← Return to Success with revision surgery 4 yrs after my awful TKR

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I just had my second TKR revision and the jury is out. Only 3.5 weeks. Hopefully this works.

I checked every 'box' from mrnomad's list pre TKR and first revision and still had a poor result. I have consulted with two of the best knee clinics in the country (Stanford and UCSF) and they cannot provide an answer as 'everything looks good'. Unfortunately a small percentage of people, for whatever reason, do not have a good result. Glad to hear that mrnomad is dancing again.

Regarding the saphenous nerve. The infrapatellar saphenous nerve is typically damaged or cut during TKR as it runs horizontal to the incision. It is a sensory nerve; not a motor nerve unlike the peroneal nerve on the lateral side which can result in more serious issues if damaged.

The saphenous nerve and its infrapatellar branch contain zero motor fibers, injuring or severing them during a Total Knee Replacement (TKR) will have the following clinical impacts:
Zero Impact on Mobility: It will never cause weakness in your leg or stop your knee from bending and straightening.
No Effect on Rehab: It will not interfere with your ability to participate in physical therapy, build quad strength, or regain your walking stride.
Purely Surface Symptoms: Any damage is limited exclusively to surface-level skin sensations, such as numbness, tingling, or localized burning.

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Replies to "I just had my second TKR revision and the jury is out. Only 3.5 weeks. Hopefully..."

@dbduffer Thx for the detailed, saphenous nerve explanation. Wish I knew about it BEFORE my disastrous 2022 TKR. I first learned of the nerve's existence on the Mayo website where they discuss "tuck the saphenous nerve". I assume that means "avoid it or get it out of the way". During recovery, my TKR leg would suddenly jerk straight out causing extraordinary pain. It was NOT limited to "surface-level skin sensations, numbness, tingling, or localized burning" so maybe the surgeon hit the peroneal nerve. All I know it felt like the high side of an ignition coil. Having wired airplanes, cars and houses, I have suffered the occasional electric shock but nothing like this. When I asked the surgeon if he "tucked the nerve", he said NO. We then explored "ablation" to mitigate the shocks but the shocks died down after many weeks of drugs and nerve deadening shots. Unfortunately, the extraordinary pain and OXY precluded rehab. Scar tissue built up which limited ROM, and the downhill slide into depression followed.

It's impossible for the lay person to fully understand this procedure which is why I added it to the list of items to discuss with the doc. Perhaps a "tuck" would have helped me avoid excruciating pain.

Swing dancing was not without pain but it was emotionally gratifying. I will never be 17 again, but the marine corps expression "pain is good" is relevant here. Recovery took 4 years, a great wife, and the refusal to become a couch potato.

Best of luck on your journey. Happy to discuss anytime.