very tiny lesion that only required one plug. In fact, the cartilage was still smooth when he probed it, but it was gray and soft, so my guess is that it went through some sort of necrosis.

He said I could immediately be partially weight-bearing (but I’m not putting any weight on it because I am taking NO chances). And physical therapy started the next day after surgery. In fact, he said if I felt good that I could start light running at 3 months (!). I also didn’t have a neuroblock during surgery and I haven’t taken any pain killers because it hasn’t really hurt other than some twinges when I move it.

Well so far, so good. But I have a bad habit of screwing things up, so if someone has had this procedure before, is there something you wished you knew right after surgery that would have helped? Is it better to err on the side of less aggressive or more aggressive rehab? As rehab doesn’t actually expedite the new cartilage integration process (it merely keeps the surrounding muscles strong), I feel like it may be better to keep everything sort of slow. The risk with doing that is that the muscles will get stiff or unbalanced, which can lead to its own problems.

Thanks for the help!

Did you have autograph or allograph? Just curious…

Well at this stage too slow can have negative consequences… make sure you follow your Home Exercise Program provided by your PT. It is important to restore ROM and and keep the patella mobile.

Are you sure he said Partial Weight Bearing? Toe Touch Weight Bearing is even aggressive immeadiately post-op, Partial Weight Bearing is often contraindicated but each case is very unique. Are you in a Straight leg immobolizer? Is it fully locked out in extension?

I think autograft since it used healthy cartilage/subchondral bone from another region of my knee. The surgeon said partial weight bearing, but maybe I heard him wrong. Either way, I’m leaving it at non-weight bearing until my PT says differently.

My leg is not locked out. I’m in a brace with 30 degrees flex room. And I’ve been using a CPM machine for about 4 hours a day. Both the guy that brought the machine and my PT want me to get the flexion up pretty high pretty quickly, but I seem to be limited to about 22 degrees because the tape over the incision site begins to pull uncomfortably if I go further than that.

Bump. Just seeing if some new people might see this thread.