KNEEtalk

The OSTEOARTHRITIS DEPARTMENT => KNEE ARTHRITIS - Changing the forces through the joint => Topic started by: bendzeknees on September 26, 2012, 03:11:12 PM

Title: Kinespring operation
Post by: bendzeknees on September 26, 2012, 03:11:12 PM
I've just had this done (25/9) and and other than the manufacturers website and excellent support from my surgeon, I  found general information for potential patients written by patients to be very lacking (obv due to lack of numbers having had the procedure).  I'll add information over the next few weeks on how things have turned out for me.

Background - 47 yr old, active in sports, current alpine race coach (part time). 2 previous menisectomies show grade 3/4 medial osteoarthritis.

Decision was HTO or Kinespring.  Uni-compartmental knee replacement was the least favorable due to my high level of sporting activity/age and was deemed very likely to wear out too quickly.

Title: Re: Kinespring operation
Post by: bendzeknees on September 26, 2012, 03:19:44 PM
25/9 - straightforward procedure. Spinal anaesthesia, femoral nerve block. Opted for sedation during the procedure. Was completely comfortable throughout. Good first night in hospital, slept on and off but no pain whatsoever. By 8 a.m today I was upright, self supporting and had good mobility.  Physio commenced excercises by 9 a.m and instructed to use crutches for 2 weeks with low level excercises to begin with.

So far so good. Last of 3 blocks is just starting to wearing off now, concentrated around the knee itself.
Title: Re: Kinespring operation
Post by: bendzeknees on September 27, 2012, 11:21:33 PM
2nd day post-op. Moderate pain today as the local anasethetic runs out. Knee has stiffened quite a bit despite keeping up with physio excercises. Also very swollen. Have kept mobile but used my crutches a lot today. Despite the chanage today it has not kept me from doing anything that I managed the day before, I just had to be more cautious of movement.   
Title: Re: Kinespring operation
Post by: Apleyboy on September 28, 2012, 07:13:41 PM
Keep Posting please I in the Same Situation very Little Info and op Date Booked6.12 ,will be Good to hear how you Progress
Title: Re: Kinespring operation
Post by: bendzeknees on September 28, 2012, 10:13:43 PM
Area around the knee remained stiff today. Certainly aware of exactly where the fixings are on the tibia and femur. Knee had slight spasms around the operated area. It wasn't painful as such but as I reacted to these mini spasm/cramp episodes I overstretched my leg a few times which didn't help the discomfort. Today I have been able to move around on crutches, doing excercises and moving up and down stairs quite freely using crutches and handrail.

Overall I would say I was on par with yesterday.

Knee is still quite swollen and perhaps this is restricting my movement,  despite keeping up with recommended meds,  I am struggling to bend my knee close to 90 deg just now. 

Walking around also induced a lot of discomfort down the centre of my shin and a burning sensation around the side of the knee.

Definitely a day of change and adjustment to what is now attached to the leg bones! Overall I have stayed mobile and can persevere with what I need to do.
Title: Re: Kinespring operation
Post by: Apleyboy on October 02, 2012, 06:15:56 AM
How are you doing nö Post the Last couple of days make me think Something is wrong Hope Progress is steady Even if Slow
I ve got my Date 6.12.12 to have the Spring fitted so looking forward to Reading your Info.
Title: Re: Kinespring operation
Post by: bendzeknees on October 02, 2012, 07:49:25 PM
Thanks for the message Apleyboy, I'm doing very well. Was going to leave posting over the weekend and update last night (Monday). Was very tired and decided on an early night.

Saturday (post op day 4) -  knee stiffness continued, but I kept up exercises. Got out for a longer walk, instead of around the house and up/down stairs. Had to rest a lot in the evening.

Sunday (post op day 5) - discomfort subsided and the general tightness which was the cause of the discomfort had allowed me to bend my knee more. I couldn't bend my knee when sitting into a 90deg position without helping pull my leg in. Also swinging my leg in and out of bed caused a real feeling of intense heat around my knee. I guess that was just the tightness. Spent more time walking around the house without crutches. Anything other than fairly mild exercise requires me to be supported as the knee to low shin feels quite stressed.

Monday (post op day 6) - rather strange today as noticed the swelling had subsided noticeably. After a few hours of being up and about I had a couple of quite severe cramp periods. Back of knee and calf. By the afternoon all was well and walking around was much easier. Knee was bending as I walked in a fairly normal gait, albeit restricted. Big breakthrough day. Walking up and down stairs using handrail only.   Cut back on meds as it was only mildly uncomfortable. 

Tuesday -  swelling down more, walking around the house without crutches. Bending my knee to 90 deg or more unaided. Reps of stretching exercises increasing and feeling that I'm well on the road to recovery at this point.

Post op day 3-5 was the height of my moderate pain & discomfort. Quite tolerable with meds.

 

Title: Re: Kinespring operation
Post by: bendzeknees on October 02, 2012, 08:18:52 PM
Post op day 4

(http://www.beartach.co.uk/kinespring/p031.jpg)

(http://www.beartach.co.uk/kinespring/p032.jpg)

Wound on the (top) picture left is from an arthroscopy which was carried out at the same time. Marks at the top of the leg are from various blocks which were done after the spinal anaesthesia. Completely pain free when blocks were done and extremely beneficial over the next few days.
Title: Re: Kinespring operation
Post by: bendzeknees on October 02, 2012, 08:21:01 PM
Post op day 5

(http://www.beartach.co.uk/kinespring/po41.jpg)

(http://www.beartach.co.uk/kinespring/po42.jpg)

Title: Re: Kinespring operation
Post by: Apleyboy on October 03, 2012, 06:25:32 PM
Thanks for the latest Update Sound like you doing well ,the Photo do Show diffrece Between days Good ,
Keeping going ,
Title: Re: Kinespring operation
Post by: dietrichate on October 05, 2012, 07:02:29 PM
Hi, very interested in your progress as i am due to have one of these fitted on Nov 13th. I have a couple of questions for you:

prior to your op, what level of exercise were you able to achieve?

Did you go through the usual arthroscopy before this op?

Where did you have the surgery done?

What are the expectations for returning to your sports?

I will keep a close eye on progress over the coming weeks!
Title: Re: Kinespring operation
Post by: bendzeknees on October 06, 2012, 01:01:25 PM
Progress has been mixed over the last few days. Problem area is just below the knee on where the bottom of the Kinespring is attached to the tibia. The muscles from below the knee all the way down the shin area get quite tight and it feels uncomfortable to stand. I've also had a tight, cramp like feeling in the area around the Kinespring during the night which was painful. My lower leg and ankle became quite swollen. I find it difficult to get my leg into a comfortable resting position, more so when lying in bed over the last few nights. I am very aware of where the spring is. I have kept up all physio exercises. I returned to driving on Tuesday which is fine as long as my leg is fairly straight. I have no problem with control of foot pedals and power through the leg is not an issue.

Title: Re: Kinespring operation
Post by: bendzeknees on October 06, 2012, 01:14:19 PM
Hi, very interested in your progress as i am due to have one of these fitted on Nov 13th. I have a couple of questions for you:

prior to your op, what level of exercise were you able to achieve?

Did you go through the usual arthroscopy before this op?

Where did you have the surgery done?

What are the expectations for returning to your sports?

I will keep a close eye on progress over the coming weeks!

My exercise level had dropped off a lot. Tennis, badminton almost unable to take part at all over last 18 months.  Swimming, cycling restricted. Walking, down to about 2-3 miles on flattish ground and avoided doing any mountain/hill walking.

2 previous arthrothscopies for repair of torn meniscus. June 2011 & April 2012.

Surgery was carried out in Glasgow.

My expectations are for a near full return to sporting activities. Probably scale back on impact sports which caused me problems as my condition worsened, such as tennis.

Alpine racing is my main sporting activity (as a coach) and I would hope to be back at the level I was at 2 years ago when I realised I had a problem.     
Title: Re: Kinespring operation
Post by: dietrichate on October 06, 2012, 08:05:03 PM
Thanks for the update - similar experience to me, I must admit I am pretty nervous about the whole thing, Keep the updates coming
Title: Re: Kinespring operation
Post by: bendzeknees on October 08, 2012, 10:15:54 PM
2 weeks in and things are improving. More physio today, caught up with my surgeon and all in all things are going the right way.

Discomfort has dropped off, swelling is starting to fade and definitely more natural movement around the knee. Sleeping well (not that I had any real issues) and can move around easily during the night instead of being too careful about sudden moves etc.

Leg is still swollen, particularly down at my ankle. Walking up stairs unaided is just about do-able but requires effort. Tried walking without crutches yesterday, no more than 1.5 miles and it was ok. I reckon that was about right for me at this stage. 

Couple of snaps showing current view of the leg.

(http://www.beartach.co.uk/kinespring/kf08.jpg)

(http://www.beartach.co.uk/kinespring/ks08.jpg)
Title: Re: Kinespring operation
Post by: bendzeknees on October 08, 2012, 10:27:40 PM
Thanks for the update - similar experience to me, I must admit I am pretty nervous about the whole thing, Keep the updates coming


I wouldn't be nervous - you have some insight to the process from previous surgery and I would say it has taken about the same time to get over the first phase of post-op as previous knee ops (4 in total). It's uncomfortable in that your leg has very restricted range of movement, but you will be able to hobble around. I can honestly say that it has not been painful, the occasional time when I tried to do too much, too quickly I have brought some pain and additional discomfort on myself. It aches - a lot; for me it was down my tibia. Use crutches, use meds and do the exercises. Beyond day 5/6 things should improve.

At this stage I would say I'm now out of the first phase of post-op. I'm now ready to move on in my physio, ready to drop the crutches, I'm on minimal meds and more importantly the reason I had the surgery has so far been a big success. Keep that in mind. Your doing this to help yourself and hopefully it will be worth it. This is short term for long term gain.

Keep positive, this initial stage will pass quickly.


Title: Re: Kinespring operation
Post by: Apleyboy on October 10, 2012, 06:13:01 PM
That the only Thing Keep positive , I had a OATS Op  5 years ago, that was a Long Drag over 6 Months of up And Downs ,now the  area Needs to be Pressure released an external brace works good, but Long Term is either replacemnt knee or kniespring. I`ve taken the kniespring Option as my Dr. Said once the Bone is drilled Out it gone for ever...
6.12 Spring Here we come.

Looks like you`re doing well that give my a positive thought to my plan I ve just Seen a three year Report on the Web for kinespring the result  also look good.

Title: Re: Kinespring operation
Post by: dietrichate on October 16, 2012, 12:39:03 PM
Things are looking promising!! A couple more questions - Can you physically feel the position of the spring under the skin? do you feel the actual movement of it?
Title: Re: Kinespring operation
Post by: bendzeknees on October 21, 2012, 10:06:53 PM
Been on holiday over the last week.

Yes, I can feel it and see a ridge line where the metalwork is. It is minimal.

