Guest viewing is limited

partial knee replacement

Status
Not open for further replies.

marquesa

member
Joined
Aug 20, 2009
Messages
128
Location
United States
Hi, I am new to this post. Hasanyone had partial knee replacement? and does anyone have recommendation as to which brand? Oxford Partial knee has been recommended. Thank you for any information. I am really anxious.
 
Re: partial kinee replacement

Hi, Marquesa. Welcome to BoneSmart. Don't be anxious....there are a lot of folks here on the forum who will support you through your surgery and recovery. We've all been there and understand anything you might be feeling. So post ANY TIME you have a question or concern!

We have had folks on the forum who have had partial knee replacements. Just like with a total knee replacement (TKR), it matters a whole lot less WHAT device is used than how skilled your surgeon is. You need to hunt for a surgeon who has done your type of surgery many, many times and with whom you feel very comfortable. Then go with whatever he or she recommends.

There is really not that much difference in one type of knee from another and YOU won't know the difference once it's there. It's the surgeon that counts.

Have you selected a surgeon yet?
 
Re: partial kinee replacement

Hi Jamie, thank you so much! I have two surgeons here in Houston, tx that I have been referred to..a Dr. Larry Likover and Dr. James Bruce Moseley.. Likover has done the surgery many times and has a big wesite but I didn;t feel comfortable with him..have an appt with Dr. M today..I live in Mexico and will have to come here for the surgery..so I am doubly anxious.
thank anyone out there who can help.
thanks!
 
Re: partial kinee replacement

Jamie, I am not sure if I did that reply correctly..still trying to learn how to navigate the page. so glad I found this site!
 
Re: partial kinee replacement

You're doing everything just fine. Several of our members have had TKRs in Houston and so I know there are some very fine doctors there. Here is a link to a thread that provides some questions to ask a prospective surgeon....it's kind of like an interview! Just click on the link and it will take you to the thread.

Keep us updated on your progress....post any time!
 
Welcome marquesa. Be sure you ask your surgeon how long he expects this parital replacement to last before it (might) need converting to a total. Many do and it's something you should discuss in depth with him before you finally commit to it. The statistics for conversion are not that good so make sure he is confident it's the right thing to do. However, some people have the partials for quite a long time - my sister in law for one! When they are good, they are very good but too many have to be converted in a fairly short period of time - like under 5 years. Don't mean to frighten you but it's best for you to be aware.
 
Marquesa, I've done my research a year ago and rather than a replacement, went with resurfacing. Technically, the procedure is the same, but clinically, with conventional knee replacements, surgeons are removing more 'bone' that's unnecessary to be be removed vs resurfacing. The problem, in my case with OA, isnt the bone, but the erosion of cartilage. Resurfacing re-treads the tire.

Partial knee replacements last as long as totals with the right patient, surgeon, system and technique; each can be 90-95% successful out to 15 years. Knee replacement surgery as a whole has advanced substantially over the last 10 years, where now we have seen outcomes in most reputable joint journals such as JBJS with prospective, randomized, controlled studies such as this one published this year. broken link removed: https://www.ejbjs.org/cgi/content/extract/91/8/2012
 
I have a partial, the Journey Deuce. It covers the medial side and the kneecap. I asked the OS if it would be difficult when I needed a total knee replacement. He said I might never, since he'd make sure the lateral side was in good shape, but that if I did, it was very easy to add the lateral part onto what I have. (He said he couldn't tell for sure if he could do the partial, that he'd have to actually see it in surgery.)

So far, I'm not in a position to recommend this joint. It's great when I'm lying down and I had full range of motion after a few weeks, but I'm having pain when I start to walk after sitting and pain after I've walked a while.

Pat
 
I'm end stage bone disease and osteoarthritis. My first Dr. only suggested shots and excercise. I got a second opinion. He said I needed new knees. I also could do just the shots, or partial. But he said, one day I will need new knees. So for me, that's what I have chosen so I can get on with life. It wasn't an easy decision. Just need to do it not out of fear, but since I have health insurance, and am relatively young at 51, and no vascular/heart problems, we figured I was a good candidate to get it done. Good luck to you!
 
And aside from the genuine feedback here, I also gained a second and third opinion because I learned at the time that the top 5 major ortho implant companies were fined by the department of justice for, in essence, buying orthopedic surgeons to use their products. So it turned out that a couple of the most popular ortho surgeons I saw, even though they were the most 'popular' in my area, were under lucrative consulting arrangements to just 'use' a particular companies product. https://www5.aaos.org/industryrelationships/news.cfm

If you see 'click' through each knee technology sponsor on the front of this sites home-page, and familiarize yourself enough with a technology that you'd like to learn more about, each companies site should have a surgeon-finder. I would never just accept one surgeons view-point on anything from this point forward, but empower yourself with knowledge to be comfortable with what your going to get. You dont want a technology that a surgeon is using just because his rep plays golf with him.
 
