Anyone had a knee replacement while on ADT?

Posted by shelby29 @shelby29, Mar 22 5:15pm

Has anyone been denied knee replacement surgery because they are on eligard ADT?

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@jeffmarc

When I had my knee replaced six years ago, they also had me take antibiotics every time I went to the dentist.

After I had my hip replaced in September 2023, 4 years later, my orthopedist said that I didn’t need to take antibiotics. They actually didn’t find them useful anymore. Had my knee done in March 24, and same thing with antibiotics.

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That’s been a raging controversy for years - so much confusion and so much wasted energy. They even stopped antibiotic pre-med for mitral valve prolapse - again, the theory being that bacteria from the mouth released during a cleaning will travel and colonize a “rough” or scarred arterial wall or prosthetic joint.
However, it is still given for aortic valve replacement - or at least it was when I retired 3 yrs ago🤔

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@heavyphil

That’s been a raging controversy for years - so much confusion and so much wasted energy. They even stopped antibiotic pre-med for mitral valve prolapse - again, the theory being that bacteria from the mouth released during a cleaning will travel and colonize a “rough” or scarred arterial wall or prosthetic joint.
However, it is still given for aortic valve replacement - or at least it was when I retired 3 yrs ago🤔

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I had my teeth cleaning last week and was required to take 4 antibiotics an hour prior to my appointment. I had a knee replacement last September. Am told I need to take for at least the next 2 years.

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@kjacko

I had my teeth cleaning last week and was required to take 4 antibiotics an hour prior to my appointment. I had a knee replacement last September. Am told I need to take for at least the next 2 years.

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That’s exactly what I would have advised - but some orthopedists say NO.
In fact we were advised by our malpractice insurance carrier that if the surgeon wants the patient pre medicated, then THEY should write the RX to avoid a lawsuit if the patient has a bad reaction to it.
It’s totally ridiculous!!
Phil

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@heavyphil

That’s exactly what I would have advised - but some orthopedists say NO.
In fact we were advised by our malpractice insurance carrier that if the surgeon wants the patient pre medicated, then THEY should write the RX to avoid a lawsuit if the patient has a bad reaction to it.
It’s totally ridiculous!!
Phil

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My surgeon wrote the prescription. Enough for the first year.

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No - my husband just had a total knee replacement on March 4th. He has been on Xtandi & Orgovyx for 2 years. We asked our oncologist before going to our ortho and he told us no problem. The surgery went great!

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@linric70

No - my husband just had a total knee replacement on March 4th. He has been on Xtandi & Orgovyx for 2 years. We asked our oncologist before going to our ortho and he told us no problem. The surgery went great!

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Thankyou!

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