Looking for some information from anyone,about what happens when someone has to have their knee redone for the third time. First one was in 1991,{2} revised in1996, implant is starting to loosen again. Can someone tell where to get any kind of info??
Third Knee Needed
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United KingdomHi Bob, and welcome to BoneSmart. You haven't filled in your location when you registered so I can't tell where you are.
That's bad luck, having two get loose in so short a time. A few questions to help me out though
What's your age?
Are you a big chap? or very big chap! - engage in any sports or other activities?
Have you had the same surgeon throughout?
There's a new(ish) speciality that is evolving out of joint replacement and that is surgeons who only do revisions. A revision is not just like redoing the original op. There are special implications and issues to be addressed. Therefore, I always advise people to go to such surgeons - revision specialists. These are the guys all the 'ordinary' surgeons send their problems to. It takes a bit of ringing around and asking but, were I in your situation, I would want a top notch (in the eyes of his peers, not the general public) surgeon to do a third revision.
That's bad luck, having two get loose in so short a time. A few questions to help me out though
What's your age?
Are you a big chap? or very big chap! - engage in any sports or other activities?
Have you had the same surgeon throughout?
There's a new(ish) speciality that is evolving out of joint replacement and that is surgeons who only do revisions. A revision is not just like redoing the original op. There are special implications and issues to be addressed. Therefore, I always advise people to go to such surgeons - revision specialists. These are the guys all the 'ordinary' surgeons send their problems to. It takes a bit of ringing around and asking but, were I in your situation, I would want a top notch (in the eyes of his peers, not the general public) surgeon to do a third revision.
Texas
alpha
Hi Bob. So sorry you are doing this for the 3rd time. I would do the same, find a revision specialist. I certainly wouldnt go to the same Dr.s. Sure hope it works out for you. Sounds like you have had your fair share. Please keep us posted on how you are doing. Once is good 3 is enough. This one will hopefully be the one and then you wont have to worry anymore. Take care. I pray that for you !!!!!!
I live in western Kentucky. I am 52 years old 5ft 9,about 200lbs. I am a disabled vet who receives my ortho care from the Nashville Tn medical center,which is on the Vanderbilt University campus. This is a excellent hospital and staff. I have had a bone scan preformed with the following results,"Increased activity in the right tibial plateau & surrounding the tibial component";mild hyperemia{not sure about the spelling on this report} to the medial right knee. What does this mean? Thanks for your help!!!!!
Thanks so much for your kind words and prayers. I want to say that I AM NOT A WAR HERO. Just another soldier who was hurt on active duty and I a being taken care of by this GREAT NATION OF OURS!! So thank you to the good people of this country!!!! No matter the outcome I will have the best care that is available and can go anywhere to receive my medical care. I have been hoping that there is something new that I could get involved in,even if it didn't help me what the dr's learn might help others.
It just means there is increased vascular activity in the area, probably due to the movement. Read this site - explains it a lot more effectively than I can!
I suggest you also make sure you have had blood tests for bacteremia which is bacteria in the blood. This would rule out any infection around the implants.
Bob, your last post brought tears to my eyes. You don't have to be a war hero to be a special person....just serving our country makes you that. And don't ever forget it!!! I spent 30 years as a civil servant paying Marines and come from a military family. I speak from the heart when I say that I thank you for your dedication to our nation. These days we need each and every person who feels as you do....you are ALL important to the success of America.
I found that broken link removed: https://www.vanderbilthealth.com/orthopaedics/20664 at the hospital where you are going is a revision specialist. So see if you can work with him on this surgery if you have not seen him before. You are correct that this is an excellent facility and you should have great care there. There are no magic techniques with a revision....just the incredible skill and knowledge of your surgeon. That's why it is so important to find the right person who has experience with situations like yours.
God bless you and please let us know how things go.
I found that broken link removed: https://www.vanderbilthealth.com/orthopaedics/20664 at the hospital where you are going is a revision specialist. So see if you can work with him on this surgery if you have not seen him before. You are correct that this is an excellent facility and you should have great care there. There are no magic techniques with a revision....just the incredible skill and knowledge of your surgeon. That's why it is so important to find the right person who has experience with situations like yours.
God bless you and please let us know how things go.
That's great, Jamie! The 'team' had done it again. I feel great confidence in reading Mr Shinar's profile there. He looks like the one! (Now tell us you are already his patient! :hehe
And Jamie, I've always loved how you guys over there appreciate and honour your military. Do you know we actually had our very first "Armed Forces Day" here in the UK, and it met with such negativity from the press and general public, I could have cried. I think we should be ashamed of ourselves how we fail our guardian angels in the forces.
I remember that line out of "The Hard Way" (I know, Michael J Fox
but bear with me!)......
the cop's girlfriend was dumping him because of the nature of his job. His reply was quite deep for such a shallow film ...
"Yeah I know - cops are too angry, too violent, too risky to care about. Until you need one and then we're the second coming."
And ain't that the truth!
And Jamie, I've always loved how you guys over there appreciate and honour your military. Do you know we actually had our very first "Armed Forces Day" here in the UK, and it met with such negativity from the press and general public, I could have cried. I think we should be ashamed of ourselves how we fail our guardian angels in the forces.
I remember that line out of "The Hard Way" (I know, Michael J Fox
but bear with me!)......the cop's girlfriend was dumping him because of the nature of his job. His reply was quite deep for such a shallow film ...
"Yeah I know - cops are too angry, too violent, too risky to care about. Until you need one and then we're the second coming."
And ain't that the truth!
Again thanks very much! I have already had the blood tests to check for infection. I spent 3 years fighting osteomyelitis and almost had to have my right leg removed. After 22 knee operations{18 on the right,4 on the left} I keep a close eye on my blood work. I will take this dr's name with me when I go in August and get the VA to give me a appt with him. The people in nashville are great at doing these kind of things for me. Before I was wondering about any new implants or studies for people in my situation. Info hard to come by was starting to think that no one comes out of the operating room with their leg still attached. I do realize that is the usual outcome. Thanks for the help Bob.
Not with TKRs, Bob! I have never ever known a TKR patient end up with an amputation. And I worked with revision surgeons. There's always another option.
As for the ironmongery, it doesn't really much matter which one. The surgeon will know the appropriate product and I am guessing that for you, it will be one with longer stems in both parts. Something like this
![[Bonesmart.org] Third Knee Needed](https://bonesmart.org/forum/attachments/awww-orthoworks-co-uk_images_cbusch_revision_tkr11-jpg.36433/ "[Bonesmart.org] Third Knee Needed")
There's also this great site I just found that explains about revisions in knees. A good read!
As for the ironmongery, it doesn't really much matter which one. The surgeon will know the appropriate product and I am guessing that for you, it will be one with longer stems in both parts. Something like this
There's also this great site I just found that explains about revisions in knees. A good read!
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