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I need a TKR: Do I do it, or go as long as I can?

Joint Replacements | Last Active: May 17, 2024 | Replies (125)

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@heyjoe415

I'm sorry about your surgery results. I'm 68 y/o and had both knees replaced this year. The surgeon used the Mako assistant and recovery went well for both knees. I highly recommend it. To your point, it's almost impossible for the surgeon to knick or cut either the lateral or medial ligaments.

I did have both my ACL and PCL removed. I think they can be saved, but it complicates the surgery, and I don't notice they're gone. Running and impact sports should not be done after a TKR anyway, and that's when the ACL and PCL would be needed.

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Replies to "I'm sorry about your surgery results. I'm 68 y/o and had both knees replaced this year...."

Here's the "Conclusion"from the study I've just included, which has posted on the National Institute of Health website:

"A significant number of patients needing a TKA still have an intact ACL. The goal of TKA is to approximate the function of a normal knee. The retention of the ACL allows for better knee, kinematics, improved proprioception, increased maximum flexion and an overall improvement in the knee function. The low constraint that is possible with the presence of both cruciates may decrease implant stresses and improve the longevity of these implants.

"The distribution of OA shows that the medial and patello-femoral compartments of the joint are primarily affected. This could also allow for a more conservative and patient-tailored prosthetic design."