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Revision TKR June 17

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limpy7 said:
I remember how painful this surgery was. Will it be more painful to have this redone, or will it be about the same or maybe even better?
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I felt exactly like you when I had to have a revision. I was scared that it would hurt more than I remembered from the first surgery. It didn't hurt more! If anything, it hurt less, because the protocol for pain relief was better.

Discuss pain control measures with your surgeon and anaesthetist before the surgery, so that you know where you stand.

In addition, you know now to speak out and stop anyone from doing anything that hurts your knee.

Best wishes!
 
Hi limpy7. Its 19.15 here in England. You may have had your revision by now. My thoughts are with you. Let us know how you are when you feel up to it. Carol
 
Good morning limpy7. Day 1 of recovery. Not an easy place to be. With BS you will never be alone. There will be someone to talk to any time of the day or night. Eat your breakfast and rest. Carol
 
I'm awake, so I thought I would check in. When I arrived I got my IV, which the nurse got right in. Phew! I didn't have a femoral nerve block this time. Phew! I got my spinal in the OR. It took a bit to get it in, but they put something in my IV and from what I recall it was very tolerable. I awoke in the OR at the end of the surgery and was completely comfortable. In the PACU I got a peripheral nerve block. They put it in using ultra sound, but I didn't feel anything because of my spinal, and they gave me some fentanyl.

My pain level has not gone over a three. I'm able to do my exercises. I have a CPM that I did use for an hour. However at that time they found I was leaking blood from around the drain. They cleaned me up and changed my sheets. I've stood and taken a few steps. I've had no nausea. They are proactive and give me pain meds and anti-nausea medicine by the clock. I had broth and jello and iced tea. Then I moved on to a delicious dinner. The nurses and anyone directly associated with my care are just wonderful. I feel like a princess at a spa who has a bad knee! I hope it continues. If I could I would take everyone home with me!

I'm sure when this nerve block is gone that there will be more pain. I am grateful though for such a pleasant first day.
 
limpy7 said:
I am grateful though for such a pleasant first day.
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Hip, hip hurray. What an excellent start, and what a coherent post for so early after surgery. I smiled when you said `I'm able to do my exercises'. OMG! they do brainwash us don't they. One of these days I will read a post which says `I was doing my exercises DURING the operation'. Remember ALL the stuff you know and follow it to the letter. Wishing you a good night's rest. Carol
 
@patient 99 That is so funny about doing our exercises during the operation! Things are moving along well. The peripheral nerve block began failing in the middle of the night. We doubled up on the pain meds, but by morning it was pretty painful. So I had OxyContin, Oxycodone, and dilaudid. I'm pretty comfortable, but I'm about due for more. I've had OT and PT and delightful conversations with the staff. The food is quite good and they give me something for nausea so that hasn't been an issue.

I'm a bit sleepy so I'll sign off.
 
:loveshwr:I get to go home today. My ROM was 95 degrees this morning. I can't remember the last time I was at 95 degrees.
 
Sounds. Like you are doing great. I am so glad you get to go home. Keep us posted!
 
Glad you are home - you weren't in hospital long! Enjoy sleeping in your own bed (that's what I like best about getting home).

Shortie x
 
I'm trying to recall what the surgeon said the problem was with my knee. I believe he said that the prosthetic device that I had was a cruciate sparing one and that it wouldn't have been what he would have chosen for me. So I no longer have a cruciate ligament. He replaced everything except the tibial part because it looked fine. He did replace the part attached to the femur because it had a small amount of nickel in it, but he didn't think that was ever an issue. He also said that I would never have been able to bend it more the way it was. Does this sound correct to any of our medical people?
 
Glad you are done and home. Let the healing begin!
 
The constipation recipe kicked in. I can check that off my list.

:egypdance: :ok: :spin: :dancy: Yee haw!!! It's amazing and amusing what one will share with complete strangers.
 
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Don't be shy talking about bowels! It amazing how much better you feel when they work properly! Any anyway we aren't strangers on BS we are all pals in the same boat - so sort of like a knee cruise!

It sounds like you are doing so well - I am following your progress keenly as I am booked in for a revision - just waiting for a date.

Shortie x
 
limpy7 said:
he said that the prosthetic device that I had was a cruciate sparing one and that it wouldn't have been what he would have chosen for me
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Hi Limpy7 just catching up with your thread. Every time I have a tradesman to do work in my house they invariably say `I wouldn't have done it that way'. It doesn't matter what it is painting and decorating, plumbing or whatever. Its always the same. Surprise, surprise it would seem its true of surgeons too. Did he go on to say WHY the cruciate sparing device was not the best option for you?

Reading your earlier posts you were keen to get to the bottom of why you had pain and poor ROM. Did you find out for sure? Was it the prosthetic device or was there more to it? I know its all behind you now, but for me with a second opinion on 8 July it all very relevant.

Take care of yourself. Carol
 
limpy7 said:
He also said that I would never have been able to bend it more the way it was. Does this sound correct to any of our medical people?
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But I suspect he never told you why? Perhaps these surgeons are part of a coven whose mantra is `treat patients like mushrooms - keep them in the dark and feed them shxx.

I'm losing flexion as the months pass. All a bit worrying.
 
A home health care nurse came today to gather information. Someone will come on Tuesdays and Thursdays. Then a PT came to do his assessment. I guess the assigned PT will also come two times a week. We had a talk about my past experiences. I hate to admit it but I got teary eyed. I explained that when I had my knee done before that I was told by the PT that if I wasn't at 90 degrees by my two week appt. he would be in trouble and so would I. I shared how a PT at the outpatient place forced my knee around on a bike by grabbing my food and pushing it. And then I got gutsy, and I told him that my OS office doesn't subscribe to that methodology. We can go just to the point of discomfort and no more. He agreed with everything I had said and he told me he wished I were assigned to him so he could turn my lack of trust around. He wrote what I told him in his notes to pass on to the PT person that I will have. Keep in mind, all of this PT was forced on a knee that was never going to bend. Wish me luck. I might have to wear my big girl panties!
 
@patient 99 I too remember losing flexion and wondering if it would just continue until my leg was straight. I know that me doctor explained my problem to me, but I've been so foggy that don't know for sure what he said. I'll see him on July 2 and get more info. I think I mentioned it in an earlier post. Things seem to be going well. Earlier today I had an itch on the back of my knee so I scratched it. I'm on Warfarin and boy did it bleed. Just a heads up. We would hate to ruin our upholstery or carpeting, wouldn't we? :scare:
 
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