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Any alternative to TKR surgery?

Discussion in 'Knee Replacement Pre-Op Area' started by vkayen, Jan 14, 2012.

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  1. vkayen

    vkayen junior member
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    Re: Which is the safest procedure?

    Your are right, in a way. Thanks and regards
     
  2. vkayen

    vkayen junior member
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    Re: Which is the safest procedure?

    This is exactly my concern and worry too! Thanks and regards
     
  3. vkayen

    vkayen junior member
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    Re: Which is the safest procedure?

    thanks!
     
  4. vkayen

    vkayen junior member
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    Re: Which is the safest procedure?

    Thanks for your frank opinion and the smilies too! Regards
     
  5. vkayen

    vkayen junior member
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    Re: Which is the safest procedure?

    Really. Regards
     
  6. vkayen

    vkayen junior member
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    Re: Which is the safest procedure?

    but as you have said music will be nice to hear indeed! A nice idea but I don't know if doctors in India would permit that. Regards
     
  7. vkayen

    vkayen junior member
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    Re: Which is the safest procedure?

    in such an atmosphere, even counting from 1 to 100 will put you to sleep very soon! Regards
     
  8. Jamie

    Jamie ADMINISTRATOR Administrator

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    Re: Is there any deadline for having TKR done?

    vkayen, if possible could you please use the "quote" feature when responding to posts? Without quoting the post you are responding to, it is sometimes difficult to know who you're talking to.

    To use the QUOTE feature, click on the blue QUOTE button at the bottom of the post you are responding to. That post will appear in the reply block. You can either leave it as is, or delete portions that don't apply to your response.

    Here is a link to the forum's "how to" area so you can view this and other instructions that may help you use the forum more efficiently.

    How To Use the Forum

    You'll find this link also by clicking on the OFFICE tab at the top of any page.
     
  9. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Re: Is there any deadline for having TKR done?

    Or rather - just mention the name of the person you are speaking to. No real need to use the quotes.
     
  10. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Re: Which is the safest procedure?

    vk, can you mention the name of the person you are answering when you post? Then we know which post is 'ours'!
     
  11. chuck172

    chuck172 member

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    Re: Is there any deadline for having TKR done?

    I want to warn you or anyone on "sucking it up and waiting"
    The longer you wait, the more bone tissue is lost. The more good bone that is lost, the less the surgeon has to work with.
    The less the surgeon has to work with, the weaker the end result. You really don't want to go through this procedure twice if you don't have to.
     
  12. vkayen

    vkayen junior member
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    Does RA blood test influence decision for TKR surgery?

    My w and wife 62, who has been advised TKR surgery is also having mild psoriasis and when the dermatologist was consulted today, he called for Blood Test report. When the report was shown to him he pointed out to the following and said that TKR surgery cannot be proceeded with unless these two are controlled. These are:

    1. Rheeumatoid factor 18.4 IU/ml as against < 15
    2. Gamma GT (GGTP) Serum 70U/L as against < 38 for women – high liver
    function

    The dermatologist also advised my wife that unless and until the cracks in her feet (psoriasis cracks) are healed, it will be risky to have the surgery done as it may cause infection through the cracks.

    Strange but true; the Ortho specialist who went through the Blood Test report did not say anything about the above results but the dermatologist is against surgery at this stage!

    Can someone enlighten us whether these factors weigh heavily against the final decision for surgery?

    Thanks and regards
     
  13. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Re: Is there any deadline for having TKR done?

    Well, you're right there and also wrong. It takes ages and ages for there to be so much bone damage that it impacts the surgeon's ability to do a good job. What's more to the point is the patient's experience of pain and disability. The longer you wait, the worse experience you get. The surgeon will still be able to do his job even if you are confined to a wheelchair!
     
  14. Jamie

    Jamie ADMINISTRATOR Administrator

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    Re: Do Rheumatoid Factor and GT (GGTP) Serum in blood test influence decision for TKR surgery?

    I know that many surgeons do not want any open areas in the skin when they do a TKR nor any active infections anywhere in the body.

    I'll tag our forum nurse, Josephine, so that she can comment. @Joaephine;
     
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  15. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Re: Does RA blood test influence decision for TKR surgery?

    (helps if you spell my name correctly, Jamie! :th_heehee:)

    I have known people with severe RA have knee replacements. This should not be a problem with the right knee surgeon.

    However, the cracks in the heels are if they are deep and bleeding. As Jamie said, any such skin lesion is a potential access for infection and no respectable surgeon would perform joint replacement under those circumstances. She needs to have treatment from a quality podiatrist to get the skin in better condition.

    btw, I shortened the title of this thread as it was far too cumbersome.
     
  16. Jamie

    Jamie ADMINISTRATOR Administrator

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    Re: Does RA blood test influence decision for TKR surgery?

    Oh my.....SO SORRY, Josephine!!! Guess my fingers were outrunning my brain!:blush:
     
  17. vkayen

    vkayen junior member
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    Re: Does RA blood test influence decision for TKR surgery?

    thanks for clarification and for shortening the title too, I couldn't have done it so nicely, anyway. Regards.
     
  18. vkayen

    vkayen junior member
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    Re: Does RA blood test influence decision for TKR surgery?

    Hello Josephine! I forgot to add in my earlier reply: my wife has since consulted a dermatologist who has prescribed the following:

    1. Ultravet ointment / Tazaret ointment - alternately in the nights followed by White Vasaline after keeping the heels in a plastic bag for 90 minutes.
    2.Xerina cream during day time.

    She has been advised review after a month.

    Hope this will heal the cracks.
     
  19. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Re: Does RA blood test influence decision for TKR surgery?

    Well, maybe .... but I think some visits to a chiropodist or podiatrist to have the dry skin taken off her heels would be a better answer.

    That's why skin on heels cracks, because of the build-up of dry skin which then cracks. The crack gets deeper and deeper until it starts to bleed. Only real answer is to get rid of that thick dry skin. Then treat the skin with the creams. But the creams are not going do it on their own.
     
  20. vkayen

    vkayen junior member
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    Re: Does RA blood test influence decision for TKR surgery?

    As for India, I haven't heard of chiropodist or podiatrist and these problems are being attended to only by the Dermatologists. Should such medical practical practitioners be available, they will themselves direct the patients to go to them. Maybe, this is also done by the Dermatologists as a branch of their study. Regards.
     
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