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TKR redo 4 months after initial surgery

Posted by irishtrish @irishtrish, 3 days ago

Has anyone had to have their TKR redone months after their initial surgery? I'm 4 months out and my surgeon has determined the implant is loosening up, causing joint instability and pain. He said the components are likely out of alignment and a redo is needed. Had anyone else experienced this?

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shandra | @shandra | 3 days ago

I’m so sorry you have to go through this .

No but my physio has warned me about overdoing it early on . The bone and implant have not grown together by 4 months and need time to stabilize . I am concerned to see how many people are so happy to not use a walking aid so early . Proper posture is so important

Fingers crossed that they can fix your knee right this time ! Take care

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steveinarizona | @steveinarizona | 2 days ago

My surgeon told (required) me to be a couch potato for five weeks to let the bones grow around the implant. I reluctantly did that and my hip came out perfectly. No pain post surgery and no pain almost three years out.

Did your surgeon tell you that and did you do that? This advice was based on my implant being cementless. I would ignore this reply and that of @shandra if yours was cemented.

Repairing or redoing an implant is called "a revision". Not all hip surgeons do revisions and of those who do, not all are great. But, some are.

I would not go back to your original surgeon. I would seek out a star revision surgeon even if that meant having to travel to another state or city (assuming you are in the USA). Do a ton of research to find them and then a ton of research to find the good ones.

For example mine is a revision surgeon (he says approximately 20% of his work is revisions) and I think he is a superstar. He did my left hip and I had no pain. He just (yesterday) did a total replacement of my right knee and so far that also appears superb ( I gave him a target of getting me back on the golf course a month after the surgery; I think he is going to overachieve that target). There are other stars out there and, obviously, it is best if you have one in your location.

So sorry about your troubles and good luck.

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shandra | @shandra | 1 day ago
In reply to @steveinarizona "My surgeon told (required) me to be a couch potato for five weeks to let the..." + (show)
Profile picture for steveinarizona @steveinarizona

My surgeon told (required) me to be a couch potato for five weeks to let the bones grow around the implant. I reluctantly did that and my hip came out perfectly. No pain post surgery and no pain almost three years out.

Did your surgeon tell you that and did you do that? This advice was based on my implant being cementless. I would ignore this reply and that of @shandra if yours was cemented.

Repairing or redoing an implant is called "a revision". Not all hip surgeons do revisions and of those who do, not all are great. But, some are.

I would not go back to your original surgeon. I would seek out a star revision surgeon even if that meant having to travel to another state or city (assuming you are in the USA). Do a ton of research to find them and then a ton of research to find the good ones.

For example mine is a revision surgeon (he says approximately 20% of his work is revisions) and I think he is a superstar. He did my left hip and I had no pain. He just (yesterday) did a total replacement of my right knee and so far that also appears superb ( I gave him a target of getting me back on the golf course a month after the surgery; I think he is going to overachieve that target). There are other stars out there and, obviously, it is best if you have one in your location.

So sorry about your troubles and good luck.

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@steveinarizona so why are you ignoring my reply ? Your comment is confusing

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steveinarizona | @steveinarizona | 1 day ago
In reply to @shandra "@steveinarizona so why are you ignoring my reply ? Your comment is confusing" + (show)
Profile picture for shandra @shandra

@steveinarizona so why are you ignoring my reply ? Your comment is confusing

Jump to this post

@shandra

My surgeon does not use cement on a hip replacement so he required me to be a couch potato for five weeks to let the bones grow around the implant. But some hip replacement surgeons use cement. If so, the need to let them grow back and stabilize them is less important because of the cemented fixture. That is why I said to ignore what you and I were saying.

Otherwise, my reply was to the original poster.

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