Truth about Total Knee Replacements

Posted by rickraleigh @rickraleigh, Jul 31, 2021

Your new knee will never feel as good as your original old one

For most people it takes a full year to get most of the benefits of the surgery

Many people experience a clicking sound when walking for years or forever after the surgery

You should do physical therapy for a year after the surgery to get the best range of motion results even though your therapist will discharge you after several months.

There are no studies which will tell you what activities you can do after TKR. Is doubles tennis OK? Golf? What you read online varies. There are no clear answers.

Many surgeons are finished with you after the surgery. If you have issues with the surgery's aftermath, they may not be that helpful.

The scar is big, and no amount of ointment (vitamin E, etc.) will substantially reduce it.

Good news: If you had bad knee problems before the surgery your knee will feel a lot better after the surgery.

Interested in more discussions like this? Go to the Joint Replacements Support Group.

@todalou

Just now joining conversation but want to stress the importance of researching the surgeon and the kind of knee you are getting. My first surgeon only presented to me the knee that is ‘custom made to fit my leg’. After the knee was ordered, it took 6 weeks to make. It was then that I wondered if this was going to be a robotic surgery, so I inquired. My question was met with hostility from the surgeon’s staff so I backed off and all was great post-op…until I fell and landed directly on that knee three months later. Went back to surgery with same surgeon who said he just needed to clean out the wound and ‘resurface’ the patella. Could not walk after this 2nd surgery as knee kept dislocating multiple times a day - excruciating! Went back to the surgeon who took an X-ray and told me everything was OK - just needed physical therapy. The very next day the knee gave way while I was in the shower. I fell again and broke my tibia and fibula down at the ankle. The ER doc called my surgeon who said to just send me home and they would fit me in for an appointment in a couple of days. It was then that I switched surgeons. New surgeon said that type of knee was ‘totally inappropriate’ for me and would need to be replaced. He told me that he takes in a ‘whole arsenal’ of components to the OR and builds what is needed for me onsite. He said that once you ordered a custom made knee, when you went to surgery that was the knee that you were going to get - whether it works properly or not. Long story short, my ‘custom’ knee had to be completely removed and replaced with a new knee that was built onsite. Still rehabilitating 6 months later but am grateful every day for the second surgeon who gave me a true custom knee replacement!

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I was told in my pre-surgery meeting at the hospital that they have a whole table of sizes ready for implanting. The meeting was very informative and helpful.. even tho I canceled. So far still no regrets.

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Folks, I think it is important to take a step back. Is your knee pain significant? That is an individual question. I have a pretty high tolerance for pain, and my surgeonn said afterward that he was amazed I was still doing some of the things I was doing with my old knee. No one can promise 100% results, and if a surgeon is telling you your knee will be like original equipment, that's just wrong. Will it be better than the the old knee with all the pain? Likely, but that depends on how hard you work in pre-hab, re-hab, and managing your expectations.

6 months from the surgery, and my swelling is gone (at about 5 months), I am walking 7,500 steps/day average, got to play golf for the first time (ahead of my own schedule of 9 months). I am 59 years old and in pretty good shape, which also makes a difference. If I was older, or not in good physical condition, I am certain results would vary.

No lie, the first few months are an ordeal, physically and emtionally. All of this is an individual question, but for me at least, I am not looking back.

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@todalou

Just now joining conversation but want to stress the importance of researching the surgeon and the kind of knee you are getting. My first surgeon only presented to me the knee that is ‘custom made to fit my leg’. After the knee was ordered, it took 6 weeks to make. It was then that I wondered if this was going to be a robotic surgery, so I inquired. My question was met with hostility from the surgeon’s staff so I backed off and all was great post-op…until I fell and landed directly on that knee three months later. Went back to surgery with same surgeon who said he just needed to clean out the wound and ‘resurface’ the patella. Could not walk after this 2nd surgery as knee kept dislocating multiple times a day - excruciating! Went back to the surgeon who took an X-ray and told me everything was OK - just needed physical therapy. The very next day the knee gave way while I was in the shower. I fell again and broke my tibia and fibula down at the ankle. The ER doc called my surgeon who said to just send me home and they would fit me in for an appointment in a couple of days. It was then that I switched surgeons. New surgeon said that type of knee was ‘totally inappropriate’ for me and would need to be replaced. He told me that he takes in a ‘whole arsenal’ of components to the OR and builds what is needed for me onsite. He said that once you ordered a custom made knee, when you went to surgery that was the knee that you were going to get - whether it works properly or not. Long story short, my ‘custom’ knee had to be completely removed and replaced with a new knee that was built onsite. Still rehabilitating 6 months later but am grateful every day for the second surgeon who gave me a true custom knee replacement!

