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Revision TKR Knee revision fail

Jamie

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It would seem to me that you'd need to straighten out your pain issues first. But your surgeon (when you find the one you want to use) will be the best judge of that. It will likely be at least 3-4 weeks to schedule a revision after you've seen a specialist. In the meantime if you could use a pain management system, that would seem to be a good idea.

I checked on Dr. Boyd and he does seem like a good choice for you to consult.

These are the only surgeons I have on my list right now:

Virginia

Hampton Roads/Norfolk, Virginia
Joseph Gondusky
Jordon Young Institute
757-490-4802



Washington DC and Chevy Chase


Dr. Stuart Melvin III
Washington DC and Chevy Chase
 
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napper

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It would seem to me that you'd need to straighten out your pain issues first. But your surgeon (when you find the one you want to use) will be the best judge of that. It will likely be at least 3-4 weeks to schedule a revision after you've seen a specialist. In the meantime if you could use a pain management system, that would seem to be a good idea.

I checked on Dr. Boyd and he does seem like a good choice for you to consult.

These are the only surgeons I have on my list right now:

Virginia

Hampton Roads/Norfolk, Virginia
Joseph Gondusky
Jordon Young Institute
757-490-4802



Washington DC and Chevy Chase


Dr. Stuart Melvin III
Washington DC and Chevy Chase

Thank you for the info. Norfolk is 4 hrs from here, so that's a no go. Chevy Chase is about 1 1/2 hrs. That may be possible. Let me see what Dr Boyd says first.

Another question. I hear about lawsuits that happen agsinst the defective devices. Do you know of any such thing? I am fairly certain my device was Stryker.
 

Jamie

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There are plenty of lawyers out there who try to extract money from implant manufacturers. Lawsuits must prove that an implant was defective. Honestly, that doesn't happen very often.
 
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Makes sense. I saw the Stryker shape matching cutting guide was recalled. If used it may cause the prosthetic to be unstable, loosen, etc. Being as it keeps happening, I feel there is a problem.
 

Celle

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But when those companies recall something, they usually correct the product before issuing any more. You're most unlikely to be given something defective.
 
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But when those companies recall something, they usually correct the product before issuing any more. You're most unlikely to be given something defective.
You could be right. However, it just seems that there IS a bigger issue here. Loosening a year after each surgery? Doesn't seem right.

Whatever the case, I dreading going through this again.
 

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@napper I have wondered about the same thoughts as you but what I have come to the conclusion even if you have a really good surgeon that is highly rated sometimes no matter how good the surgery goes things do happen. Mine did not loosen in a year mine was 17 months but still whatever happened to a TKR should last an average of 10 to 20 years?? At the very most for me 3 yrs but that is the most on average 2. I really hope you get the care you need and boy do I hope this will be the last revision I need?
 
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Let me know how your consultation goes and whether or not you want some help in locating a doctor. Please tag me with your response so I see it quickly. To tag, you type the "at" sign (@) followed by my username with no space....like this.... @Jamie
I saw the surgeon who will be putting my implant in. He seems very knowledgeable and has done so many, it's not a big deal to him. I told him I was nervous and while he understood, he also said it's very rare for something to go wrong. I'm pretty sure I'm going to have it done. It might be before Jan is the swabs they took for staph come back clean.. If they come back positive, I have to see an infectious disease Dr and have it taken care of first. So, pain pump first then knee.

Still pretty depressed about all of this. Hoping I'll cheer up soon.
 

Jamie

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It sounds like you have a good surgeon on board. I think once things get scheduled you'll begin to feel more positive about everything.

Loosening can happen for many reasons. It's not always the fault of an implant or infection. It can be surgical technique as well. The recall you're talking about with Stryker occurred in 2013, 2 years prior to your first TKR. The chances of the recalled items being part of your surgeries are very, very slim.

Try hard not to worry about what has happened that led you to this point. If you find yourself slipping into those thoughts, go do something else that you enjoy. Call a friend. Come on BoneSmart and talk. You might even look into meditation or some mindfulness training. Both can be very helpful to keep you focused on the positive.

