Bilaterial knee surgery

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knee

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Those of you who have had both knees replaced at same time...I am female, 67 years old, arthtitis taken all carliledge in both knee joints...looking for facts from you who have gone thru this proceedure. What are the pitfalls? How do you manage the major bathroom issues with two unbendable knees? Is it a managable idea? Thanks!
 
Oh don't worry, those knees will bend. BEND BEND BEND. That's what you want. Just take your time, take your pain meds and breath... I had both done. I was very blessed to have had a smooth recovery. pitfalls? Probably more work to recover than one but i can't compare. It is NOT twice the pain though. At least i didn't think so. Having a lot of upper body strength will be helpful, so anything you can do before surgery to improve that is good. And exercise to strengthen and stretch your quads before will help also.
Alot of people her felt they could never do this without a "good" knee to count on. Those of us who did 2 together (me at least) couldn't imagine it any other way. 1 suregry, 1 recovery and it is done. if you and your OS think you are physically up for it, go for it!
 
Oh don't worry, those knees will bend. BEND BEND BEND. That's what you want. Just take your time, take your pain meds and breath... I had both done. I was very blessed to have had a smooth recovery. pitfalls? Probably more work to recover than one but i can't compare. It is NOT twice the pain though. At least i didn't think so. Having a lot of upper body strength will be helpful, so anything you can do before surgery to improve that is good. And exercise to strengthen and stretch your quads before will help also.
Alot of people her felt they could never do this without a "good" knee to count on. Those of us who did 2 together (me at least) couldn't imagine it any other way. 1 suregry, 1 recovery and it is done. if you and your OS think you are physically up for it, go for it!
Thank you for reply. What medications did you use? Ice machine? TENS or Interferential pain management machines? Sleep in recliner or bed? How long in Skilled Nursing facility? When did you have them done? Prodon me asking, but how old are you? In good shape otherwise physically? I am..agree ONCE for both makes sense..in my head..(smile)
 
Thank you for reply. What medications did you use? Ice machine? TENS or Interferential pain management machines? Sleep in recliner or bed? How long in Skilled Nursing facility? When did you have them done? Prodon me asking, but how old are you? In good shape otherwise physically? I am..agree ONCE for both makes sense..in my head..(smile)

I am 53 and I had a bilateral done on 11/08/07. I was in the hospital/therapy ward until 11/17...then I went home. No TENS machines, just Oxycontin and ice packs purchased through the PT dept. at the hospital. I came home on a walker, graduated to crutches, then used the cane. I went back to school to teach on 1/03/08. I reffed college basketball, baseball, and football, and I cycled and worked part-time at a produce farm, so yea, I was in pretty darn good shape. Since your legs lose strength exponentially, you will need to focus on upper body strength to get you out of chairs, the bed, etc...your legs will weaken considerably---you will be surprised to see how quickly they atrophy.

I slept(if you could call it that) in a recliner for a while, then I became tired of being an invalid and tried to migrate to the bed. Almost all of us here have had sleep problems after surgery. I didn't believe my friends who had it done---but they were correct---sleep is like looking for the Holy Grail.

I tried the sofa, the futon, the futon mattress on the floor--I finally game up and crashed after my wife got up and went to work. I finally resorted to Ambien for ten days, and that worked quite well.

I had my last PT session on March 27th of '08---and I was umpiring baseball games the next week. I try to cycle 100 miles per week now, so my life is pretty much near normal as it can be.

We also heat our home with a wood burning stove, and I am out cutting down trees and splitting the logs (with a machine, of course) but I have had no problems---other than the roller-coaster ride of therapy and healing. Do not become frustrated at your progress---it will be much slower than you will like it to be---but that is just the way it is.

Remember, healing and therapy---your body did not become this way over night---suddenly, somebody cuts, saws, drills, glues, and sews---and then the fun really begins with PT I am glad that I had both done when I had the opportunity...no ifs, ands, or buts about it.

Tim C.
 
