Revision TKR Revision right PKR to TKR

aquamarine117

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Not looking forward to my surgery because having been through this 1and 1/2 years ago
having been told then that I didn’t need a total knee surgery. It would have been great but after such a long time of pain, complications and it never feeling good I got a second opinion . The orthopedic dr. doing my surgery said that he is very selective regarding who would be a good candidate for a partial knee replacement and seemed to indicate that it is not me. He said I would continue having problems with this knee if I don’t have the surgery. I was just so hopeful the first time around, worked hard at pt, and found the recovery so painful now here we go again! July 29th coming up soon.
 
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aquamarine117

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Please add me to the July sparklers for a right total knee replacement surgery on July 29th
 

Celle

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Hello @aquamarine117 - and :welome:

I'm sorry to hear you've had problems with your PKR and now it needs to be revised to a TKR.
That's bad luck that unfortunately does happen to some people.

Please will you tell us the full date of your partial knee replacement, so we can add that to your signature for you? Knowing the exact date will help us to advise you appropriately in the future.
Thank you.:flwrysmile:

I had a revision from PKR to TKR when my PKR failed. Although I was anxious, the surgery and recovery turned out to be no worse than after my original surgery. My TKR is strong and reliable and I've had no problems with it at all.

Here are some articles to help you prepare for your surgery:

Longevity of implants and revisions: How long will my new joint last?

If you are at the stage where you are planning to have surgery but are looking for information so you can be better prepared for what is to come, take a look at these links:
Recovery Aids: A comprehensive list for hospital and home
Recliner Chairs: Things you need to know if buying one for your recovery
Pre-Op Interviews: What's involved?

And if you want to picture what your life might be like with a replaced knee, take a look at the posts and threads from other BoneSmarties provided in this link:
Stories of amazing knee recoveries
 

Celle

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I've added your name to the July Sparklers surgery list.
 
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aquamarine117

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Thank you for being so supportive Celle, I’m very new at writing on a thread or post but learning. Please add me to the July sparkle listing . My surgery is on July 29th , a total right knee replacement with a titanium implant due to a strong nickel sensitivity. I am looking forward to communicating with others on the bonesmart site . I remember my surgery on october 16 2018 and feeling very alone! Somehow after having many other treatments for this knee the dr. said I can do a partial knee replacement. It sounded so benign. I remember saying to him on my first appointment post surgery “ what did you do to me?”
 

Celle

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Hi again @aquamarine117 , your name is on the July Sparklers list.

Thank you for the date of your PKR. I've added that to your signature.

Even though a partial doesn't sound like much, it can be just as hard to recover from as a TKR. After all, you still have tissues pulled aside and the ends of two bones cut and shaped.
When my other knee needed to be replaced, I chose to go straight to a TKR.
 

Jaycey

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worked hard at pt, and found the recovery so painful now here we go again!
I think you will find our approach here is a bit different. PT should never hurt and there is no need to "work hard" at it. In fact many of our members had no PT during recovery and are doing just fine. Activities of daily living give your new knee plenty of movement during a recovery that can take a year or longer.
 

Jockette

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I had a partial 3+ years ago that I have never been happy with. However, in my case, 2 second opinions have not found anything to fix, so I am just managing with it.

What partial do you have? Mine is a Patellofemoral.

I agree with Jaycey about your comment of working hard at PT. We are led to believe that we must do that, but I’ve learned that isn’t true. The surgery causes a lot of trauma to the knee and pushing through painful PT only increases our pain. We will regain our ROM just fine by treating our knee gently.

Regaining our ROM is more about Time than repetitions of a list of exercises.

Time to recover.
Time for pain and swelling to settle.
Time to heal.

Our range of motion is right there all
along just waiting for that to happen so it can show itself.

In the general run of things, it doesn't need to be fought for, worked hard for or worried about. It will happen. Normal activity is the key to success.
 

Jockette

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This is the approach to recovery that we recommend. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.

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. At week 4 and after you should 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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aquamarine117

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I had a partial 3+ years ago that I have never been happy with. However, in my case, 2 second opinions have not found anything to fix, so I am just managing with it.

What partial do you have? Mine is a Patellofemoral.

I agree with Jaycey about your comment of working hard at PT. We are led to believe that we must do that, but I’ve learned that isn’t true. The surgery causes a lot of trauma to the knee and pushing through painful PT only increases our pain. We will regain our ROM just fine by treating our knee gently.

Regaining our ROM is more about Time than repetitions of a list of exercises.

Time to recover.
Time for pain and swelling to settle.
Time to heal.

Our range of motion is right there all
along just waiting for that to happen so it can show itself.

In the general run of things, it doesn't need to be fought for, worked hard for or worried about. It will happen. Normal activity is the key to success.
Hi Jockette, I too had a patellofemoral right knee replacement in october of 2018 after many other treatments, several arthroscopies etc. The knee has good flexion but I feel every step and its always tight and swollen. After my last arthroscopy two months ago the dr. saw that the arthritis had worsened and suggested i get another opinion. He referred me to a specialist in revision surgery who said I'd continue to have problems . So total rt knee replacement was recommended. I am athletic , loved walking , and none of this has been pleasurable. Want to get back to that me again. So nice to have people here to talk to. There's a huge city of us out in the world
 

Jockette

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So nice to have people here to talk to. There's a huge city of us out in the world
I agree, it sure is nice to have other people who understand. Most surgeries go well, so I’ve found the people I see in real life don’t understand my issue. Early on they just thought I wasn’t doing enough PT. Too often it seems people think PT will cure anything and everything, at least that has been my experience with people I come in contact with.
 
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aquamarine117

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Hi Jaycey , its so nice to have such a supportive community out there. I was happy to see some responses this morning because being not to tech savvy wasn't sure about posting etc. I clicked on your name and responded in the white bar and touched reply. Is that right? What kind of surgery did you have? I really thought the partial knee surgery would be the end rather than facing a new operation so soon. Just remember toughing out so many family occasions and hoping my knee issues would resolve in time. Did not happen that way . I'm getting emotionally ready for this and hoping for a good outcome. That darned osteoarthritis is a bummer. I remember my mother suffering with it and being so brave , having a good attitude despite being in pain. She had a little card on the kitchen table that said "I will do anything to feel better"
 
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Roy Gardiner

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Jockette

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At the end of our posts we have our surgery listed, with its date. If you can’t see that, try rotating your device. I always have to turn my phone to see this. We call it a signature. You have it, also.

The only exceptions are new members in pre op that don’t have anything scheduled yet.
 

zauberflöte

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@Jockette ohmigosh "rotate my device" what a revelation!!! Thank you! There is everybody's info right where I've been complaining this mobile version leaves it out! :rotfl: Thank you thank you!
 

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