Knee - TKR :: Good Candidate For Revision? How To Decide?


Dec 8, 2015

How was it decided that you were a good candidate for revision? I am 13 months out from TKR. Still so much pain and doctor says maybe a revision might help. Plan on waiting until it's been 18 months to revisit it.

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Back Issues :: Anyone ALIF And PLIF Revision?

Would like to hear from someone who has had ALIF and PLIF surgery, especially if it was a revision. I joined this board 10 years ago as I was anticipating my first lumbar fusion (L5/L6 and L6/S1 with rods and screws). It was so helpful to me. Now, 10 years later, I am facing more surgery. CT Myelogram shows that my screws have come loose and are moving, my fusion at L6/S1 is no longer fused, and my L4/L5 now has so much stenosis that it is pinching nerves. [Yes, I have 6 fully formed lumbar vertebrae, so that makes it a little confusing.] I have an appt in 2 weeks with the back surgeon to go over details about the surgery. He has already told me that he would plan to go in through the abdomen and through the back, and also get bone graft from my hip. So I think that means 3 incisions. I can't imagine the recovery from that many incisions. Can anyone share anything to help me prepare? Has anyone had successful surgery of this type? I don't see any alternative to surgery, since my hardware is wiggling around.

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Foot / Ankle :: Metatarsal Fusion Revision Surgery - Yes Or No?

I was diagnosed with a hyperflexible big toe via a weight bearing scan. Two years ago now, my surgeon fused the first and second metatarsals and removed a mild bunion in the hopes that this would sort out pain and swelling in that area. Swelling around the hardware (specifically the plate) lasted a while but has calmed down now. However, my big toe is completely stiff. My surgeon was surprised as he didn't expect so much scar tissue to form (I was 27 when I had the surgery and very active). This doesn't cause pain so much as discomfort on a regular basis and I've had to completely change what activities I do now (no running or long hikes without causing swelling and a stiff feeling). My second toe is also now significantly longer than the first (it wasn't before). This doesn't cause pain either but again discomfort when it takes the load for the big toe and it sometimes sets me off balance eg in yoga. I'm not sure if this is due to the length or simply that the big toe isn't taking weight anymore because it's so inflexible.

My surgeon recommended surgery to: shorten the second toe, remove the hardware, remove the scar tissue, AND loosen the fusion (if that's the correct term).

Due to the intense recovery period last time and general concerns about surgery risks including that I'll end up either worse off or with the same stiffness, I'm not sure whether this is a good idea. I feel I can "manage" with my foot, but it's certainly not in the best condition to return to the activities I want to do, and I'm only 29.

It's scheduled for the week after next but I'm not sure whether I should go ahead. Neither my GP nor my surgeon seems overly confident, I think there's no real answer but I'd love to know your opinions on whether this second surgery might end up better or worse.

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Hallux Rigidus Surgery Revision - Cheilectomy And Debridement

I had surgery the middle of last year for suspected HR. Decompression osteotomy with Cheilectomy had a few problems with the recovery and had to have revision surgery which included further cheilectomy and debridement.

11 weeks post 2nd surgery and still getting swelling and some joint pain which is different than the before the initial surgery.

I have read that swelling can last anywhere up to a year. My worry is the joint ache and pain. I'm not sure if this is post op healing raw bone etc. Or is it something else.

Does anyone here have similar experience of HR surgery and did they eventually get rid of the pain?

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Bone / Joint :: Knee Pain: Ligament Tightness Behind Knee, Slight Knee Pain Under Kneecap

So I dislocated my knee in January of this year.  I was given a device that isolates my knee cap and hold it in place.  I wore the device off and on over the year whenever my knee would feel sort of irregular. I worked out routinely to help strengthen my knee, it helped the pain somewhat, but mostly just made me feel better about the way I looked, and kept me healthy.  I haven't worked out since some time before Thanksgiving.  Starting this week i've started to feel this new akward feeling behind my kneecap, sort of like the ligament behind my knee cap is tightening, sort of similar to how it felt when I dislocated my knee, but not exactly the same.  I get the pain after fully bending my knee, for example when I am on my knees doing my job stocking shelves at work, when I stand to my feet I can usually feel the pain.  I try doing a couple of different stretches when to make the feeling go away a bit, but it comes back, and then it eventually goes away again.    

My knee "pops" (makes a loud popping noise and pressure) pretty regularly now but when I get off of work and off of my knees I experience the discomfort much less. I want to start exercising again on Monday, but I am scared I might dislocate again.  I will try using the knee cap device again tomorrow, but I feel as though whenever I use the device, it makes my knee feel like jello the next day, and make me want to use the device again, even though I was advised by my doctor that I should not need to use it regularly. ....

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Total Knee Replacement - Developed A Knee Effusion And Pain After 2 Years

I have now developed a knee Effusion and have tremendous pain.  Put onto Celebrex.  Do I use crutches again or strap knee?  Doctor says i need to rest it as much as possible

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Dent In Knee :: 21 Weeks Post Total Knee Replacement

hi I seem to have woken up this morning with what looks like an indent on the right side of my new knee.  It was completely round last night but now has a dent in it.   I am nearly 21 weeks post TKR.  Anyone had anything similar and  why this is?

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Clicking Knee On Bending After Total Knee Replacement

It has been almost 14 months since my TKR, and it is making a clicking noise when I bend it,and straighten it.