I have a problem just now that I feel it too much. Swelling has by and large gone now nut the stiffness around the knee has increased. I have been careful not to overdo exercise and have restricted myself to physio drills, walking and last week some time in a swimming pool though I ended up swimming using one leg. It just didn't feel comfortable trying easy leg moves. I can't make physio tomorrow and will attend on Thursday to go through the problems I'm having and feedback comments.   

At the moment I feel like I've set myself back. A bit disappointed as I was feeling good around 2.5 weeks and the last week has been poor relative to the gradual improvements that were happening.

There is so little to public info available that it is difficult to timeline what should be achieved as the weeks go by.

I'm hoping this is normal and a small setback. Right now it doesn't feel right and I am concerned that there is a problem. The flex I can achieve is worse now, stiffness in knee comes on quickly and I can feel something pinching at the bottom of the operation site as well as just above it. The Kinespring is above the scar line so I'm unsure what I'm feeling further down. 

Will update on Thursday but feel free to fire any questions you have before then.
Title: Re: Kinespring operation
Post by: Apleyboy on October 25, 2012, 06:30:09 AM
How is Progress ? My dr is saying Time line is about the Same as Keyhole op , Reading Above i think it Longer?
As you say they is very Little Info Around at the Moment And of Course euch of us are different . But it's hardwhen you Tell you employer Off of 6 Weeks And After it 's Ten Looks like i m going to have to be very Open with them And Lay the cards on the Table
Title: Re: Kinespring operation
Post by: bendzeknees on October 25, 2012, 05:06:04 PM
How is Progress ? My dr is saying Time line is about the Same as Keyhole op , Reading Above i think it Longer?
As you say they is very Little Info Around at the Moment And of Course euch of us are different . But it's hardwhen you Tell you employer Off of 6 Weeks And After it 's Ten Looks like i m going to have to be very Open with them And Lay the cards on the Table

Timeline is similar in that the time it takes to become reasonably mobile is about the same. Approx 2 weeks. I've had 4 prev keyhole surgeries and they were all the same. To return to full activity take a round 6-8 weeks. Depends on what was being done. I have coached a race group 3 weeks after surgery and I have also been at the 6-8 week stage with one of them as I tried skiing and I simply didn't feel stable or strong and took a while to settle.

Depending on you job/history/fitness etc, I would think 6 weeks is doable. If you are on your feet or quite active then at 6 weeks I reckon you would be limited. I was driving after 8 days, walking approx 1.5-2 miles 2/3 times per week at 14 days post op. No hard and fast rule; that's just me.

I plan to be back skiing within 2 weeks from now which is approx 6 weeks post op.
Title: Re: Kinespring operation
Post by: bendzeknees on October 25, 2012, 05:13:57 PM
Had a really good physio session today which re-assured me that progress is definitely on track. The problem I have had around lower/inside are of knee is my hamstrings. Due to some stretching when the metal work was put in and the swelling I have had they are very tight. Got a lot of help today stretching them out. Overall progress is a good, no concerns from physio though she is going to consult the surgeon regarding easy onset of stiffness around the knee.

That has given me a boost knowing that everything is ok and problems I have had fit with previous patients. Weeks 2-3 seems to be a key period and previous patients have raised issues around that time frame.

Title: Re: Kinespring operation
Post by: Apleyboy on November 06, 2012, 06:13:46 AM
How are you doing now 7 Weeks Post op ? Do you Ski , i stopped Last Year we went on the Trip but i walked And was in the gym . Hard Bit like Take a dog to the buthchers window..my mrs. Whats to go in Feb. But that will only be 8 Weeks Post op .. But we know so many People in alpbach i survive the week of gym swim And aper Sking of Course..
Title: Re: Kinespring operation
Post by: Apleyboy on November 07, 2012, 05:57:25 AM
Wishimg you all for next week please Keep me in the Loop my op Date is 6dec. I m also nervous the Lady of the House is Planing Christmas And Keep saying what if ...
Title: Re: Kinespring operation
Post by: dietrichate on November 07, 2012, 09:21:39 PM
Just under a week to go until my kinespring op - how are things progressing since the last update?
Title: Re: Kinespring operation
Post by: Apleyboy on November 08, 2012, 06:05:26 AM
My Last Post was meant for dietrichate ,  wishing you luck my op is in 4weeks are you in the UK?
Title: Re: Kinespring operation
Post by: bendzeknees on November 10, 2012, 03:55:40 PM
How are you doing now 7 Weeks Post op ? Do you Ski , i stopped Last Year we went on the Trip but i walked And was in the gym . Hard Bit like Take a dog to the buthchers window..my mrs. Whats to go in Feb. But that will only be 8 Weeks Post op .. But we know so many People in alpbach i survive the week of gym swim And aper Sking of Course..


I'm doing well thanks. I will be 7 weeks post-op on Tue 13th and have my first follow up consultation new week also when I will find out more. I have a normal gait once more, no more hobbling around. Good range of flex but physios want more. I do a lot of stretching exercises still and have only progressed slightly in physio from the set routine I have. Swelling has all but gone. The knee area can swell/stiffen still if I'm on my feet for along periods which is reasonable to expect. I do sometimes take diclofenac and/or paracetamol depending on my activity level. The area around the tibia can also feel a bit sensitive.

I return to skiing tomorrow but wont be doing too much and working with a good group of young athletes who don't need to see me ski too much which is a bonus. Hope to be back to full fitness by January.

It's all about taking advice/sticking to the plan and not rushing it. I've been injured before and coming back too soon is not worth it.

Tomorrow will give me more of an idea on what I can do. I have put off a trip in early January and have an option to do some work in Italy in February but not committing to it at this stage.

No problems associated with the original problem which is the main result I wanted.

Feeling very positive and the setback in week 3-5 is behind me. It was a case of up, up, flat, down, flat, up and stil on the up but feeling everything is so much better.

Title: Re: Kinespring operation
Post by: bendzeknees on November 10, 2012, 04:05:14 PM
Just under a week to go until my kinespring op - how are things progressing since the last update?

Good luck. Stay positive, it's a short term for the long term gain. I hope it goes well and it will be interesting to hear your post-op progress. All going well you will be up and at it in no time and working on getting strong again. Physio had me gritting my teeth a few times but it made the difference. The support has been very good and I hope you get the same result in every way. 



Title: Re: Kinespring operation
Post by: dietrichate on November 10, 2012, 05:09:31 PM
Thanks,

Will send an update after the op on Tues - Glad to hear progress is good, I intend to be back playing squash but only time will tell
Title: Re: Kinespring operation
Post by: dietrichate on November 14, 2012, 08:12:27 PM
Back from kinespring op. overnight stay and very stiff now, but the surgeon was very happy with the procedure. It will be interesting to see if our experiences match. I have been told not to rush things but fingers crossed for a good outcome.
Title: Re: Kinespring operation
Post by: bendzeknees on November 18, 2012, 05:40:28 PM
Back from kinespring op. overnight stay and very stiff now, but the surgeon was very happy with the procedure. It will be interesting to see if our experiences match. I have been told not to rush things but fingers crossed for a good outcome.


Glad to hear it went as planned. Good advice, rushing it won't help and is probably not that easy to do anyway depending on how you are coping. Follow the advice and it will pay off.

I had my first follow up consultation last week and everything is fine. Everyone, especially me, is very happy with progress. I have no signs of the original OA symptoms and recovery continues and I'm improving day by day. So far a resounding success.

Hope things are improving for you.
 
Title: Re: Kinespring operation
Post by: Wobbley Chester on November 22, 2012, 03:50:44 AM
Thank you for sharing your experience with the Kinespring.  I am interested in learning as much as possible, especially from a patient's viewpoint. 

I am 32 years old, and have had 8 surgeries for the medial side of my right knee including two meniscal transplants.  I am unfortunately having knee pain in full extension and back to wearing knee braces, etc.  I am optimistic about the Kinespring transplant, however!  I am a candidate to receive one next month and I am hoping for the best, as we all are.

I have a few questions for those who have had one:  how much pain were you in prior to the implant vs. post implant?  How is your range of motion?  Was there any discussion of repairing damaged cartilage prior to the transplant?

Thanks!

Wobbley Chester
Title: Re: Kinespring operation
Post by: Apleyboy on November 22, 2012, 05:49:39 AM
Two Weeks to go to the op , After Last Few Night of pain lets get on with it , Good to hear all is well bendzieknees
Nerves are kicking in but what i ve Seen so for this is the Way forward .
 :D
Title: Re: Kinespring operation
Post by: dietrichate on November 22, 2012, 11:59:28 AM
10 days post op.
main problem is with swelling around the knee and calf which is restricting most of my movement so far.
I have had my first physio session and was advised that this is more than expected and the movement should improve as the swelling goes down.
Pain has been manageable - except when I thrash my leg during a dream! That hurts!
I was expecting a reasonable range of movement at this point, so I am a bit frustrated. Stitches come out next tues and I have another physio appt next thurs, so hopefully a more positive update next week.
Title: Re: Kinespring operation
Post by: dietrichate on November 22, 2012, 12:02:20 PM
Had mine done at spire north Cheshire, wobbley
Title: Re: Kinespring operation
Post by: Apleyboy on November 27, 2012, 05:15:48 PM
How are you doing Post op ? I got a week to go . Pre op appointment thursday
Thanks in advance for Updates
Title: Re: Kinespring operation
Post by: dietrichate on November 28, 2012, 04:18:20 PM
So, two weeks post op now. Staples are out, wounds healing well. Weight bearing is ok, not painful, although if standing for any length of time there is a sharp pain down my calf
Swelling on the whole is subsiding a bit now, but the bending movement is still pretty restricted - 30 degrees at best.
I am interested in others experience of this, as I expected better by now?
Physio tomorrow so that might shed some light on it.
Title: Re: Kinespring operation
Post by: bendzeknees on November 29, 2012, 11:17:36 PM
So, two weeks post op now. Staples are out, wounds healing well. Weight bearing is ok, not painful, although if standing for any length of time there is a sharp pain down my calf
Swelling on the whole is subsiding a bit now, but the bending movement is still pretty restricted - 30 degrees at best.
I am interested in others experience of this, as I expected better by now?
Physio tomorrow so that might shed some light on it.

The calf discomfort was just swelling, it must have been about 30% bigger than normal. Once I started to move around a bit more it improved. Took time to get my leg elevated every day.

Range was a lot larger - nearer 90% and with a bit of effort I could pull my leg in further to stretch it more.

Have you seen your x-ray yet?  A lot more metal work in there than I imagined, despite having seen a mock up of the Kinespring fitted to a leg. I would have liked to have seen the x-ray earlier as I would have appreciated why my leg felt like it did.

