Knee replacement

[Sky ball]

Just saw this thread. Going for a partial knee Oct 22. Hopefully the other knee 5-6 weeks later. Bone on Bone interior knee.

 

[Yardigan]

Just saw this thread. Going for a partial knee Oct 22. Hopefully the other knee 5-6 weeks later. Bone on Bone interior knee.

Good luck. Partials, both?

 

[Sky ball]

Good luck. Partials, both?

Partials. Left Knee first.

 

[Hankster]

I recommend exploring the new technology, where the new knee prosthesis is produced through 3D printing. This means that, rather than making an off the shelf prosthesis fit by reshaping the bone, your natural knee is scanned and a perfect replica is produced. This means that far less damage during surgery and a far better, easier recovery. I know several friends who have had it done by Dr. Wolfgang Fitz at Brigham in Boston. He is a pioneer with this technology and his protocol is so much easier on the patient than the traditional surgery and tough rehab. Don't wait. No need to live with pain that limits your life activities.

Producing 3D is great to hear. I had a total replacement on left knee. Of course knee is swollen after. However in my case,7 years later, the knee is the same size. Noticeably larger than my right. Without a lick of medical knowledge, I would say with confidence, they put the wrong size in. The good thing, I am getting my golf swing back, walking much better. I was playing golf with a stance tilted way to the left because the knee was so bad.
I had my surgery done at the VA. An experience that I will never forget.

As far as both, my right knee is just fine. However going through TSA is a is b**ch. The guy scanning me said his 82 year old mother had both knees done. So, each person is different.

 

[DrZzzz]

The pain shouldn’t be too bad, especially after 3-4 days. Immediately post-op and the next day, a lot of it depends on the anesthetic technique. If you get spinal morphine and a femoral nerve block, you will probably be quite comfy.

They will give you a machine to move your knee and encourage you to get up and use the knee as soon as you tolerate, typically the day after surgery. It prevents scar tissue formation so you can actually use your new knee. I don’t think there are weight bearing precautions, as it is a new knee. It just depends on how much you tolerate. You’ll go from a walker, to crutches, to a cane.

And yes, build up your leg strength. Bike, leg presses, etc. It will help you recover faster.

As others have mentioned, there are pros and cons to having both at once. Personally I’d do one at a time. Less time under anesthesia, even if you have to “go under” a second time. I don’t think the pain will prevent you from having a second replacement, especially when you see how much better your leg feels.

Those replacements last over 30 years nowadays. I doubt you will need a redo (no offense). Good luck!

 

[Yardigan]

Update for the fun of it, plus just extremely grateful. Both knees are still awesome (replaced Sept 2018) I don't run, but walk three miles per day, 5 days a week, at around 14 mins per. Pretty much pain-free since it happened and still one of the best decisions I ever made. I had stopped playing golf a few years before and picked it up again last year after a 9 year layoff. Playing better than ever...the new knees appear to have taken the 'wild' out of the swing...same distance, much more accurate.

 

[Waquoit]

Update for the fun of it, plus just extremely grateful. Both knees are still awesome (replaced Sept 2018) I don't run, but walk three miles per day, 5 days a week, at around 14 mins per. Pretty much pain-free since it happened and still one of the best decisions I ever made. I had stopped playing golf a few years before and picked it up again last year after a 9 year layoff. Playing better than ever...the new knees appear to have taken the 'wild' out of the swing...same distance, much more accurate.

Just to refresh, you did both at once?

 

[Yardigan]

Just to refresh, you did both at once?

yes

 

[Bomber36]

My right knee experience was brutal. Luckily, my left knee is fine. I had had so many injuries and surgeries on the right knee that I eventually had no choice. I will say that I am much better for it now. You can never go by someone else’s experience. I’ve heard stories that run the gamut and mine was on the tough end of it.

