Court Sports?

I have not but I do have one suggestion for you. If you want to remain active in court sports (tennis, pickle ball, squash, etc.) look for a revision surgeon who has done lots of "bicruciate retaining implants". Most surgeons cut off the ACL and some the PCL as well and let the implant replace the function. There are very few who have done a lot of these types of implants.

Younger, sport minded folks prefer to keep the ACL and PCL. If they are strong, the surgeon CAN use an implant that retains and protects the ligaments. But I have a huge CAVEAT:

bicruciate retaining surgery is far more complex and difficult than the surgery that cuts off these ligaments. I say a revision surgeon as revisions also tend to be more complex so a surgeon who does a lot of both is a good choice.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8554348/
https://advances.massgeneral.org/ortho/journal.aspx?id=1262
You may have a surgeon who says he does bicruciate retaining implants but if he has not done a lot of them, I would not choose to have him do it. I am seven days out from my TKR and my surgeon did do a bicruciate retaining implant (Journey II XR) but he has been doing them for at least a decade. I had an RX for oxycodone but did not have to take a single pill. Great mind; great hands.

If you can find an incredible surgeon like mine (Jimmy Chow) go for a bicruciate retaining implant.

TKR surgery is difficult and complex. Like most things in life, it follows a bell curve. My goals was to put myself as far as possible on the good side of the bell curve. So I looked for a surgeon who met these requirements:

Subvastus approach (go under the muscle, does not cut the muscle nor the tendon)
No tourniquet use (current research supports alternative approaches)
Be a revision surgeon (mine does 20% of his work as revisions)
If my ACL and PCL are strong, retain and protect them
extensive successful experience doing all of the above
Great hands
Great mind

I found one in Dr. Chow. He did my hip about three years ago and I had zero pain after the surgery and never took an oxy. This time I have had some pain in the incision area when I first stand up after having been lying down or sitting for an extended period. But twenty feet or so of walking with the walker (my surgeon's plan for the first week) and most of that pain relents.

Dr Chow is an engineer and inventor and is the primary inventor of the new Superpath approach for hip replacement. That is what he used for me. Yet he has told me that he considers the successful experience/great hands/great mind as the most important feature. I would try for everything but if you can't remember Dr. Chow's conclusion: successful experience with great hands is the most important.

Yes you can get back to the court! 67 year old had a LTKR June 2024. After a lot of work rehabilitating and stretching, one year later I was back on the court playing doubles tennis. I had my doubts for a while but it did gradually feel better month after month.
I only had one knee done but I'm sure you can do it with both knee surgeries.
Best of luck and don't give up. You'll get there!

Kenno, thanks for the encouraging report. Good luck!

@steveinarizona

Steve, thanks for the you for the thorough response. You seem well-informed. Good luck!

Had Left TKR in August 2024, Dr Mark Pagnano. I was back playing doubles tennis and Pickleball by Thanksgiving. Improves every month and I will be 77 on Sunday. My range of motion is not as good as my right knee, but still at 115 degrees. Since I bike >25 miles ( although I "feel" that knee with every rotation), tennis, PB, golf, walking and hiking...sort of told to be happy where I am. I do get pain that wakes me up. I have more pain in my knee from standing in the kitchen preparing for a party than from 90 minutes of tennis. So yes to the court sports. I am lucky to spend 4 Winter months in the Tucson area so can do these activities year round.
Dee

@abuelitadee

Good choice. Like my surgeon he does mini subvastus approach. I believe he does inverse kinematic alignment which is very similar to the functional alignment that my surgeon used.

Good for you. I am 80 and now 8 days post TKR. No pain except when I try to flex beyond what I currently can do. I start PT this coming Wednesday. For 9 months I was in pain and misaligned and barely walking with a cane. Now I can walk but I am going to (a) have to learn how to walk properly again; and (b) build up my endurance. During those 9 months I lost whatever body tone I had.

But I don't expect to ever be able to do the kind of biking you do. Great bike rides around Tucson by the way.