Bilateral PKR Been waiting for a decade for this news!

Muscleflex

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I was on this site years ago, then had a long time away. As some history, I've gone through over a decade of issues with both knees - chondromalacia patella, tracking issues, advanced osteoarthritis - bone on bone pain. I've tried a million things before - drugs, cortisone, multiple rounds of synvisc, PRP, lateral release, microfracture surgery - nothing has helped. For years doctors have told me I need a replacement, but they say I'm far too young for that (I'm 40 now). I've seen countless surgeons for different opinions, but all end in the same way - until last week.

Got in to see one of the top orthopedic surgeons and he offered me a bilateral patellafemoral replacement. I'm not actually getting the surgery until the fall/winter (due to work situation), but trying to learn all I can now. Spent a couple hours earlier reading up on some threads here specific to partial knee replacements.

I'm (relatively) young and very active and looking to hear from anyone who has been through a patellafemoral replacement and what the recovery is like. The surgeon told me recovery should be similar (or maybe better than) recovery from my lateral release and microfracture which were pretty brutal.

Curious what type of activities people were able to get back to after the replacement and what kind of time frames to expect for return to activity?
 

Celle

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Hello @Muscleflex - and :welome:

Thank you for starting your new thread.

Please will you tell us the full dates of your knee surgeries and which knee it is each time, so we can make a signature for you? That way, we'll be able to see the history of your knees at the bottom of each post you make, instead of having to come back to your first post.
Thank you.:flwrysmile:

Even though your surgeon is offering you pattellofemoral replacements, do make sure that he is prepared to go to full knee replacements if he finds any osteoarthritis at all in the other compartments of your knees. Unfortunately,many partials (PKRs) fail too soon because arthritis has spread to other compartments of the knees.

Recovery from a partial (PKR) usually takes just as long as recovery from a total knee replacement (TKR), which can be as long as a full year. That does sound a very long time and you should be able to do most things long before that, but there will still be healing going on beneath the surface.

AS for what you may be able to achieve once your recovery is completed, have a look at some of these stories:
Stories of amazing knee recoveries

You will need to follow the same recovery protocols for a PKR as for a TKR, and this is teh approach that we recommend:
Knee Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​

4. PT or exercise can be useful BUT take note of these

5. Try to follow this

6. Access to these pages on the website

The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?
Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?

There are also some cautionary articles here
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in the majority of BoneSmart’s forums, we ask that each member have only One Recovery Thread. This policy makes it easier to go back and review the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 

Celle

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Jockette

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I have a Patellofemoral and I’m sorry to say that I do not call mine a success. I was not bone on bone. And looking back, I honestly think I should have waited until I was. Maybe things would have turned out better.

My best advice is to be sure your surgeon is very experienced with Patellofemorals.

I also had a lateral release done during the surgery and it’s where most of my discomfort is, still, at 3 years post op.
 
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Muscleflex

Muscleflex

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Thanks for the links! Gives me lots to read into..

As for my details, I had microfracture in February 2016 and lateral release January 2017 - both on my right knee. awaiting double patellafemoral replacement later this year.
 

Celle

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Thank you for your surgery details. I've done your signature.
 

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