calling_all_angels
big-cheese
United StatesDo you think that this is a faster recovery surgery???
thank you
^i^
thank you
^i^
Question on MIS
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Josephine
NURSE DIRECTOR EMERITA
Somewhat. Since it's less invasive (Minimally Invasive Surgery) it means less pain, less soft tissue healing. But the amount of invasivness to the bone is the same as is the need for PT afterwards. You may need less pain meds too.
However, it's not always a patient choice thing. People either are or are not suitable for it. And you need to find a surgeon with experience par excellence as it's not just another means of doing a TKR, it's a techincally demanding skill that's very hard come by.
However, it's not always a patient choice thing. People either are or are not suitable for it. And you need to find a surgeon with experience par excellence as it's not just another means of doing a TKR, it's a techincally demanding skill that's very hard come by.
OP
OP
calling_all_angels
big-cheese
Jo,
There is a Doctor at the OS place I go to, in fact there are 2 Dr. there that do MIS.
From what I read it sound like it was less stress on quadriceps muscles. I just wonder
if it was a faster recovery this way. Are you having this type Jo???
There is a Doctor at the OS place I go to, in fact there are 2 Dr. there that do MIS.
From what I read it sound like it was less stress on quadriceps muscles. I just wonder
if it was a faster recovery this way. Are you having this type Jo???
Josephine
NURSE DIRECTOR EMERITA
Well, go for it then - I would have! But sadly, obesity is the principle reason for not being a contender. They like slim even skinny legs to do it on. Mine are anything but!
OP
OP
calling_all_angels
big-cheese
Dang mine aren't skinny either!! Ohhhhh Dang Dang Double Dang!!!!
Some times life just is not fair Jo.
^i^
Some times life just is not fair Jo.
^i^
Bennet
new member
They exist and I highly endorse them. You just have to do a bit of research. Although my wife refers to my legs as the longest ankles in the world, the OS I used routinely operates and large legs. So as Jo says, don't give up too easily.
Best of luck,
Bennet
Best of luck,
Bennet
Sandy R
member
My TKR was MIS quad sparing and I have two friends that used the same OS with their TKR... none of us are skinny, not obese either, but definitely not skinny! I've been thankful every day of my recovery (4 1/2 months), that I opted for MIS quad sparing. Because it's rather new, there aren't a lot of OS's yet that use this technique in TKR's, but if you do some research, you'll find them. Much of the reason this type of surgery is slow coming, is there are special instruments used, that definitely take a learning curve.
Sandy
Sandy
hollie9
member
Well MIS usually means a shorter incision, and quad sparing is a technique to not effect the strength of the quad muscle, so they are two different things.
I would caution against using a surgeon for any big surgery who has not done at least 100 of the procedure you are getting. There are studies that the most mistakes are made in the first 100 procedures new to the OS.
As far as eyeballing, I believe it is more by feel that the surgeon can tell proper alignment, etc. Although now they use computers for alignment, I told my TKR doc computers are fine, but I expect him to know by feel if everything is OK. He shook his head yes. Luckily for me he has done 4,000 of these, so I don't need to worry, and I also know quite a few past patients of his that came out excellent.
It is a challenge to get the prosthesis into very small incisions, if the incisions are ridiculously short, I'd be careful about that OS.
Hollie
I would caution against using a surgeon for any big surgery who has not done at least 100 of the procedure you are getting. There are studies that the most mistakes are made in the first 100 procedures new to the OS.
As far as eyeballing, I believe it is more by feel that the surgeon can tell proper alignment, etc. Although now they use computers for alignment, I told my TKR doc computers are fine, but I expect him to know by feel if everything is OK. He shook his head yes. Luckily for me he has done 4,000 of these, so I don't need to worry, and I also know quite a few past patients of his that came out excellent.
It is a challenge to get the prosthesis into very small incisions, if the incisions are ridiculously short, I'd be careful about that OS.
Hollie
Sandy R
member
Hi again Hollie... I'm no expert in this type of surgery but from what I've learned, it's not so much "eyeballing" or "feeling", but rather the OS must be proficient in using the special instruments that are required because of the smaller incision. My OS has traveled to several countries abroad, on the bequest of hospitals, to teach OS's to use these special instruments. It affected his 2008 surgery schedule but he felt it was important to get more OS's on board using the technique.
Seems to me we're the lucky ones to have found OS's that are on the cutting-edge (pun definitely intended) and are skilled in doing this technique.
Sandy
Seems to me we're the lucky ones to have found OS's that are on the cutting-edge (pun definitely intended) and are skilled in doing this technique.
Sandy
hollie9
member
My friends who watch the actual operations say the surgeons have to "get their hands in there and be able to tell by feel" many aspects of the surgery. These were top surgeons.
I can't stand to watch actual operations myself. I don't want to go there.
Hollie
I can't stand to watch actual operations myself. I don't want to go there.
Hollie
Sandy R
member
You're probably going to think I'm silly but I worried most about having both my legs be the same length after the surgery. The OS's nurse assured me he measures several times before closing, to make sure both legs are the same length.
Years ago someone said, before choosing a surgeon, look at his hands... if they're short and stubby, find another surgeon. At my next follow-up, I'm going to ask my OS about "feeling" to make sure the replacement fits properly... and at the same time, take a good look at his hands!
Sandy
Years ago someone said, before choosing a surgeon, look at his hands... if they're short and stubby, find another surgeon. At my next follow-up, I'm going to ask my OS about "feeling" to make sure the replacement fits properly... and at the same time, take a good look at his hands!
Sandy
Sandy, my surgeon gave me the funniest look when I asked him how he made sure both legs were the same length. But he answered and sure 'nuff the new leg matched the old one. So you're certainly NOT the only one who has worried about that.
hollie9
member
Yes, Sandy R., we're lucky to have surgeons who are on the cutting edge of the trend but now I find out my surgeon is starting to do knee resurfacings (no bone amputations), so I'm bummed I'm missing out on that. If I'd known he was doing this earlier, I would have lived on cortisone for a year or two till he perfected it.
I have resurfaced hips and love them.
Hollie
I have resurfaced hips and love them.
Hollie
Texas
alpha
Calling how are you feeling? Jusy checking in as you do us. Hope all is good......Kim
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