Good to hear you are coping and I'm sure the physio will work some magic and help to improve things.
Title: Re: Kinespring operation
Post by: Apleyboy on November 30, 2012, 05:53:48 AM
Thanks you both for the Update . I had my pre op Meeting with the dr Last Night . His Main Point Take it Easy the First Few days to left the Skin an muscle Settle Around the Spring otherwise Problem.. And he want me to stay in Hospital 5 days( normal in Germany, I'm a expat)i ll have a passive Moment machine And physio / Massage direct After op to Keep the swelling Down.
Next wednesday  i try to Update via phone. 8)
Title: Re: Kinespring operation
Post by: Wobbley Chester on December 02, 2012, 04:22:38 AM
For those interested, here are links to the latest clinical results and other data:

Go to the hyperlinked presentations -
http://www.moximed.com/ous/medpros/publications.php

Here is a pdf version of a powerpoint discussing results and case studies -
http://www.yorkshirekneeclinic.com/wp-content/uploads/2012/10/london-wst-2012.pdf

These results look promising and the clinical trials are showing great results!
Title: Re: Kinespring operation
Post by: Apleyboy on December 05, 2012, 05:58:19 AM
 8) Well here we go today is the day,
Title: Re: Kinespring operation
Post by: dietrichate on December 05, 2012, 01:19:42 PM
Good luck, hope it goes well

Please keep posting your progress. Specialist for me tomorrow so will report back.
Title: Re: Kinespring operation
Post by: Apleyboy on December 06, 2012, 10:07:46 AM
Dr is happy sleep was okay just had a lymphmassage and now in the Motor machine passive 30degrees all okay
Title: Re: Kinespring operation
Post by: dietrichate on December 08, 2012, 03:42:59 PM
I was worried about lack of movement but the specialist is happy with the progress so far. The x-rays show everything in the right position and apparently the movement restriction is due to the amount of muscle and nerve disruption it takes to get the implant into position.
I am hopeful the next three weeks will see marked improvement
Title: Re: Kinespring operation
Post by: Apleyboy on December 10, 2012, 07:37:18 AM
That Good News Dietriche ,i m now Days Five Post op the Hospital Team are Great Look like home tommorrow my pain is across the Shins when i put to much Weight on caused by the Screws had x rays done yestwrday but Not yet Seen the dr. I m only Alwolled to got to 40 deg with the passive movement machine  so much the Same as yourself
Title: Re: Kinespring operation
Post by: Apleyboy on December 10, 2012, 02:43:58 PM
A very Nice Lady from Moximed as just Visited which i Thought was very Nice Touch all okay and home tommorrow
Title: Re: Kinespring operation
Post by: noni3650 on December 11, 2012, 01:47:10 AM
I am so happy to find this site.  I am in the US and am considering the Kinespring clinical trial for my right knee.  One thing that is different here is that they are doing it as an outpatient procedure...no hospital stay.  They are going to do a nerve block which should alleviate the need to stay in the hospital.  But it does make me a bit weary since the hospital is over 2 hours from my home.  Hmmm.  I look forward to following each of your progress!  If I go forward with this I will post here as well.  ~Noni
Title: Re: Kinespring operation
Post by: Wobbley Chester on December 11, 2012, 01:55:00 AM
Noni, I just had one implanted in Portland, OR.  I'd be happy to answer any questions if I can!
Title: Re: Kinespring operation
Post by: noni3650 on December 12, 2012, 01:11:16 AM
Hey Wobbley Chester fellow west coaster!  Do you live in Portland?  I'm in Eugene.  You must be Dr. Crawfords first patient for this clinical trial...?  What day was your surgery on?  I'm curious how it went for you as an out patient since it seems like other places (& countries) do this as an in patient procedure.  Did you feel comfortable going home?  I'm nervous about the nerve block.  How big are your incisions?  Do you have much swelling?  Tell me everything!  :) please.  I'm 44, female, with no cartilage/meniscus on the medial side of my right knee.  I had one arthroscopic procedure when I was 17.  That said I am no stranger to knee issues.  My left knee has had a rare disease which required - 1 arthroscope, 1 open anterior synovecomy only to end in a TKR last year.  It is kind of exciting to 'meet' someone else in the same clinical trial as I hope to be in!
Title: Re: Kinespring operation
Post by: Wobbley Chester on December 12, 2012, 02:29:54 AM
Hey Wobbley Chester fellow west coaster!  Do you live in Portland?  I'm in Eugene.  You must be Dr. Crawfords first patient for this clinical trial...?  What day was your surgery on?  I'm curious how it went for you as an out patient since it seems like other places (& countries) do this as an in patient procedure.  Did you feel comfortable going home?  I'm nervous about the nerve block.  How big are your incisions?  Do you have much swelling?  Tell me everything!  :) please.  I'm 44, female, with no cartilage/meniscus on the medial side of my right knee.  I had one arthroscopic procedure when I was 17.  That said I am no stranger to knee issues.  My left knee has had a rare disease which required - 1 arthroscope, 1 open anterior synovecomy only to end in a TKR last year.  It is kind of exciting to 'meet' someone else in the same clinical trial as I hope to be in!

Yes, I am the one! (Lion King Theme Song)  I live in Milwaukie, just SE of Portland.  Surgery was on Friday last week.  I too raised concerns with not staying overnight since everything I too read indicated overnight, sometimes mulitiple night, stays at the hospital.  As you'll find out, the procedure is very short and non-invasive (Avg. surgery time of 72 min in other studies).  I'm sure it would depend on the patient, but it sounds like your and my age, and current health, would lean towards an same day procedure given such a short surgery time.

The nerve block is an amazing contribution to medicine, and it worked amazingly.  You still feel discomfort, pain and stiffness from the trauma of the surgery..but it is much more tolerated.  Overall, the pain isn't bad at all (compared to mensical transplants!).

My incisions were like the photos posted on kneeguru from the other kinespring implant patient.  Swelling is present, but not that bad.  I have great range of motion early on, and being 4 days out, I can walk without crutches.  Overall, so far the worst part is first thing in the morning due to the stiffness and aching.  It's really hard to tell at this point if the original symptoms are present when I walk, given the stiffness and aching from the surgery site.  I think things are going great so far.

Go for it!  Everything I've read would lead me to believe this would help increase your quality of life by decreasing pain.

Please let me know if you have any other questions!

Wobbley Chester
Title: Re: Kinespring operation
Post by: Wobbley Chester on December 12, 2012, 02:38:07 AM
How big are your incisions? 

Bendzeknees has some great photos posted earlier in this discussion.
Title: Re: Kinespring operation
Post by: Apleyboy on December 12, 2012, 06:19:52 AM
Well Here we are 1week Post op And home, i think the stay in Hospital was more of a Thing from my Dr the be in a controll Environment , it was the First Time at this Hospital. My Main Problem is muscle pain And swelling.
I also had a nerve Block what a Good Invention no Need for Hard Drugs which may Harm other Organs.
I can Walk without Stick but this doesn't help the swelling so it balancing Act
Good Heath to all
Title: Re: Kinespring operation
Post by: dietrichate on December 13, 2012, 01:30:25 PM
Well. I am now exactly one month post op and still struggling to get any significant bend in my knee
I can manage about 60 degrees from straight and my physio can force it to ninety with difficulty.
The restriction is definitely along the side where the spring is implanted, I can only hope that this will continue to improve although it is extremely slow at present.

I will be very interested on any further comments from Bendzeknees as you started this string and will be the furthest along the recovery path, to add some more on your progress
Title: Re: Kinespring operation
Post by: Wobbley Chester on December 13, 2012, 06:13:23 PM
Dietrichate - Hopefully your flexibililty improves.  First thing in the morning is very hard.  I'm finding doing leg raises while laying on my back first thing in the morning helps with getting the muscles warmed up and ready to go...

Day 5 for me.  I have been extremely aggressive with icing and elevation to remove swelling.  It has made a big difference.  Pain level is steadily decreasing, as are functionality and stiffness are slower to respond, but with diligent effort with prescribed exercises these are also improving.  Walking without crutches and no pain meds for two days now.

Wobbley Chester
Title: Re: Kinespring operation
Post by: Apleyboy on December 14, 2012, 06:04:12 AM
Wobbely Sound like your doing really well ,
My Dr Joked we me And you only Need to say Operation an my knee is swollen...
I ve got a CPM at home for 6 Weeks (6x30min Daily) so that should help currently at 60deg passive 45 active had a really Good physio yesterday taken a Lot of Fluid Out  so i thin slowly coming Around the corner
We got Alot of Snow Outside which is Keep a Bit restricted on movement but Chin up Keep going ...just three Months we ll all be fit And pain Free
Title: Re: Kinespring operation
Post by: noni3650 on December 16, 2012, 06:50:26 PM
Wobbly Chester ~ Thank you for posting all of your info.  I have my pre-op this Thursday and if all goes well the surgery on the 28th.  I've been super nervous about the nerve block and was glad to hear that you had a good experience with it.  Also it's amazing that you are off pain meds!  How much range of motion do you have?  I'm concerned about that especially with the other posts.  :(   But my knee as it is is so painful (also pops, crunches, etc) that my active ROM has diminished anyway.  Good luck everyone with your recovery!  I'm hopeful that this is going to be a great thing for all of us!
Title: Re: Kinespring operation
Post by: Apleyboy on December 19, 2012, 02:28:11 PM
Two Weeks Post op , now Looks like a knee the Clips are Out passive movement 85deg. Active 65 ish . I m very happy with Progress so far. The Dr is Also happy Too.
Within the House nö Sticks only Longer distance(more of a mental Block)
Would like to know how bendzieknees is doing?
Title: Re: Kinespring operation
Post by: noni3650 on December 22, 2012, 05:30:57 PM
That is awesome ApleyBoy!  Keep posting your progress.

So I am scheduled for this Kinespring surgery next Friday the 28th.  I'm excited and nervous!  I'm no stranger to knee surgeries (I have had PVNS in my other knee - 3 surgeries including TKR in 2011) but this is different and coming up soon!  I am having my surgery with Dr. Crawford at OHSU in Portland, OR same as WobblyChester!  I had all of my pre-op appointments last Thursday and heard you (WC) were there that day for a follow up!  How is your recovery so far?  How is your range of motion?  Pain levels? 
Title: Re: Kinespring operation
Post by: Apleyboy on December 29, 2012, 05:05:12 PM
Well 3 1/2 weeks post op, doing okay but is starting to get frustrating, the numb feeling on the shin is starting to go, and cannot yet sleep knee on knee. so kicking around a bit in the night. using a rolled up towel between the legs just above the knees it worked last night..
How are you doing noni ?
 just got to think positive
My plan is next (year) week to do some swimming and start pushing the muscles a bit.  just some more distance walking today so one step forward  8)
Title: Re: Kinespring operation
Post by: Wobbley Chester on December 29, 2012, 08:07:09 PM
Three weeks post op.  Pain and swelling have reduced significantly.  Flexibility is good with consistent stretching and prescribed exercises.

Biggest discomfort is where the soft tissue surrounds the spring.  The discomfort causes sleep problems and aching throughout the day.  I am looking forward to having this area adjust to the implant.

All in all, no arthritic pain with walking!