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Knee :: ACL Ligament Tear In My Left Knee Numb

I have an ACL ligament tear in my left knee. This happened about five years ago. I was on waiting list & got a call to do surgery, but then I got pregnant, so I had to go back on waiting list. It must be a long list because I am still waiting. They have looked at it again because of the soreness around the knee when I walk. My doctor told me I have mild arthritis in my left knee now, but can still go through surgery.

This past week, I was in a situation where I didn't do much walking, laid around for most of day. I didn't have a pillow to use for my knee to be propped up, so I just used my right leg or had my left leg on its side when I laid down on my left side. I don't feeling anything around my knee now. It is numb! Would anyone know what is wrong? I tried to apply ice to it, but I can't feel it. I still can walk ok, though. Thanks!

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Knee :: 5 Days Post Op For Partial Knee Replacement

It's day 5 I'm home and in a fair bit of discomfort! Main problem is at night and knowing what sleeping  position to get into? I want to lie on my side but not sure this is ok ( about the only question I didn't ask physiotherapist ) also finding I'm very tearful today and extremely tired is this normal? 

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Knee :: Physical Therapy After Partial Knee Replacement

I am 42 yrs old and had a Partial Knee Replacement done on Jan 6th...outpatient...went to first PT the next morning. Wasn't too bad...2nd was a little rougher and I was in more pain. 3rd visit had a different therapist and she pushed me beyond what I thought I was ready for. She basically forced bended my knee and forced straighten it..said it's to keep scar tissues from interfering with recovery...this was extremely painful. I am curious to if this is normal protocol on your 3rd visit of PT..which was 7 days post op...I was in soo much pain I could not go to my next PT. Plus I have bruising on my ankle from her force bending with her body weight...I figured I would go back on Monday when my normal Therapist will be there....I have made progress with bending and straightening and don't think I should be rushed like that...I am still in alot of pain but am able to walk around house without crutches. I have been icing and elevating along with doing my homework PT.

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Knee Braces Helpful After Total Knee Replacement

I am a 31 year old female about to have a TKR due to severe arthritis caused by PVNS. Currently I have very weak quads and calves in my bad knee from major loss of knee extension. I've heard that it's really hard to go into replacement surgery with weak muscles. I was wondering if I should get a knee brace for after surgery to help with some support until I get my strength back? Has anyone tried these webbing braces and if so do they help? I know some of the immobilizing braces actually cause atrophy.

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Knee :: Metal In A Knee Replacement - Airport Security?

Somebody said to me the other day that the metal in a knee replacement will be detected by security, so you have to have a letter from your doctor/surgeon. Does anybody know about/have experience of this please?

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Knee Brace After Total Knee Replacement

I am 6 months after TKR stopped medication not working still in pain i am told by the physio all my exercises are excellent however can't stop the pain.  Today cut the support stockings and tried it on my knee stopped pain all day until i took it off.  I am wondering if anyone has tried a knee brace or has anyone been told not to use one

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Knee :: Stiff Knee - 11 Weeks Post Op

I'm 11 weeks Post Op and when I stand from sitting or getting out of bed I get this awful stiffness like someone pulling a belt tight around my knee? Does anyone get medication for what I assume is stiffness or do we just deal with it?

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Knee :: The Back Of My Knee Hurts

On August, I over-stretched a ligament on my knee while playing soccer and was on crutches for a month and half. Afterwards, everything was fine and my knee felt normal. It's now April and it is starting to hurt again. Specifically the back of my knee. I didn't have to have any surgery before. Would I need to now? I don't know what to do.

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Knee :: TKR - 5 Weeks After And Can't Bend Knee

Had a tkr almost 5 weeks ago. Pain is tolerable, I walk without cane, do steps one at a time, drive but it seems almost impossible to bend my knee. My Physical Therapist is telling me I have to bend it. Help, is anyone else having this problem? Sleeping is not good, just can't get comfy with my knee. I can only bend knee 50 degrees.

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5.63 Good Cholesterol And 3.69 Bad One

have just had a telephone consult with my gp he tells me my cholesterol is 5.63 good and bad chol 3.69 can anyone tell me what this means? is it high - he wants me to go on statins and i am already on warfarin.

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Had Sigmoidoscopy - A Good Experience

it's not as bad you people think. I must admit I was fearing it a lot and this might be one of the reasons why I overreacted to the discomfort felt by the pumping of air to distend the bowels. There are no nerves in the bowels so you cannot feel any pain. Proof of this was when they did a random biopsy on me and ripped out samples of tissue from my bowels (as I watched on the screen). There was no pain at all apart from the odd sensation which felt like someone flicking a rubber band inside my gut.

It's always fear of the unknown which scares of most. After the procedure the only pain I really experienced was wind as they had probably pumped the world's gas supply into me (ok so I might have exaggerated a bit) but seriously, it's not all that bad and you'll feel ok right after one big release.

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(Age 18-24) Pregnancy :: Is Walking Good?

Is walking good for pregnancy

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Vasectomy A Good Experience For Me

I had my vasectomy done and I wanted to add my experience to a balanced discussion as usually only people who have problems complain. The doctor told me the risks and I went for the snip after consideration. Met a fellow patient whose grandfather and father had it done too and recommended it. We were nervous of course....who won't be? Now the love life is great no hormones or reduced sensation, no worries, no more expensive little ones, no nappy changes! All the wives waiting at the vasectomy clinic thoroughly supports it and I realised lots of colleagues had it done without problems...be warned they will take the mic out of you before you go for it. Thoroughly recommend it. No problems. Do consider the risks but life is risky. I took it and won.

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