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Revision TKR Revision again

joramb

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I have had multiple knee replacements/revisions and now need another on both my knees. I have had 2 ortho surgeons. The 2nd being a revision specialist. I’m getting discouraged. I’m looking for some names of other revision specialists to get a second opinion.
Amber
Bilateral TKR 12/19/2015
Left synovectomy 10/16/17
Left Explanation with spacer 11/08/2017
Left revision 01/30/2018
Left wash out and change plastics 12/17/2018
 

Pumpkln

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@joramb
Welcome back to BoneSmart, sorry to hear you continue to have problems with your left TKR.
You can use our surgeon locator at the top to of the page to start your search for another surgeon specializing in revisions.
I will tag @Jamie, she may be able to help you find a surgeon in your area, please post where you are located.
If you are willing to travel you could take a look at HSS in New York City.
 

Jamie

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Here are a couple of options within reasonable driving distance of you:

Orlando, Florida
Dr. George Haidukewych, MD

Orlando Health
1222 S. Orange AVE
5th Floor, MP 43
Orlando, FL 32806
Phone: (407) 649-6878


Jacksonville, Florida

Dr. Kurt Blasser
Mayo Clinic in Jacksonville, Florida
Primary and revision hip and knee
 
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joramb

joramb

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Thank you . I will see if I can get an appointment with one of them.
 
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joramb

joramb

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So I had my revision on the 25th. The plan was to replace only the tibial component. The surgery was to be about 2 hours. Apparently, it ended up being 4 & 1/2 hours. The femoral component was also loose and there was a fracture to the femur. He doesn’t want any range of motion for the 1st 2 weeks so I am in a jones dressing with an immobilized.

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ECE609A7-69DE-4F65-AAB8-35026053528D.jpeg


FCDF2FC0-9EC5-458B-9DEE-ADE88C2590EE.jpeg
 

sistersinhim

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It's good that the loose femoral part was found and replaced. Sorry to hear about your fracture. Don't worry about being in a brace or your ROM. Each one of my knees was in an immobilizer for 6 weeks after each of my kneecaps were removed. When finally able to remove them, my knees were stiff, but as I started to use them they loosened up and my bend came back in just fine.
 

Celle

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Welcome to recovery yet again, @joramb.

Just to clarify - You had a total revision of your left TKR on November 25th. Is that correct?
I've added that to your signature, but if it's not correct, please let us know. Thank you. :flwrysmile:

Although this is probably all old hat to you, I'll give you a copy of th recovery guidelines, as a refresher:
Knee Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​

4. PT or exercise can be useful BUT take note of these

5. Try to follow this

6. Access to these pages on the website

The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?
Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?

There are also some cautionary articles here
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in the majority of BoneSmart’s forums, we ask that each member have only One Recovery Thread. This policy makes it easier to go back and review the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 
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joramb

joramb

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So they cultured the prosthetics that were removed. Cutibacterium acne grew out on a subculture.
My surgeon states it’s nothing to worry about. I have been having low grade fevers at night for 2 weeks.
I’m already on augmentin for life because of 2 previous infections.
Am I just being paranoid?
 
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joramb

joramb

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Pain really bad right now and feeling pretty blue
 

Miggie

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I'm sorry you are in such pain and I know how that makes you feel. Hopefully meds will kick in and give you relief. You have been through a lot and I hope you feel better soon. Take care!
 
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joramb

joramb

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Thanks everyone. Today was a little better. I think it is a combination of pain and fear. 3 weeks out from surgery and I am still running fevers at night. I have an appointment with my Infectious Disease dr on Tuesday. I know this healing is a long process but sometimes you just need to lie down and have a good cry.
 

Jockette

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I know this healing is a long process but sometimes you just need to lie down and have a good cry.
This is so true :console2:

 

sistersinhim

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Let those tears fall. They are healing, emotionally and physically! I am glad you are feeling better.
 

isuretri

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sorry to hear you are having so many issues. I too am faced with having a revision on a partial that failed and now a tkr that is "lax". My doctor wants me to get a second opinion. Can you please share with me your experience with the revision? I have the maximum size spacer (20) and it is not big enough for the space therefore causing instability. Thank you
 
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joramb

joramb

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Isuretri , everyone’s journey is as different and unique as our bodies are. My 1st revision placed the largest size spacer also. I have had chronic infections so bone loss through that and osteolysis.
My new revision that I just had uses cones,bone grafts and offset stems. I also have straps around my femur in hopes of keeping the fracture from becoming worse.
Make sure you go to someone who specializes in revision.
The pain & emotional roller coaster have been different for all 6 of my surgeries. Feel free to private message me with any specific questions
Finding your way here to Bonesmart is a tremendous help.
 

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