Happy Holidays,
WC
Title: Re: Kinespring operation
Post by: Apleyboy on December 30, 2012, 06:03:22 AM
We re at the Same Stage WC , that what is frustring me a bit, no Joint pain only the tissue problems which are slowing me down a bit.
Happy Holidays
Title: Re: Kinespring operation
Post by: noni3650 on December 31, 2012, 03:04:00 AM
Hi there!  Sounds like you two are doing well.  Yay.
I'm day 2 post op.  Mostly doing well,  better than I expected.  I had a massive amount of bleeding through the bandages and ace bandage on my way home from the hospital  But was able to get it under control that evening.  My knee is fairly swollen and warm but I think it is normal.  I'm keeping up on the exercises and have full extension and at least 90 degree bend.  My quad is coming back nicely from getting off the nerve block.  And I have put full weight on my knee and it seems good!  I'm excited to NOT have the arthritic-bone-on-bone pain.  I'm getting up the nerve (hah!) to take out the nerve block.  I already clamped it off but now I'm nervous!  I'm sure it will be fine.  Pain level has gone up without it but I'm anxious to have the nerve block gone.  I'm interested to see how long the implant area will be sensitive.  It does seem like it could be difficult for the body to heal around it.  Much luck to you all. 
Title: Re: Kinespring operation
Post by: dietrichate on December 31, 2012, 01:40:05 PM
7 week update
I have seen my specialist for the second time as I was concerned that the lack of flexibility (under 90 degrees by myself and 110degrees pushed through by the physio with accompanying pain) was due to the spring not functioning properly in the leg flexion stage where the piston mechanism releases. Another X-ray proved this not to be the case and I was informed that it is still the trauma of the op. my specialist still feels that I am within normal boundaries and improvement will come in time.
I have noticed a marked improvement in the pain level when at rest, but the flexibility issue is the main problem. I can just about drive short distances. I go back for another consultation in 6 weeks, so I hope the news is better.
I must admit, I had higher expectations for this point after the op, but I also did not understand the amount of work needed to get one of these in - still, I think it must be a far better alternative to an osteotomy if and when full recovery is reached

Happy new year to all, and hope your recoveries continue

Dave
Title: Re: Kinespring operation
Post by: Wobbley Chester on January 02, 2013, 04:01:52 AM
Here's some feedback from another patient in the UK:

http://www.dailymail.co.uk/health/article-2255466/Me-operation-A-tiny-spring-rescued-creaky-knee.html?ito=feeds-newsxml

Title: Re: Kinespring operation
Post by: Apleyboy on January 02, 2013, 07:08:50 AM
Thanks Wobbly for the link, To be honest I not sure how he went back to work after two weeks? with the festive season I ve had a couple of dinner evenings and after 3 - 4 hours my knee looks like a ballon.
(so even in a office 8 hours?).
thanks Dave for your info too. My problem area is the "cut and muscle" too as earlier mention by my Dr only need to say "op" to my knee and it swells.
 I ve notice the last couple of days the nerves seem to be coming back into action, I ll call it a interesting feeling when going up stairs or on the CPM machine.
  I must thank all for their posts, it´s really helps my morale.
Title: Re: Kinespring operation
Post by: noni3650 on January 05, 2013, 08:36:47 PM
Hi everyone.  I'm 8 days post op today.  I find that the incision site is still quite painful.  I have noticed that I have not had the sharp bone on bone pain though!  I still have swelling in the joint and below.  I think it is all normal.  I'm still using the crutches (mostly) to ensure that I do not limp.  I can walk without them and at home I often opt for just one crutch.  I actually went in to work on Thursday (6 days post op) and Friday (1 week post op) for about 4 hours each day.  I'm not going to lie it sure took a lot out of me!  I did well while I was at work but when I got home I was wiped out for hours!  ha ha.  We'll see how next week goes because I am planning on being back at the office at least part time!  I worry about my range of motion and hope to really push it once my stitches come out.  I can get to a 90 degree bend on my own but it gets stiff pretty quickly.   
Title: Re: Kinespring operation
Post by: Adobec on January 07, 2013, 10:00:58 PM
I am happy to have found this thread.  I am 38 with advanced medial arthritis on my right knee.  My next step was an osteotomy, but a recent MRI showed a previous ACL tunnel in my tibia that did not fill with bone, making the osteotomy impossible.  How did you go about enrolling in this trial?  I am in Texas.

Good luck to you all!!
Title: Re: Kinespring operation
Post by: noni3650 on January 08, 2013, 07:12:55 PM
Hi Adobec ~ I think that the consent form states that there will be 6 sites total that will be participating in this trial.  But Dr. Crawford (Oregon) only mentioned two other sites- one in San Francisco and the other in Indiana (I think).  I'm not sure if the other sites have IRB approval yet.  Below is a link to clinical trial information.  It (at this point) only lists the Oregon site and the Indiana site. 

http://www.clinicaltrials.gov/ct2/show/NCT01738165?term=kinespring&rank=1

I have my post op tomorrow with Dr. Crawford and I will try to remember to ask him about the other sites.

Good luck!
Title: Re: Kinespring operation
Post by: Apleyboy on January 10, 2013, 10:01:40 AM
A new week new luck ? Well mornings are good, but later in the day the swelling goes up and pain level also but the sleep issues are getting better so some improvement in general. The physio is good and he´s working me hard twice a week plus my extra bits at home. Check up tommorrow so let see what the Dr says...
A tip for anyone think about this op I had a external brace to unload for 4 month to see if any improvement / pain releve  was made ( Osser unloader One) was no to bad to wear execpt on very hot days beat having a OP which bring nothing.
Title: Re: Kinespring operation
Post by: Adobec on January 12, 2013, 04:55:15 AM
Apleyboy, I will have to try the brace-- before it gets too hot here in Houston.

Noni, any info you can give me would be great.  I spoke at length with someone at moximed who said my chances of enrolling are not good because of my distance to clinical sites.  They worry about follow up.  I get that.  But honestly, I would move somewhere for, say, the summer, if it meant I could participate.  I just don't have any other options.

I'm curious... Has anyone encountered detailed inclusion/exclusion criteria?  I have grade 3 chondromalacia in my PF compartment, would that exclude me?  As far as I know my lateral compartment is fine.

Thanks a bunch and good luck to everyone!!
Title: Re: Kinespring operation
Post by: noni3650 on January 12, 2013, 10:31:59 AM
Hi Adobec,
You should contact Samantha Quilici she is Dr. Crawfords research assistant (?) and my main contact.  I think if you call 503.494.4000 or 503 494-6400 and ask to leave a message for "Samantha Quilici in Dr. Crawfords office" - then ask to have her call you back regarding the Kinespring study.  I had to travel up there for my 'screening' appointment and several pre-op appointments (which they did in one day) but I am guessing they could pretty thoroughly screen you on the phone.  I am guessing that the distance could be an issue but if you are committed to traveling to Oregon at the different time points through the study (and you qualify) I think they will consider your case.  I asked Dr. Crawford where the other sites were (int he US) and only knew of the one in Indiana (?) and San Francisco.  But I think Indiana and Oregon are the only two that are up and running.  Anyway he said "have him give us a call" and he knew you were from Texas.  Back to the distance thing...  It is important to know that this is a five year study.  So the commitment is for five years.  That said once the surgery is completed I had an appointment 10 days post op with Dr. Crawford.  And the next will be in 4 weeks and then 6 weeks after that.  I don't have the consent form in front of me but I think over 5 years there are around 8 appointments.  Some appointments require X-rays and other tests.
Good luck to you!
Title: Re: Kinespring operation
Post by: noni3650 on January 12, 2013, 10:49:00 AM
Question to all who have had the surgery:

I am 2 weeks post op.  A few days ago I started to get a burning (searing, tearing) sensation below the knee cap on the opposite side of my knee.  Opposite the kinespring.  It started happening when I would move my leg a certain way but goes away as soon as I stop moving.  I have had two real episodes where it would fire up with any and every movement.  It is very intense.  Has anyone else encountered anything like this?  I'm wondering/thinking it may be a nerve issue.
Title: Re: Kinespring operation
Post by: dietrichate on January 12, 2013, 01:07:35 PM
It could well be a nerve thing, there will have been a hell of a lot of disruption in there during the op, and a lot of things have to be moved around to get the spring in.
I am 8 weeks post op now, and I also had some strange and wonderful pains,swellings and sensations for at least the first six.
Just as I was wondering whether I had made a big mistake having this done, I seem to have made good progress over the last two weeks, and can now get enough bend to do the cross trainer and static bike, which to me is a real breakthrough. I realise now that these are not a quick fix and will take months for us all to reap the benefits.
I still experience a medium level of pain, but I am hopeful now that this recovery will continue to a good level of fitness and lack of knee pain.
Give your specialist a call, I am sure he will explain the sensations you are feeling
Dave
Title: Re: Kinespring operation
Post by: noni3650 on January 12, 2013, 09:02:29 PM
Hi Dave,
Thanks for the response and input.  I was also thinking it is most likely a nerve thing.  Everything you said made sense.  I feel like everything else is going so well but this is starting to get in the way of my rehab.  I can do all of my exercises (pushing through the searing pain) but when it is acting up walking is difficult....just when I am trying to add in more walking, bike and some other on my feet exercises! 
I had my first post op appointment 3 days ago.  At that time it (the weird pain) was only happening occasionally when I move a certain way.  He wasn't worried about it and thought the swelling had something to do with it.  I was also concerned about my bend which he is not.  I'm between 85 and 105 and at 0 degrees extention.  But it sounds like my bend is ok for where I am at in the healing process.
I'm glad to hear that you are doing much better at 8 weeks.  Is the pain that you still have around the implant site or original knee joint pain?  How much bend do you have? 
It is frustrating since I was pretty much off the crutches but now am relying on one.  But your progress is encouraging! 
thanks!
Noni
Title: Re: Kinespring operation
Post by: Apleyboy on January 13, 2013, 04:59:56 PM
Check up Last Friday Dr is happy , i Need to watch my walking And Roll though more heel to Toe, swelling is still a Problem to Control . Dr Said aviod the Cycle The muscle movement Around Spring is likely to be Causing the Problem so now i should swim but Not breaststroke.
Next Check up in six Weeks with x Ray. I made today a Rest Day well it is Sunday After all...
Dave Good News on your side.
Title: Re: Kinespring operation
Post by: Adobec on January 15, 2013, 05:02:01 PM
Noni,
Thank you so much for the contact info.  I will call Samantha when I have all of my ducks in a row :-). I spoke with someone at moximed a few days ago...he was very concerned about my being in Texas.  It seemed that this would not allow me to participate.  I understand, they are doing a study and need to keep track of their patients.  But I was thinking maybe there is some way for my ortho's here to vouch for the fact that I would be 100% committed.  And if they want a rocks tar in the rehab department, I'm their girl :). Once you've been cut on as much as I have, you pretty much walk out of the OR, bend the leg the next day, hop on the bike the day after that, etc.  Haha!

