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Author Topic: Replacing Spacer  (Read 983 times)

Offline Pufferpunk

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Replacing Spacer
« on: August 26, 2012, 07:01:28 PM »
After 5 years since my TKR, I will finally be getting a thicker spacer.  I've had 3 Drs offer to do this previously but instead, started working out a lot; swimming, water aerobics, weight machines.  It has sufficed up until recently.  Still have some pain & instability but I wanted to wait 10 years.  In the beginning of June (actually on my birthday) I was feeling strong enough to take my antique Harley out for a spin to meet some friends for a celebration.  As I was sitting at a stop sign, my 82 year old next door neighbor ran me down in her car.  She clipped the front end of my motorcycle, which caused me to have to lay it down on the side of my replacement knee, stressing it out greatly.  It's been clicking a lot more & feels "crunchy".  It's even more loose than usual & I even broke a toe & sprained another one (2 separate incidences), when walking around the house, because I lost control of the leg & it slammed into a chair leg & a wall. 

My poor beloved bike is deemed a total loss.  :'(  I saw a surgeon on Friday & he does think it's time to replace the spacer.  I figure her insurance will be paying for everything & I should get a good chunk of $$$ for pain & suffering, which will make up for the loss of my baby & also not being able to ride at all this summer.

Offline debbieo

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Re: Replacing Spacer
« Reply #1 on: August 30, 2012, 08:51:30 PM »
 :'(  :'(  :'(   I would cry too. Let us know what it is like to replace a spacer. Why exactly is it being replaced? Can an xray show whats happened? Is it an educated guess from the symptoms?  What will recovery be like?
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Offline huntingandmoon

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Re: Replacing Spacer
« Reply #2 on: August 31, 2012, 12:11:08 AM »
Hi Pufferpunk!

I had my spacer (liner) replaced about 1 1/2 years after the primary TKR.  Unfortunately for me, it didn't help for very long (I've got a post under Total Knee Revision is on for 9/11/2012).  I can tell you about my experience with the spacer exchange. The tourniquet time was about 45 minutes; the OR time about an hour.  Stayed in the hospital three nights but could have gone home after two nights.  Pain isn't as intense as the TKR but certainly strong meds are needed.  Duration of PT was a shorter but just as grueling.  Once the worse is over (about 4 weeks) you feel pretty darn good.  The liner exchange was a piece of cake compared to the TKR.

Good luck and keep us posted!

Diana

Offline Pufferpunk

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Re: Replacing Spacer
« Reply #3 on: August 31, 2012, 03:36:53 PM »
After 2 years of returning PT & complaining to my Dr about pain & instability in the knee, my surgeon's boss finally looked at it.  His exact words were, "We never use that size spacer in an active person's knee".  I decided to do my best to strengthen the muscles supporting the joint & I work out on the weight machines, do water aerobics & swim 8 hours/week.  I was going to wait 10 years to have the surgery but since the accident, it's clicking way worse & much looser, so I figure why not have her insurance pay for everything & I'll get pain & suffering for it too.

huntingandmoon, I'd like to read your thread about your liner replacement but can't find it.  Why didn't it help?  Why do you mention "tourniquet time"?  Is that something important to know?


Offline huntingandmoon

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Re: Replacing Spacer
« Reply #4 on: August 31, 2012, 05:52:51 PM »
Hi Pufferpunk,

My post is in this thread, about 10 down from your post.  I only mentioned the tourniquet time to give you an idea of how quickly they can do the liner exchange, not anything important to discuss with your OS.  I'm getting more & more nervous as the surgery date is fast approaching.  I'm hoping and praying this revision will take away my pain & instability of the knee. I know I can't go on like this, so I have to go forward with the revision. :'(

Do you have a date for the surgery?

Diana

Offline missmyknee

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Re: Replacing Spacer
« Reply #5 on: August 31, 2012, 07:29:43 PM »
Hi

I've had my spacer replaced twice, each time with a thicker spacer. I started out with a 9mm spacer, then to a 15mm spacer and finally a 25mm spacer. I have the thickest spacer possible, I was told. The first time it was replaced I also had the femoral component replace too. I had caught my leg getting out of the car and dislocated laterally the TKR. I damaged the posterolateral corner and had joint space opening, unstable knee, not to mention pain. When the doctor got in the knee, I also had torn the PCL. He removed the femoral component and torn PCL and replaced it with a mechanical PCL component and had a posterolateral recon and other procedures.

The second time I fell down the stairs while letting my dogs out. They ran by me and trip me. I suffered a grade 3 MCL tear. It ended up with surgery to possibly do an MCL allograft recon, but when he got in the knee he felt it had healed enough but put in a thicker spacer because of ligament laxity of the MCL and LCL that caused unstable knee with joint space opening and other procedures.

Pam
4Fx Clsd red
IMrod fib plate
derotate osteotmy tibfib
AF
IPCS patbaja
DeLeeOsteotmy,LOA,LR Zplasty,bongrf,chondrplty
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TKR
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Offline Pufferpunk

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Re: Replacing Spacer
« Reply #6 on: September 01, 2012, 04:48:06 AM »
Quote
Do you have a date for the surgery?
I'm terrified I'm gonna pick the wrong surgeon.  I have probably seen 5 surgeons already.  I was trying for the head guy at Rush, the Dr who helped invent my knee, Dr Berger.  But he won't tank any open accident cases.  It is very frustrating that nobody there will make any  suggestions to me as to who is next in line, as far as quality.  Someone in the insurance dept threw me a bone today& I'll try contacting him.

 














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