Guest viewing is limited

Oxford Partial Revision

Status
Not open for further replies.

gloucesterman

junior member
Joined
Jul 31, 2008
Messages
80
Location
United States
Hi folks, I am curious if any of the members have had an Oxford Knee revision?
If so what was your outcome? Which prosthesis did you get? What was your experience like and how recent was it performed?

This is the situation I am about to undergo and if no other members have been through it then perhaps someone can benefit from my experience. I think it is going to be a bumpy ride, with the usual good days and bad days. Let me say I am completely prepared for the associated recovery discomfort
(I like that description) instead of the P word because it is coming no matter what! I am a former bicycle racer and in great shape overall and below is some related info.

I'll give a brief on my physical condition:
Age 56
Weight 135 lbs.
Height 5' 9"
Excellent Health
Non smoker
Non drinker

Gloucesterman
 
Partial revision? Are you having a revision of a Partial knee replacement or are they revising only PART of a Total Knee Replacement?
 
Sorry if I confused you. I had an Oxford partial knee installed and now have to have a revision to a total knee replacement. Hope that clarifies the situation.
gloucesterman
 
Ah! A hemi being revised to a total, in other words. Shouldn't be any worse than having a primary total, gloucesterman. That's one of the easier ones.
 
Hello again my friend. My Mother had both knees done and one was a total and the other a partial. I have to say that the knee that is bothering her the most is the partial. I have been doing some research on the partial subject and frankly I am not very impressed with the outcomes of this work..

Ralph from Ct.
 
One of the most frequent reasons for poor outcomes in a hemi is that it has been done when a total should have been used. A very common error especially when the patient is pushing for it.

In my experience, situations that genuinely call for a hemi are few and far between. If the knee itself has arthritic changes in one area only, then a hemi 'might' be suitable BUT one should always remember that arthritis is a progressive condition and so the knee is going to continue to deteriorate for sure. Therefore, unless the damage is so minor that the entire knee's being effected is not going to occur before the elapse of about 8-12 years, therefore requiring revision to a total, then it is generally not considered good practice to do a hemi.


(does that make sense?!)
 
Jo--- makes sense to me. I have the hemi and know it is a calculated risk. The OA was severe in my medial compartment, but the rest of my knee was healthy. My OS said he wouldn't make the final decision until he was actually in the knee since the knee had not been scoped but looked good from MRIs.

I think one of the reasons he chose the hemi was because of the tibial tubercle elevations and bone grafts. The hemi allowed him to leave them alone this time around, but a TKR would have gotten into that grafted bone. He felt that at my age we should take the risk of the PKR and revise later to the TKR.

I am crossing my fingers that as the technology continues to improve that we made the right decision. The OA in my other knee is not as severe in the medial compartment yet but is also showing up under the patella so I may not have that option when the time comes. We are both hoping the 'scope he just did will buy me more time. That knee is still problematic---- not sure if it is the OA or still healing from the 'scope and partial meniscectomy. He wants me to give it some more time to heal and recover and we will talk again at my next visit in a few months.

How long does it take to heal from a "scope/partial meniscectomy? I read about 3 months..... I had mine in mid-May and it is still a problem. Hurts, swells, and "buckles" from time to time. My new knee is definitely my "good" knee now.
 
Well folks,
Just saw a new surgeon today and will be going ahead with a total knee revision soon. It was sad for my wife and I as he stated what a shame it is that I have to have this procedure now. He commented that I was the perfect candidate for the partial knee. There is no damage or arthritis anywhere ekse in my knee, the only area of concern is the tibial plateau under the tibia implant. The implant has moved and any other partial would be unsuccesful because of the lack of support in the tibia. I am mad , sad, and just plain disgusted at this point. My date for surgery is Sept 04 he is reccomending a Zimmer combination revision and tkr device. The lower half will be the revision pieces due to the damage in the tibia and the top half will be the TKR device. He likes the Zimmer as the pieces are interchangable.
TTYL,
Gloucesterman
 
I have to ask,are you comfortable with this surgeon? The reason I ask is the surgeon that I have been using for various differant knee procedures for the last eight years was a great guy but anything that he has done for me never resulted in anything that gave me relief. I'm not sure that anyone could have helped me with this mess either way? So when it came time I absolutely had to be sure and have a good feeling about the surgeon. Also Lot's of research helps to.....
 
Gloucesterman,

What exactly do you mean when you say the Zimmer pieces are interchangable?

Karen
 
Gloucesterman,

What exactly do you mean when you say the Zimmer pieces are interchangable?

