BoneSmart® Hip / Knee Replacement Forum
Joint Replacement Patient Advocacy
and Online Community
  1. RATE YOUR SURGEON ON OUR NEW JOINT SURGEON LOCATOR

    Your opinion matters so please click on this announcement to find out how to rate the surgeons you have worked with

    You could also go to the Surgeon Locator via the blue nav bar at the top - find the tab "Surgeon Locator"

    Dismiss Notice

[REVISION TKR] Knee Replacement Replacement 1/9/19

Discussion in 'Knee Replacement Recovery Area' started by maryo52, Jan 10, 2019.

  1. maryo52

    maryo52 FORUM ADVISOR Forum Advisor
    Thread Starter

    Member Since:
    Dec 5, 2010
    Age:
    67
    Messages:
    3,631
    Gender:
    Female
    Location:
    Maine
    Country:
    United States United States
    Surgery is done and I have stemmed nickel-free implants and a remodeled kneecap. Surgeon was amazed I could walk on what I had (I used a brace). I had been trying to connect with him in the month leading up to surgery, to discuss my worry about arthrofibrosis. So I brought the topic up when I signed the consent for surgery while in pre-op. He totally went off on me, said in front of 2-3 people that I was the most difficult patient he'd had in years, had twice considered cancelling the surgery, didn't think I trusted him, he fixes knees for kings and queens and there are 120 people waiting for him to do surgery on him. Then he stormed out. I was beyond flabbergasted. The nurse sat there for a while and then said, he's a really good surgeon, can you get beyond this and have the surgery? I arranged for my husband to come in and told him what happened. After a while the surgeon returned, a little more composed, and explained himself a little more although I think the issue is he has a big ego and my questions made him feel as if I didn't have faith in him. It was unbelievable. Ultimately I did my best to apologize and do a little ego massage, and he agreed to go ahead. He's a world class surgeon and I couldn't envision setting up my life again for a rescheduled surgery with a different surgeon. My leg is moving well, I am having very little pain and that's without narcotics. I have to keep the leg straight for a few days because he doesn't want to stress the incision. Apparently he had trouble closing the wound.They/I am keeping it elevated and nicely iced, up walking every few hours. Doing really really well. Everything is much much much better than my first knee replacement experience.
     
    • Like Like x 1
  2. alexthecat

    alexthecat MODERATOR Administrator

    Member Since:
    Mar 1, 2010
    Age:
    52
    Messages:
    9,702
    Gender:
    Female
    Country:
    United States United States
    I'm sorry that the surgeon took that attitude. The surgeon who did my last hip surgery was a big jerk with a lot of ego. I had to keep reminding myself that he was just there to fix my hip. He's not meant to be my new best friend. I already have plenty of friends. He did a good job with my THR and, in the long term, that's all that really matters.

    I'm glad that surgery is behind you now. Best wishes for an easy recovery.

    Sent from my SM-S327VL using Tapatalk
     
    • Agree Agree x 1
  3. Celle

    Celle FORUM ADVISOR Forum Advisor

    Member Since:
    Nov 19, 2011
    Age:
    77
    Messages:
    33,084
    Gender:
    Female
    Location:
    New Zealand
    Country:
    New Zealand New Zealand
    I'm glad your surgery is done, @maryo52 .
     
    Last edited by a moderator: Jan 13, 2019
  4. donnag1108

    donnag1108 senior

    Member Since:
    Oct 27, 2018
    Age:
    50
    Messages:
    366
    Gender:
    Female
    Location:
    Las Vegas NV
    Country:
    United States United States
    So sorry that you had that experience with your surgeon. You handled it better then I would have. My surgeon is amazing and I think he did a wonderful job on my knee. Im healing well and my scar looks months old to me not weeks and I am so grateful he has a beautiful bedside manner to match. Now onto healing for you!
     
    • Like Like x 1
  5. maryo52

    maryo52 FORUM ADVISOR Forum Advisor
    Thread Starter

    Member Since:
    Dec 5, 2010
    Age:
    67
    Messages:
    3,631
    Gender:
    Female
    Location:
    Maine
    Country:
    United States United States
    I have to pinch myself, things are going so well. Every single thing, big and little, is way better than my original TKA experience. My TKA from 2010 was never right.

    This time, PT is gentle, and the instructions say if you get more swelling and pain, ice and elevate. But what's really blowing my mind is how little pain I have. I am only taking tylenol! I have the option for other pain meds but seem to be doing well without them. The one little hitch is the surgeon had difficulty closing the wound, and he wants to give the wound a week to heal and wants me to keep the leg straight for that period. My original implants came out easily (as they were loose), and apparently the patella was rather chewed up from the deformity of the knee caused by the loose components. The surgeon was amazed I was able to walk.
     
