Hello Everyone. I am new to the forum but have cruised this site for info many times before. Figured this would be a good place to come and talk to others about my current situation. I am 44 and got my L knee replaced when I was 27 in 2002 due to a horrible car accident I was in when I was 26. I had fractures to both the tibia and femur which required rods and tibial plate being placed but a year later the leg was so crooked and causing me pain that my surgeon thought it was best to replace the whole knee. I have a non cemented knee with a resurfaced patella. In 2015 I had to have the patella revised due to osteolysis and had a bigger spacer put in. I was experiencing pain on the inside lower portion of my knee. About a year and half ago I started to experience the same pain again. My OS who did the patella revision said the x-rays looked fine and to work on my strengthening of the leg. I went back 6 months later due to the pain getting more severe and he said the same thing. I called him shortly after and asked him to order PT for me to work on my strengthening and the pain is not any better. I got a second opinion from an OS that ordered an MRI which shows "lobulated areas of osteolysis in the patellar component" and a "firmly fixed tibial and femur component". That OS said I should have had the whole knee replaced four years ago and currently the only hospital he works out of does not accept my insurance. So needless to say I am disappointed in my old OS that didn't want to further investigate the pain in my leg and that this has been going on for so long. He is now down in south Miami and my research shows that he does specialize in revisions but I'm not really interested in dealing with him. I don't know if I am over reacting but I have sent my records to the Hospital for Special Surgery to try and get an appointment. I am really nervous to have long term problems with my leg and want someone who absolutely knows what they are doing if and when they go back in there. I can't really find much info on osteolysis in the patella issue. Not sure if anyone else has experienced this but I figure I would ask. I also am very nervous about the future...more surgery.... trying to finish up my last semester of school but feel this is probably something that should be taken care of sooner than later. Hoping I still have some of my knee cap remaining moving forward and afraid of my options if I don't. Not sure if anyone has any recommendations on an OS that is in Florida that would be worth going to see. I appreciate any feedback and thanks for listening...glad I can some somewhere and vent where people understand.