Karen

Hi Karen, I was told that he will be using parts for a revision knee on the tibial section of the knee combined with parts from a standard knee replacement on the femoral half of the knee. His explanation was that this gave him more ability to strenghten and rebuild the damage to the tibia area. The upper half of my knee is perfect so we can use the standard stuff there. According to him Zimmer is the only company that makes interchangeable sections that this can be done with. PLEASE understand this is the way it was explained to me. The only real damage to my knee is in the tibia area but because the existing implant moved after the stress fractures he has to be very careful about distributing the weight properly and repair the damaged tibia.
Hope this helps answer your question.
Gloucesterman
 
I have to ask,are you comfortable with this surgeon? The reason I ask is the surgeon that I have been using for various differant knee procedures for the last eight years was a great guy but anything that he has done for me never resulted in anything that gave me relief. I'm not sure that anyone could have helped me with this mess either way? So when it came time I absolutely had to be sure and have a good feeling about the surgeon. Also Lot's of research helps to.....

Hey schoust, That facility in NY is tops!! WOW for the first time in my life I wished I was back in NY!!!! The last time I was there I was kidnapped and robbed by two guys in 1970 and dumped in Harlem!! PS they were white as I am and thought it would be funny! The day ended with me making my way to La Guardia and meeting a girl in the airport bar that was dating Tommy James of the Shondells. She paid for my flight to Miami and her sister drove me and her to Ft Lauderdale and I never saw them again!! UNBELIEVEABLE only in NY could that happen all in one day!!
Comfortable, Yes I am, of course I thought the original guy was great to! I must suffer from terminal stupidity, on two visits after my stress fractures I believed him both times! It was the third time that my suspicions got aroused and I started to get other opinions. Now it's on to the full monty! Hell even a blind horse get's lucky once in a blue moon so now has got to be my time. The way I see it is I have suffered enough and I am SURE there are many that feel exactly the same.
Gloucesterman
 
Many knee prostheses are based around a modular system meaning that you can fit different bits together to make the whole. So you have a kit that ranges from the bog standard knee replacement to a variety of units made to suit different requirements. These might be anything from thin to bulky femoral or tibial units with a choice of different lengths of posts to extra wedges that can be screwed onto the main components to make up for bone loss - mostly on the tibia.

The posts and other items are secured onto the main component by a 'cold welding' process which means the screw parts are slightly tapered. Then special torque wrenches are used with which the surgeon applies pressure until the two items are permanently 'welded' together. Just in case you were concerned!

..revision modular kit assembled ....................... various length posts
[Bonesmart.org] Oxford Partial Revision
.....................................
[Bonesmart.org] Oxford Partial Revision



 
Hello Folks, I just got back from my pre op visit all the usual stuff. I saw another note about excersising prior to surgery and I did that for two months prior to my Oxford installation. My implants have moved so far now they are telling me to do little or no excersises. I can do some non weight bearing excersises and I can do stretching also. They are afraid the tibia area that is already damaged may collapse all together!
Gloucesterman
 
Wow Dude! Total Bumber! Man it stinks that this kind of thing has to happen to anyone! Was there a reason for this? Not trying to pry just wondering so that if I can avoid a problem like this I will. I hope things work out for you man,I don't know what would happen to my mind if things go wrong???
 
Hey Ralph, Everything that is happening now is a result of the stress fractures. There is no doubt about that. How they occured, let's just say I am not able to go into details.
I have to get a TKR and that is all I need to be concerned with at this time.
Gloucesterman
 
Yep that is why I chose the username. I went commercial fishing for quite a number of years. My great great grandfather was lost at sea on April 1 1888 while dory trawling on the Grand Banks.
Gloucesterman
 
Wow I can't imagine being out at Georges in a Dory! The last time i went tuna fishing out there it was rough! Real rough!!
 
Hey Ralph, You must have misread my story. He was on the Grand Banks that is another 800 miles or so to the east! I have been there numerous times myself and it is about 1100 miles from the nearsest land which is actually Newfoundland. Funny to be so far at sea, when you are having trouble out there most of the times it is another fisherman that will save you. It is so far out that the coast guard can't send a chopper and if the weather is bad well it can all end pretty quick. Most of the Nova Scotian fisherman I knew did not know how to swim, it only prolongs the time till you drown! The water is colder near shore than off shore cause you hit the gulf stream off shore and the water is warmer.
Gloucesterman
 
Status
Not open for further replies.

Staff online

  • Layla
    Staff member since November 20, 2017
  • Jamie
    Staff member since Feb, 2009
  • Pumpkin
    Staff member since March 26, 2015
Back
Top Bottom