Wasn't this a big thing in 2007??
And are not these company's now
being watched??? I think that you
are safe now!!! But a second opinion
Never HURTS.. Every OS has there favorite
product they like to use. But like mine
said they are going by how little went
wrong with them!!!!!
So what is it you are trying to say???????????
 
Wasn't this a big thing in 2007??
And are not these company's now
being watched??? I think that you
are safe now!!! But a second opinion
Never HURTS.. Every OS has there favorite
product they like to use. But like mine
said they are going by how little went
wrong with them!!!!!
So what is it you are trying to say???????????

A year and a half is not that long ago, Angel. And of course a second opinion never hurts; I get 3 as a matter of fact. I made a calm and empowering suggestion and I'm sorry that you became so defensive; nothing meant by it other than empower yourself with knowledge. I didnt get an oxford due to not wanting to have a free-floating skid in my joint that may risk spinning out. But I made that choice based on reading, consulting and empowering myself with knowledge and found a surgeon that was very supportive of patient education and choice.

Every product has a degree of safety and compromise.
 
Hi and Welcome I agree seems like most par'l's end up with a T. replacement......Just make sure so you dont have to do this again..... ugh!!!..lol....Good Luck though. I dont think I would worry too much about the replacement as much as make sure you trust the D......100 percent.......I wish you the best of luck in whatever you decode....We are all here for you as we have been thru it one way or another......:)
 
Krux,
Defensive about what??? I was just asking you a question. I believe we need to know what is going to be used in our bodies because we have to live with it. And I only stated what my OS said about the Knee replacement's he was using and why. There was nothing said that would have made my post come off as being defensive. I just want to know if you had more you know about it. I like to learn things. That is what we do here share information with each other.
 
marquesa........what has led to up to the partial? what other options have you tried and are still options? Just want to gain as much info as I can as well. I am still debating whether to have a partial done.
 
Marquesa, I had a PKR 5 months ago and now it is loose! I had an Oxford knee put in.Again, I believe it is all about the OS. I am now told that I need a revision to a TKR, but am researching the OS as well as I possibly can. The more I am reading about the partials, the more I am understanding that VERY few people are truly candidates for this procedure. You really need to grill the OS. I had trust in mine, he said all conditions were right, but looking back I had already had 2 arthroscopies on that knee and I definitely have osteoarthritis in the knee joint. Have for many years. I have read about the resurfacing alot lately and would have probably opted for that procedure first, knowing what I know now. Just take your time and do your research. I was told this would last 15-20 years,and I am not even close at 5 months. The list of questions posted here are wonderful and I will take them with me to the new surgeon. Best of luck! DebR
 
Hi Guys, thank you so much for all the replys it is so helpful to hear from you!

My surgeon said I was a perfect candidate for the oxford partial KR because the arthritis is only in the left inside knee. He also took some special xrays of the knee to see if arthritis is anywhere else and he xrayed the right knee, too.

He has been a sports medicine/surgeon for a long time and also works with Baylor College of Medicine in Houston.

I got one other opinion, the Doctor said the same thing but I didn't like his attitude very much and his staff was a bit disorganized.

To complicate matters, I live in Mexico, but will go to Houston for the surgery and have to come back afterwards.

Can any of you tell me your experience with traveling after PKR?

I appreciate any help at all.
Bless you all, Marquesa
 
There is one thing, Marquesa. If you have arthritis in part of your knee, sometimes having surgery like a partial will result in an acceleration of arthritis in the other knee compartments. That happened to me after a scope. It certainly doesn't happen in all cases, but it is a possibility.

When I had my TKR, it appeared that I only had the arthritis on one side. But the agreement I had with my doctor was that he would do a partial if possible, but if he saw signs of additional arthritis once he got in there, he would do a complete TKR. You do want to give your surgeon that latitude. This is why you must find someone you trust completely.
 
I am in the field with going with the physician you like the best. My first opinion, the Doctor had all the 'sports' creds and has been on CNN. Just didn't like the Dr. and do not feel like I was given the total picture, as my OS that I will be using tomorrow gave. I hope you do well! And good luck traveling!
 
Status
Not open for further replies.
Back
Top Bottom