To all,
One question:  I know that a HTO displaces the load to your lateral compartment.  Does the kinespring do this as well?  I am thinking no.  From the looks of it, the spring absorbs the load without displacing it somewhere else. 

Thank you!  I hope your recoveries continue to go well!
Title: Re: Kinespring operation
Post by: bendzeknees on January 17, 2013, 08:00:44 PM
Well. I am now exactly one month post op and still struggling to get any significant bend in my knee
I can manage about 60 degrees from straight and my physio can force it to ninety with difficulty.
The restriction is definitely along the side where the spring is implanted, I can only hope that this will continue to improve although it is extremely slow at present.

I will be very interested on any further comments from Bendzeknees as you started this string and will be the furthest along the recovery path, to add some more on your progress

Hello - just catching up on everyones progress. I am doing very well and continue to get closer and closer to where I would like to be i.e. rewind the clock 2 years!

I'm pushing myself more and more and returned to skiing, lots of bike work and even some light jogging by the 3 month mark.

My recent check up was very positive and things are improving bit by bit.

Still have swelling though it doesn't vary much at all and is decreasing albeit slowly. That's just down to the surgery.
Title: Re: Kinespring operation
Post by: bendzeknees on January 17, 2013, 08:10:55 PM
Just looked over all the posts and I don't see anyone reporting back with anything unusual compared to my own experience which is good.

The general swelling will subside and without doubt keeping up execrcise has been so important. I had a tightness/stiffness around the upper knee area which has vanished since I upped my time on a bike. It really eased up the knee and I'm glad to say it has stayed that way and feels more like a free hinge.

Overall the last 6 weeks have seen good progress/plateau/good progress etc. I still do lots of a few drills I was shown in physio when I feel the knee getting a little stiff.

Title: Re: Kinespring operation
Post by: bendzeknees on January 17, 2013, 08:15:37 PM
I read the link to the UK newspaper. Returning to work is going to be a very individual thing. I was back at work exactly 1 week after my op and that involved driving. May not be the norm and I wouldn't have done it unless I could and felt safe using the pedals. 

As I'm not full time in sports anymore and have a predominantly desk job now it was easier. In the early stages though I had to keep getting up and walking around, stretching my leg etc. A lot of swelling in the first 6 weeks.



 
Title: Re: Kinespring operation
Post by: bendzeknees on January 17, 2013, 08:21:25 PM

To all,
One question:  I know that a HTO displaces the load to your lateral compartment.  Does the kinespring do this as well?  I am thinking no.  From the looks of it, the spring absorbs the load without displacing it somewhere else. 

Thank you!  I hope your recoveries continue to go well!

The procedures are different and your summary is correct. The spring is fixed at two points and cannot shrink as it has to maintain the gap. It will mimic you leg/knee action in whatever direction, be it bending, stretching, lateral movement - combination of above. The idea of the KineSpring is to avoid anatomical change; no realigning of knee joint/leg.
Title: Re: Kinespring operation
Post by: bendzeknees on January 17, 2013, 08:28:30 PM

I must admit, I had higher expectations for this point after the op, but I also did not understand the amount of work needed to get one of these in - still, I think it must be a far better alternative to an osteotomy if and when full recovery is reached

Happy new year to all, and hope your recoveries continue

Dave

Until I saw the x-ray 6 weeks post op I didn't fully appreciate the work that had been done. If I had known perhaps psychologically it would have made a difference to my expectation.

I definitely have had peaks and troughs and at 4 weeks I had my blackest moment thinking the same thing. At that point I thought it wasn't going to work for me and through tremendous support from the physio and pushed on through another was soon making further progress.

This was the right decision for me, HTO would have put me out of coaching for the best part of a year instead I was back coaching at 8 weeks.

I hope things keep going the right way and you get to the eureka moment when it feels like it's all coming together. 
Title: Re: Kinespring operation
Post by: bendzeknees on January 17, 2013, 08:33:01 PM


I'm curious... Has anyone encountered detailed inclusion/exclusion criteria?  I have grade 3 chondromalacia in my PF compartment, would that exclude me?  As far as I know my lateral compartment is fine.

Thanks a bunch and good luck to everyone!!

From a trials site.

Criteria

Inclusion Criteria:

    Patients with symptoms of knee pain and loss of knee function.
    Patients with a diagnosis of osteoarthritis or post-traumatic osteoarthritis in the medial compartment of the knee.
    Radiographic confirmation of mild to moderate medial compartment knee OA

Exclusion Criteria:

    Patients that that require knee joint replacement.
    Symptomatic OA in lateral compartment or patellofemoral compartment.
    Known sensitivity to metals including cobalt, chromium, iron, or nickel
    Rheumatoid arthritis, other forms of inflammatory joint disease
Title: Re: Kinespring operation
Post by: bendzeknees on January 17, 2013, 08:38:15 PM
Three weeks post op.  Pain and swelling have reduced significantly.  Flexibility is good with consistent stretching and prescribed exercises.

Biggest discomfort is where the soft tissue surrounds the spring.  The discomfort causes sleep problems and aching throughout the day.  I am looking forward to having this area adjust to the implant.

All in all, no arthritic pain with walking!

Happy Holidays,
WC

You know I read over that and it occurred to me that I don't even notice it now. I did do before but unless I'm sleeping in an awkward position I'm not aware of it anymore.

Agreed, having no arthritic pain and getting on with life makes a big difference. Glad to hear you are doing well.
Title: Re: Kinespring operation
Post by: bean568 on January 17, 2013, 10:50:47 PM
Ok - I have read all 6-7 pages for this procedure and it seems like most/all have positive outcomes. I have been approached by my doc here in Indiana to give this a try. I have a meeting on Monday to go through the criteria.

I have been pretty active with sports and the last year have been able to do nothing due to knee pain and degeneration. I would be happy just to be back to the point where I can bike 50 miles and if I run that would be a bonus.

I appreciate all who have shared as it helps me see what is in store for the surgery and post op.

My info is:

44 male, active lifestyle, average weight is where it should be, and according to doc, pretty bowlegged. Which tells all of the issue is on the inside of my knees.

Brian
Title: Re: Kinespring operation
Post by: Wobbley Chester on January 18, 2013, 06:35:09 PM
At 6 weeks, the soft tissue is irritated especially after minimal resistance on the bike.  How long until your soft tissue was noticeably pain and stiff free?

It helps to sit with a straight leg in the office so its not stiff while walking.

Thanks
WC
Title: Re: Kinespring operation
Post by: noni3650 on January 19, 2013, 09:41:15 PM
Hi WC fellow PNW'er~ Obviously I don't have the answers - as I am at 3 weeks. 
Do you (or did you) have numbness?  Nerve pain?   How is your bend?  Bummer that the implant site is still sore with exercise.  I've been curious how you have been!
Noni
Title: Re: Kinespring operation
Post by: bendzeknees on January 20, 2013, 07:11:05 PM
At 6 weeks, the soft tissue is irritated especially after minimal resistance on the bike.  How long until your soft tissue was noticeably pain and stiff free?

Thanks
WC

6-8 weeks was when I could do a lot more and notice it a lot less. It was never about pain with me, just the obvious effect of surgery still having an impact. Stiffness went around 8-10 weeks. I could do a lot more by 8 weeks but there was a corresponding reaction when I increased my activity and tried to do too much so I would take it easy for a few days then resume where I left off. It wasn't all smooth progress.
Title: Re: Kinespring operation
Post by: bendzeknees on January 20, 2013, 07:19:16 PM
Hi WC fellow PNW'er~ Obviously I don't have the answers - as I am at 3 weeks. 
Do you (or did you) have numbness?  Nerve pain?
Noni

Noni - I still have numbness though it has improved. I would say below centre of the knee towards the inside is most affected with ~60% numbness in the small area. I have been informed that it may never fully go away. Good news is that it stops me doing nothing :)

For me pain was really minimal to none at all at that stage. Discomfort was quite high just because of the swelling. I tried swimming at this stage but my knee did not like it one bit and I became very aware of the metalwork. So instead I would just walk around the edge of the pool or sit on the edge of the pool, legs in the water doing leg lifts. 
Title: Re: Kinespring operation
Post by: Apleyboy on January 21, 2013, 05:43:00 AM
If my memory is correct Wobbly Chester our OP are two days apart, so we´re at the same stage . I had the feeling all was good. So did a walk around the village yesterday in the snow with hiking sticks,better then nothing in snow.  my wives first words this morning look at  you knee swelling . I noticed in the night and was kicking around a bit.
As Bendzeknees says it a fine balance between "pushing hard" and stepping backwards.
Bendzeknee you must of skied in Italy I remeber a instructor saying bend ze knees straight the legs   ???
(what)
Title: Re: Kinespring operation
Post by: bendzeknees on January 22, 2013, 09:44:32 PM
As Bendzeknees says it a fine balance between "pushing hard" and stepping backwards.
Bendzeknee you must of skied in Italy I remeber a instructor saying bend ze knees straight the legs   ???
(what)

Was at physio on Monday and they appear not to be too aware of the fine balance. Got a bit bit of a work out. I'm now discharged from physio but will attend a unit not as specialised to keep me on track. They made such a difference and really helped to motivate me.
 
Haven't spent much time in Italy but I'll be out there next month coaching. I'm sure I've said that many times and just as importantly flex your ankles. I'll change my name to bendzekneesandankles  :)
Title: Re: Kinespring operation
Post by: Apleyboy on January 23, 2013, 05:12:44 PM
Don't worry my physio is the Same he's. Very Good (was Part of the mexician Support Team in London Last Year), And as loked After  Few Top German Football Players After knee op s
. So he Knows his stuff but I m the First "Springer" as he calls me. I wont mention what i call him sometimes....  But i know he is the best i can get
Title: Re: Kinespring operation
Post by: dietrichate on January 23, 2013, 08:43:23 PM
Thanks for the updates Bendzeknees, we were beginning to wonder where you had gone. Are you actually skiing yourself now? Very impressive recovery if you are - can you still feel the implant?

I am 7 weeks behind you, but I think my recovery rate has definitely been a lot slower. I am up to about 100 degrees self bend now and 125 with the help of the physio, still doing that once a week which is very useful, and am supplementing it with a gym trainer once a week to help rebuild the muscles.

