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Author Topic: Feeling the mechanism  (Read 1165 times)

Offline nolamak

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Feeling the mechanism
« on: July 12, 2012, 08:57:09 PM »
Hello!
I am 44 years old and have had numerous surgeries on my knees.  I was told several years ago that the only thing left to salvage my right knee was a TKR. However, because of my age-they wanted me to wait as long as possible. By last fall, I finally decided I absolutely couldn't take another step and scheduled the surgery. I

I am now 7 months out and my new knee is not what I had hoped for.
Lots of issues, but oddest one is that I feel the prosthetic mechanism with every move I make - even non-weight bearing movements (like moving leg position while sitting). Sometimes I can hear it too.  It is a very weird feeling. Almost like it doesn't "fit".   Does anyone else experience this??   

Thank you.
Sandi

Offline MyKnee2010

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Re: Feeling the mechanism
« Reply #1 on: July 12, 2012, 10:32:24 PM »
Hi,

What do you mean by "feel the prosthetic"? I had my knees replaced 2 & 2 1/2 yrs ago. They both clunk when I move them & they are definitely not as smooth moving as your original knees. One OS told me it is ok if the knee makes noises as long as it doesn't hurt. Another OS told me they should not make noises that other people can hear.

Is your knee painful or is it just the movement you don't like? I know 7 months seems like a long time when you are going through the rehab process but it really isn't a long time for your knee. Knees take a year or 18 months to fully heal. Assuming you are not in pain, I'd say take more time to get use to your knee & savor the time with no pain. My knees are still hurting a lot after 2 years or more. I don't know what the problem is yet but I will be seeing OS #4 in September to see if he has any ideas.

Take care!
9/08 scope meniscus tears
9/09 scope meniscus tears
11/09 TKA - lft knee
7/10 TKA - rt knee
6/11 - nerve transection rt leg
9/11 - nerve transection lft leg
2/12 - scope plica & inflammed synovial lining
1/13 - nerve denervation rt leg
4/13 - seroma tacking & drain inserted

Offline MRW

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Re: Feeling the mechanism
« Reply #2 on: July 13, 2012, 10:54:21 AM »
Hi Sandi,

Try not to worry, your knee should be fine. As long as you don’t have pain you will get used to the weird feeling all TKR’s clunk and move around a bit (Some more that others) ;) there is nothing like your own knee but at least you are pain free and as I said you will get used to it, as MyKnee2010 says, 7 months is still a short time after the op, give yourself time, at least 18 months.
My knee sounds like castanet’s when I wiggle my lower leg, ;D I can make it clunk whist sitting and it clunks audibly whilst walking (It’s a great party trick) It used to worry me sick but now it’s just something that I have to live with and most of the time I just ignore it.

MyKnee2010, Sorry to hear that you are still in pain, good luck in September I hope you get some answers and that they can resolve the problem.

Good luck to you both.
Cheers, Martin

Offline nolamak

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Re: Feeling the mechanism
« Reply #3 on: July 15, 2012, 11:40:56 PM »
Thank you so much for your responses.  I am glad to hear that the clunking is pretty normal.  My dr said that it was and I just needed to get used to it - but I couldn't find anyone that had actually experienced it before.

Unfortunately, I have ALOT of pain as well.  I have a huge problem with scar tissue overgrowth and didn't know if the clunking was yet another problem or if it is "normal".  My scar tissue has completely invaded the joint and is beginning to lock it down. My last visit with the ortho - he gave me 2 options -  fuse the joint or amputate the leg.  Said that he would give a revision replacement less than a 5% chance of success, so it won't even be a consideration.   Or, of course, I can just learn to live with the pain and limited mobility.  The excess scar tissue will only harden and become less elastic with time. 

With all the modern miracles of medicine - so hard for me to believe they can't figure out a way to rid someone of the scar tissue.  I am giving consideration to the amputation - at least with that I could have a "functional" leg! 

Thanks again. 


Offline wanna

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Re: Feeling the mechanism
« Reply #4 on: July 16, 2012, 09:05:42 AM »
Sandi

Your last post shows a fair few similarities with my issues. I've ended up with a load of scar tissue due to other problems but I was given the same options of fusion or amputation at one hospital years ago.

I rebelled big time and asked to be referred to a guy at a different hospital who specialises in revisions and complex problems. He couldn't believe that my previous Hospital was recommending those options and threw their letter in the bin.

7 weeks ago I had a further soft tissue OP only - the Knee Prosthesis was restrained from massive scar tissue after 30 Operations and 4 TKRs.

