3rd knee replacement in a year and a half on same knee
I had a total knee replacement in May 2023, with pain and swelling and was unstable. Surgeon said I had to have a revised knee surgery 6 months after the first in. He told me that he didn't put the cement in the bone for the implant to be stable. After the second replacement I continue to have pain and swelling he told me that all x-rays looked good. I have been to 6 different rehabs for therapy with no results. 4 weeks ago He said that I needed to have the spacer replaced because he put the smallest one in and it needed to be higher. I am still having pain and swelling. Now I don't know what to do. I am a 65 year old female that was active be for the first knee surgery, now it hurts to stand from a setting position and feels like a tight band around my knee. If you have any information that will help I will greatly appreciate it.
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My surgeon put nickel I stead of Titanum and I was allergic to nickel. Why not do blood test to check allergies.
The Dr.s sometime take no responsibility or level with you. Scar tissue is the big excuse as to why you are in pain at kneecap caused by “fibroblasts”. If you are quote”an excessive generator of scar tissue” you are sunk on improving ROM. I’m supposedly one of this lucky ones. I don’t have a pain in kneecap on right TKR. Go figure? I’ve had TKR/Revision/MUA and ROMNOF 73 after last 50 PT session’s . I know this doesn’t help but is one case history.
Oops, ROM.
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!
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As part of my TKR my surgeon did a patelloplasty:
https://journaloei.scholasticahq.com/article/141826-befit-patelloplasty-in-tka-a-targeted-approach-to-improve-pain-and-function
Mine came out great. it sounds like your surgeon promised to do that but didn't follow through.
I hate to say this but you probably need a revision. Obviously not with the same surgeon nor at the same facility.
My surgeon, Dr. Jimmy Chow, replaced my left hip about three years ago and my right knee about eight weeks ago and I had no pain either time. In doing my TKR, Dr. Chow did a patelloplasty. In my case that meant a resurfacing but not a replacement. He also does do revisions and patellofemoral replacements:
https://www.chowhipandknee.com/blog/patellofemoral-replacement/
Dr. Chow is in Phoenix but has an active travel practice (patients travel to Phoenix to have Dr. Chow do their procedure).
Thank you for this information. I may consider it. From what I've read, resurfacing the patella after having a TKR puts me at high risk for infection, or the bone may fracture or break. Scares the heck out of me. I wish I had stayed with what 3 surgeons here in Calgary recommended ... the patella-femoral replacement and not even listened to this surgeon. Since I learned this, I wake up overnight and all I can think of is where I can make a formal complaint to.