Knees Crack?
- Thread starter JenniferG
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Skeet
supremo
No one mentioned the removal of ACL/MCL... don't you think they would tell me? Don't I need those? Why would I have them in the first place if I didn't need them? What am I doing now that I don't them? Should I worry?? Can you tell I am already worried?
I was almost a candidate for the PTKR, but I had bone spurs or something on my kneecap and doc said I'd still have pain with those so the TKR was the only real solution.
I was almost a candidate for the PTKR, but I had bone spurs or something on my kneecap and doc said I'd still have pain with those so the TKR was the only real solution.
Skeet, I had similar issues to what you faced. No bone spurs, but I had unseen arthritis behind the kneecap that made a partial impossible. I was sad for a time about that, but spun it to think that now I won't have to go through another operation on that knee if the partial had not worked. My story and I'm sticking to it....
Me too!!! I just weird myself out sometimes, though, worrying that the OTHER knee might need it. So far, it's okay, but you know how your brain can play tricks on you!
Skeet....me too. My right knee (the TKR one) suffered ALL my falls, bangs and bumps over the years growing up and as an adult. For some reason, I never injured my left one! I just know that is part of the problem. It was cracking with arthritis when I was in my early 20's.
gatiger
graduate
On the acl/mcl note, my doc told me that I could have had a partial but because my acl was shot, a partial wouldn't work. I ASSUMED that he fixed that when he did the TKR. He never said and I didn't ask, but when I went for my 6 weeks checkup he did the ol twisty thing with the knee and pronounced it stable. I know my other knee has no acl either and my new one is much more stable than it is, so again, I thought he fixed the acl/mcl when he did the replacement. Somebody check on that.
My smith & nephew touts its design lends additional stability to compensate for the ACL & MCL being removed. I'm not trying to stir the pot, but for me this was absolutely a necessary surgey. Required. But like someone asked, in another thread I think, no I cannot imagine being 80 and going through all this. God bless them.
edk
senior
As I understand things: as people wear out their knees the bones don't just
bend back and forth but they slide to the side as you bend. This creates
stress on the ACL and over time it is damaged. So what you sort of have is
a continum of what surgeries you can have PKR, ligament preserving TKR, and
a ligament sacrificing TKR. Most surgeons don't do the ligament preserving TKR
because it can't be used on a lot of people since by the time they present
their ligaments are damaged beyond repair. Also, its more work. (Its more like
two PKR's leaving the middle of the knee untouched you have to work around
the ligaments). The pin on one end of the prosthesis and the slot on the other
are a poor mans replacement for the ligaments. It keeps
the knee aligned. But there is a motion where the knee bones slide a little over each
other and the pin/slot does not control this motion very well. The klunk is the
end of the slide.
bend back and forth but they slide to the side as you bend. This creates
stress on the ACL and over time it is damaged. So what you sort of have is
a continum of what surgeries you can have PKR, ligament preserving TKR, and
a ligament sacrificing TKR. Most surgeons don't do the ligament preserving TKR
because it can't be used on a lot of people since by the time they present
their ligaments are damaged beyond repair. Also, its more work. (Its more like
two PKR's leaving the middle of the knee untouched you have to work around
the ligaments). The pin on one end of the prosthesis and the slot on the other
are a poor mans replacement for the ligaments. It keeps
the knee aligned. But there is a motion where the knee bones slide a little over each
other and the pin/slot does not control this motion very well. The klunk is the
end of the slide.
gatiger
graduate
prostetic=right; Patti=not right.................just sayin.
Nursepair
supremo
I read somewhere that older patients don't always have as much pain or stiffness. Is this something to do with the muscles and ligaments being weaker? I have no idea why? Anyone else heard this?
Nursepair
supremo
Wish that worked for me. I have a rotten short term memory. LOL
Nursepair
supremo
You are up late tonight Skeet. You OK?
Skeet
supremo
Yes, just had a long day and needed to finish up a couple of things and send them off to my colleagues in Ireland so they would have them in their morning. I thought I'd browse through here quickly and then off to bed. I have an 8 am meeting and I'll do it from home, so I can sleep in a bit.
Thanks for asking though. I am doing great for the most part.
Thanks for asking though. I am doing great for the most part.
Nursepair
supremo
Great news Skeet. I am trying to catch up on posts for 4 days!!
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