TKR spacer replacement

I had a spacer replacement as well but also a Lysis of Adhesions (removal of scar tissue). I left the morning after surgery, had about 4 or 5 days of pain meds, but then a slower recovery since my OS was adament that if you exercises a hot, swollen knee you caused scar tissue to develop. I took it easy for 8 weeks and then began to work on strengthening my knee. By 8 weeks, I was really doing great, just did not stress the knee until after 8 weeks.

 

@Hayden Are you having a spacer replacement, or a revision TKR? I'm confused due to your signature and your original post in the thread.

 

@Celle I had a spacer replacement and it does require opening up the knee again, but it's not technically a revision. That's why I was confused.

 

Just joined the page because I’m in the same boat, and am very curious how your surgery went. Hoping you did not rush the return to work. That Workman’s Comp suggestion had me worried ..

Hope it’s all worked out well for you. My new knee 6/2018 has NOT been a ripping success.
Swollen, painful and replacement spacer has been mentioned.
Not happy.
Claudia

 

I had what is called an "Open Lysis of Adhesions and a Spacer Exchange". Basically my knee was opened along the old scar line. The doctor removed extensive scar tissue and put in a slightly larger spacer. I had pain for three or four days and then just the boredom of yet another recovery!!

My doctor stressed that if I exercised a hot, inflamed knee I would cause more scar tissue to form---especially since I had already had a large amount of scar tissue. So, for the first two weeks, I just stayed home on the couch with my knee elevated and iced. I did a few heel slides and some leg lifts, but that was about it. He told me if I do any activity that increases the swelling, I was to put ice on it immediately until the swelling went down.

At three weeks, I began formal PT, but my PT agreed with my doctor. His advice, we will go very slowly until 8 or 10 weeks. If the scar tissue reforms, at least we will know that we did everything we could to prevent it.

If I had limited insurance coverage for PT, I might have waited another week or two to even start it.

We did only table exercises---leg lifts, clam shells, heel slides for another two weeks--no weight bearing exercise at all. I did ride the bike for 15 min prior to PT. If we did anything that made the knee warm, we stopped and iced it.

I was so impatient!!! I hated the forced inactivity, but I was determined to give the knee the best chance I could give it. We started light exercise at 8 weeks. step ups---very small lift. bike for 20 min. no squats or serious weight on any machine.

I am now three years out from that surgery. I have some scar tissue there, but it does not impair my movement like it did prior to surgery. I have pretty good rom---138. Most of all, my knee is much more stable with the bigger spacer. My doctor told me that since the knee was moving a little too much with the first spacer, that alone might have caused some of the scar tissue. Am I glad I did it? Yes.

The biggest hassle was the slow recovery. The pain was really nothing compared to a TKR.