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New knee coming up

Discussion in 'Knee Replacement Pre-Op Area' started by Steph, Aug 6, 2018.

  1. Steph

    Steph graduate
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    Hi all
    I’ve been a member for about 9 years after having a very successful THR, I had fantastic advice back then so now I need a knee I thought I’d pop back and say hello.

    This afternoon I will be having an appointment with my surgeon, and hope that the surgery will take place in the next month to 6 weeks.

    My issue is that I have a valgus knee, and as such I know the surgery is slightly more complicated but my main query is can they do minimally invasive surgery on a valgus knee.

    I am in the UK and my funding has been approved by the NHS.

    Thanks in advance for any advice x
     
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  2. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hello @Steph - and :welome:and welcome to the knee side.

    Please will you tell us the full date of your hip replacement and which hip it was, so we can make a signature for you? When you have a date for your knee replacement, let us know that, too, and we'll add it to your signature. Thank you.:flwrysmile:

    Knee replacements do take longer to recover from than hip replacements, because the knee is a more complex joint. TKR or THR: which is more difficult surgery for recovery?

    Correcting a valgus knee is part of a knee replacement that is done frequently. It shouldn't make much difference to your recovery. Complete recovery is going to take a full year anyway, although you will feel much better long before that. By 3 months, you will be able to resume most normal activities, although you will still have to be careful not to overdo things.

    It's not really possible to do a minimally invasive knee replacement, because the incision has to be large enough for the surgeon to insert and install the replacement hardware correctly. However, many surgeons can do this with an incision that is about 4 inches long. Nowadays, no muscles are cut and surgeons try to disturb your soft tissues as little as possible.

    Here is some reading, to help you prepare for your surgery:
    If you are at the stage where you have joint pain but don't know for sure if you are ready to have surgery, these links may help:
    Score Chart: How bad is my arthritic knee?
    Choosing a surgeon and a prosthesis
    BMI Calculator - What to do if your surgeon says you're too heavy for joint replacement surgery
    Longevity of implants and revisions: How long will my new joint last?

    If you are at the stage where you are planning to have surgery but are looking for information so you can be better prepared for what is to come, take a look at these links:
    Recovery Aids: A comprehensive list for hospital and home
    Recliner Chairs: Things you need to know if buying one for your recovery
    Pre-Op Interviews: What's involved?

    Regardless of where you are in the process, the website and app My Knee Guide can help you stay organized and informed. The free service keeps all the information pertaining to your surgery and recovery in one place on your smartphone. It is intended to be a personal support tool for the entire process.

    And if you want to picture what your life might be like with a replaced knee, take a look at the posts and threads from other BoneSmarties provided in this link:
    Stories of amazing knee recoveries
     
  3. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Steph! Hello! Lovely to see you.

    ALL knees having replacement have some degree of valgus or varus deformity. It comes with the 'job' of arthritis!
     
  4. Steph

    Steph graduate
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    Hello Celle and Josephine - its lovely to be back in the fold, where we can rely on such lovely help and support. Thank you both for the welcome and for the reading material - I will get reading.

    Celle my hip was as follows: RTHR 2nd June 2009 and it is still amazing. At the mo I only have a date for a pre op for my knee of the 2nd October.

    At my appointment they told me that there will most likely be up to a 6 month wait due not only to their waiting lists (Buckinghamshire Health Trust/High Wycombe General), but also because of my underlying conditions.

    Five years ago I was struck down with a very debilitating and mysterious illness - it took almost 2 years to get a final diagnosis after many many tests and a wonderful Rheumatologist. I have something called Amiopathic Dermatomyositis, which is an auto immune disease and has attacked my skin and lungs, but thankfully not my muscles - hence the amiopathic bit. The diagnosis for my lungs was pulmonary organising pneumonia.

    In the first few months of this I was hospitalised for 4 weeks and had sepsis, and septic arthritis of my right knee. Two knee washouts later and I started to recover from the sepsis with the help of copious antibiotics.

    My condition these days is stable, I am severely immune suppressed though as take Azathioprine plus steroids, I have also had two rounds of Rituximab infusions which were my life saver. So my lungs have gone from 27% O2 transfer to 72% at my most recent lung function test. So things are much better, and we have a new normal life now.

    So, regarding the knee my Orthopaedic consultant will need to write to my lung specialist and rheumatologist so that they can all agree a reduction or total stop of my immune suppressants prior to surgery for a few weeks. He also told me that I am a very high risk due to my condition, and asked if I wanted to proceed. My reply was that I could sit in my armchair unable to walk far and my lung condition would decline, or I accept the risks and go for the knee - its a no brainer as far as I can see. You never know until you try.

    Josephine, both my knees have a degree of valgus in them - my left one is about 6% he said, but looks quite normal to me - the bad one is very marked and there is about a 10" gap between my feet with my knees together - looks pretty :(

    Sorry for the long narrative, but I thought I had best explain why things may be different for me xx
     
  5. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    You're absolutely right that your whole team should be in on the plan due to your autoimmune condition and needing a plan re: your medications. Most of the people I've seen on Bonesmart who are on biologics due to RA or other AI conditions do wind up stopping them for a time.

    I'm glad to see you've improved quite a bit on the meds.
    I wish you the best.
     
  6. Steph

    Steph graduate
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    Thank you very much. I will have to do a search to see how other people have coped with being off the drugs. It does worry me a bit in case I have a flare, or if they decide on a date for the op and it’s rescheduled, in which case I could be off the meds for some time.
     

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