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Revision TKR Tibia fracture after TKR

Try not to worry. We’ll always be here for questions and to try and fill in any of the information gaps you may have after meeting with your surgeon. Obviously the surgeons are the best for diagnosis and initial information, but we frequently can help with additional details and explanations of what to expect as you go through this journey. Surgeons don’t usually have enough time to go through all the intricate details of a procedure or recovery.
 
Thank you so much, Jamie. I appreciate your support. I’m doing well, mostly well, from a psychological perspective. I have my moments of self-pity, and I’m giving myself the grace to have them. Physically, I’m frustrated with the pain and decrease of mobility. My surgeon, the one who operated, has been very on top of my concerns. I meet with an HSS surgeon on Tuesday, as you know. Sorry for repeating myself. I don’t have many restrictions. No high impact exercises and no walking without an assistive device. Fear (and pain) have kept me housebound these past few days. But I am going to have a great end of the week. My twin grand babies will be here tomorrow! Also, I’m much less despairing than I was when I first found out. I mean, what good does wringing my hands do? I have a plan and it’s in motion. Thank you for touching base. So appreciated.
 
Twin grandbabies will put a smile on your face for sure. It sounds as though you have a plan in place, good for you.

I have a question for you - just for my personal curiosity. During your recovery from your TKR, did you go to PT? If so, while attending PT, did the therapist every push on your upper thigh? I am certainly not looking to blame anyone, as I said, I'm just curious. As you can see from my list of surgeries I too had a tibial fracture. I distinctly remember the pressure the PT applied to my thigh because it was tight. He also used an instrument to help 'loosen' it up. IMO that is when my fracture occurred - but of course I have no proof. And I'm not blaming him - if it was going to happen it was going to happen sometime. Or frankly walking across the floor it happened, its simply a guess.

Write your questions down. I have no doubt you'll do great. We are here to help you on this journey.
 
Dear Eaglemom, Thank you for your response. I’m so sorry to read that you too had a tibial fracture. We’re tibia sisters! Ugh, that’s not even funny. I’m trying to find humor somewhere, anywhere in this. I did go to PT. My PT treated my knee replacement holistically. They were the only ones of the four I interviewed who did this. I have a congenitally bad back and my right knee needs replacing too so I was happy to find a PT who would also address my back and other knee if and when the knee exercises compromised them. I cannot recall having my thigh pressed on. Oof! That must have hurt! From everything I’d read before my surgery and from all the medical people I’d spoken with, I was told the knee is fully weight bearing as soon as the surgery is done. I was warned about infection but not about loosening devices, to my recollection. “You can’t hurt it,” was the general theme I recall. I had so much pain from the moment the drugs wore off, I was exceptionally protective of the knee. Are you ok now? I tried to read your history but I lost the thread before I could read your story. Are there answers as to why this happened? I know you suspect PT. Do you have a definitive answer? I really would like one for myself. I’m reading about infection and device malfunction as the overriding reasons for needing a revision. But you’ve given me something else to ponder. I hope you’re ok. May I selfishly ask if the recovery from revision surgery was as difficult as for the initial surgery? I had so much pain, I become despondent at the thought of doing it again. All my best to you!!!
 
@BoningUp I will tag @eaglemom for you so she’ll see your post above.

Here’s her recovery thread for her right knee, if you want to read it.
bonesmart.org

Revision TKR - Hmm. Not thrilled with the revision yet

I'll try to make sense here. My total revision was on Tue May 23rd. and came home on Thur. 25th. Surgery took just over 3 1/2 hrs. Lots to correct inside the knee. The tendons were quite messed up because the appliance was so loose. (Hello, that's what I've said for 3 yrs.) I will admit its...
bonesmart.org bonesmart.org
 
Again I've not rushed to respond because I never want to sway anyone. It's difficult to answer about the recovery from the revision verse the TKR. That's because I had two big surgeries and the femur issue all in 10 months. My body was tired tired tired. Mentally I was fine with having the revision because I knew I'd feel better, but man I was one worn out puppy!! Also my revision took over 6 hours and has some 'custom' piece so we're not comparing apple to apples. Yes they are the same in your knee has all the trauma, but hopefully that will be all that you'll ever have to have done.

Ask away and I'll respond sooner. My revision absolutely solved my loose unstable knee.
 
Thank you for your reply and for checking in. I’m despondent. I went to HSS for a second opinion and like the surgeon very much. He explained that my bone simply did not fuse with the implant. He said it happens in fewer than 1% of patients and he explained the revision surgery and how it would differ from a routine replacement. He also knows my surgeon and has the utmost respect for him. I’m still undecided as to where to have the revision surgery. I’m exhausted from this entire ordeal and can’t even imagine yours. I’m disheartened by what I read about the prognosis and I’m generally very blue. Thank you again for reaching out. I’m glad to hear that your revision stabilized your knee. It’s a weird and unpleasant feeling to be disjointed. All my best …
 
I thought I'd reach out and see how you are doing. To see if you'd made any plans for a revision, or if your in a 'holding' pattern. There is nothing wrong with a holding pattern, its your knee, your body & you get to make the decision when to have the revision.