You have searched to find a new surgeon and you have faith in him. Go with that and allow yourself to think about good days to come. We're here to support you. I know this is all difficult for you, but you have already shown what amazing strength you have. You'll get through this! :thumb:
 

NFenske

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@napper This should cheer you up my surgery is Friday boy aren't I excited NOT!! If your looking for a good Dr. how far from Richmond based on what you wrote my guess its still too far. As many times as I have been thru this still wound up not so much about the surgery what to expect etc its more about will this be it getting pretty sick of these surgeries.
 
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It sounds like you have a good surgeon on board. I think once things get scheduled you'll begin to feel more positive about everything.

Loosening can happen for many reasons. It's not always the fault of an implant or infection. It can be surgical technique as well. The recall you're talking about with Stryker occurred in 2013, 2 years prior to your first TKR. The chances of the recalled items being part of your surgeries are very, very slim.

Try hard not to worry about what has happened that led you to this point. If you find yourself slipping into those thoughts, go do something else that you enjoy. Call a friend. Come on BoneSmart and talk. You might even look into meditation or some mindfulness training. Both can be very helpful to keep you focused on the positive.

You have searched to find a new surgeon and you have faith in him. Go with that and allow yourself to think about good days to come. We're here to support you. I know this is all difficult for you, but you have already shown what amazing strength you have. You'll get through this! :thumb:
Thanks for the kind remarks. This is for the paun pump, just so you don't get confused. I'm still waiting to see the 2nd opinion surgeon for my knee.

I'm trying very hard to stay positive, and most of the time it works. Sometimes, not so much.

As for strength, I don't know. I kind of don't have a choice. But, thanks anyhow!
 
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@napper This should cheer you up my surgery is Friday boy aren't I excited NOT!! If your looking for a good Dr. how far from Richmond based on what you wrote my guess its still too far. As many times as I have been thru this still wound up not so much about the surgery what to expect etc its more about will this be it getting pretty sick of these surgeries.
Yes, Richmond is too far. That's where my son went to the Trooper academy, though.
Good luck! You'll get through this just like before. I'm sorry, though , that you have to go through it again .
 
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Got scheduled for my pain pump surgery. They had two to pick from. Dec 26 or Jan 2. As much as I would have liked to do the 26th so it's covered 100%, I don't want to do it so close to Christmas. When it's done, I can't bend or twist for two weeks, so I need to make sure I have everything ready and Christmas stuff put away. The problem I'm going to have is wiping my dogs feet and picking up poop. I certainly can't do this alone. It's such a long drawn out process, that when it comes time to do my knee, I'm going to be tired of Drs.
 
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It's been awhile since I've posted. I had my pain pump implant and have had the meds inserted. It took two weeks to get the meds started, and they start at the very lowest med possible. It's been increased twice. And I think it's working!! What a relief! Now I ready to start my knee revision plans. I see the surgeon next Tuesday. I know there will be tests that need to be run, etc, which is fine. By the time I'm done with that, I'll probably be at my stable dose in my pain pump. I THINK that will be my 24hr meds for surgery, then I'd need an IR one.
Looking forward to finally, hopefully, finding out why this revision went bad already.
 
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I saw Dr Bradley Boyd for my 2nd opinion on my knee. He read through my surgical history, from 1986 to now. He definately said I was a unique case. But, he's also excited to fix me. I will have my 2nd revision which will be a bit more complex. So, hosp stay will be 3 days to 4 days. During that time, the challenge will be pain management. He's willing to work with my pain Dr to get the appropriate meds on board. I can't go through another extremely painful revision. I'm tired. I'm looking at April or May.
 

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Sounds like this surgeon sees what’s improved about your knee and your well being in general. I’ll look forward to hearing that things are improving.
 
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What do you mean he's found what's improved with my knee? More like what's NOT improved.
 

Helizabug

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YIKES, bad typo. I meant the surgeon sees what can be improved. Sorry.

Ugh. I hate it when people say stuff that minimizes my experience. It’s like telling someone to toughen up. I am really sorry to have done that to you.
 
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It's ok. Like you said, bad typo. I HAVE been told over the years to toughen up, though. I always say, walk a mile in my shoes and let's see how you do. I lost count of my surgeries at #40. One person should NOT have that many. Last year my artificial knuckle broke and I had to have that revised. Jan 2, 2020, I had a pain pump surgically implanted. I was at the top of what pain meds can cover. I wouldn't be able to go through this knee surgery without it. My goal is to be completely of the oral meds so that when I AM given a pain med it will work.
Praying all goes smoothly in both areas.
 

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