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.

Profile picture for mcchesney @kathleen1314

@dcanada54
I have a possible similar situation. I have shelled out the 600$ to have the allergy test, Panel 2 done.
What are you going to do?
I am taking Cartigenix-HP right now and praying for a reprieve from needed surgery.
I have been to 5 surgeons, looking for someone to do a safe surgery for me.

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@kathleen1314
I just want to encourage you to keep searching until you are sure you've got the right one. I've seen six surgeons in the last 6 months with suggestions ranging from total knee removal and replacement, to an arthroscopic removal of synovial lining.

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Profile picture for mabfp3 @mabfp3

@dcanada54 I am so sorry to hear all that you have been through. I had knee replacement surgery in 2020 and my knee is still painful. My surgeon sends patients for allergy testing, including nickel and the bone cement, before he will do the surgery. I had a high allergy to nickel but I was fine on the bone cement. As a result, he ordered a replacement having no nickel. People considering hip or knee surgery should definitely seek out allergy testing before their surgery. I think that it is disgraceful the the surgeon would no longer see you after those results!!! Wishing you all my best, and maybe you can find another surgeon who can help you.

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@mabfp3

What implant did the surgeon use? Was it the Smith & Nephew Journey II which is made of oxidized zirconium? S&N claims it is biocompatible.

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Profile picture for lindafl @lindafl

I luckily did not have allergy issues, but I would change the percentages that ouch89 listed. Had 2 TKRs, was faithful in PT and feel great!

40% right surgeon
50% doing PT exercises regularly
10% learning, researching and luck!

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@lindafl

I agree that doing PT regularly is critical to a successful recovery. But I judge the success of the surgery by what I got immediately after the surgery and after the nerve block wore off.

I view the continuous PT requirement as a judgement of me and other recipients, not on the success of the surgery itself. Whether the recovery from the surgery is pain free or painful, one still needs PT.

I had zero post surgery pain. My surgeon's recovery protocol is to begin PT in the third week. i did so and that week my PT measured my ROM at 122, At that point I think the success of lack thereof is over and the rest is up to me.

I am two months out and have done about 18 PT sessions so far at the PT facility. I can do many of the exercises at home but they do sometimes change the exercises or the amount of them that I do and my therapist does massage my leg each time which I can't do myself. Each time they ice my knee at the end and give me ten minutes of TENS stimulation. It is also much harder to slack off at the PT facility.

So whether the surgery is an outlier at the positive end, or an outlier at the negative end, PT is critical and I would add doing so if at all possible at a PT facility.

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Profile picture for steveinarizona @steveinarizona

@mabfp3

What implant did the surgeon use? Was it the Smith & Nephew Journey II which is made of oxidized zirconium? S&N claims it is biocompatible.

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@steveinarizona The surgeon just told me the name of it was Smith and Nephew. It was in 2020 so I’m sure that there are newer implants from that company now.

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Profile picture for mabfp3 @mabfp3

@steveinarizona The surgeon just told me the name of it was Smith and Nephew. It was in 2020 so I’m sure that there are newer implants from that company now.

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@mabfp3

Actually, they were making the Journey II back then so it is from the same family as mine (I had the XR version which kept my ACL). So far, I am very happy with mine.

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