    • Like Like x 2
  6. Celle

    Celle FORUM ADVISOR Forum Advisor

    Member Since:
    Nov 19, 2011
    Age:
    77
    Messages:
    33,084
    Gender:
    Female
    Location:
    New Zealand
    Country:
    New Zealand New Zealand
    Hello again, Mary, and welcome to recovery. Thank you for starting a recovery thread.

    Here's the post-op reading we give to everyone - you'll probably have already read most of it!

    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
    elevate
    ice
    take your pain meds by prescription schedule (not when pain starts!)
    don't overwork.
    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. Here is a week-by-week guide for Activity progression for TKRs


    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

    Please don't be overwhelmed by the list. The articles are not long and they and contain information that will answer many questions and help you make your recovery much easier on your knee and on you.

    We are here to help in any way we can: answering questions and concerns; supporting and encouraging you from start to finish.

    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 a 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 history before providing advice.
     
  7. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,053
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    I’m so glad you have a great start! It is very encouraging.
     
  8. eaglemom

    eaglemom senior

    Member Since:
    May 26, 2013
    Age:
    62
    Messages:
    299
    Gender:
    Female
    Country:
    United States United States
    Wow, that sounds wonderful. But,.... just because you think your feeling good, remember that is a brand new baby knee. It needs rest, elevation and ice to keep being happy.
     
  9. maryo52

    maryo52 FORUM ADVISOR Forum Advisor
    Thread Starter

    Member Since:
    Dec 5, 2010
    Age:
    67
    Messages:
    3,631
    Gender:
    Female
    Location:
    Maine
    Country:
    United States United States
    Doctor says I can bend the leg three times a day, morning noon and night. Yes just once each time. The wound needs to heal before much bending so it doesn't open up. They iced me almost every minute I was in bed. I am icing now and will ice & elevate constantly the first week as, again, they stressed doing this and healing before much PT. Love it!!! Feeling great and only using tylenol although I did take 2.5 mg oxycodone at bed time last night. The difference between this surgery and my original TKR is like night and day. Very happy! Two days post op and am smiling and laughing, plus clear headed due to almost no narcotics.
     
    • Like Like x 4
  10. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,053
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    So happy for you!
     
  11. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

    Member Since:
    Dec 4, 2015
    Messages:
    17,538
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    What a wonderful outcome you are having! Don't worry about not being allowed to bend much yet. I was in an immobilizer twice, once for each knee, for 6 weeks and my bend came back just fine.
     
    • Like Like x 1
  12. maryo52

    maryo52 FORUM ADVISOR Forum Advisor
    Thread Starter

    Member Since:
    Dec 5, 2010
    Age:
    67
    Messages:
    3,631
    Gender:
    Female
    Location:
    Maine
    Country:
    United States United States
    Good to know. Although I have a history of arthrofibrosis so bend will be hard to not entirely worry about. However, so far so good.
     
    • Like Like x 1
  13. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,053
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    In the past years, did you feel something in your knee shift with certain movements?
     
  14. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,053
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    Bending only once a day is a very different approach. Is there something particular about your incision to make him feel this way? Or is he like this with all his knee replacements?
     
  15. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,053
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    Cancel that question, I just went back and found this:
     
    • Like Like x 1
  16. Jolease

    Jolease senior

    Member Since:
    Apr 27, 2018
    Age:
    49
    Messages:
    260
    Gender:
    Female
    Location:
    Victoria BC
    Country:
    Canada Canada
    This is such a refreshing positive post! So happy for you,it gives me hope going from a partial to a full.
     
    • Like Like x 1
    • Agree Agree x 1
  17. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,053
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    @Jolease I agree! I hope we fare as well!
     
    • Like Like x 2
  18. Breadman

    Breadman junior member

    Member Since:
    Nov 30, 2018
    Age:
    22
    Messages:
    47
    Gender:
    Male
    Location:
    Ontario
    Country:
    Canada Canada
    Hi maryo52. Glad to hear your exprience this time is better. Keep up the positive attitude and take it slow and easy.:)
     
  19. maryo52

    maryo52 FORUM ADVISOR Forum Advisor
    Thread Starter

    Member Since:
    Dec 5, 2010
    Age:
    67
    Messages:
    3,631
    Gender:
    Female
    Location:
    Maine
    Country:
    United States United States
    I am having almost no pain. I got home from a 6 hour drive and was able to get up and fix my coffee and snack (with husband handing me things, and I'm fussy about my coffee). Same with breakfast this morning. I love being clear headed. PT and home nursing visited today. Sun is pouring in through the south facing windows keeping me warm as I ice. The ice machine is on all the time I'm off my feet. Just healing and moving as needed.
     
    • Like Like x 4
  20. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,053
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    This is how I feel about my scrambled egg!

    So glad things are going so well.

    When do you have to go back for a follow up?
     

Share This Page