Those of you who have had both knees replaced at same time...I am female, 67 years old, arthtitis taken all carliledge in both knee joints...looking for facts from you who have gone thru this proceedure. What are the pitfalls? How do you manage the major bathroom issues with two unbendable knees? Is it a managable idea? Thanks!

Buy a throne---a portable potty that can be used over the regular toilet--it has enough height to let you bend you legs as little as they will go. Plus, it has hand bars to help you get up and down.

Tim C.
 
Thank you for reply. What medications did you use? Ice machine? TENS or Interferential pain management machines? Sleep in recliner or bed? How long in Skilled Nursing facility? When did you have them done? Prodon me asking, but how old are you? In good shape otherwise physically? I am..agree ONCE for both makes sense..in my head..(smile)

Prior to surgery I was on celebrex and ibuprophen. About 10 days before surgey I had to drop the ibuprophen. After when home I was prescribed Percocets, Tramadol, Ibuprophen. Then I was switched to vicodin and now nothing really, occasional ibuprophen. My surgery was on March 18th. For Ice I used good old fashioned 2 frozen bags of peas. No other machines. Ice and elevate as josephine says. I slept in a recliner for about 3-4 weeks. Then moved back to my bed. I did well enough that I did not need in patient rehab after the hospital, so I went straight home. I was 39 on surgey day, had my birthday while in the hospital. that now makes me 40. Reasonable shape physically. I weigh too much, contributed to by inactivity from bad knees. I have some other medical stuff, but for the most part was/is under control. ref had good direction about the potty. i forgot that the hospital's had bars, mine at home is higher than standard and I put a sturdy chair along side to use to push up. happy healing!
 
I had BTKR on June 9th and I'm doing great. After looking at my x-rays, my surgeon did not hesitate to suggest I do both knees. I did some prep work prior to surgery. I worked on my upper body strength as well as quads. I set up the guest bedroom to sleep in when I got home so I'd have plenty of room to get comfortable without bothering my husband. Also set up the guest bath with the raised toilet seat, shower chair and handheld shower. I spent 10 days in the hospital, the last 6 at inpatient rehab. When I came home, I was basically able to take care of myself, using a walker to get around. I've continued with PT and my ROM is at 130 in both knees. I'm walking great and that old pain is gone. I've got no regrets; best decision I ever made. Still have lots of healing to do (still some stiffness) but I'm already so much better than I was prior to the surgery.

Nancy
 
I had BTKR on June 9th and I'm doing great. After looking at my x-rays, my surgeon did not hesitate to suggest I do both knees. I did some prep work prior to surgery. I worked on my upper body strength as well as quads. I set up the guest bedroom to sleep in when I got home so I'd have plenty of room to get comfortable without bothering my husband. Also set up the guest bath with the raised toilet seat, shower chair and handheld shower. I spent 10 days in the hospital, the last 6 at inpatient rehab. When I came home, I was basically able to take care of myself, using a walker to get around. I've continued with PT and my ROM is at 130 in both knees. I'm walking great and that old pain is gone. I've got no regrets; best decision I ever made. Still have lots of healing to do (still some stiffness) but I'm already so much better than I was prior to the surgery.

Nancy
Tell me about the rehab 10 days. What was it like first day? Big surge of pain? Lots of adjusting to discomfort? How about the CMP or CPM machine...did they use it at the same time for both knees? How did the therapists at the rehab work with you daily? Sure would appreciate any and all details you can remember. Thanks for re-assurance!
 
I am 53 and I had a bilateral done on 11/08/07. I was in the hospital/therapy ward until 11/17...then I went home. No TENS machines, just Oxycontin and ice packs purchased through the PT dept. at the hospital. I came home on a walker, graduated to crutches, then used the cane. I went back to school to teach on 1/03/08. I reffed college basketball, baseball, and football, and I cycled and worked part-time at a produce farm, so yea, I was in pretty darn good shape. Since your legs lose strength exponentially, you will need to focus on upper body strength to get you out of chairs, the bed, etc...your legs will weaken considerably---you will be surprised to see how quickly they atrophy.

