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Revision TKR Tibia fracture after TKR

You may not embroider, but if you think it could help, you could write words that encourage you and put them up on the refrigerator door or your bathroom mirror. It’s easy to get bogged down with what is frequently a long and up-and-down recovery and forget the big picture. I’m glad my comments helped….thanks for the feedback. You’re going to do just fine!!!
 
@Jamie So sorry for not responding sooner. This got buried in my email.

Thank you again for your continuing support. Written affirmations might be a good idea, reminders that I’m doing ok.

Currently, I’m doing well. My PT is impressed with my flexión and extension and he says I’m walking well! Hurray! I’m optimistic.

Thank you
 
Thank you for your update! :SUNsmile:
 
@mendogal (my emojis don’t always upload. Idky. Just in case that happens, I sent a kissy face emoji.)
 
@BoningUp …. BoneSmart has its own emojis and they should always work. Many times others don’t work with our software program. You can access our emojis with the smiley face icon in the tool bar at the top of every reply block when you post.
 
Happy Two Month Anniversary, BoningUp!
I hope you continue to do well following your revision surgery.
Stay in touch, we'd love to follow your progress.
A great rest of the week to you!
@BoningUp
 
Hi @Layla. How are you? Thank you so much for checking in with me. I’m sorry I didn’t respond sooner. I’m doing ok. My surgical (left) knee is feeling so much better than at any time during my recovery from the first replacement. Unhappily for me, my right knee is deteriorating and taking my right hip with it. Arthritis stinks! I’ve stopped PT, with my therapist’s blessing as he agrees that it wasn’t helping. He is wonderful though and has encouraged me to go to the gym to keep my upper body strong. I used to be a gym rat but pain kept me out of the gym for the past ten years. I’m just working upper body now and it has been a joy to be back, if only partially. I even hired a trainer and he understands my current limitations. But I’m good about protecting myself from harm too. I go back to my surgeon in early April and, at that time, will discuss replacing my right knee. Even the thought of it made me cringe after the first surgery, so painful was my (non) recovery. But I’m seeing improvement, feeling less pain and am generally optimistic about having a decent recovery after the revision. Thank you again for checking in.
 
It's so good to hear that your revision is doing better and you can see some improvements. Bravo for you for finding a way to get to the gym for some exercise and socialization. That will benefit you so much as you move forward on getting the right knee replaced. There will be light at the end of this tunnel.....hang in there!
 
Hi again, BoningUp :wave: I am good, thanks for asking!
No worries about response time, it's our pleasure to hear from you, so thank you for the update!
It is wonderful to read that your knee is feeling better since the revision and I am really sorry you have to deal with an ailing right knee and hip at the same time. Thankfully you were blessed with a good match in a PT and also in your trainer. It certainly helps the process. I wish you all the best as you continue healing and good luck with your appointment in April. Please let us know how it goes.
A beautiful Sunday and week to you! :) @BoningUp
 
Hi BoningUp. :wave:You're three months post op now...Happy Three Month Anniversary!
I hope you have a lovely Spring 2024. Please stay in touch.
Many blessings to you!
@BoningUp
 
Hi. So nice to see your messages and well wishes. I’ve been away from the forum, in a funk. I had to stop PT and the gym as the pain in my nonsurgical knee impeded me from doing anything. I’m scheduled to have it replaced on June 6 and am having reservations and fear. I was just diagnosed, yesterday, with severe arthritis in my right foot and I can’t attend to it medically because it’s too close to the surgery. Idk what to do. The pre surgery exams revealed high ALT liver enzymes so the doctor took me off meloxicam that I took daily for pain. Arthritis truly sucks. Thank you for your words of encouragement in the part. I’m sorry to have not checked in to this forum. I am not one to be indecisive but I feel as if I’m allowing the process to just take me to the OR. I’m wavering.
 
So sorry to hear about the problems with your right foot. I’m sure that was information you didn’t need when trying to prepare for having a second knee replacement.

You might ask your GP if you could use a topical NSAID like Voltaren on your foot or if it’s possible for you to try Celebrex. Both of these are usually less of a problem with liver enzymes than Meloxicam. With the topical creams, you may get some relief from pain and not as much of the drug is absorbed into your system since it’s applied locally. And Celebrex is a good anti-inflammatory medicine that works in a different way than standard NSAIDs, so it is generally easier on your system.

But it does sound like you need to continue with your plan for the knee replacement. When a joint gets so bad that it’s impacting your life in a major way, there really isn’t any hope for it to get better. With arthritic damage, things never “heal.” It only worsens and you don’t want that. If you have specific fears, it may help to post them here to get them out in the open. Trust me….there isn’t anything we haven’t heard before. It is very normal to have second thoughts as a surgery date nears. This just means you’re human and realize this is a very important decision you’ve made.
 
