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.

@lk3xs

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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Very smart question to ask a facility their infection rate. 😊

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@jewlz1

Very smart question to ask a facility their infection rate. 😊

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MRSA is a problem. I had mine in Ortho Hospital. Infection rates minimal. Less likely exposure to other infections, i.e. Covid. The con according to my brother if you need any other emergency needs you would need have to transfered to hospital. Ask all "what ifs".

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@lk3xs

MRSA is a problem. I had mine in Ortho Hospital. Infection rates minimal. Less likely exposure to other infections, i.e. Covid. The con according to my brother if you need any other emergency needs you would need have to transfered to hospital. Ask all "what ifs".

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Our local hospital has one OR, with complete negative pressure and totally self-contained and its own post-surgical floor, to deal with patients who have a history of MRSA or other difficult to treat infections. In this way, they have kept post-op infection rates very low for other patients. I realize this is only an option for large medical systems. The ortho center where I have had a number of procedures will not accept anyone with a history of MRSA or c-diff to keep it out of their facilities.
Sue

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It is the MRSA within existing in the hospital.
Ask. Always, always ask hospital staff to clean hands before touching you and things like IVs. Doctors and facilities HAVE to tell you their infection rate. Ask them about their accreditation from the Joint Commission.

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@ellerbracke

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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I had Right TKR 6 weeks ago . When I walk, I feel a click in the back of my knee and a “ plucking “ sensation as though the lateral tendon is rubbing over something which creates a painful stride.

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I am 5 months out from my total knee. Can anyone squat all the way down without pain? Not sure this question makes sense. I can kind of kneel (with padding) but can’t squat low.

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@njpahl

I am 5 months out from my total knee. Can anyone squat all the way down without pain? Not sure this question makes sense. I can kind of kneel (with padding) but can’t squat low.

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From what I've read and from my conversations with others who have had TKRs, no one can squat all the way down, period.

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@pgcdds

I had Right TKR 6 weeks ago . When I walk, I feel a click in the back of my knee and a “ plucking “ sensation as though the lateral tendon is rubbing over something which creates a painful stride.

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Clicking feelings are normal. It's hard to say whether yours are more than most.

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Yes, I can squat all the way down and push back up, just feel pulling and tension in the knee, not pain. If I have to hold the position longer (weeding etc) It's more comfortable to squat with my butt uplifted a bit and not go all the way down. If you have a good degree of flexion in your knees, you should be able to do it. As anything, you need to keep working on exercises and strengthening your muscles that do the actual work. If you don't at least occasionally keep working them intensely after your PT is done, you could go backwards on flexibility, as the saying goes, if you don't use it, you lose it! In September I will be two years out TKR for my right, and one year out for my left knee. Though they will never feel like my own knees, I am happy with no pain, and near original flexibility. You have to keep working at it, just having the surgery and then sitting back and expecting muscles and ligaments to miraculously go back to the knees of your youth without putting in exercise time on your own, ain't gonna happen!

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