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Hyaluronic gel into a multi issue knee
Joint Replacements | Last Active: Apr 9 6:55pm | Replies (21)Comment receiving replies
Yes, I looked briefly at the Jiffy knee. Ha, that was not meant to be funny.
Frankly, I do not know as much about the knee surgeries as I would like. I have been talking with steveinArizona on the Mayo site and with copilot to evaluate and look for surgeons.
I would prefer to maintain as much of the knee as possible and Jiffy, I believe, tries to do that.
Many knee surgeons frequently just don't seem to care about how much of the knee they carve out, it seems. Hard statement, but I have talked with 6 of them so far.
I would like a surgeon that is first and foremost interested in me as a patient and in how I will react and live with the knee, before and after the surgery. I am having trouble getting that feeling.
I do think that looking at steve's comments and discussions might be useful for you. It was for me. Link to his member page:
https://connect.mayoclinic.org/member/00-748a9dd558e368ff336939/
Replies to "Yes, I looked briefly at the Jiffy knee. Ha, that was not meant to be funny...."
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@kathleen1314
Jiffy Knee is a branded version of a subvastus procedure that has been around for many, many years. I have a friend who was scheduled for a Jiffy Knee here in Scottsdale. I was chatting with my magician (AKA surgeon) and mentioned that to him and asked him what he thought of Jiffy knees. He replied that their efficacy depended upon the skill and experience of the surgeon. I told him the name and he replied that he had not seen any problems from that surgeon -- a compliment (my guy spends about 20% of his time doing revisions of other surgeons' work).
Subvastus procedures go under the tendon and muscle causing less trauma and therefore a faster and usually less painful recovery. The downside is that the surgical window is small. Another minimally invasive method is the midvastus method. This goes under the tendon but through the muscle fibers. My surgeon uses this method and I discussed it with him. He said that a subvastus approach would be slightly less painful in recovery but the midvastus would give him a better field of work and if a revision were ever necessary, a better pathway.
My surgeon also does the extremely rare bicruciate retaining implant ("BCR"). in 99+% of TKRs the surgeon cuts and removes the ACL. In many cases the surgeon also cuts and removes the PCL. In a BCR the surgeon puts in an implant that protects and preserves the ACL and PCL. My magician has been doing these for a decade and it can be done only if the ligaments are strong. Mine are and I had a BCR and I therefore still have all of my ligaments.
Most modern TKRs take a little of the bones as the surgeon can. Some refer to it as resurfacing. A really good surgeon will take only the amount of bone that is necessary.