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Knee Replacement Failure - Need total reconstruction

Joint Replacements | Last Active: Oct 1 10:10am | Replies (121)

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@teajackson

I had a TKR on Jan 23, 2023. It was pain from the beginning. I was in therapy and the pain was so intense that I would catch the looks between the therapists as they looked at my knee. So the doctor was like hey, let's do a manipulation under anesthesia. He explained it to me and i was like ok. I woke up with a cast on my leg from under my privates to the ankle. I immediately burst into tears because i thought my leg was broken. However when my therapist saw it. she pulled me aside and said something is wrong get a second opinion. Come to find out the parts were to big. I had to keep the parts in because my knee was inflamed and had to be aspirated several times. I went a year, wheelchair bound, buried both parents 2 months apart in a wheelchair. after the revision on March 6, 2024. i am being told because my knee is still bent, and ROM is only 80 that it might be the tendons and ligaments because of how bent it was from the botched surgery. I was literally tipping on my toe on that side. Now i have so much pain in my foot and i am worried about my knee. Please does anyone have any suggestions. Has anyone experienced this?

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Replies to "I had a TKR on Jan 23, 2023. It was pain from the beginning. I was..."

Hello @teajackson,

I moved your discussion and combined it with an existing discussion titled, "Knee Replacement Failure - Need total reconstruction" - https://connect.mayoclinic.org/discussion/knee-replacement-failure-need-total-reconstruction/.

I did this because the discussion is centered around members who have experienced poor outcomes after their replacement surgeries. Many members discussed having to put in larger spacers, but it sounds like you have experienced the opposite in that the components used were too large. @ezas123 talked about their experience with a replacement that was too large in this discussion and may be able to relate to some of your experiences as well.

It sounds like you sought out the second opinion and had a revision - but the outcome has not been much better. Does your surgeon who performed the revision think atrophy in your ligaments is the cause of your lack of ROM? How did physical therapy go after the revision? Is the knee pain less than your first replacement?

Hi teajackson….like you my knee was twice the size …. I woke up in pain from surgery had manipulation pain throughout trying to do pt… after manipulation at 6 weeks I think it was 8 weeks or got second opinion … I told my dr I was getting a second opinion because I was not getting anywhere and my knee does not feel right was not listening to me … all he said was it’s a good ideal to get other opinions ….. I took my x- rays from my original dr office after my surgery as soon as dr seen it told me was to big that is why I was having pain and not getting any more flexion I was at 65-70 than … I waited a year for surgery also … I woke up with no pain was awesome….i have 100-105 but I can do everything …..I still have pain at time …. I have issues with scar tissue because of having to have two surgeries….and the issue of having oversized knee for a year that’s another issue … but so glad found my other dr … so good luck it does get better just keep on moving … I go to the gym 5 days a week it helps so much to move ….. I practice what I preach lol if you have any questions give me just ask ….