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So glad you posted. I am dealing with buckling after TKR. I am on my second 2nd opinion and feeling like he is not taking my situation seriously. It is very scary because most of the time I have NO indication that my knee is going to buckle . . . awful. I will throw in a curve my femur completely broke in April and every ortho says we can't do anything until that is healed which has been very successful but not complete yet. Can you give me the name of your surgeon and where he/she is located. I am in Colorado. Thank you in advance.

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@midlojoe

Folks, I think it is important to take a step back. Is your knee pain significant? That is an individual question. I have a pretty high tolerance for pain, and my surgeonn said afterward that he was amazed I was still doing some of the things I was doing with my old knee. No one can promise 100% results, and if a surgeon is telling you your knee will be like original equipment, that's just wrong. Will it be better than the the old knee with all the pain? Likely, but that depends on how hard you work in pre-hab, re-hab, and managing your expectations.

6 months from the surgery, and my swelling is gone (at about 5 months), I am walking 7,500 steps/day average, got to play golf for the first time (ahead of my own schedule of 9 months). I am 59 years old and in pretty good shape, which also makes a difference. If I was older, or not in good physical condition, I am certain results would vary.

No lie, the first few months are an ordeal, physically and emtionally. All of this is an individual question, but for me at least, I am not looking back.

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Age makes a difference so I'm told by friends who are older than me and are just having the surgery. I am 80; my friends are in their middle to Upper 80s. It's suggested that if you can hold off of knee surgery until you get past 60 that would be best. I'm not sure it everyone is different and so are there circumstances, the type, I have osteoarthritis. It started with an automobile accident in 1999, when I was hit from behind, the seatbelt didn't hold, and my knees went into the dashboard. It was downhill after that. Thanks for your posting it's very very interesting and I'm sure a great help to others.

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@midlojoe

Folks, I think it is important to take a step back. Is your knee pain significant? That is an individual question. I have a pretty high tolerance for pain, and my surgeonn said afterward that he was amazed I was still doing some of the things I was doing with my old knee. No one can promise 100% results, and if a surgeon is telling you your knee will be like original equipment, that's just wrong. Will it be better than the the old knee with all the pain? Likely, but that depends on how hard you work in pre-hab, re-hab, and managing your expectations.

6 months from the surgery, and my swelling is gone (at about 5 months), I am walking 7,500 steps/day average, got to play golf for the first time (ahead of my own schedule of 9 months). I am 59 years old and in pretty good shape, which also makes a difference. If I was older, or not in good physical condition, I am certain results would vary.

No lie, the first few months are an ordeal, physically and emtionally. All of this is an individual question, but for me at least, I am not looking back.

Jump to this post

Thank you for the posting. I am sure that every person experience is different after TKR. I am eleven months out. Had physical therapy for 7 months. Still have pain. I am now feeling that I should have never had the surgery. My range of motion is 115, I continue to ride my bicycle, and do all the exercise from my PT. I am now schedule for a second X-ray, doctor tried cortisone shot did not work, and because of continuous pain (7 of 10), I am thinking of getting a second opinion. However, I am getting the feedback that no surgeon will want to touch me in my condition. I will have to continue with the same to fix the problem. Any advice will help.

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My LTKR went well. Regular PT several times a day is vital although my surgeon said not to overdo it by forcing it. One year out I am more active again, but I still do stretching - which is good for all my joints anyway. Some days it does get stiff, but c'est la vie .

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