• REGISTER for Joint Replacement Awareness Day on May 9th, 2020!

    Surgeons, patients, and other medical professionals will talk about topics you've told are important to you. You can ask questions LIVE of the participants. Please "like" and "share" our JRAD notice on your Facebook page too!

    Register and learn more in this announcement:

Watch 2019 JRAD Videos

Revision TKR My Revision after a Loose Implant

OP
OP
Cementless

Cementless

senior
Joined
May 27, 2018
Messages
441
Age
72
Location
Texas
Gender
Female
Country
United States United States
Jamie said:
Another suggestion for you since you report that your legs tire easily when you are exercising is to talk with a vascular specialist about the possibility of having an ultrasound study done of your lower extremities. It normally would depend on whether you had other health issues (cardiac problems, high cholesterol or diabetes) whether this could be a problem.
I agree with Jamie but be aware that they need to order the right test. I saw my cardiologist (routine) and ask him to check out my varicose veins. He ordered a Lower extremity doppler ultrasound. Wrong test! When I got there, it was a 30 min test that checks for DVT's and edema. That was a waste of my time and money!!! The tech said the varicose vein test takes 2 hrs./and hour on each leg. I told my cardiologist's office I still would like to have that done before the end of the year but ONLY when I have 2 hrs to kill!

The test that was done showed no DVT's but edema around the outside of my knee where I feel the swelling and pressure/uncomfortableness. I still think there may be an issue with my patella button but the OS says no! (The PA said yes/maybe).

@Jamie, would and MRI or a CT scan give more info on a loose patella button? If it was loose, is it as major to repair a loose patella button?
 
Last edited by a moderator:

Jamie

ADMINISTRATOR
Senior Administrator
Joined
Mar 24, 2008
Messages
58,535
Age
71
Location
Kansas
Gender
Female
Country
United States United States
A vascular surgeon will know the proper test. And you're right, @Cementless, that the test I'm talking about takes much longer than 30 minutes. It involves both ultrasound of your legs and abdomen as well as blood pressure readings for specific areas of your legs and feet. It's a very comprehensive test that provides the doctor with accurate information on blood flow from the abdomen to the tips of your toes.

It might be possible for an MRI to detect some problems with the placement of a patellar button or soft tissue problems in that area, but it's not a guarantee. It would be unusual for the button to loosen, but if a surgeon had to go in to do repairs, the procedure is not as major as a TKR, obviously, but it is still an invasive surgical procedure that requires an excellent surgeon and a period of recovery time.
 

Jamie

ADMINISTRATOR
Senior Administrator
Joined
Mar 24, 2008
Messages
58,535
Age
71
Location
Kansas
Gender
Female
Country
United States United States
It's not a frequent problem and an image showing that could be difficult to get because of the femoral component of the implant. A quick search on the web gave me this image, but this knee has more problems than just a loose patellar button.

upload_2019-8-31_17-29-34.png
 

Jamie

ADMINISTRATOR
Senior Administrator
Joined
Mar 24, 2008
Messages
58,535
Age
71
Location
Kansas
Gender
Female
Country
United States United States
I cannot tell you that. Sorry. I'm not by any means an expert at reading xrays or other imaging like Jo is, so the best I can do in these cases is to research and try to find images.
 
OP
OP
Cementless

Cementless

senior
Joined
May 27, 2018
Messages
441
Age
72
Location
Texas
Gender
Female
Country
United States United States
@Jamie, did you ever have the ultrasound study we have been talking about and if so what did you do to help the situation?
 

Jamie

ADMINISTRATOR
Senior Administrator
Joined
Mar 24, 2008
Messages
58,535
Age
71
Location
Kansas
Gender
Female
Country
United States United States
I didn't personally have this type of ultrasound test, but my husband had a couple of them over several years and I sat in the room with him for all the tests (and talked with the gal administering the test about what she was doing) as well as discussed the results with the vascular surgeon. It's a very comprehensive test that shows exactly how well your blood is flowing to your legs and feet.

My husband had a condition where blood flow was reduced to both legs because of clogged arteries in his abdomen that required stents at two different times to open up those arteries. His symptoms were legs that got tired quickly and some aching in the legs. He couldn't stand or walk for any length of time. For years we thought it was related to his spinal stenosis and even saw his neurosurgeon with the idea of him needing more spine surgery. Fortunately we decided to wait on the very, very serious spine surgery that was hesitantly proposed by his surgeon. It turned out not to be his spine at all. It was clogged abdominal arteries and the stents did the job. We were so very thankful that we didn't rush into that spine surgery. He had already had three spine operations and had a lot of hardware that would have needed removal. Our wonderful surgeon was not too keen on the idea because of the extensive recovery. So, his hesitation gave us the pause we needed to hold off and eventually find out the real problem.

I'm not saying this is what you have going on, of course. I'm just suggesting that it could be something to try and rule out as you're working to get to the bottom of what's going on.
 
OP
OP
Cementless

Cementless

senior
Joined
May 27, 2018
Messages
441
Age
72
Location
Texas
Gender
Female
Country
United States United States
I am still wondering if anyone on BoneSmart has ever had a loose patella button? Not sure if I have one or not. PA said it looks like "a loose patella button" on July 16th, OS said, "the patella button is not loose!" The outside of my revision knee is always swollen and does not feel right. Very tolerable though....I am just aware of it!
 
Last edited:
OP
OP
Cementless

Cementless

senior
Joined
May 27, 2018
Messages
441
Age
72
Location
Texas
Gender
Female
Country
United States United States
Update: Great news....My CT scan today did not show any loose patella button and the femur and tibial implants looked good. They were not loose either! I think my pain is from the IT band. My TENs unit helps plus ES Tylenol prn.:merry-xmas-smiley-emoticon: and :happy-new-year-smiley-emoticon-4: :christmas-carols-smiley-emoticon:
 

Jockette

SENIOR FORUM ADVISOR
Senior Forum Advisor
Joined
Aug 29, 2017
Messages
16,399
Age
64
Location
Delaware
Gender
Female
Country
United States United States
That is great news!!! :banana-santa:
 

BoneSmart #1 Best Blog

Staff online

Forum statistics

Threads
50,045
Messages
1,358,997
BoneSmarties
31,476
Latest member
Elphie
Recent bookmarks
1

Top Bottom