TKR Total Revision Inquiry

Posted by merciebj @merciebj, May 17 7:19am

TKR x5.5 years ago. Top element has bone decay around element and joint is full of steril fluid. Revision / replacement will be necessary at some point per Dr. Truesdale. Looking at scheduling for winter. I'm 62 and very active. Knee is really limiting higher level activity but can still golf regularly and traverse distances under a mile. Wearing a knee brace helps a lot. Any input/experiences positive or negative from TKR revision survivors would be appreciated. Initial TKR recovery was horrible first 4 weeks and knee has always been swelled, stiff and sore. Hoping for better results with revision with Dr T but apprehensive about bigger procedure of total revision. Thanks.

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I could not keep my knee straight after the first two. I needed longer stakes in both of my bones to give me more support. My first surgeon didn't use the right parts. After the second revision I consulted another surgeon who wouldn't touch my knee a third time so I had to go to Mayo to get it done.

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Make sure your surgeon tells you exactly what procedure he is performing.My surgeon never mentioned in our previous conversations about doing a hinged swivel revision until I was sitting in the prep in a hospital gown.It’s a very invasive procedure that I wouldn’t of agreed to had I known before hand.Then after the surgery he ordered aggressive physical therapy.The therapist in the hospital and the one sent to my house never even heard of that type of surgery.They were treating it as a routine TKR.After serious investigation I found out the therapy is completely different for this type of surgery.Make sure you get all the detailed information for the pre operation ,the surgical procedure and the postoperative physical therapy.

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Only you can decide.In my case my knee kept getting worse that’s why I decided to have it done.It been a month since surgery and it’s a nightmare.Make sure your surgeon tells you exactly what kind of revision surgery he is going to perform.Mine did a hinged swivel which he never mentioned until I was waiting in the operating room. It is the most invasive revision. I wouldn’t have had it done if he explained it before hand. There’s no guarantees you could end up worse than you are now. Do your homework.Ask questions make sure he takes X-rays.Pick a Doctor that specializes in revision surgery.Make sure you have done everything on your part.pre opp type of surgery and physical therapy.I just don’t want anyone to make the same mistakes as me 👍

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Profile picture for jackmineo @jackmineo

Make sure your surgeon tells you exactly what procedure he is performing.My surgeon never mentioned in our previous conversations about doing a hinged swivel revision until I was sitting in the prep in a hospital gown.It’s a very invasive procedure that I wouldn’t of agreed to had I known before hand.Then after the surgery he ordered aggressive physical therapy.The therapist in the hospital and the one sent to my house never even heard of that type of surgery.They were treating it as a routine TKR.After serious investigation I found out the therapy is completely different for this type of surgery.Make sure you get all the detailed information for the pre operation ,the surgical procedure and the postoperative physical therapy.

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@jackmineo What a horror story. There is no way a hinged knee replacement should have been done without a complete discussion with the surgeon. I was having a RTKR and in my pre-surgery sessions Dr. Chow went over with me how the implant works with a sample implant. And that is for a normal (well...not entirely normal as Dr. Chow was giving me the extremely rare bicruciate retaining implant) knee replacement.

Your surgeon appears to be one who should be avoided!

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Profile picture for stretch101 @stretch101

I am 5 years out and will be having surgery to figure out why all the fluid in my joint, of which has been aspirated once. There remains fluid, and this restricts my movements. Xray shows possiblility of the plate on my knee cap is lifting? When radiated the knee cap has a very high uptake, nothing else shows. Like that you find a knee brace helpful, can you be more specifics to what type or brand etc?

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@stretch101 My best results have been with a hinged brace that has Velcro straps. Walgreens sells a good one. If I use a slide on brace I have worse results.

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