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Total left knee replacement (DuPuy Attune knee revision)
I had a total knee replacement yesterday with DuPuy Attune and went home same day. Doing so much better this time. Last time had a Zimmer and different surgeon. I cannot believe the difference in my pain and soreness. Still there but very tolerable and have only taken Tylenol Arthritis since being home and slept in my bed last night.
Anyone else use the DuPuy Attune and was it different. Dr. has a better outcome with these I was told and he was so right. Also robotically done and last one was not and glue not staples this time as well.
Thanks for any info as to how you did with this particular replacement.
Cindy
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There are several companies making implants. There are many variables here: the skill of the surgeon; the experience of the surgeon; the method used; Whether a tourniquet was used? the type of implant used (custom or standard? posterior stabilized, cruciate retained, bicruciate retained?) type of material used? type of alignment (mechanical (ugh) vs kinematic/inverse kinematic/functional); Use of a robot?.
These all factor into the equation. But at the end of the day one could satisfy all of these issues and still have a bad outcome. But researching all of these issues can help you position yourself in the best possible location on the bell curve.
When was your first one done? There was a recall, I believe it was in 2015, on the Zimmer product. My surgeon used the Smith & Nephew system which involves the CORI robot (he helped develop it), a mini midvastus methodology, a custom built implant or a set of standard implants in different sizes? a bicruciate retaining implant made of oxidized zirconium and a Functional alignment (I was severely misaligned before the surgery). I still have my PCL and ACL. I had no meaningful post surgery pain and yesterday (27th post surgery) I played golf on a course that was cart path only.
One can have good or bad experiences with any of the major implant systems and products. IMO the most important decison is finding the best surgeon. Everything else follows.
@steveinarizona agree....My surgeon did use the Cori system for the surgery. My Zimmer knee was done in 2022. Tourniquet for 37 minutes, Crutiate retaining,, tibial insert with fixed bearing, Femerol cruciate and cement on bone.
@cindymattern
Interesting. Most people who use the DuPuy Attune implant use the associated VELYS robot and most people who use the CORI robot use the associated Journey II implant. Your surgeon apparently did a mix and match.
By 2022 the scientific literature was clear that a tourniquet was a bad idea:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8094224/
I hope the reason you have a different surgeon this time is that you fired the first guy!
I think the quality of the surgeon is much more important than whether she used an Attune implant, a Journey II implant, a Triathlon implant, a Conformis implant, etc. It sounds like you struck fool's gold the first time and real gold the second time.