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Author Topic: To Remove or Not Remove. That is the Question.  (Read 716 times)

Offline Fathead D

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To Remove or Not Remove. That is the Question.
« on: October 30, 2012, 02:56:57 PM »
I had a TTT almost a year ago and now I am thinking about having the hardware removed.  I am not in any real pain doing activities or anything like that.  The main issues I am having is that I can't kneel on a hard surface without it really hurting.  I think the heads of the screws are digging into my skin.  It hurts. 

Anyone know what the recovery time is after the removal?  I can't imagine it is anything too crazy.
11/29/2010 Lateral Release left knee
1/2011 Cortizone injection left knee
4/1/2011 Lateral Release right knee
5-6/2011 Supartz injection series (5)
12/12/2011 TTT and Lateral Release repair left knee

Offline Forevergimpy

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Re: To Remove or Not Remove. That is the Question.
« Reply #1 on: October 30, 2012, 03:12:36 PM »
My recovery time from hardware removal wasn't too bad (as I can recall). I will say though, that even without the hardware, I have never been comfortable kneeling.  :( 
Right Knee:
1993 Plica removal
1994 Lateral Release
1995 TTT & chondroplasty
1996 HW removal & debridement
2005 Meniscus trim & chondroplasty
5/17/12 Meniscus trim & ?

Offline crankerchick

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    • Derotation osteotomy & TTT Post-op diary
Re: To Remove or Not Remove. That is the Question.
« Reply #2 on: October 30, 2012, 04:11:34 PM »
Screw removal in general isn't too bad. Some doctors will have you walking in no time with no real restrictions. Others may have you take it easy for a bit, but probably no crutches or anything like that except maybe as needed for your own comfort. Whether it allows you to not have discomfort with kneeling, though, is a tougher question to answer. I can kneel with little discomfort compared to my non operative knee (neither likes really hard surfaces like gravel/concrete/etc) but the little I had didn't go away with removal of the screws. What got better for me after having those screws out was the sensitivity and the ache I would get after running.

It is surgery and not to be taken lightly, but in general I don't think there is really any harm in taking them out. It may not help, but it probably won't hurt anything either. What did your doctor say?
Mar '07 - plica excision
Oct '09 - femoral + tibial derotational osteotomy & TTT
Aug '10 - hardware removal
"You control your leg. Don't let it control you." -Smart trainer
"Get your a$$ in gear and go for it! Nothing will happen until you make it!" -Smart doctor

CSM4thCAV2014

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Re: To Remove or Not Remove. That is the Question.
« Reply #3 on: October 30, 2012, 10:39:48 PM »
hmmm...that's interesting about screw removal. I broached that subject with my OS at a visit with him yesterday and he was quite adamant that there would be no screw removal. I asked him why not and he basically stated that there wasn't any real benefit to it and it is a surgical process in itself. He said sometimes there is a need, but the patient becomes painfully aware if that's the case, as in screws backing off for instance. I had figured on having mine removed at some point in the future to assist in kneeling, but I guess I'll have to look for another OS to accomodate that request!

JC

Offline Awood5843

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Re: To Remove or Not Remove. That is the Question.
« Reply #4 on: October 31, 2012, 10:10:01 PM »
I'm 11 weeks post-op, and at my 6 week post-op appointment, I asked my OS about removing my screws. My top one pokes out and is very noticeable, and a little creepy. He said that he usually removes them, but wouldn't for a few months at least. He also said that I would also have a little discomfort kneeling on the ground for the rest of my life, but I would get used to it.
Aug 2010- left knee scope, lat release, plica
dec 2010-right knee scope, lat release, plica
April 2011-March 2012- about 5 or 6 Cort shots in each knees
Synvisc one- both knees
March-may 2012- Synvisc 5 shot round in both knees
August 2012- Fulkerson Osteotomy - Rt Knee

Offline Leentje

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Re: To Remove or Not Remove. That is the Question.
« Reply #5 on: November 13, 2012, 10:44:53 PM »
I still have my screws 10 years post-op Fulkerson TTT. They did hurt in the beginning, after like 2 years I started to get "used" to them. I can kneel even on hard surfaces like concrete. And I do everything you can even think of without thinking about my screws lol. No problem.
OS said not to remove them unless they cause real pain. In most cases you have to be at least 6 months post op to have them removed.

Good luck!!
Competitive badminton player
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee Stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!

Offline captainruss

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Re: To Remove or Not Remove. That is the Question.
« Reply #6 on: November 29, 2012, 05:05:46 AM »
Each doctor seems to have a different answer.  I have taken my daughter to multiple opinions and each are different.

You must remember....you are the patient.  This means if something makes you uncomfortable, you REQUEST the doctor to follow your wishes.

Yes, doctors' have the knowledge, but you are the patient.  Period.

It is not a very invasive procedure.  I was just told that my daughter would have hers removed out patient...depending on the doctor...small incision and less than two weeks recovery......after the bone has healed.

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

 














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