 

[RSTuthill]

This is an interesting thread. I have had both hips replaced, the right knee replaced, an Achilles repaired, and both rotator cuffs repaired. My general advice is to consult with more than one doc before choosing. Part of the choice should be technical considerations. Educate yourself on the implants available in the markets, likewise the knee or hip replacement architectures. Read technical papers even if you have to Google the meaning of every other word. I went to Yale, for instance, because UConn did not have an arthroplasty doc who specialized in the knee that I wanted. They do now. In hips there is the choice of ball size and wear couple (material selection for the ball and cup). For shoulders, Bob Arciero at UConn has a national reputation.

I think training for knee surgery is important. I could hold a downhiller's deep bullet tuck for 5 minutes when I got my new knee. Sounds like nothing but your quads would beg to disagree. Try it.

Btw, I still ski, cycle, and paddle my kayaks. And I am a month shy of 80.

 

[Conndog]

My total knee replacement implant was a custom sized one based off of a cat scan of the knee so it fits anatomical space perfectly- the implant brand is Conformis. It was same day surgery and I was walking and playing golf within 4 weeks. My doc also had me wear a constant passive motion brace for slowly bending and straightening the knee all day and even while sleeping at night to minimize formation of scar tissue. Highest recommendations for both of those.

 

[6Nattys4Us]

I had my left replace in 2021, and right in 2023. Both full replacements. Stryker triathalon knees working quite well.

2nd recovery is always much faster than the first.

 

[Bongo Fury]

any feedback for adolescent torn acl at ct children’s sports medicine?

 

[Bigboote]

Thanks to all who contributed to this thread. I'm getting a partial replacement in about a week, and I've learned some from this thread and also am heartened by the consensus is that recovery is not as bad as I might have feared.

Question: For those who have had outpatient surgery, how long were you in post-op before being discharged. I'm asking my burly neighbor to help my wife bring me inside and I'd like to give him some sort of window when we might call on him.

 

[RSTuthill]

Thanks to all who contributed to this thread. I'm getting a partial replacement in about a week, and I've learned some from this thread and also am heartened by the consensus is that recovery is not as bad as I might have feared.

Question: For those who have had outpatient surgery, how long were you in post-op before being discharged. I'm asking my burly neighbor to help my wife bring me inside and I'd like to give him some sort of window when we might call on him.

A partial is a big win already. Much shorter recovery. But be aware that in cases where the ACL is compromised, that doing a partial is not universally accepted as wise. I read a bunch of medical papers on the topic and the more recent ones said no difference in outcomes. But the highly regarded docs I talked to were universally of a different opinion..

 

[Bigboote]

A partial is a big win already. Much shorter recovery. But be aware that in cases where the ACL is compromised, that doing a partial is not universally accepted as wise, I read a bunch of medial papers on the topic and the more recent ones said no difference in outcomes. But the highly regarded docs I talked to were universally of a different opinion..

Thanks, no ACL -- my shoulders prevented me from playing basketball, volleyball, or raquetball past the age of about 21. My doc says about 1/3 of the replacements he does are partials. I'm a perfect candidate -- bowed legs, the space between my tibia and femur is quite v-shaped, with all of the damage on the medial part. My other knee is far from perfect, but not very arthritic, and I'm hoping that the new one will take some pressure off of it and it will improve so that I can at least start cycling again. Alas, no delusions that I can do any more serious running without repercussions.

 

[Lafayette]

My Dad had them done at Hospital for Special Surgery in New York City. He also has had both of his hips replaced and recently had back surgery there as well.

Yeah he strengthened his quads and other areas to make his legs as strong as possible. You can work with a physical therapist to help get this in motion.

He went to Burke in Westchester and lived there for a week after the hospital. While he was miserable not being home, that week was critical as they really were on him about his rehab. He was playing golf 4 months later.

I had both mine done at HSS - I am doing great with them (2021 left / 2023 right), resumed my Shifu duties but noting that it's easy to get tendinitis as one leg does "more" than the other at times, so dry needling helped that. Otherwise smooth sailing.