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Osteoporosis and various other questions

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Sgriff

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If one had o/p would it make the pain of arthritis worse ?
Or even if you are lacking calcium would that make arthritis pain worse?
And also why do some people have a partial knee replacement ?Is total knee replacment the only solution when you are bone on bone?
Thanks in advance
Sue.
 
Sue,

I had PKR because my "bone on bone" OA was confined to the medial area. Therefore, 2/3 of my knee is really "mine" and only 1/3 is prosthetic. Less time in surgery, less blood loss.

Theoretically it is SUPPOSED to be less pain and quicker recovery. I can't vouch for that since mine hasn't seemed as easy as the PKR websites make it sound.....I *do* have a smaller scar on the medial surface of my knee and regained my ROM fairly quickly, but don't seem to be recovering significantly faster than any of the TKR folks here.

My OS says that because of my age(51) it is likely I will need a revision in the future--- and it will be easier to go from a PKR to a TKR.

My caveat--- PKR is still very major surgery. The Stryker website makes it sound like a piece of cake. It isn't.

For the other questions-- I will defer to Josephine, our moderator. She is the expert!
 
If one had o/p would it make the pain of arthritis worse ?

I take it you mean in the joint being operated upon? Then no, it actually removes the bone that is diseased and causing the pain so though you have pain after the op, it is different pain than you had before.

Sgriff said:
Or even if you are lacking calcium would that make arthritis pain worse?

Not of itself but low calcium in the bones is called osteoporosis and that means the bones break down and crumble more easily and that's what causes the pain.


Sgriff said:
And also why do some people have a partial knee replacement ?

Some people will wisely go to the doctor earlier in their problems before the entire joint is damaged, Others just never seem to have only the one half affected anyway. It's an unexplained oddity. But many things are considered when deciding upon the a whole or half replacement: condition of the cruciates, the other ligaments around the joint, the joint surfaces on the other side of the joint and so on. Basically, it has to be just the one side that is effected.

Sgriff said:
Is total knee replacment the only solution when you are bone on bone?
Thanks in advance
Sue.

There are alternatives but they involve removing the joint altogether so there is no bend in the leg and we haven't done that kind of op for about 20 years to my knowledge. Before TKRs came into being it was the ONLY option. TKRs were the salvation of suffering thousands.
 
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