He carved away as much soft scar tissue as possible and did an extension of my Quads Tendon by cutting it in a V cut and re-attaching with a Y stitching, which I understand lengthens the quads tendon.

Still early days for this Operation but my ROM has improved massively. My leg is straight and my bend is improving although not past 70 yet. He stressed I had to make sure it was straight first before I bent it. and the tendon had fully healed.

Never gonna be perfect and I'm sure many will have much better movement than me - but in my opinion a much better option than fusion or amputation.

I got the impression that the first hospital had run out of ideas and couldn't be bothered with complex issues.

Certainly no pain - my only problem is regaining the bend to allow walking down stairs - but I'm told this will come.

Hope this helps

Andy
82-carbon fibre Ligament construction
04/04- synovectomy after ACL snap
09/04- TKR
02/05- TKR revision
07/05 & 09/05 Joint out then Revision TKR
05/07 Revision TKR.
12/07 joint out Stge 1 revison,Stge 2 revision 03/08
08/09 Revision TKR
05/12 Quads Y plasty, scar removal & straight cast for 6 wk

Offline nolamak

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Re: Feeling the mechanism
« Reply #5 on: July 17, 2012, 12:42:30 AM »
Andy,

Yes - we do sound very similar!  I will keep my fingers crossed that the latest surgery helps you.   Interesting technique with the tendon - I have not heard of that before. 

Unfortunately, I have been through 3 previous soft tissue removal surgeries.  I usually gained a little ROM in the beginning - and then within 2 months - the scar tissue was back.....and brought more with it.  Very frustrating.  Most surgeons won't get near this type of situation, I have found out (the hard way!).  The few that are willing to try don't give very good odds.  Arthrofibrosis (overgrowth of scar tissue) specialists typically give any procedure only a 50/50 shot of success.  So far, I have always ended up worse than I started. 

Honestly, I am just plain tired.  I am really not sure what my next move will be. 

Keep me posted on your success!
Sandi

Offline wanna

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Re: Feeling the mechanism
« Reply #6 on: July 17, 2012, 03:24:24 PM »
Sandi

The Quads Tendon Operation is often called a 'Z plasty' (which I believe is just a different way of cutting and re-attaching the tendon)

By lengthening the tendon it allows more bend and also more chance of getting full extension.

Certainly worth asking your OS, even if it wouldn't work with you

Andy
82-carbon fibre Ligament construction
04/04- synovectomy after ACL snap
09/04- TKR
02/05- TKR revision
07/05 & 09/05 Joint out then Revision TKR
05/07 Revision TKR.
12/07 joint out Stge 1 revison,Stge 2 revision 03/08
08/09 Revision TKR
05/12 Quads Y plasty, scar removal & straight cast for 6 wk

Offline Dshanin

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Re: Feeling the mechanism
« Reply #7 on: September 01, 2012, 12:34:42 AM »
I had a left TKR in July 2011. I just had arthroposcopic surgery a few days ago to take care of the patellar clunk I developed immediately after the TKR, although the doctor would not acknowledge it as such until a year had elapsed. I am 3 days post and still  have the clunking!! Anybody have an answer?

Offline greatfulgann

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Re: Feeling the mechanism
« Reply #8 on: September 01, 2012, 02:05:22 AM »
An acquaintance had a TKR and they ended up putting in a "male" knee (too large?).  I didnt know there were gender specific knees but I guess that makes sense.  She had to have hers redone and a smaller one put in and things have improved.

Offline Dshanin

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Re: Feeling the mechanism
« Reply #9 on: September 01, 2012, 03:30:22 AM »
My doctor did not use gender specific; he used appropriate sizing.

Offline greatfulgann

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Re: Feeling the mechanism
« Reply #10 on: September 01, 2012, 12:21:53 PM »
This was response to original poster who can feel the mechanism and questions the "fit".

Offline Plumb

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Re: Feeling the mechanism
« Reply #11 on: September 13, 2012, 07:05:51 AM »
Hi all,  I have had my right knee replaced since 2006.  I have felt it mechanical at times but no pain.   I sense it when doing side to side movements.  Example hanging legs off bed.  Does it hurt?  No it does not hurt.  At what point would I start to worry?   I guess if I had pain or mobility issues I would consider the mechanical feeling unbearable to live with.   Believe me I forget about my right knee 99% of the time and right now that is a huge bench mark for me since I had my left knee replaced on Aug 15.   On lefty I do not hear the bumps and grinds.  but I do find myself with muscles that are tighter and harder to get loosey goosey this time around. 

I would take a guess that the muscle balancing is one of the root causes to the sounds