I slept(if you could call it that) in a recliner for a while, then I became tired of being an invalid and tried to migrate to the bed. Almost all of us here have had sleep problems after surgery. I didn't believe my friends who had it done---but they were correct---sleep is like looking for the Holy Grail.

I tried the sofa, the futon, the futon mattress on the floor--I finally game up and crashed after my wife got up and went to work. I finally resorted to Ambien for ten days, and that worked quite well.

I had my last PT session on March 27th of '08---and I was umpiring baseball games the next week. I try to cycle 100 miles per week now, so my life is pretty much near normal as it can be.

We also heat our home with a wood burning stove, and I am out cutting down trees and splitting the logs (with a machine, of course) but I have had no problems---other than the roller-coaster ride of therapy and healing. Do not become frustrated at your progress---it will be much slower than you will like it to be---but that is just the way it is.

Remember, healing and therapy---your body did not become this way over night---suddenly, somebody cuts, saws, drills, glues, and sews---and then the fun really begins with PT I am glad that I had both done when I had the opportunity...no ifs, ands, or buts about it.

Tim C.

Thanks for your wonderful reply! You were in such great shape looks like before surgery..What made you finally do both knees? You didn't mention pain or inablility to move. What upper body exercises were your best? I have arthritis in both thumb joints. One had surgery...the other is pretty painful at times...don't like the thought of having to rely on these hands to hold me up...
Could you stand pretty well with just light use of walker or did you need heavy reliance on it and for how often? I'll get platform crutches eventually, I think...but the walker first. I guess I can just add a few pain pills for the hands as well as the knees...I'll be so stoned...! (smile)
 
I began my inpatient rehab every morning with OT first, working alittle upper body strength with dumb bells. Also worked on just standing at a table, doing some function like putting a puzzle together. OT eventually worked up to moving around the kitchen, using appliances, etc. They also made sure I was safe in the bathroom. PT was a different story. Lots of exercise work on the table, including straightening and range of motion. Also spent time on the recumbent stepper which was great. Always made sure I got my pain meds from my nurse about 1/2 hour before my morning sessions and again before my afternoon sessions. Made a BIG difference in my progress because at this point, PT was painful. Fortunately when I finished each session and walked back to my room with my walker, the pain had already subsided. Lunch was usually waiting for me in my room and I would nap between lunch and my afternoon sessions. When I left on day 10, I was able to take care of myself at home. Sure made life easier. Then I began outpatient PT 3 times a week and that has me in good shape with my ROM at 130. I've been walking around the block (1/2 mile) the past 3 mornings. Some weakness in my thigh muscles when I'm done but the old knee pain is gone completely!!! No regrets - would do it all again, even knowing what I know now.

Nancy
 
Knee,
I am 55 years old and a little over 5 weeks post-op from bilateral TKR. My left knee was much worse than the right, but they were both pretty bad. I just didn't want to go through this twice so bit the bullet and asked for both. My OS gave me pros and cons and let me decide, which I did. I don't regret it.

I was in the hopsital for 6 days, mostly due to a blood clot in my lung which they were monitoring. I did not go to rehab facility since I had help at home (retired hubby) but did get PT for two weeks at home. I started out on a walker, and went straight up the stairs on my first day home, where I stayed for a few days. I graduated to a cane within a week. I had prepared the spare bedroom for my "sick room" along with spare bathroom with elevated toilet seat. I also have a recliner in an office upstairs where I spent a great deal of time, but I did sleep in bed at night with pillows under my legs (lengthwise) so it would not mess up my extension.

I won't say it's been easy, but I also think having bilateral definitely has long-term advantages as long as you have adequate help at home. My mother had bilateral TKR when she was in her late 70's, and she convinced me to do it!

Good luck to you, whatever your decision.
Sharon
 
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