TKR Rethinking Surgery

Posted by grovermyson @grovermyson, Apr 13 5:54am

I’m scheduled for knee replacement surgery in June, and I have an upcoming appointment with the surgeon’s PA, plus a CT scan and lab work on the same day.
Here’s my dilemma: my knee actually isn’t feeling as bad right now. Going up and down stairs is still painful, but nowhere near what it used to be. I had my meniscus removed about 15 years ago, and my current X‑rays show slight bone‑on‑bone changes with osteoarthritis behind the knee.
I’m 68, and part of me feels like I should go ahead with the TKR because things will only get worse as I age. But it’s hard to commit when the pain isn’t terrible at the moment.
Has anyone else dealt with this situation — feeling “not too bad” right before surgery and wondering whether to move forward?

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Profile picture for steveinarizona @steveinarizona

@mark3248

You have already had the TKR. What do you expect the new surgeons you have seen to say if they are not permitted to propose a revision.? You are looking for an imaginary solution.

You had surgery thirteen years ago and have been miserable since. Why are you so averse to a revision?

Everything you say is possible. But it is not inevitable. If there is one thing that is clear about TKRs it is that experience is all over the place.

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You raise interesting question. The TKR stole some but not all of my activities from me. Although I can no longer surf run walk hike I still am able to bike 35 miles every other day And swim laps and in ocean, I live in San Diego. My fear with revision is these remaining activities may be stolen from me. Consequently i grin and bear it, whining a lot but recognizing I am so much better than many I talk to or see on this site.
I could go deeper into this but I gotta go bike….

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Profile picture for mark3248 @mark3248

You raise interesting question. The TKR stole some but not all of my activities from me. Although I can no longer surf run walk hike I still am able to bike 35 miles every other day And swim laps and in ocean, I live in San Diego. My fear with revision is these remaining activities may be stolen from me. Consequently i grin and bear it, whining a lot but recognizing I am so much better than many I talk to or see on this site.
I could go deeper into this but I gotta go bike….

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@mark3248

I understand your reluctance. Only you can make that decision based on who you know yourself to be and what you value most. That's the thing about making any decision. Deeply personal and informed by what we may give up or possibly lose. If you haven't already, read The Road Not Taken by Robert Frost. Good luck to you.

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Profile picture for gravity3 @gravity3

@mark3248

I understand your reluctance. Only you can make that decision based on who you know yourself to be and what you value most. That's the thing about making any decision. Deeply personal and informed by what we may give up or possibly lose. If you haven't already, read The Road Not Taken by Robert Frost. Good luck to you.

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Frost is great advice- I wish the one road I chose ( to have and to hold TKR) ,could somehow be reversed.
THAT WOUKD MakeALL THE DIFFERENCE.
As an aging jock I have made friends with my pain- still grateful I can do many things others my age v
Cannot.
But still, honestly, had I not had the surgery I would be so much happier. I had minor arthritic pain prior to surgery. After surgery very swollen, difficult to bend without grimacing, constant pain, cannot put weight down , etc. really I just share my situation to counter balance the 95% success lies put out by the industry.
Should you visit the Smith&knephew plant in Memphis it will come as no shock the entire facility is guarded like a military compound with rolled razor wire and guards( they manufactured my knee).join in the class action lawsuits???
But perhaps it’s not the appliance, perhaps it was the PT , or perhaps the surgeon, or perhaps your body rejection, or perhaps… who knows??
Keep your original parts is the only advice I can share. Too many things can go wrong with this surgery and nobody ever tells you you might be worse after the replacement….

REPLY
Profile picture for mark3248 @mark3248

Frost is great advice- I wish the one road I chose ( to have and to hold TKR) ,could somehow be reversed.
THAT WOUKD MakeALL THE DIFFERENCE.
As an aging jock I have made friends with my pain- still grateful I can do many things others my age v
Cannot.
But still, honestly, had I not had the surgery I would be so much happier. I had minor arthritic pain prior to surgery. After surgery very swollen, difficult to bend without grimacing, constant pain, cannot put weight down , etc. really I just share my situation to counter balance the 95% success lies put out by the industry.
Should you visit the Smith&knephew plant in Memphis it will come as no shock the entire facility is guarded like a military compound with rolled razor wire and guards( they manufactured my knee).join in the class action lawsuits???
But perhaps it’s not the appliance, perhaps it was the PT , or perhaps the surgeon, or perhaps your body rejection, or perhaps… who knows??
Keep your original parts is the only advice I can share. Too many things can go wrong with this surgery and nobody ever tells you you might be worse after the replacement….

Jump to this post

@mark3248

It's great to hear more of your story and how you are coping. Making piece with aging, coping with insults to the body and finding the things that still make life worth living sometimes feels like a full time job. Here in our house we call it death by a thousand cuts but we laugh and get on with it. Take care and enjoy.

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Profile picture for mark3248 @mark3248

You raise interesting question. The TKR stole some but not all of my activities from me. Although I can no longer surf run walk hike I still am able to bike 35 miles every other day And swim laps and in ocean, I live in San Diego. My fear with revision is these remaining activities may be stolen from me. Consequently i grin and bear it, whining a lot but recognizing I am so much better than many I talk to or see on this site.
I could go deeper into this but I gotta go bike….

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@mark3248
See the exchange with @sailnsun in the post called:
3rd knee replacement in a year and a half on same knee

Maybe Jimmy Chow is the answer for you.

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I thought I felt “not too bad” before surgery - until I had the surgery and realized how bad it really had been but my mind just coped. I wish I had done the surgery earlier. I had been getting very expensive hyaluronic acid shots that felt excruciating and my doctor convinced me they worked but really - no. There is no substitute for the TKR.

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Profile picture for gravity3 @gravity3

@mark3248

I understand your reluctance. Only you can make that decision based on who you know yourself to be and what you value most. That's the thing about making any decision. Deeply personal and informed by what we may give up or possibly lose. If you haven't already, read The Road Not Taken by Robert Frost. Good luck to you.

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@gravity3 So true. It is a personal decision. My knee felt better before my TKR probably because I was exercising more to get it in the best shape possible before surgery. Ironic that the thing that could have made me question surgery was actually the thing that made my recovery better.
Afterwards, the doctor told me my knee was in bad shape so I wouldn't have put off the surgery for much longer.

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