Infection after TKR

Posted by emintexas @emintexas, Apr 3, 2019

I had a TKR revision last October and three weeks later came down with staph infection. IV antibiotics then oral antibiotics were working, after a reopen and clean out, until I got a stomach bug in Feb 2019 and antibiotics couldn't stay in my system. Staph came raging back and now am facing removal and antibiotic spacers put in. I have a lot of questions for anyone else who has gone through this. First of all, I'm 56, healthy - other than my stupid knee - and an executive running a large department. I only missed a week with the revision, I did great and felt like a million bucks. I didn't drive for about three weeks, but could walk just fine. With the mobility spacer, can you walk? Can you drive at some point? I am really struggling with putting my life on hold for this and want to know if there is anyone out there who has had this done, is about my age and what your experience was. I can't stand being "taken care of" although my husband will do it, if I let him. 🙂 thank you!

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@cindiwass

Glad you trust him, that's important. I just wonder about lifetime antibiotics, if the infection is gone why would you need them? I'm sure you're eating, etc., properly to enhance your body's coping mechanism.

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So joint infections may seem to go away, but often lurk in the fluid or soft tissue waiting to pounce the moment your resistance falters due to a virus, stress, surgery, etc. In order to preserve the joint long term antibiotics may be used.

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@sueinmn

So joint infections may seem to go away, but often lurk in the fluid or soft tissue waiting to pounce the moment your resistance falters due to a virus, stress, surgery, etc. In order to preserve the joint long term antibiotics may be used.

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My prayers go out to you…. I have not experienced this so I don’t have anything to add except I am glad you found dr that you trust ….. so important

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Had tkr infection and did the 6 weeks IV ANTIBIOTICS. TKR was removed before antibiotics. Now surgeon says he has to see if there is enough muscle tissue left after the infecrion. Next appt isn't till 2 months from now. Xrays scheduled then. Wondering if this is normal in this situation and what the chance of a revision.

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@jimconnell

Had tkr infection and did the 6 weeks IV ANTIBIOTICS. TKR was removed before antibiotics. Now surgeon says he has to see if there is enough muscle tissue left after the infecrion. Next appt isn't till 2 months from now. Xrays scheduled then. Wondering if this is normal in this situation and what the chance of a revision.

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Welcome @jimconnell, sounds like you've had an unexpected rough go with getting an infection after your total knee replacement. Now your surgeon's concern is if there is enough mucle tissue to do a TKR revision.

Did you surgeon suggest any resistance exercise or physicial therapy to help build the muscle mass during the wait time? Is this something that might be recommended?

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@colleenyoung

Welcome @jimconnell, sounds like you've had an unexpected rough go with getting an infection after your total knee replacement. Now your surgeon's concern is if there is enough mucle tissue to do a TKR revision.

Did you surgeon suggest any resistance exercise or physicial therapy to help build the muscle mass during the wait time? Is this something that might be recommended?

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Leg is immobilized.
So I can't bend it.there is a rod in it now. I think he was refering tomuscle tissue inside the knee

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Nothing but problems with my left knee since initial TKR 4 years ago! Revision TKR performed in November 22', Manipulation done one month later December 22'. Last month during PT a therapist noticed redness in the top portion of my incision (thigh area). I was prescribed antibiotics (a 14-day treatment). The surgeon indicated at a follow-up visit that it was blood seeping to surface, which can happen after MUA, and not to worry. Three weeks later upper part of incision still red, not worse, but not better. It still itches, sometimes small red bumps appear. I called the practice indicating my concern and was told to come in. A different antibiotic has been prescribed. It's been 10 days now - the redness which comes/goes is back. It appears to be spreading in thin red streaks. I will continue taking this course of antibiotics and I'm continuing with PT and exercises at home desperate to get more ROM. While the doctor and the PA's don't seem to be too concerned...I am very worried. Anyone else have this or similar experience and what was outcome? I do have an appointment later this week.

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@elaineva

Nothing but problems with my left knee since initial TKR 4 years ago! Revision TKR performed in November 22', Manipulation done one month later December 22'. Last month during PT a therapist noticed redness in the top portion of my incision (thigh area). I was prescribed antibiotics (a 14-day treatment). The surgeon indicated at a follow-up visit that it was blood seeping to surface, which can happen after MUA, and not to worry. Three weeks later upper part of incision still red, not worse, but not better. It still itches, sometimes small red bumps appear. I called the practice indicating my concern and was told to come in. A different antibiotic has been prescribed. It's been 10 days now - the redness which comes/goes is back. It appears to be spreading in thin red streaks. I will continue taking this course of antibiotics and I'm continuing with PT and exercises at home desperate to get more ROM. While the doctor and the PA's don't seem to be too concerned...I am very worried. Anyone else have this or similar experience and what was outcome? I do have an appointment later this week.

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@elaineva, this sounds awful. To help you connect with others like @sueinmn @emintexas @titia131 @rebeccamary who have had experience with TKRs and infection, I moved your post to this existing discussion:
- Infection after TKR: https://connect.mayoclinic.org/discussion/infection-after-tkr/

See all discussions in the Joint Replacements support group: https://connect.mayoclinic.org/group/joint-replacements/

How is the PT going with this infection and inflammation?

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@elaineva

Nothing but problems with my left knee since initial TKR 4 years ago! Revision TKR performed in November 22', Manipulation done one month later December 22'. Last month during PT a therapist noticed redness in the top portion of my incision (thigh area). I was prescribed antibiotics (a 14-day treatment). The surgeon indicated at a follow-up visit that it was blood seeping to surface, which can happen after MUA, and not to worry. Three weeks later upper part of incision still red, not worse, but not better. It still itches, sometimes small red bumps appear. I called the practice indicating my concern and was told to come in. A different antibiotic has been prescribed. It's been 10 days now - the redness which comes/goes is back. It appears to be spreading in thin red streaks. I will continue taking this course of antibiotics and I'm continuing with PT and exercises at home desperate to get more ROM. While the doctor and the PA's don't seem to be too concerned...I am very worried. Anyone else have this or similar experience and what was outcome? I do have an appointment later this week.

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Please get in to see an infection specialist. Soon. Two courses of antibiotics and spreading red streaks is an indication something needs to be done. You are probably at the point where they need to do a culture to see what is hiding in your knee. My cousin was too patient with "nothing to worry about" after hip replacement and ended up with an antibiotic spacer instead of a hip.
Sue

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@colleenyoung

@elaineva, this sounds awful. To help you connect with others like @sueinmn @emintexas @titia131 @rebeccamary who have had experience with TKRs and infection, I moved your post to this existing discussion:
- Infection after TKR: https://connect.mayoclinic.org/discussion/infection-after-tkr/

See all discussions in the Joint Replacements support group: https://connect.mayoclinic.org/group/joint-replacements/

How is the PT going with this infection and inflammation?

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@colleenyoung Thanks for leads to other discussions.
PT is going well considering I’m also now having hip pain on the right side. The Hits just keep on coming…
The expectation was I’d get to 90 based on being at only about 20 degrees for last four years. I’m at 77 ROM now and still working at it.

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After my first tkr I also developed an infection, it was removed and a spacer with antibiotics was put in for 6 months while I also was on a home IV with a strong antibiotic administered twice daily, after the 6 months and tkr was done but 1-1/2 years later it became loose and then another tkr, totaling really 4!! Pain and swelling still there, will be this way for my remainder.

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