I definitely don't envisage being back to playing any sport this season, but have set my sights on regaining my place in the squash team for next September

I am definitely noticing some positive changes so will report back later
Title: Re: Kinespring operation
Post by: noni3650 on January 23, 2013, 10:54:02 PM
Thanks Bendzeknees (& ankles) the doctor told me that I would likely have some numbness that doesn't go away too.  I don't mind that too much.  My nerve pain is getting under control but not gone.  The good news is that I FINALLY got the doctors to agree to let me see my Physical Therapist.  They gave me home exercises and 1 visit with a PT at their clinic and that was it.  I had my first session today.  They said I am in good shape and gave me more to do.  PT is wanting me to work hard at reducing the inflammation.  My flexion is still at 90-100 or so.  But it has pretty much been the same since the 1's week post op.  I'm so relieved to be in PT.  Friday will be 4 weeks post op.  I feel like things are starting to seem better.  I haven't tried the bike in the gym yet...feeling like I am going to give it a go! 
Title: Re: Kinespring operation
Post by: Apleyboy on January 29, 2013, 05:46:52 AM
Well all is going well only a Bit of swelling And Touch of pain. And still sensitive Skin on the inside but light at the end of the Tunnel
Title: Re: Kinespring operation
Post by: firebabe71 on January 29, 2013, 09:12:07 AM
Hi
I am hoping to have this surgery done in April and was just wondering if you could
answer a few questions for me

would you recommond the op as I know it is only a trail that has been running for about 2 years

how long were you in hospital for after op

how long were you off work for

and if poss what was the name of you surgeon as I am having mine carried out in Glasgow

Cheers
Title: Re: Kinespring operation
Post by: Apleyboy on January 30, 2013, 05:46:54 AM
I m a expat in Germany so no help for you i think bendzieknees And Dietrich are both in the Uk a couple are in the USA so we re everywhere....
What i vee Seen uk youre in over Night, Here they like to Keep you in for a Few days.
Back to work again everyone reacts different. I had Alot of Problems with swelling so we Played Safe
I had up And Down in the recvery  but now See the light at the end of  the Tunnel. And the pain in Joint as gone that was the Aim
Title: Re: Kinespring operation
Post by: bendzeknees on January 30, 2013, 09:56:17 PM
Hi
I am hoping to have this surgery done in April and was just wondering if you could
answer a few questions for me

would you recommond the op as I know it is only a trail that has been running for about 2 years

how long were you in hospital for after op

how long were you off work for

and if poss what was the name of you surgeon as I am having mine carried out in Glasgow

Cheers

100% recommend the op. If it's been offered to you then you are suitable and I'm sure you know the alternatives which was a big factor in my decision.

It's a trial which is becoming more established as the numbers go up. If it doesn't work for you then it can be reversed - another factor in the decision making process.

I was in hosp for a 24hrs. Depending on recovery you will be reviewed the next morning and if needed you will be kept in.

My recovery was very good and I was back at work after 1 week. Very individual and not a great guide as I know others have been off work for weeks.

My procedure was carried in Glasgow by the only surgeon doing this procedure that I know of. Have sent a PM with contact info.
 
Title: Re: Kinespring operation
Post by: bendzeknees on January 30, 2013, 10:01:24 PM
I m a expat in Germany so no help for you i think bendzieknees And Dietrich are both in the Uk a couple are in the USA so we re everywhere....
What i vee Seen uk youre in over Night, Here they like to Keep you in for a Few days.
Back to work again everyone reacts different. I had Alot of Problems with swelling so we Played Safe
I had up And Down in the recvery  but now See the light at the end of  the Tunnel. And the pain in Joint as gone that was the Aim

The residual swelling I had has really come down now. It may have started to improve anyway but I'm relating a lot of this to the recent increase in bike work in the gym. I'm only doing around 3 x 30-40 min sessions per week but it has improved things a lot. I had been told it would go eventually but it has near vanished over the last 4 weeks which was when I started committing time on the bike.

The light will get brighter - sounds like things are on track for you. 
Title: Re: Kinespring operation
Post by: US Kinespring User on January 31, 2013, 04:51:08 AM
Hi, I'm scheduled for the Kinespring operation next Friday, 2/8, in Portland, Oregon, USA. I'm part of the trial at OHSU. A few other posters are from Portland, too, and have already had the implant. My understanding is that it is the 3rd generation of the device, having worked out some kinks from the 1st and 2nd generations.

I'm a 52-yr old woman with OA, overweight but under the BMI limit (barely), with what looks to be longstanding ITB (IlioTibial Band) Syndrome (tightening if the ITB that affects the knees and hips - common in runners...which I used to be many years ago).

I fell on my knee in June and tore the meniscus. It hurt but I was still able to walk and hike with moderation. I was still doing 10K steps/day or more for a couple of months, but then everything just started going downhill. I've tried everything - OA unloader braces (made pain worse), cortisone shot (felt great but not very healthy for you and only lasted a month), OrthoVisc (perhaps it helped, not sure), and physical therapy. I'm not a candidate for meniscus replacement or anything like that because of the OA. Physical therapy aggravated it so I switched to water therapy but I couldn't even do that non-weight bearing exercise. I've gone from 10-15K steps per day down to 3K or less. I feel my knee all the time. The pain doesn't really decrease to a reasonable level unless I limit the # of steps/day to no more than about 2-3K steps/day. Going to Costco, I come out limping and in pain, knee swelling, etc. This is very restrictive for someone who is used to being on the go. This clinical trial feels like my only option and the best one I know of.

Anyone else out there with similar experiences prior to getting the implant? I've read everyone's posts up to now but still looking for some more info. I'm not sure how athletic folks are, but I stopped running at age 25 due to knee pain (bad joints run in the family) and now more than 25 years later the chickens have come home to roost!

Another question re. what the implant is made of. I saw in an earlier post that one of the excluding factors was a sensitivity to metals including nickel. My PA said that there is no nickel in the device. Does anyone out there know about the metals that make up the Kinespring? I believe it is some kind of titanium composite, but I don't know what the other metals are. Anyone else have sensitivity to nickel that has the implant now? If so, how is it going? Nickel turns my hands green and itchy. I only wear sterling silver and 14K gold or better due to metal sensitivities. I also have some autoimmune things going on (Hashimoto's, Celiac, food allergies), so don't want to make matters worse.

Any and all advice is extremely welcome! I'm nervous about this and want to make sure I am fully informed before I go into that operating room. :-)
Title: Re: Kinespring operation
Post by: Apleyboy on January 31, 2013, 06:25:23 AM
Thanks for the Bike Info , i ve Chosen One for home so i think i ll now Order it , i was Not Sure Bike or Stepper
Title: Re: Kinespring operation
Post by: bendzeknees on January 31, 2013, 06:51:48 PM
Hi - the numbers are growing which can only be good for sufferers getting to this stage :)

My understanding is that it is the 3rd generation of the device, having worked out some kinks from the 1st and 2nd generations.

This clinical trial feels like my only option and the best one I know of.

Another question re. what the implant is made of. I saw in an earlier post that one of the excluding factors was a sensitivity to metals including nickel. My PA said that there is no nickel in the device. Does anyone out there know about the metals that make up the Kinespring? I believe it is some kind of titanium composite, but I don't know what the other metals are.

Any and all advice is extremely welcome! I'm nervous about this and want to make sure I am fully informed before I go into that operating room. :-)

I have a 3rd generation implant (Sept '12). Profile and length are shorter seem to be the main points.

Numbers are going up so more data is being collected. It may still be in trial phase but bear in mind it can be reversed. Which was a big factor in my decision. The alternatives were not real alternatives in my opinion. 4/5 years ago a HTO would most likely have been the only option I had and I quite possibly I would have taken it as my activity was becoming less and less with each passing month. This procedure in terms of recovery, hospital time, mobility, risk etc is much preferred in my opinion.

The device is made of titanium and cobalt. If someone can shed some further light on this I would be interested as I'm not sure if that means its an allover composite or titanium with parts made of cobalt?

There are many more positives with this procedure than others. Personally once it was clear in my head I was doing the right thing I actually looked forward to it getting it done and getting on with my life. I haven't looked back and it was the right choice.
 
 
Title: Re: Kinespring operation
Post by: bendzeknees on January 31, 2013, 06:53:28 PM
Thanks for the Bike Info , i ve Chosen One for home so i think i ll now Order it , i was Not Sure Bike or Stepper

Good - hope it helps. Haven't tried the stepper? Is that the cross training machine?
Title: Re: Kinespring operation
Post by: Apleyboy on February 01, 2013, 05:44:23 AM
I quickly Tried in the gym at the physio Centre
Bike
Cross Trainer
Stepper Basic as Name up Down movement
I was happy with the Bike so that's the Way , i Must also say the Last couple of days have been really Good i was on my Feet Alot yesterday And was Expecting swelling this Morning,but all is Good And i m just under two Months Post op
I m happy with the Chosen Route so far this is best Option at 46....
Title: Re: Kinespring operation
Post by: Adobec on February 02, 2013, 04:39:14 AM
Good luck Us kinespring!  I am in the process of mailing my x rays, MRI, etc to Portland to see if I am a candidate. 
Title: Re: Kinespring operation
Post by: Apleyboy on February 05, 2013, 05:47:54 AM
What a game this ,for no logical Reason i ve gone back to pain Level of ca 4 Weeks Post op , or could it be the Weather ? Or the nerves Growing back. The Dr as No Real auswerten
I back on painkillers .. And trying Tricks like different Shoes. Lets See "stay Calm And Carry on" is all i can do ....
Title: Re: Kinespring operation
Post by: Apleyboy on February 05, 2013, 04:17:28 PM
Sorry folks the ipad does not switch englich to German very well..
 "Real auswerten" I meant the Dr as no real answer
 :-[
Title: Re: Kinespring operation
Post by: Apleyboy on February 08, 2013, 06:18:25 AM
 8) well I ve taken painkillers in the evening, iced the joint and now all is back to normal(as can be 9 weeks post op) after talking to a friend who has is leg pinned top to bottom, I ve come to the conclusion it was weather based something I must then live with but that`s okay when I know from where the problem comes from.  (or move to Califonia... )

Title: Re: Kinespring operation
Post by: noni3650 on February 09, 2013, 06:14:00 PM
I'm glad things are normalizing again for you Apleyboy!
My progress:   I've just hit the 6 week post op mark.  I finally feel like things are really getting better/easier.  Rarely taking pain meds.  Walking without a limp.  Still only a 90-100 degree bend but working on it.  I had a crazy nerve situation that really held me back with the flexion.  But that seems to have settled down a lot...I hesitate to say it is gone!  The incisions themselves are healing very well but I do notice a sensitivity on and around the implant sites.  It is kind of weird.  I also still have some swelling that I was hoping would be less by now.  Working with my physical therapist to gain ROM.  My knee feels good and moves better every day after working it.  It tends to stiffen up when sitting or standing too long.  I have my 6 weeks post op on Monday with Dr. Crawfords office.  Curious to see if they feel I am on track!
Title: Re: Kinespring operation
Post by: noni3650 on February 13, 2013, 05:10:39 PM
Well it seems that I am basically on track.  Though doc's hoping for better ROM but they are finding that folks are still a little unhappy/disappointed with their progress at the 6 weeks post op point.  Perhaps they should have let me start physical therapy sooner.  Swelling is up from a week or so ago and ROM is still kind of stuck.   No limping and the pain is pretty non-existent except for when really pushing my range.  I'm so thankful for all of your stories and updates.  I would be really disappointed at 6 weeks post op if I didn't have your stories of progress. 
Title: Re: Kinespring operation
Post by: Wobbley Chester on February 14, 2013, 06:34:17 AM
Thank you all for keeping up the discussion.

