Knee Replacement Failure - Need total reconstruction

Posted by babette @babette, Jul 27, 2019

I'm pretty devastated, everyone. I had my R TKR a year ago and always knew something wasn't right. My initial surgeon said everything looked great and to give it time, PT, etc. Well I went to one of the top ortho hospitals in the country yesterday and saw a surgeon who comes very highly recommended. He told me my femur is out of alignment, there is a problem with a ligament, and my knee cap is off to one side. I wish I had written down more specifics, dh was with me but once we heard this would all have to be redone, I think we went into kind of shock and didn't process the details very well. **He understood completely why I've been in so much pain this past year. ** He referred me to a colleague who does more complex revisions than he does and I feel great about that but have to wait a month to see him and begin the process. All over again. I have no idea what this will be like, the actual surgery, recovery, etc.

I'd love to hear from others who have gone through this. Also, has anyone successfully sued the surgeon who screwed up? I'm furious to have lost a year of my life to this and now even more time to the repair and recovery.

Interested in more discussions like this? Go to the Joint Replacements Support Group.

I am having right knee replacement surgery August 23rd. I have previously broken my right leg trying to jump a ditch. I was 65. Lots of hospital time. Therapy over and over. At 68 I am high risk for COVID 19. My Orthopedic Surgeon I know, Trust, and am always well advised. I have watched YouTube videos and educated myself. I am getting all my ducks in a row. I picked up a bad case of Sepsis and was hospitalized again. Dr. Quigley had to remove a chunk of prime beef out of my leg. I am single male and live alone, except for a young roommate 18 years old who I screened quite well. Even had him take the Free Myers Briggs personality test. We are complete opposites. I am an ISTP. Neat and tidy, Sensitive. In addition I have PTSD, MST, anxiety, depression, ED. High Blood pressure controlled by 40 my lisinopril and 25 my HGTZ. I take Tramadol up to 100 my a day. I use Voltarin 4 times a day and the burning sensation is relieved by constantly applying salon pas, icy hot, I take Ducolax 2 times a day. I have vitamins, Chrondoflex, I am 222 lbs. My goal is 185.
I take iron supplements because I am anemic as well. 10 times I have tried to donate blood. I have tried more greens, more red meat. I take Ginseng liquid. Vitamin D3, Fish oil 3 times a day for my Dementia. Aricept 10 my at bedtime and Extra Strength Prevagen. Oxbutyrin for incontinence and a capful of Mirilax with my coffee.

Sounds like you are doing well. You remember listening and signing all those forms of consent, risks. Please don't sue your Dr. It's a waste of time. Take responsibility.
Read the BIBLE. Good luck
Will in Saint Charles, Mo

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@wildebjef

I am having right knee replacement surgery August 23rd. I have previously broken my right leg trying to jump a ditch. I was 65. Lots of hospital time. Therapy over and over. At 68 I am high risk for COVID 19. My Orthopedic Surgeon I know, Trust, and am always well advised. I have watched YouTube videos and educated myself. I am getting all my ducks in a row. I picked up a bad case of Sepsis and was hospitalized again. Dr. Quigley had to remove a chunk of prime beef out of my leg. I am single male and live alone, except for a young roommate 18 years old who I screened quite well. Even had him take the Free Myers Briggs personality test. We are complete opposites. I am an ISTP. Neat and tidy, Sensitive. In addition I have PTSD, MST, anxiety, depression, ED. High Blood pressure controlled by 40 my lisinopril and 25 my HGTZ. I take Tramadol up to 100 my a day. I use Voltarin 4 times a day and the burning sensation is relieved by constantly applying salon pas, icy hot, I take Ducolax 2 times a day. I have vitamins, Chrondoflex, I am 222 lbs. My goal is 185.
I take iron supplements because I am anemic as well. 10 times I have tried to donate blood. I have tried more greens, more red meat. I take Ginseng liquid. Vitamin D3, Fish oil 3 times a day for my Dementia. Aricept 10 my at bedtime and Extra Strength Prevagen. Oxbutyrin for incontinence and a capful of Mirilax with my coffee.

Sounds like you are doing well. You remember listening and signing all those forms of consent, risks. Please don't sue your Dr. It's a waste of time. Take responsibility.
Read the BIBLE. Good luck
Will in Saint Charles, Mo

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@wildebjef Hi, Will. I see you have been on Connect since May but I don't believe I have welcomed you before, so please let me do so now.

I have had two TKRs, is this your first? Mine were both good, no problems thankfully. I think the most important thing is to make sure you have the best possible surgeon that you can find. Do you know what kind of knee you are getting? I have no idea what my first knee is, I didn't really know there was a difference back then, but as I learned more after that I chose a doctor specifically based on what knee I wanted. That knee is a Conformis, and the doctor I had was the developer of it so I felt in good hands.

