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Lateral Approach Total Knee Replacement

Joint Replacements | Last Active: Jan 4 12:02pm | Replies (35)

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Profile picture for portstlucie @portstlucie

I live in South Florida,had TKA of my left knee March 2024.I was convinced of the surgeons expertise by another doctor,so I scheduled with this surgeon(he had all 5 star reviews) .The surgeon explained all the beneficts of the lateral approach .he said I will be able to return to my zumba and salsa classes in no time.Unfortunately for me,the surgery was not successful,for an entire year I experienced severe pain and swelling of my left knee.I returned to the surgeon for follow up visits 4 times and each time fluid was aspirated from my knee.Following each visit,by the time I returned home my knee was swollen again(filled back up with fluid).I was told by the surgeon to give it more time.Then he told me it might be rheumatoid arthritis, had me schedule with a rheumatologist.I kept the rheumatology appointment,had a series of labs done, all came back negative for RA and other autoimmune diseases.My knee continued to be swollen and painful after one year.I decided to see another orthopedic doctor for a second opinion,this doctor sent me for bone scans and MRI,results showed loosening of the knee component, he said I needed revision surgery.I had left knee revision surgery on August 21st (two and a half months ago),I am still recovering and going to physical therapy.My knee is still swollen but the pain has lessened post revision.If I had to do knee surgery all over again I will stick to the old tried and true medial approach since the lateral approach In my experience, was unsuccessful.

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Replies to "I live in South Florida,had TKA of my left knee March 2024.I was convinced of the..."

@portstlucie

I would attribute your problems to your surgeon, not the "lateral approach". My surgeon used a mini midvastus method, did not use a tourniquet, installed a bicruciate retaining implant, used a CORI robot for fine precision, fixed my severe valgus misalignment with a Functional alignment and did a plastic surgery close.

I had zero pain after the total knee replacement. My surgeon's recovery protocol is to to be a couch potato for the first week and then begin small activities around the house in the second week and commence PT in the third week. The concept is to reduce the swelling before starting PT. That week my PT measured my ROM at 122.

Some of my success may be luck but I attribute most if it to the magician who did the procedure. By the way, my surgeon does about 20% of his surgical work doing revisions of other surgeons' work.