I am 9 weeks out.  The past few weeks my progress has slowed due to the soft tissue irritation.  There were assigned exercises and stretches following surgery, but clearly no clear direction with physical therapy.  I have been told my flexibility should be better, which is better when I persistently stretch, but then the soft tissue gets irritated and I have to take a step back with stretches, etc.  Often times after I stretch, it is too painful to walk and I have a hard time straightening my leg due to the residual tightness.

I have been focusing on not pushing it, and now will try to focus on letting the soft tissue heal.  It seems to be a catch 22...hopefully the cycle will end soon.  I do tell myself it is only week 9 or so.

If anyone had a similar experience, it would be nice to know.

WC
Title: Re: Kinespring operation
Post by: noni3650 on February 14, 2013, 11:53:51 PM
WC ~ Again I am only at 6 weeks but the soft tissue irritation is really starting to kick it up a notch for me.  Especially at the lower incision site and the tissue in between (spring?) the two incisions.  Personally I feel the lack of PT leaves us kind of floundering a bit.  I feel my ROM has suffered.  While I am no stranger to rehabbing knees this is a bit different and I was very relieved to finally be able to go to my physical therapists.    I still feel like this is going to be a good thing but that the rehab is going to be much longer than expected...this is coming from a gal who has had and open synovectomy and then a TKR (on the same knee) within two months.  Anyway I'm sorry it's becoming such a slow healing process.  Noni
Title: Re: Kinespring operation
Post by: Apleyboy on February 18, 2013, 04:38:34 PM
Hi wobbly Chester i think were only a couple of days about my op was 5.12 12 . The Last Few Weeks have been Strange really Good days then other were i bouncing of the Walls i think Manila Weather change wet Rainy days then very cold with dry air (okays ) . I still have Not worked this recvery Out it s weird but i still think the right Direktion .i very a Big Check up this Friday let See what the Dr Says
Title: Re: Kinespring operation
Post by: Wobbley Chester on February 19, 2013, 01:57:41 AM
FYI-

http://scholar.google.com/scholar_url?hl=en&q=http://www.ncbi.nlm.nih.gov/pubmed/23397420&sa=X&scisig=AAGBfm188GGkNyntgAeKS4Y2XSoUYrUZmg&oi=scholaralrt
Title: Re: Kinespring operation
Post by: Apleyboy on February 19, 2013, 05:53:59 AM
Thanks wobbly that interesting because my Dr was saying the Spring is three Times the Price of a TKR.
Of Course Moximed are currently the only Company And Research Costs Must be Covered.

I liked your Comment remember it only Nine Weeks Post op .. I forgot also
Title: Re: Kinespring operation
Post by: US Kinespring User on February 22, 2013, 07:05:04 PM
Thanks for your responses. I was eliminated from the clinical trial due to my metal sensitivities and autoimmune issues. I am very disappointed, but I was glad to find out that there is some nickel in the implant before the surgery rather than after. I am not sure what I will do next -- perhaps arthroscopy to see if it will help. After that I think my only options are partial or full knee replacement. I doubt I could wait until the Kinespring device is approved. I would, of course, have some detailed allergy testing done before implant surgery of any kind.

Title: Re: Kinespring operation
Post by: dietrichate on February 26, 2013, 05:17:40 PM
Hello all,
Apologies for lack of updates. I am now 3.5 months into recovery after having mine done on nov 13th
I have had exactly the same experiences as most of you, frustration with the length of recovery/lack of movement etc.
I have persevered with the physio, with forced bending sessions at least once a week which have helped and also enlisted the help of a personal trainer at the local gym. Up till around a week ago I was pulling my hair out and thinking I had made a big mistake having it done, almost overnight l noticed a marked improvement in it where things I couldn't do like climbing into the car or walking downstairs suddenly became a lot easier.
I am not counting my chickens just yet but there may be a light at the end of the tunnel and even if the slow recovery continues it may well be worth it after all!
As far as exercise goes, it took me ages to get a full revolution on a static bike but once I cleared that hurdle things started to happen. The rowing machine has proved to be the absolute best piece of equipment as it encourages the bend and I find that after about 10 mins on it, flexibility is much improved.
I Hope my experiences give you all a bit of direction with your own recovery
Dave
Title: Re: Kinespring operation
Post by: Wobbley Chester on February 27, 2013, 02:03:50 AM
Almost 12 weeks post op.  I have been taking celebrex around the clock for a week, and backed off bending and motion exercises.  I feel 100% better, and can actually sleep now.  Weeks 7-10 were the worst, as I was not finding the balance between inflamed soft tissue and prescribed exercises.

The rest and celebrex has helped the soft tissue relax a quite a bit.  As the soft tissue becomes less inflamed, it is easier to move during the day and sleep during the night.  As the swelling goes down, I now have better range of motion as well!

I have kept up with upper body exercises and routine leg stretches, i.e. hamstrings, etc.  I do plenty of leg lifts and hip exercises.  Hopefully things continue going well after the celebrex is finished.

Good luck everyone, and thanks for the updates.

WC
Title: Re: Kinespring operation
Post by: Apleyboy on February 28, 2013, 06:10:38 AM
I had my Check up Last Friday all is Good but we re all the Same Good Days really Good days then a week of crap...we ve planned a Big Trip on Saturday See how i ll Hold up . The Statik Bike is Good so A Slow Road of recovery but i can now See the light at the end of the Tunnel but Boy was it Along Tunnel  :-X
 This Forum as been a help thanks to all..
Title: Re: Kinespring operation
Post by: bendzeknees on February 28, 2013, 08:07:24 PM
WC ~ Again I am only at 6 weeks but the soft tissue irritation is really starting to kick it up a notch for me.  Especially at the lower incision site and the tissue in between (spring?) the two incisions.  Personally I feel the lack of PT leaves us kind of floundering a bit.  I feel my ROM has suffered.  While I am no stranger to rehabbing knees this is a bit different and I was very relieved to finally be able to go to my physical therapists.    I still feel like this is going to be a good thing but that the rehab is going to be much longer than expected...this is coming from a gal who has had and open synovectomy and then a TKR (on the same knee) within two months.  Anyway I'm sorry it's becoming such a slow healing process.  Noni

The lower incision site was the problem one for me also. It's always been the area to get inflammed and of course it's the area with the least amount of fat/tissue to cover the implant and closest to the surface.

Healing is slowish but I tried to do what I had been told and relative to other knee ops the first few months were the same. It's a continual progression rather than a slow to start and fast to increase recovery. Constant progress is fine by me.   
Title: Re: Kinespring operation
Post by: bendzeknees on February 28, 2013, 08:10:43 PM
Thank you all for keeping up the discussion.

I am 9 weeks out.  The past few weeks my progress has slowed due to the soft tissue irritation.  There were assigned exercises and stretches following surgery, but clearly no clear direction with physical therapy.  I have been told my flexibility should be better, which is better when I persistently stretch, but then the soft tissue gets irritated and I have to take a step back with stretches, etc.  Often times after I stretch, it is too painful to walk and I have a hard time straightening my leg due to the residual tightness.

I have been focusing on not pushing it, and now will try to focus on letting the soft tissue heal.  It seems to be a catch 22...hopefully the cycle will end soon.  I do tell myself it is only week 9 or so.

If anyone had a similar experience, it would be nice to know.

WC

Pretty much on par with my own progress at the same stage. What i did notice after about 3 months was that the implant became more obvious as the swelling subsided. Doing stretches could feel a little uncomfortable but I got used to that.  The cycle definitely diminishes. Keep at it. 
Title: Re: Kinespring operation
Post by: bendzeknees on February 28, 2013, 08:14:17 PM
I had my Check up Last Friday all is Good but we re all the Same Good Days really Good days then a week of crap...we ve planned a Big Trip on Saturday See how i ll Hold up . The Statik Bike is Good so A Slow Road of recovery but i can now See the light at the end of the Tunnel but Boy was it Along Tunnel  :-X
 This Forum as been a help thanks to all..

I hear you. I've been there but not had the week of crap. A few down days where perhaps I had overdone it but I kept thinking about the negative of not pushing ahead and therefore tried as much as I could and took sensible decisions to cut back when needed. Glad you can see the light, it will get brighter :)
Title: Re: Kinespring operation
Post by: bendzeknees on February 28, 2013, 08:35:02 PM
I'm a few days over the 5 month mark now. I don't see any posts that describe something I have not experienced at some time. Sounds like you are all getting there albeit with different timescales. There are times when it seems like things should be moving faster and its not an upwards straight line of progress. I posted at some point about a slow but steady progress, plateau, steady progress cycle.

Comparing my own progress with others is useful. Very similar symptoms/reactions and and times frustration.  I don't know why I have made a faster recovery.

In general before my op my activity was down to no more than 20% of what I had been doing 18 months prior to the op. Overall sporting activity is still down, I would put it around 60% of prior activity. For example I can't run around a tennis court, I can walk distances with ease, I can cycle, swimming is improving a lot, I tried hitting balls on the golf range (that's now on hold), I'm back on skis. Quite mixed.

I'm just back from Italy, having made my return to ski coaching, being out on the hill for for upwards of 5.5 hrs a day is a major milestone for me. I had resigned myself before the op that I would give up skiing completely, leaving a group of young athletes I've been coaching behind and take up another hobby.

Within days post-op, I knew the arthritic pain was long gone.  That alone spurred me own and gave me the determination I needed and with the support from everyone involved I have tried to keep getting better.

My knee is not the issue now. My thigh is still down is muscle mass and if I get tired the muscles around top of my knee tense up a lot which leads to stiffness. I'm waiting for a space with another physio dept and if I don't get it soon I'll go back to the original dept who helped so much post-op. I'm in danger of taking  a backward step at the moment after so much progress.

I'll say it again, it's not a continual improvement in my experience, it's a committed  approach to whatever your level of progress is. You will get there; the worst is behind. The benefits are ahead. Don't let the slow days get you down, there is too much to gain.
Title: Re: Kinespring operation
Post by: bendzeknees on February 28, 2013, 08:53:54 PM
Out of interest what was everyones level of activity, fitness and expectation before the op?

For me, levels of activity had nosedived, fitness without a doubt took a knock. Expectation was that the pain would be gone and I could set targets with a belief that I would not return to some activities as quickly as others. I had also gained weight due to points one and two and have already lost almost 12lbs. Difficult to set expectations but as a minimum I wanted to be able to go for walks with my wife just as we have always done and manage more than a 2 mile round trip and enjoy some sporting activity.
   
