I had been having medial OA pain for the last 18 months. Went through a round of Euflexxa and Synvisc One only to have them provide little to no pain relief. Finally OS and I agreed a PKR was in order. Had my surgery on April 1st at Massachusetts General Hospital.
Week 1: Surgery commenced at 10:15 AM on April 1st. Opted for spinal and femoral block instead of GA. Surgery went well and was finished and in recovery about 2.5 hours after the start.
1st day after surgery hospital PT person visited and had me do some heel slides as well as go for a short walk around the nurses station using crutches. Pain hasn't been too bad. Later in the day, PT person came back with CPM machine and had me in the machine for 2 hours at 40 degrees of flexion.
2nd day post op feeling better. Will be discharged if I pass my PT test which is walking up and down stairs using the crutches. Passed stair test without any problems. Back in CPM machine for 1 hour at 60 degrees flexion. After siging discharge ppers left the hospital for trip home.
3rd day post op visiting nurse came to house to make sure I was doing OK. Have to inject myself each day with blood thinner to prevent blood clots for next 12 days. Purchased continuous ice therapy machine to help with swelling. Machine doing it's work and swelling is going down a bit. Walking with the aid of crutches.
Day 4. In home PT came today. Had me do heel slides, quad set with leg raises and knee bend. Got knee bend to 80 degrees and extension to -6
Week 2: Continue to use ice therapy machine at night to help with pain and swelling. Have vicodin as pain med but only taking at night. Have PT three times this week. Making good progress with flexion. Knee bend as gone from 90, to 95 and then 102 degrees the first week. Got extension to -2 but lost a little of that over the course of the week. Can already walk with just one crutch without any problems. Had surgical staples removed this week. Incision is dry and well healed and no infection. Followed up with surgeon who says knee looks good and implant looks good on x-ray.
Week 3: Swelling is going down each day and knee is feeling good. Knee bend has improved from 102 to 110 , 115 and now 120 degrees. Extension is almost 0. Overall very happy with results so far. I am walking without crutches or cane and not taking any pain meds. I have been discharged from in home visiting nurse care and in-home PT. Last in-home PT kneed bend got to 124 degrees. Starting my out patient PT for the next 4 weeks.