Hope your doing well.
 
Thank you for checking. I hope this message is in direct reply to you. Idk if I have to do this: @eaglemom or not. Hope you see this. I think I’ve made the decision to go with the first available appointment which is at HSS. I’m a little disappointed that my original surgeon has seemingly not made an effort to fit me in or to check up on me. I am scheduled to have the revision with him in a few months and I’ve not heard a “how ya doing” from him or his office since I booked that surgery more than a month ago. I’m not doing great. Pain, swelling, apprehension (more like fear, tbh), depression. My life has become very small. I just want this to be over. My pain increases as my mobility decreases. You know. It’s not great, but it can always be worse, right? I try to live my life, but it’s a challenge. I just hope that I will regain full mobility and will have no pain after the revision. I don’t look forward to the recovery. It was tough for me, but as the HSS surgeon said, I never actually had a recovery after the first surgery. I hope that occurs this time. Thank you again for reaching out. I appreciate it. I hope you are well. I hope you get this message.
 
BoningUp said:
. I hope this message is in direct reply to you. Idk if I have to do this: @eaglemom or not.
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Tagging her like you did is the best way to be sure she sees your post.
BoningUp said:
I just hope that I will regain full mobility and will have no pain after the revision. I don’t look forward to the recovery. It was tough for me, but as the HSS surgeon said, I never actually had a recovery after the first surgery. I hope that occurs this time.
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HSS is very good, so yes, hopefully they will be able to fix the issue. I’m sorry the first surgery didn’t go well. :console2:
 
Thank you, @Jockette! I also sent Eaglemom a PM. I have great confidence in the surgeon at HSS. I’m from NY and have friends and family who’ve had procedures there. I just want this to be over and done! Be well and thanks again for your encouragement.
 
I hope HSS can see you soon and the path forward becomes clearer. ((hug))
 
I feel for you and so sorry this has happened. Take all the time you need to be angry/sad/scared etc. But, I’m hoping that when you get this fixed you will have that miraculous recovery you didn’t get the first time.
 
Thank you, @MSuki! I’ve experienced all the emotions and am now, simply, despondent. Oh, and scared. Yup! I’m terrified of the procedure, the pain, the possibility that it might not work. Ugh. But there’s no way forward but to have it done. Thank you again for your encouraging words.
 
BoningUp said:
I think I’ve made the decision to go with the first available appointment which is at HSS. I’m a little disappointed that my original surgeon has seemingly not made an effort to fit me in or to check up on me
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I try to view these instances as "it was meant to be" or as divine intervention, for me personally.
I believe Hospital for Special Surgery is the top rated orthopedic hospital in the country, so hopefully that brings you comfort. You're in the best of hands. I realize this is cold comfort, but I've read many accounts here of surgeons who consult with the patient over surgery, or revision and then never make contact again prior to the scheduled date. I had some difficulty with this myself and told my husband that while I didn't expect my surgeon to take me out for dinner and cocktails a little communication before he cuts into my flesh may have felt supportive and eased my anxiety.:sad: No such luck.

I am sorry you're in pain, anxious and depressed. I wish I could take it away. I remember those feelings, even though I never experienced revision surgery. However, there are many, many accounts here of those who experienced successful revisions and hopefully if you hang onto their words, some of the anxiety will ease.
Understandable that it's a tall order, but try to stay positive and envision a successful surgery with perfect healing as a result. That is my prayer for you. Big hugs, BoningUp. :console2:
Please know that we're always here if you're feeling in need of support or encouragement.
 
Thank you, @Layla! I look for signs too! I really appreciate your story. It resonates deeply. I’m a native NYer living in another state that also has excellent medical services. I wanted to do my surgery and recovery in my primary home to be surrounded by my cats and dog. They comfort me. I will most likely have the surgery at HSS and will travel home by car - my husband will be driving - upon discharge. HSS knows this and says patients do it all the time. They will equip me with what I need to make the several hour trip. So, this is a bit of a stumbling block for me. I’m full of fears and questions. What if it snows? What about traffic? Can I stay in the hospital an extra day or days to avoid NYC holiday traffic? Will there be a skeleton hospital staff at the time of my surgery? Ugh! I acknowledge that I’m probably questioning these things more as excuses rather than real issues. Idk. I’m basically a nervous wreck about it all. I’m going to HSS next week for pre surgery tests and I will ask those questions then. Thank you for sharing your experience and feelings. Your words are comforting, like a virtual hug.
 
I didn't see my surgeon before my revision either. I think it was a year before my surgery that I had seen him. Fortunately for me, my surgery was at my local hospital. I hope you can get some answers at your pre-op.
 
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