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Nanoknee, is it better or merely hype?

Joint Replacements | Last Active: Jun 2 8:58am | Replies (136)

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@crankyknee

Hi All,
I just had revision surgery. The diagnosis was mid flexion instability and the Ortho opinions were that there is an extension/flexion gap which was causing impingement and pain.

The femoral component was realigned and replaced and a larger insert installed.
Hopefully this works.

I looked into Jiffy and Nano knee surgery. I could not find any meta data research on the long term outcomes of these TKR's; just testimonials.
As Steve posted previously these procedures are presented as marketing. 'A new improved TKR with less pain and quick recovery.' Like new improved soap.
My experience is that a well qualified Ortho surgeon will do everything possible to mitigate cutting muscle, tendons and bone.

The Jiffy and Nano are marketed as 'potentally' less cutting/intrusion for less post surgery pain and faster recovery. That may work out but if there are any issues/complications during surgery you best hope that your 'Jiffy' surgeon takes their time to fix your knee properly.

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Replies to "@crankyknee Hi All, I just had revision surgery. The diagnosis was mid flexion instability and the..."

@dbduffer
I find it interesting that a trained surgeon for jiffy is not allowed to share that knowledge with other surgeons.
Also in regards to your research on outcomes- it is too new to find long-term study results.

I had a very tough time with my midline approach with a top-rated surgeon, from a highly rated nationally hospital due to many variables. I ended up having to have an MUA just to get the darn joint to work. As Steve knows, I am reluctant and gun-shy in having my other knee done now- though this weather sure has it reminding me that I can't postpone forever.

On that note, my neighbor had a Jiffy in January. She was up and at 'em almost immediately. She didn't have a need for post-op pain medication other than some extra-strength Tylenol. She only did physical therapy for less than a month post-op. This part is amazing to me as I recall the grueling physical therapy that I maintained for months, 3x/week!

I did not care for the approach of the Ortho group that she had (9 surgeons all recently trained in the Jiffy method). Although very personable, her surgeon had put on a mini-seminar in our area that I attended- so much was left out.
She didn't receive any pre-op packets of teaching. There was very little written instructions ahead (I had a binder with very detailed infection-prevention details, along with so much important info for such a big surgery), nor info after the surgery. No info about how to take medications, what to look out for, how to prevent complications... It was a very streamlined approach to say the least. Her significant other didn't even realize that she had had major surgery. He said "Oh, she only had a Jiffy..."! Although she did very well initially, she still was surprised how tired she was and why she wasn't bouncing back to normal activities a few months later.

There is a Jiffy Facebook group page that I suspect someone from Jiffy runs. You don't dare bring up any concerns on it as it will be deleted or you will be removed from the group.

My knee will be 2 years old soon. I give it a C+. When you have a replacement it will never be like a real knee, and it does limit you in some activities. At least it doesn't wake me up anymore in the middle of the night when the bones go bone on bone with every little movement!

Best wishes!