I hope your surgery will go as well as mine did, and make sure you do the PT advised. I don't think I did quite enough and as a result, I don't have quite the flex I would have liked. I have around 120 but 125 would work better I think.
JK

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Failed total knee revision

Hello, I am new to Mayo Connect and would love some input from people that may have a similar issue. My knee has had several decisions and my ligaments loosen over months leaving my knee unstable with no explanation from many docs.
I have had LTT metal testing and allergic to several metas in my implant as well as causing autoimmune problems.
I can’t find a orthopedist that truly believes in this disabling problem.
Anyone have suggestions or help?

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@mg402

Failed total knee revision

Hello, I am new to Mayo Connect and would love some input from people that may have a similar issue. My knee has had several decisions and my ligaments loosen over months leaving my knee unstable with no explanation from many docs.
I have had LTT metal testing and allergic to several metas in my implant as well as causing autoimmune problems.
I can’t find a orthopedist that truly believes in this disabling problem.
Anyone have suggestions or help?

Jump to this post

Oops, I meant revisions not decisions.

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@mg402

Failed total knee revision

Hello, I am new to Mayo Connect and would love some input from people that may have a similar issue. My knee has had several decisions and my ligaments loosen over months leaving my knee unstable with no explanation from many docs.
I have had LTT metal testing and allergic to several metas in my implant as well as causing autoimmune problems.
I can’t find a orthopedist that truly believes in this disabling problem.
Anyone have suggestions or help?

Jump to this post

@mg402 Welcome to Mayo Clinic Connect, a place to give and get support.

It sounds like you have serious unexplained issues regarding your TKR and you are looking for support.

You'll notice that I moved your question to a previous discussion related to this topic where members @wildebjef @contentandwell @eeppeerr88 @carlin @babette @ardis3 @carlin have discussed this topic in the past.

May I ask how large the hospital system is you are receiving care at?

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@erikas

@mg402 Welcome to Mayo Clinic Connect, a place to give and get support.

It sounds like you have serious unexplained issues regarding your TKR and you are looking for support.

You'll notice that I moved your question to a previous discussion related to this topic where members @wildebjef @contentandwell @eeppeerr88 @carlin @babette @ardis3 @carlin have discussed this topic in the past.

May I ask how large the hospital system is you are receiving care at?

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Hi Erika, I have been to several large systems. Duke, Rush, Ortho Carolina and Denver Ortho.
The problem seems to be that most of the docs agree that this is most likely a metal/concrete allergy but my posts both lower and upper are complicated to remove. Honestly, I think no one wants to be responsible for taking my implant out.
I’m open to ANY suggestions.
Thank you

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@mwatts91757

I just read your story very heartbreaking . I had a total knee replacement one year ago at New England Baptist Hospital .
I am still 20° away from the goal they have set for me which is 105° flexion . I have had a second opinion,x-rays, and they cannot find an anatomical reason why I cannot flex my right leg . They blame it all on scar tissue . I have had 60 sessions of physical therapy been riding my recumbent bike at my house every day, and do my exercises . I am in pain when I walk from my car to the entrance of the store . Also when climbing stairs I cannot do it step over step . I was never given a CPM machine upon discharge from the hospital which I think would’ve made a grave difference . In addition to the 60 sessions of PT I had a Dynasplint, and two manipulations . We happen to live in Massachusetts but we are 70 miles south heading towards Cape Cod . If anybody has any similar experiences but they please share it with me and what treatments have been done thank you very much !!

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There is a Facebook group called arthrofibrosis support. You will find a lot of people who have similar experiences there, and may be some answers for you.

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Good to know all this information for my future preparation of hip surgery. Hopefully I pray I won’t ever need it but checked out a few Ortothos here in the for ever great UPMC doctors who are selective of there patients. I’m in Pittsburgh, Pa. There are a couple hospitals affiliated with Cleveland Clinic here. Thanks for all your posts and wish all well.

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I completely understand your feelings of disappointment, frustration, and anger over a failed TKR and the docs who won’t admit their failure. After all your suffering, facing another surgery and recovery can seem overwhelming. I am in the same situation. At 8 months post surgery, the pain keeps increasing and limiting my life. Xrays show nothing and the surgeon has nothing to offer. Wish I’d never had the surgery and right now I cannot face revision surgery and the long debilitating recovery. I am in much more pain than before the knee replacement.

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Hi I am in same place …. I am year out august 12 six weeks after tkr had manipulation…..had pain this whole year constant therapy but not getting anywhere …. I sought second opinion after my original dr would not do anything …,i found from new dr with my original dr X-rays that my new knee is slightly to big…..I know how you feel I was angry and frustrated how dr could see me in pain and not able to retain any progress …. In retrospect he knows exactly why I could not get anywhere…. But I know you can’t have revision for 1 year that’s why I had to wait…. I am scheduled for revision July 28 I am so anxious more so than first surgery…..new dr is very confident he can help me but did say revision are more difficult…..but if I can get like 90-95 flexion than I will happy …. So good luck keep me posted how you are doing …..

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