Spacer replacement 4 years after TKR
Has anyone been told their plastic spacer is too thin and should be replaced? My knee has been having all kinds of pain, pinching and burning sensations for months now. Xray shows implants are stable, but the spacer may be too thin and gives me the unstable feeling. Surgeon suggests going in and replacing, but not a fan of surgery. Anyone have it done? Successful? Wished they didn't? Thanks for any comments.
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Hi wallygator. Thank you for keeping us posted. Your last note said you were going to have a 2nd opinion. Did he agree the revision was necessary and if so did the 2nd opinion surgeon do it or did you go back to your original TKR surgeon. It's so great to hear that you can already tell you have improved. Would you mind describing your symptoms, particularly the clunking you were having...was during flexion or extension and was it with every step.. was it at a particular area and would you describe the clunking as painful or just super uncomfortable and unnatural feeling?
@wallygator
So relieved to learn that you are doing well after the spacer replacement surgery. Mine is now 12 hours away
Hoping all goes well though 3 surgeons confirmed the requirement but I am still very apprehensive hope the clicking and instability will go away but my OS did say that my knee will feel more tight
My ROM is very good hope will be able to re achieve it
Will keep you updated!
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1 Reaction@ggji I’m lifting you up in prayer this morning. May you have excellent results from the surgery and a smooth and speedy recovery.
Thank you @wallygator
My spacer replacement went off uneventful yesterday and I was back home in the evening
When the OS came to visit I was already walking with a walker along with the PT
Though I couldn’t sleep bc of the discomfort of reclining but I was totally pain free didn’t need oxy but I am taking it now as my OS said it helps in overall recovery
After 3 surgeons opinion /observation I had to insist on it with my OS bc he appeared disinclined
And wow What was discovered both the
implants were nice and study and healed well only the spacer which was 11 mm had to be replaced by 15mm
This was done now at 18 months after LeftTKR though I was raising my concerns just after 2 months after surgery that my knee rattles as if it was a kids box of marbles. There was weight and feeling of stress and discomfort on the left side below the knee, there was instability and all the while for 16 months time I was feeling as if someone has stuck my knee ahead of my leg
Within 24 hours all seems to have gone my Rom is already straightening 0 to little over 90 at bending even though there is still the thigh ace bandage wrap around leg and ice machine flaps
Hope this will help and motivate others similarly placed
If it is needed do it do not wait indefinitely and get your independence back
Cheers to all
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3 Reactions@ggji
Very frustrating when they don’t seem to believe the patient complaint is valid🙄
I know someone who had a TKR twice same surgeon, same knee. Still no pain relief and affected his ability to do so many things!
He and his nurse wife got online and after much research and discussion with a surgeon in another state (nice that XRays, scans like CT/MRIs can be shared via computer!), had the third replacement and has been fine ever since!
You just have to be your own advocate these days.
I had similar issues years back and it took me awhile but once I found the right surgeon - relief!
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2 Reactions@wisco50
True I agree that you have to advocate for yourself
See my insistence for revision of TKR with higher number on the spacer. It’s 2 days and I am already relieved of my complaints
It happened once earlier with a dentist who kept giving me antibiotics for 6 months for shreds coming from my mouth
I got frustrated with her as I had a surgery coming up. I researched the internet and looked at the information given by the most reputed Medical schools and hospitals
And lo and behold it was just an allergic reaction to one of the ingredients in the various reputed toothpastes that we all use
I did not use that toothpaste that night and by morning I was relieved of my symptoms
Imagine a dentist could not even suggest that I change my toothpaste and see
I could not even sue her for a malpractice as the attorneys told me that it could have been pursued if it had killed me
Unbelievable state of medical practices
So for any issue bothering one must research and get aware of the options and solutions
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