Truth about Total Knee Replacements

Posted by rickraleigh @rickraleigh, Jul 31, 2021

Your new knee will never feel as good as your original old one

For most people it takes a full year to get most of the benefits of the surgery

Many people experience a clicking sound when walking for years or forever after the surgery

You should do physical therapy for a year after the surgery to get the best range of motion results even though your therapist will discharge you after several months.

There are no studies which will tell you what activities you can do after TKR. Is doubles tennis OK? Golf? What you read online varies. There are no clear answers.

Many surgeons are finished with you after the surgery. If you have issues with the surgery's aftermath, they may not be that helpful.

The scar is big, and no amount of ointment (vitamin E, etc.) will substantially reduce it.

Good news: If you had bad knee problems before the surgery your knee will feel a lot better after the surgery.

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

@anncgrl

With all respect and fully understanding there are some people who have negative results from medical procedures…I have had both knees totally replaced with highly positive results. My doctors were informative and followed up with me for several months after the surgery. Physical therapy was painful for a time and recovery went smoothly. These decisions improved my experiences and I did not do them perfectly: 1. Do the pre-surgery exercises and stretches to the best of your ability. Preparing your knee makes a HUGE difference. 2. Plan ahead about who will be your caregiver for the first week after surgery and the second week of care if needed. 3. Watch YouTube videos related to total knee replacement. There are many of them from reputable medical universities and hospitals. I learned how to position my body for sleep following surgery and what to expect each step of the way. 4. After surgery be a good patient, go to p.t., take your meds, ice your knee and wait for the realization that you are walking without pain. I tell everyone who asks that there will come a day when the knee pain drives them to surgery. The pain will override the fears. I wish everyone pain free knees!

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I had the same experience as you @anncgrl. I was actually working on the pre-op exercises before I was able to schedule my right TKR. And during the recovery my surgeon got on my case because I wasn't icing and elevating my leg like he told me too. I was doing it, just not enough and he wanted me doing it if I wasn't exercising or walking. I was fortunate in that I didn't need the meds that were prescribed. I was able to get by with extra strength Tylenol when I had some minor pain.

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@artscaping

Hi there @lk3xs, good morning. Thanks for including a photo. you are right....that is a very minimalist incision. I am sorry that you lost mobility with your left TKR. Is there no way to stretch it out to accommodate the movement required to participate in your previous activities? Is there scar tissue buildup?

My surgeon also chose to take on the most painful knee first. I am now scheduled for the other knee which lasted 10 years even though it was the most compromised.

Do you have any tips for me as I begin my pre-op exercises and medications?

May you be free to do and be.
Chris

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Hi,
I did not have any scar tissue on either knee. You will have nerve sensitivity for months down your calf that goes away. Pains meds before physical therapy and do as much physical therapy as your insurance allows. I had home health come in and he pushed me in the early days but the doctor was surprised what range I had. Ice, ice, ice ! Love my pack with sleeve and velcro wrap. Better than pain medications.
My doctor explained all surgery risk but fortunately or unfortunately 😆, my brother does hospital accreditation. He literally scares me to death about what can happen and ALL the risks of infection. He has me ask about their rates of infection!

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In fairness, most posts here are from folks who have had problems with knee and other replacements. People who have had good replacements aren't motivated to post.

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The most important ingredient in successful joint replacement is a great surgeon! I had a hip replacement over 20 years ago by an outstanding surgeon and it's still pain free, both legs exactly the same length... he was an engineer before becoming a surgeon and guaranteed me my legs would be even. I moved away,and had a knee replacement by supposedly the best surgeon in my area. Unfortunately when he did my surgery he was in severe back pain, could hardly stand, and should never have been operating. Immediately after he had major spine surgery. So my knee is messed up, he says it's fine, nothing I can prove but the pain and weakness is still there. I need back surgery and I'm fighting with my advantage plan primary to let me go out of area to have it done by my hip surgeon, because he now does backs instead of hips and knees. I will win this fight!!!

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IK3xs- - Sadly 2 years ago I lost a dear friend, age 76, who had a single hip replacement procedure in St. Louis by a highly reputable doctor. She wanted this surgery because her passion for gardening was being restricted. She picked up an infection in the hospital and battled it for over a year and was in and out of hospitals. In her last 6 months she made frequent trips to the Mayo hospital in Rochester, MN, who treated her infection with everything they had and then for brief periods of time she would feel better and even with pain she tried to resume her activities. Doctor's simply couldn't kill her infectious strain. She passes away at the Mayo. She was a retired profession and in her retirement she was involved in charity work, neighborhood volunteer and an officer in clubs of her interest. Loosing her was a real loss to our community.

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@artscaping

Hi there @lk3xs, good morning. Thanks for including a photo. you are right....that is a very minimalist incision. I am sorry that you lost mobility with your left TKR. Is there no way to stretch it out to accommodate the movement required to participate in your previous activities? Is there scar tissue buildup?

My surgeon also chose to take on the most painful knee first. I am now scheduled for the other knee which lasted 10 years even though it was the most compromised.

Do you have any tips for me as I begin my pre-op exercises and medications?

May you be free to do and be.
Chris

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As bad as my old left knee was I still had more lateral movement. So the old athlete in me still could do pickleball and other full movement even with pain. With my TLR I just don't have the mobility left to right with both knees replaced and my hip. If I go down both knees are so sensitive I can hardly get up. It wasn't the case with one. Just commit yourself to PT and doesn't mean to overdo it. Patience and time. Listen to the therapist and try to get extended time. Your body needs to heal they know what you need to be doing and when.

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Two TKR '18 & '19 and no clicking issues

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Two TKR '18 & '19 and no clicking issues

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I had right TKR almost 3 years ago. No major problems, except permanent clicking noise with some motions. Had Arthritis, bone spur, torn Meniscus a year prior to TKR. Repair surgery with intense PT and exercise regimen after that did not change the pain. Would have been ok if I did not plan on living an active life, but every time I walked down an incline, or steps, intense pain. So TKR. After the usual course of pain/rehab/continued exercises the knee works very well. For me the surgery was worth it. Well, except for the well known kneeling issue. As in don’t do it.

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@sueinmn

When I had my last 3 hip replacement surgeries, once the surgeon determined that the implant was successful, and I still had back and knee pain, I was referred to a rehabilitation center for physical therapy. He explained nicely that it is his job to put the parts in properly, but my job, in conjunction with a physical therapist, to make sure it works as well as it can.
I went to not just a PT in a "cookie cutter" practice, but someone who actually did a thorough evaluation of my body, gait, posture and listened to me. She explained that I had been limping/compensating for years for the bad joints, and needed to learn how to use the new ones, much the same way and amputee needs to learn to use a prosthesis. Then she designed a custom PT program that included land and water therapy, gait training, daily exercises.

That was 10 years ago, and now any pain comes from progressing arthritis or doing something I shouldn't. Do you think you could benefit from work with a good PT?
Sue

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I think gait training is essential for an individual who has been compensating for years due to worn knee or hip joints.

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