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

Posted by happyat76 @happyat76, Oct 30, 2019

I was told in January of this year that I need a TKR as there is bone rubbing on bone, no cartilage in my left knee. I was seen by an Orthopaedic surgeon in a hospital and I saw the x-ray myself. My question is this. I can still walk, although my knee gives out sometimes, I have a throbbing pain constantly and I do have some troubling walking. I can’t walk far. What should I do? Should I book the operation? Should ?I let it go for a while longer? What will be the outcome if wait? I am 78 now and really don’t want to go through with this, but am worried that I may end up in a wheelchair not being able to walk. I am also about 50 lbs. overweight. I have a bad back also. I would appreciate any suggestions.

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Best wishes. Good for you not putting this off any longer. I too have a valgus deformity and several yrs of bone on bone has to go.

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Only thing that helped me was cortisone as I can't take Nsaids....16 months out and now going for a bone scan. It's a process......Tylenol 3 so far is all I can take and it doesn't help much and like you I'm very active and I'm not going to stop if I can help it. Best of luck to you!

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@marymelba

I had my first TKR July 2021. (Left knee). Recovery was painful and in my opinion, a long process. PT thought differently and were very encouraging. Myofascia release proved to be a positive game changer ( thanks to this blog suggestion). I swore I wouldn’t get the other knee done due to the unrelenting pain. Tramadol twice a day wasn’t adequate, but my surgeon wouldn’t prescribe more than 3 weeks. Well, I am now at a pain level in my right knee that I can no longer bear. My PMD has been kindly prescribing Tylenol 4, one tab a day. If I limit my activity, that one pill helps me sleep with less pain. I can’t tolerate not being active if there is a solution. Therefore I am seriously planning surgery. BTW, knee injections times 2, were very helpful but with rapidly declining time they lasted. I share all of this for the support and suggestions this blog offers. This is a new surgeon ( moved out of State last year). What is a reasonable expectation for pain relief? Best drug, dosage, length of time? How to be sure I have the right surgeon? This MD suggested the replacement wasn’t as accurate in placement as he would do. ? I am now 77.5 yrs. No HTN or DM. my only issue is a bit overweight and lots of osteoarthritis. I look forward to reading your responses.

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When I want to know about a surgeon I google the doctor and look at his/her’s patient reviews. I found my neurosurgeon to fix my back that way. He had many positive reviews. He did a fabulous job.

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Doctors are irresponsible when they don’t treat a patient’s pain . I am almost 3 months and occasionally take a percoset. Went through tramadol. I understand their concern about addiction. They should be more concerned about your comfort. Find another doctor and get it done. It is a long process pt 2-3 x a week. Takes a year for full recovery.

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@codynike

Doctors are irresponsible when they don’t treat a patient’s pain . I am almost 3 months and occasionally take a percoset. Went through tramadol. I understand their concern about addiction. They should be more concerned about your comfort. Find another doctor and get it done. It is a long process pt 2-3 x a week. Takes a year for full recovery.

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Thanks cody. It can take up to one year to heal completely after a TKR. The best way to speed that up is to work with a trainer or PT for six months before surgery, and to do all the follow up physical therapy immediately after the surgery. This is one time where immediate action yields great results (ok, almost always).

I had both knees replaced in 2022 and feel great. For the first year, I used a stationary recumbent bike and just pedaled. The motion helped and I never pushed it hard. Now I'm in spin class 5 days a week. So patience and diligence are virtues after any joint replacement.

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@pattymk

When I want to know about a surgeon I google the doctor and look at his/her’s patient reviews. I found my neurosurgeon to fix my back that way. He had many positive reviews. He did a fabulous job.

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Thanks Patty. I agree that unfiltered patient reviews are important.

I also look for surgeons who have been practicing for 5-10 years, so surgeons in their late 30s to mid 40s - and with a solid med school and residency pedigree. The surgeon I picked for my TKRs had done his residency at the Cleveland Clinic, a world renowned institution. It is not easy to get into these schools to study or to serve a residency - they have strict entry requirements. They produce doctors and surgeons who are very skilled at their specialty.

And younger doctors (30s and 40s) are still very ambitious and on the leading edge of medical advancements. And they're old enough to have completed hundreds or thousands of procedures.

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@heyjoe415

Thanks Patty. I agree that unfiltered patient reviews are important.

I also look for surgeons who have been practicing for 5-10 years, so surgeons in their late 30s to mid 40s - and with a solid med school and residency pedigree. The surgeon I picked for my TKRs had done his residency at the Cleveland Clinic, a world renowned institution. It is not easy to get into these schools to study or to serve a residency - they have strict entry requirements. They produce doctors and surgeons who are very skilled at their specialty.

And younger doctors (30s and 40s) are still very ambitious and on the leading edge of medical advancements. And they're old enough to have completed hundreds or thousands of procedures.

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Good advice about finding the right surgeon. That is the method I use also. You are so right about Cleveland Clinic. Have a good weekend group

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No simple answers:
I am thin, walk every day with pup, and my knee is always sore and stiff after 5 years😕
Had TKR, and for me it has not been what I’d hoped for.

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I had an extremely easy recovery from my TKR. I attribute that to:
1) Surgeon that everyone raves about who does robotic surgery
2)continuous flow ice machine (on amazon and elsewhere)
3) bed that uses a remote to raise and lower the foot.
I had an amazingly short recovery. Best of luck to you!

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@codynike

Doctors are irresponsible when they don’t treat a patient’s pain . I am almost 3 months and occasionally take a percoset. Went through tramadol. I understand their concern about addiction. They should be more concerned about your comfort. Find another doctor and get it done. It is a long process pt 2-3 x a week. Takes a year for full recovery.

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Have it done. I did the right knee and recovery was and normal PT. I was fine recovery was quick and I’m no youngster. The second knee I waited too long and I fell and broke my FEMUR. That was a big problem because my bone never grew around the rod. Shortly after my fall, I had the second knee done and that, a little more difficult than the first because of the rod. So don’t wait like I said recovery time was not difficult. I am now 82 and had the right knee done 10 years ago and the right knee is still fine. The left knee is OK too , but the Femur is not. Just do it and get it over with so you don’t fall and break something else.

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