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[BILATERAL TKR] Loose ligaments

newfiemama

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Hello I had bilateral TKR in 2015 and was doing generally well. Right knee perfect. Left knee issues on and off. I have weakness. It was gone out from under me when I'm walking. Last year I dislocated it 3 times in a matter of 2 weeks. Worst of all I wasn't doing anything when it happened. I was lying down read a book each time. The knee just slipped out of place.

Last time was horrific and an ambulance ride. Now I developed a Baker's cyst and it burst. My family doctor is really concerned how loose my leg is and how weak it is.

I have done copious amounts of physio and nothing has strengthened the ligaments. My surgeon just keeps saying strengthen the ligament.

Has anyone else had issues like this. I am so tired of the pain and fear of the falls and worried the next fall will be much more damaging to my arthritic body.
 

Pumpkln

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@newfiemama
Welcome back to BoneSmart, sorry to hear you are having problems with loose ligaments.
My surgeon just keeps saying strengthen the ligament.
Ligaments are connective tissue, not muscles, you cannot strengthen the ligaments. You can strengthen the muscles around the knee. Seems you have done all you can to strengthen the muscles with no gain.

It is time to move on and seek a second opinion for your TKR, from a surgeon specializing in Revisions, they have the education and background to determine what is happening with troubled knees. Look for a surgeon specializing in complex joint reconstruction or revisions. They should have no relationship with your present OS, not even golf buddies.

I had a ruptured Bakers Cyst last fall, it was extremely painful. Sorry you had to go through that experience.
My revision was due to flexion instability, caused by a loose ligament. Now my knee is stable.

Good luck in your search for answers.
 

maryo52

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Yes, time for a second opinion. This is totally unacceptable. You have laxity. This would be a great time to locate a doctor who does tons and tons of knees, especially revisions. I had laxity as well (not a bad as you), but did my orthopedist tell me that? No! I found out from the second opinion doc and was shocked. Now I have a new TKR that's mechanically perfect and am very happy.
 
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Josephine

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I agree with the previous two opinions - 100%
 

Momma-me

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Agree with all the others!! Time to move on!

As Pumpkin stated, you cannot "strengthen" ligaments. Sounds like your doc doesn't want to deal with this or is not taking this seriously.

Best wishes! Keep pressing forward until you get the answers you deserve!
 

maryo52

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Doctors do have techniques to lengthen or shorten ligaments in TKR surgery. But as Pumpkin pointed out, ligaments cannot be strengthened (although the laxity may result in some stretching).
 

maryo52

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You are describing mid-flexion instability. I do know the shock when the doctor grabs your lower leg and starts rocking it side to side! So the surgeon I saw, this was back in 2011, said you can revise it, or you can live with it, and if you do, I suggest you get a hinged rigid brace, which I did. I got an Ossur Oasys Carticare. It fit well and I hardly noticed it, even snorkeled wearing it. Fast forward to September 2018 and my components came loose, went back to the second opinion surgeon and scheduled my revision.

I had 10 degrees of valgus prior to my original TKR, and the original TKR left me in too much valgus (like 8 degrees). It just always wanted to bend in, and the brace helped. I had a terrific revision this past January, easy recovery, and my leg is mechanically excellent and well aligned. What a difference!!

The best advice I can give is find someone who has done thousands of knees. Everything will be better.
 

TimeBuster

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Do you have a copy of your x-ray so you can upload it here and have @Josephine look at it? Did your OS mention of the possibility the plastic spacer is the wrong size and that's why you have so much play in your knee? Question that makes you go hmmm. I don't know what state you're from, but I would gather all your medical history and find a revision specialist, pronto.
 

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