I saw my ortho Monday and the insurance company approved the surgery yesterday. I guess miracles do happen. My tale is probably not much different than many of you. I have struggled with my right knee really for 25 years since I took a fall. I've had 3 arthroscopic procedures from 1993-2010 to remove or smooth out the cartilage. During the one in 2010, the doctor found that 80% of the cartilage had delaminated from the back of the knee cap and had to be removed. I dealt with it until 2013 when I started having excessive fluid buildup and pain. In July 2013, I had ACI (Cartilage Implantation) and an osteotomy. The surgery was successful but the healing was not. I ended up with an open wound that never healed. In fact, got to the point where you could see the bone (I have thin legs) In December 2013, I had muscle-flap surgery with a skin graft with an amazing reconstructive surgeon. Thankfully, while he was in doing the surgery, he checked for infection. Two days later, he came in to inform me that I had MRSA in one of the screw holes (the one that had been exposed for 5 months). 4 more surgeries and 6 months worth of antibiotics, we felt like we had the MRSA beat. Fast forward to mid-2017, the knee starts really bothering me again. I've had a fair amount of pain in the knee/leg region but some of it was from the nerve damage from the muscle flap and some of it, I thought was the osteotomy that changed the position of bone. I've tried cortisone, sinvisc, rest, ice, elevation, strength training, water areobics... all to no avail. So the only option left is the TKR. The MRI showed grade 4 chrondromalacia with signficant denudation because the patella didn't track right (part of the problem is due to a genetic disorder). I really didn't expect to post this long but, in reading your posts, I thought I might find someone on here that understands the combination of excitement and terror combined. I felt lucky 4 years ago when I felt some confidence that I would lose my leg due to the MRSA. I'm desperate to live a normal life with less constant pain. I know the chance of infection is low but I'm petrified to have an open surgery again.