In January 2023, I had arthroscopic surgery for 2 meniscus tears, one on top of the other. The surgery didn't help me. I was on crutches prior and painful to walk and same condition after surgery. I was told by 3 doctors (2 orthopaedic surgeons and 1 sports medicine doctors specializing in joints) that I needed a Patella Femoral Replacement (PFR) (Knee cap replacement) and that a total knee replacement (TKR) would not help me. A PFR is a more complicated surgical procedure than a TKR, requiring exact precision by the surgeon. No room for errors. Like fitting window casings together cut at a 45 degree angle. Some carpenters have no spacing, and others have spacing and fill it in with caulking. Well, with a PFR, you can't fill a space in, so the angles must be cut with exact precision. Very few surgeons do PFR's. I couldn't find one across Canada. I don't think Mayo Clinic has a surgeon who did them. After 1.5 years following patient support Facebook page for a clinic in Kaunas, Lithuania, I finally came across someone who had 2 successful PFR's. She lived in my city. I met her. 8 months after her surgery she was water skiing! So, I contacted this clinic, Nord. I was booked for October 18, 2024 to have a PFR. The night before surgery, we met with the surgeon. He had me get on his examination table. Wiggled my patella around and asked if it hurt. Yes, alot. Then he wiggled my inner side of my knee and asked if that hurt. Yes it did too. He told my husband and I that he could fix both problems. I repeated more than once that I wasn't sure, because 3 surgeons back home all said a TKR would not help me. But he showed us how he was going to resurface my patella with a metal piece on one side and plastic on the other. He explained how the plastic would glide easily over the metal and he would do a TKR at the same time. After 5 months, I had to return from Canada to Lithuania to have an MUA (manipulation under anesthesia), which is a non-invasive 6 minute procedure. The surgeon basically bent my knee to 125 degrees 5 or 6 times under a spinal. I had the MUA, because I could only achieve a bend of 65 degrees. It's November and just over 8 months after my MUA and I have 110 - 115 degrees ROM (range of motion). But I live in pain everyday. If I walk around our crescent (.25 km) one day, an hour later, I am quite sore. If I do it again the next day, I am in extreme pain requiring painkillers (Ibuprofen). I found out this week, that it is my patella causing me all the pain. X-rays show that absolutely nothing was done to my patella. No resurfacing. So, the one thing I needed repairing, the most important part of my knee ... the patella ... it went untouched. The TKR that 3 surgeons in Canada said would not help me, were correct. Had I known the surgeon was selling me a song and dance and had no intention of doing anything with my patella, I would never have agreed to the TKR. So, buyer beware. After 3 TKR's, I don't know if you can have a forth. I am 65 yrs now. I can't risk having my patella resurfaced now, because the risk of infection is high and the bone could fracture causing me even more pain and problems. This surgeon at Nord has ruined my life. My 95 year mother-in-law walks faster than I can with her walker!