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First Surgical Consult - PKR Recommendation

Discussion in 'Knee Replacement Pre-Op Area' started by JDinCT, Dec 15, 2018.

  1. birdwatchr

    birdwatchr graduate

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    @Jeffntate
    I was denied a 10 day opioid prescription before the first of the year; pharmacy said the 7 day was accurate, then told me it was an insurance policy already in place. Here is what CVSCaremark told me: the first prescription is for 7 days, but after that I should be able to get any (reasonable) amount my doctors prescribe. I have not yet had a chance to prove that, as I have not had any more prescribed. At any rate, those last three days are gone for good and need to be “re-prescribed” into a new prescription. Hoping someone else may be able to confirm this with their prescription management company.
     
  2. JDinCT

    JDinCT new member
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    Well.... today was decision day.

    Went to my second OS consult yesterday at Hospital for Special Surgery (HSS) in NYC. My prospective OS spent 45 minutes with me discussing my case.... VERY good sign in my opinion. His "technical" surgical opinion was similar to my first surgical consult in that I was a good candidate for a PKR.

    Based upon my activity level, age, weight, body type, etc. he estimated that 8 years was a best case life expectation for a PKR that would then very likely require a TKR. He estimated that 5 years for the PKR was likely the lower expected life of the PKR barring any unforeseen or unusual circumstances.

    He stated whether I decided on a PKR or TKR is my decision and he would support and perform either surgery.

    Weighing all the options, I've decided to have a TKR. My surgery date is March 6, 2019. My OS recommended implant is the Zimmer Biomet Cementless. He is somewhat unusual as he does surgeries with more than only one type of implant. The reason he recommended the Biomet Cementless version for me was that his experience is that this device tends to allow more ROM and durability for active lifestyles. He stated that I should be able to do any sport or activity that I had done prior to a TKR with no restriction and this includes downhill skiing.

    Interestingly enough, he himself had a TKR only 7 weeks ago. Recounts of his own recovery process to date were very good including the following:

    - Driving after two weeks (he had a RTKR)
    - Performing surgery after four weeks
    - Able to do "ride" stationary bike after three weeks
    - Did not require use of a walker
    - Walking without a cane after 4 weeks

    He credited his recovery to the unique surgical processes and procedures employed by HSS and utilization of a post-surgical cryo system called "Game Ready" which employs not only cold therapy but also compression therapy simultaneously.

    Based upon some of my personal research, the Game Ready device is highly recommended but also very pricey (~$2000).

    Thanks to everyone here on BS that provided input to me along the way to this decision. This is an in valuable resource!

    My pre-op tests are scheduled for February 13, 2019. I will keep everyone posted on my progress throughout pre-op and into post-op.
     
    Last edited: Jan 9, 2019
  3. Rick951

    Rick951 new member

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    @JDinCT I wish you the BEST!!! of luck!!! We are about the same age, and activity level. I am now 14 weeks post op. I am doing very well!! Today for example, I loaded the entire bed of my truck with brush and hauled to the dumb, and unloaded it. I could not have done that before my PKR. I am down to minimal pain pills, Just Tylenol. I might not need that.
    From experience, Eat well, healthy food, manage swelling before surgery. Post surgery, Let your body heal before you push it to hard in recovery!!!!!!! I did not.....:headbang: Result... A lot more swelling, and a slower recovery, than I could have had.
     
  4. JDinCT

    JDinCT new member
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    Thanks @Rick951 …. hope my recovery goes as well as yours.

    I decided to take the plunge and purchased a slightly used Game Ready 2.1 cryo/compression system from ebay to aid my post-op recovery. There are several of these units advertised there if anyone else is interested. Was able to get one for about 60% of the cost of a new one.
     

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