TKR revision surgery and problems

Posted by szqyoung @szqyoung, Jan 17, 2019

I fell and hurt my knee in March 2017. MRI showed meniscus damage. DR did surgery to repair meniscus in June of 2017 - removed most of left meniscus and removed affected area of right meniscus. Knee continued to swell and was very painful. Tried more PT, cortisone shot = no improvement. Had a TKR on 9/26/17. Right after surgery my knee would buckle while still in the hospital. DR said PT would take care of it. Knee continued to swell and buckle and be painful. In December of 2017 I returned to DR and he ordered more PT. Unsuccessful in correcting buckling, swelling and pain. DR did revision surgery on 2/19/18 - replaced 4mm liner with 10mm liner. Buckling greatly improved, however, I still have pain, kneecap pain, swelling and stiffness. Returned to DR and he said that recovery can take a year and to continue to elevate and ice my knee as needed. I’m now 11 months out from the revision surgery and am no better off. My regular Dr did X-rays and bone looks good. 2 years of limping has caused tendon issues in my hip (hip MRI done in Dec). Before the original injury I walked 3 miles every day. I’m now lucky to walk 1 mile without stiffness, pain and swelling. Consequently I’ve put on a lot of weight. I’m 69 years old, frustrated, fat and wondering what, if anything can be done. My yellow lab is also frustrated with my lack of mobility:-)

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@msstoppainnagginme

@wa34937 Hello there. I'm so sorry for your wife. I suffer from certain allergies myself, & I need TKR surgery ASAP but live on 5th flr walk-up & it's insanity for my overall health issue's.
I understand suffering all too well & am no stranger to surgeries.
All that aside for now. I would like to know how does the Dr's Orthopedic Surgeon check you to see if your body will tolerate that type of metal or alloy or plastic replacement? I don't know what the procedures entail before full knee replacement surgery & if they do any kind of tests prior to TKR surgery?
Have you seen a Neurosurgeon about this issue?
I'm sorry for your wife & I hope you both hang in there. Life is not easy, especially when you have severe Allergies & chronic pain issue's make life living misery.

I hope she feels better too.

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The test for metal allergies was a specialized blood test that was ordered by her ortho surgeon that was not available at the local testing facilities. It was performed as a last ditch effort to explain the years of hot, swollen, and painful knee. She doesn't have uncommon allergies and jewelry never produced reactions. As explained to us the joint wears from movement releasing ion's into the blood stream, the second knee was supposed to be an alloy which wouldn't cause this problem but it still to a lesser degree does. Sorry to know you are climbing stairs with a knee problem, be well.

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Knee replacement

Going to need a third surgery on my right knee. First knee came out of cement. 2nd knee has screws and cable—now it has scar tissue behind kneecap? Plastic Pad needs to be replaced? Not sure if my doctor knows?

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@vicki1234

Knee replacement

Going to need a third surgery on my right knee. First knee came out of cement. 2nd knee has screws and cable—now it has scar tissue behind kneecap? Plastic Pad needs to be replaced? Not sure if my doctor knows?

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Good evening @vicki1234, Welcome to Connect, I have read your post and am a bit confused. I would like to be able to introduce you to others who have encountered a similar situation. We are going to need a bit more information from you. Here are some of my pondering thoughts.

When did you have the first surgery on your right knee? How long was it before the second surgery? You mention a build-up of scar tissue. Has that just happened?

What kind of physical therapy did you undergo after the first surgery? By chance, have you tried MFR, myofascial release therapy for scar tissue?

You indicate that your doctor may not even know about replacing plastic pads. Pardon my lack of understanding, but how could he/she not know if you are considering another surgery?

And finally, how would you like us to help you?

May you be free of suffering and the causes of suffering.
Chris

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@vicki1234

Knee replacement

Going to need a third surgery on my right knee. First knee came out of cement. 2nd knee has screws and cable—now it has scar tissue behind kneecap? Plastic Pad needs to be replaced? Not sure if my doctor knows?

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@vicki1234 Welcome to Mayo Clinic Connect, a place to give and get support.

I'm sorry to hear that you've had so many issues with your knee replacements.

You'll notice that I moved your question to a previous discussion related to this topic. I did this so you could connect with members like @msstoppainnagginme @wa34937 @rsroseco who may be able to support you.

May I ask what you mean by, "Not sure if my doctor know?"

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@vicki1234

Knee replacement

Going to need a third surgery on my right knee. First knee came out of cement. 2nd knee has screws and cable—now it has scar tissue behind kneecap? Plastic Pad needs to be replaced? Not sure if my doctor knows?

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First knee operation on January 2019. 2nd knee operation on August 14, 2020. Scar tissue developed a short time later—or that’s what they say it is? Third operation scheduled May 4th of 2021.

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@artscaping

Good evening @vicki1234, Welcome to Connect, I have read your post and am a bit confused. I would like to be able to introduce you to others who have encountered a similar situation. We are going to need a bit more information from you. Here are some of my pondering thoughts.

When did you have the first surgery on your right knee? How long was it before the second surgery? You mention a build-up of scar tissue. Has that just happened?

What kind of physical therapy did you undergo after the first surgery? By chance, have you tried MFR, myofascial release therapy for scar tissue?

You indicate that your doctor may not even know about replacing plastic pads. Pardon my lack of understanding, but how could he/she not know if you are considering another surgery?

And finally, how would you like us to help you?

May you be free of suffering and the causes of suffering.
Chris

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Physical therapy—three days a week. Pretty intense therapy for both surgeries. 2nd surgery was excruciating. I still have a hard time getting out of chairs because of my knee. Going up stairs only one foot at a time. When I forget and use my knee to climb up a stair step—it brings me to tears.

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Dr. Said we were starting out with the scar tissue first in surgery. Possibly changing plastic pad—which he did previously mention that he left it a little loose because I was so active snd young. Then maybe changing the prothesis upper part that screws off. I feel like he does not know??

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@erikas

@vicki1234 Welcome to Mayo Clinic Connect, a place to give and get support.

I'm sorry to hear that you've had so many issues with your knee replacements.

You'll notice that I moved your question to a previous discussion related to this topic. I did this so you could connect with members like @msstoppainnagginme @wa34937 @rsroseco who may be able to support you.

May I ask what you mean by, "Not sure if my doctor know?"

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I’m really not sure if my doctor really knows what it wrong with my knee—or...I feel that way.

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Need a knee revision surgeon in the Boston MA area. Who does a lot of revisions. Recommendations please.

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@vicki1234

I’m really not sure if my doctor really knows what it wrong with my knee—or...I feel that way.

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With a surgery date in May, I am worried that you will not receive the information you need to proceed with confidence in the procedure. Is it possible to request a second opinion? Does your hospital have a document of Patient's Rights? Knowledge is power.
Chris

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