Hi @Jamie. Thank you so much for your compassionate and logical response. It’s very helpful. My heart and head are in the age old battle of what to do next. Your response is helping me clarify my decision and giving me hope when I’m feeling hopeless. The liver test threw me for a loop as did the foot diagnosis. I think/hope fixing my right knee will help with my now painful hip and perhaps with my foot as well. I’m five months out from revision surgery, the recovery of which was so much easier from the get go than the initial TKR. But then I kind of hit a snag and k feel that my recovery pace slowed. I know my right knee is inhibiting my left, revision knee. I had been in Celebrex, prescribed two years ago, by the very first surgeon I consulted. He referred me to the surgeon who did my initial TJR who switched me to Meloxixam. I will discuss going back on Celebrex after my left knee TKR. I did not know Celebrex is easier on the liver. Thank you! I did use Voltaren but was taken off all meds, except synthroid, after my liver enzyme test. With surgery only six days away now, (if I do it), I’m staying off everything except synthroid. I think if I was farther along in my revision recovery and if I had less pain (walking up and down steps, walking on grass and uneven surfaces), I’d be less wary of operating on my no surgical knee. I know, cerebralky, that that’s the best thing to do. I’m afraid of the saje thing happening again - the need for a revision. I know that’s not likely, but neither was the first one. I’ll figure it out. I have a wonderfully supportive husband and family, but they can’t make this decision for me. And u don’t want them to. Six days. Six days. But who’s counting?!
 
You’ll make the right decision. I have confidence in you because you ARE weighing all the options.

I’m having sort of a similar situation with arthritis in both feet. It’s affecting my gait. Tylenol and Aspercream can help some, but it the stiffness and pain never really go away. I’m in therapy because my quads and glutes were so weak that I was limping after my hip replacement 1 1/2 years ago. I had tried so many things but it ended up that I really needed this therapy. But I told my therapist today, now that she’s making my hip better, I notice that the arthritis in my feet is contributing more than I thought to my poor gait. She felt some ankle and lower leg strengthening exercises may be able to help. So we may start on those at some point. Perhaps something like that might help you following your TKR if you are still having foot problems.
 
@Jamie I am so sorry for your pain. Glad you’re working with a therapist who can offer some relief. Have you tried acupuncture? My father in law had severe arthritis in his hands, which were bent and gnarled. After a year of acupuncture, his fingers were straight and free from pain, as I recall. It was something of a miracle, I remember thinking at the time. I am definitely going to go for acupuncture of my feet after my knee replacement. (I’m more certain of doing it. So terrified.) I use Voltaren on my foot, but am currently off all NSAIDS because of the heightened liver enzymes, which dramatically lowered within a week of going off the meloxicam and Voltaren.)

I wish you continued and even greater success in your search for pain relief. Thank you for reaching across the ether to help me. I appreciate that so much.
 
I didn’t think about acupuncture, but I’ll keep that in mind. Thanks for the suggestion and story about how well it worked for your father-in-law.
 
Hello BoningUp,
We’re missing you here and wondering if you went through with your surgery on June 6th and if so, how are you doing at this one month post op milestone? We’d love to hear from you next time you’re on the forum if you have the time.
All the best! Hope to hear from you soon. :)
@BoningUp
 
Hi @Layla! How are you?

Yes, I went through with the knee replacement of my right knee and I’m now almost six weeks post op. It’s going fine. I’ve learned that every knee replacement is different. It’s a bit weird to me to learn that. This one is more painful than the revision and I get scared that I’m going to experience something akin to what caused me to need the revision on the other knee. My surgeon at HSS is wonderful and asked me, prior to the surgery, if I experienced PTSD. He told me it was a normal reaction and that he’d do the right knee surgery similar to the revision, so as not to allow my body to not mesh with the implant. He thinks that’s why I needed the revision on the left knee.

I’m doing well, expecting to be doing better, expecting to be pain free, but no. I don’t use assistive walking devices and haven’t for weeks, except when I’ll be walking a while, like in a supermarket or a mall.

Two weeks after surgery, my husband and I got Covid. OMG! It was our first time and it aimed itself at my knees!! I consider that a big setback on my recovery but I persevere. Tomorrow is my last day for in home PT. (My therapist is wonderful, gentle, and compassionate.) I’ve already scheduled out of the house therapy next week, and if I don’t like how it goes, I will do it on my own. Maybe that’s a benefit of having two replacements behind me, lol.

So, almost seven weeks out, I’m doing well, I think. I use Tylenol for pain relief, having stopped taking the oxycodone in the second week. It did a number on my stomach - and then Covid! Oof. But it’s blue skies ahead, I feel. I’m hoping to get back to the gym in a couple of weeks and to resume my life before surgery. And I don’t beat myself up for my lack of progress as I did after the first surgery, which I now know was major league messed up.

I hope you are well. I hope everyone on this site gives themselves grace. Healing is a process. It’s non linear and it takes time.

All my best!
 
BoningUp said:
I’m doing well, expecting to be doing better, expecting to be pain free, but no. I don’t use assistive walking devices and haven’t for weeks, except when I’ll be walking a while, like in a supermarket or a mall.
Click to expand...
I can understand your worry given what you went through with leftie, but it really is normal to still have pain at 6 weeks post-op, so please don't be overly concerned because you really ARE doing well, @BoningUp!

You aren't even two months into this year-long recovery. Try to be patient. You will continue to improve with time!

:flwrysmile:
 
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