Title: Re: Kinespring operation
Post by: Apleyboy on March 04, 2013, 04:55:26 PM
 :) i did the Big Test at the Weekend 3 Hour Drive And 1.30hr Around a Big market Shopping Centre And another 1.30 in a Garden Center okay a Few coffee Breaks but a long Day a Bit stiff today but Super okay ..
No Need for painkillers yes I m very  happy with the Result
Title: Re: Kinespring operation
Post by: bendzeknees on March 06, 2013, 10:25:48 PM
Good to hear of your progression, Apleyboy. Starting to come together now.
Title: Re: Kinespring operation
Post by: noni3650 on March 08, 2013, 11:58:53 PM
Hey everyone thank you for all of your posts.  I am at 10 weeks post op now and it has really helped to hear about others experiences.  I have been so worried about my range of motion (was pretty much at 90 from the beginning without much improvement.  With force would gain another 5-10 but would not maintain it throughout the day.  As I have said before the other things that were getting me down were the soft tissue irritation, general swelling and I had intense nerve pain below my knee cap.  Mostly things we have all encountered.  So the good news is that I think I turned a corner.  About a week ago I really decided to make a bigger effort to reduce the swelling.  It wasn't super swollen but I think it was/is contributing to the nerve issue.  Late last week my swelling started going down and I noticed the nerve pain subsiding.  Then yesterday I noticed that I had about 110 degree ROM first thing in the morning - without stretching!  And today 120!  I'm trying not to be too excited because I know I am still very early in the process but yay.  I was actually starting to think that the implant was restricting my movement.  I have continued PT doing strengthening exercises, some rowing and now I will actually be able to do the bike.  I am sure I will have more setbacks but for now I'll be happy about my ROM and that I don't have arthritic bone on bone pain!  woo hoo!
Title: Re: Kinespring operation
Post by: noni3650 on March 09, 2013, 12:30:57 AM
Out of interest what was everyones level of activity, fitness and expectation before the op?

For me, levels of activity had nosedived, fitness without a doubt took a knock. Expectation was that the pain would be gone and I could set targets with a belief that I would not return to some activities as quickly as others. I had also gained weight due to points one and two and have already lost almost 12lbs. Difficult to set expectations but as a minimum I wanted to be able to go for walks with my wife just as we have always done and manage more than a 2 mile round trip and enjoy some sporting activity.
   

My activity level prior to Kinespring had already taken a hit as well.  I had been rehabbing the other knee over the previous year from a rare tumor that caused the need for a TKR at age 43.  Things were just starting to get good and my activities had increased.  I was about 15 months post TKR when my right knee decided to go.  My minimum goals are long walks with the pooch, short hikes and to be able to do cardio in the gym.  I agree that just eliminating (okay that is amazing) the joint pain does not mean our journey is over!
Title: Re: Kinespring operation
Post by: Apleyboy on March 09, 2013, 07:41:45 AM
As anyone had problems with changes in the weather ? it wet here again and I ve gone back up on well not quite pain level but more irratation/ swelling.
 also my skin is still an bit different in one ares :- like a "j" when the top of the j is the upper cut comes down and then over the shin, The Dr says this is because of the nerve damage. wait and see.
The best thing is "no pain joint on joint" ,if the only thing is a bit of problems on wet weather which is nothing really. roll on summer .. I ve missed this years sking  (could maybe push some time in ), but I hold back and get really fit and confident with my"Spring" for next season. I didn´t ski last year because the problems, but I now set my target. thanks Bendzeknees for that push( next time I`m up north I get you a beer. )  ;)
 
 
Title: Re: Kinespring operation
Post by: timm on April 08, 2013, 03:11:21 PM
I've met with the surgeon in Indianapolis and will have an MRI May 3 to confirm that I am a viable patient for the trial.  I have the surgery scheduled for June 5.  I trying to do as much as possible to prepare for the post-op recovery.  I know that for a previous ACL one of the things to focus on was getting my qauds as strong as possible.  Is there any one thing that those who are going trough the recovery wish they had focused on prior to the implant? 

Thanks for all the posts from those who have gone through this.  It was very helpful to read as I was determining if I was going to have the surgery or not.
Title: Re: Kinespring operation
Post by: bendzeknees on April 09, 2013, 01:27:55 PM
As anyone had problems with changes in the weather ? it wet here again and I ve gone back up on well not quite pain level but more irratation/ swelling.
 also my skin is still an bit different in one ares :- like a "j" when the top of the j is the upper cut comes down and then over the shin, The Dr says this is because of the nerve damage. wait and see.
The best thing is "no pain joint on joint" ,if the only thing is a bit of problems on wet weather which is nothing really. roll on summer .. I ve missed this years sking  (could maybe push some time in ), but I hold back and get really fit and confident with my"Spring" for next season. I didn´t ski last year because the problems, but I now set my target. thanks Bendzeknees for that push( next time I`m up north I get you a beer. )  ;)

Not been affected by weather changes. Yip, still got a numb area around the top of the tibia which I'm used to know.

Unfortunately I've developed a secondary issue which flared up about 6 weeks ago and is still being investigated. Surgeon is confident it is not related to the procedure. Will update on progress. Does appear that I'm headed back for another arthroscopy. 

Managed some limited skiing in France at the start of the month. Very restricted though as my knee is swollen and would worsen considerably after 1 or 2 hrs and weight bearing became extremely difficult. 

At this moment in time I really don't know if I'll be skiing next year. I've hit a real low point after such good progress and having achieved such a good outcome from the Kinespring procedure. I'm back to square one just now.

Title: Re: Kinespring operation
Post by: bendzeknees on April 09, 2013, 01:42:41 PM
I've met with the surgeon in Indianapolis and will have an MRI May 3 to confirm that I am a viable patient for the trial.  I have the surgery scheduled for June 5.  I trying to do as much as possible to prepare for the post-op recovery.  I know that for a previous ACL one of the things to focus on was getting my qauds as strong as possible.  Is there any one thing that those who are going trough the recovery wish they had focused on prior to the implant? 

Thanks for all the posts from those who have gone through this.  It was very helpful to read as I was determining if I was going to have the surgery or not.

Hello - If the procedure is suitable for you will notice a near immediate improvement. My rehab initially consisted of lots of excercise around quads. As you rightly say, getting those muscles in shape before surgery will do no harm at all.

I didn't deliberately work my quads as a lot of physical movement was harder and harder to carry out. Simple things like stretching, leg lifts, pulsing (tensing) the quads without loading would have been manageable if I had know how to approach it.

Basically I just kept doing what I was able to do and not let the muscles diminish too much.   
Title: Re: Kinespring operation
Post by: timm on April 15, 2013, 02:05:59 PM
Thanks Bendzeknees, that sounds like I'm on the correct track.

One of my concerns is that the spring is only set to ofset 30 lbs.  That appears reasonable for someone who is in the 120-150 range, but I'm 6' 2" - 220 lbs and I was wondering if anyone who has had the implant is in my weight range? 
Title: Re: Kinespring operation
Post by: bendzeknees on April 15, 2013, 05:39:00 PM
Thanks Bendzeknees, that sounds like I'm on the correct track.

One of my concerns is that the spring is only set to ofset 30 lbs.  That appears reasonable for someone who is in the 120-150 range, but I'm 6' 2" - 220 lbs and I was wondering if anyone who has had the implant is in my weight range?

I'm approx 6' 4" and 10lbs heavier. 30 lbs off load is the difference between OA pain and zero OA pain. The spring has a minimum contraction point and once fitted the small space it creates is enough to maintain the gap between the bones. Might not seem like much but it's highly effective  :)
Title: Re: Kinespring operation
Post by: bendzeknees on April 28, 2013, 09:01:48 PM
How is everyone getting on with rehab? Hope all is well and progress is going in the right direction.

Title: Re: Kinespring operation
Post by: Apleyboy on May 01, 2013, 06:57:17 AM
Well here we are nearly 6 months post op I back on what I`d say is a up phase, had a 10 day holiday in the UK did alot of walking tending to get tired after 21/2 hours but my other half kept my walking straight and correctly. I also did most of the drive with a journey of 500mile plus with only 1 hour for the ferry no problems.
I just started a new block of physio were we are working on a) walking corrrectly b) strength build up , so it on the treadmill and weights for me
hope that rest of the "spring owners club" are all okay. Today is a holiday in German tradition is bike ride so it will be a few miles today no doubt with a pint or two ;D.
Title: Re: Kinespring operation
Post by: dietrichate on May 03, 2013, 03:15:14 PM
Well, I am coming up to the six month point (it feels more like a year!!) op 13 Nov 12

Looks as though all the reports are broadly similar to mine - a very slow healing process for the first three months, very little bend improvement during this time without intense physio to push it past the 100 degree point. After that a still slow but steady improvement, albeit not without setbacks when pushed too much!

I can now play 18 holes of golf without too much trouble, which is a vast improvement on what it was like pre-op, biking is good, and very little problem with gym work.

I still am nowhere near ready to return to the squash court. I have tried to play some light games, but always it is very sore for a few days afterwards. I will have to keep up strengthening for another two months before I try again. My new target has been revised from the original March to September - we shall see.

As of right now, I am just better off than 6 months ago, and if the improvement continues, it will have been worth it - otherwise I will ask for a refund!!

Dave
Title: Re: Kinespring operation
Post by: Grumpy on May 03, 2013, 04:13:51 PM
I had this operation at Spire Cheshire in February this year. I am just coming up to my three month check. I have had no real problem with flexibility having full ROM with a few weeks but I am having real problems with pain in my lower leg ,from the lower implant site downwards and also down the front of the shin. It is now a constant ache .Any twisting of the knee results in acute pain ,again around the lower implant area. Has anyone else had this problem ? Unfortunately the knee is more painful now than before the operation, just a different ( more intense) pain. 
Title: Re: Kinespring operation
Post by: bendzeknees on May 04, 2013, 03:10:43 PM
Well here we are nearly 6 months post op I back on what I`d say is a up phase, had a 10 day holiday in the UK did alot of walking tending to get tired after 21/2 hours but my other half kept my walking straight and correctly. I also did most of the drive with a journey of 500mile plus with only 1 hour for the ferry no problems.
I just started a new block of physio were we are working on a) walking corrrectly b) strength build up , so it on the treadmill and weights for me
hope that rest of the "spring owners club" are all okay. Today is a holiday in German tradition is bike ride so it will be a few miles today no doubt with a pint or two ;D.

Good to hear you have kept moving forward. Yes, the leg strengthening is important and if you can do it on a bike then even better.
Title: Re: Kinespring operation
Post by: bendzeknees on May 04, 2013, 03:13:51 PM
Well, I am coming up to the six month point (it feels more like a year!!) op 13 Nov 12

I can now play 18 holes of golf without too much trouble, which is a vast improvement on what it was like pre-op, biking is good, and very little problem with gym work.

I still am nowhere near ready to return to the squash court. I have tried to play some light games, but always it is very sore for a few days afterwards. I will have to keep up strengthening for another two months before I try again. My new target has been revised from the original March to September - we shall see.

As of right now, I am just better off than 6 months ago, and if the improvement continues, it will have been worth it - otherwise I will ask for a refund!!

Dave

Good that you are back to sporting activities. That's the aim after all - getting back to where you were, without the pain.

Likewise, I find impact activities like jogging, tennis etc a problem area. Seems to be heading in the right direction though if you are back to golfing. I'm sure the next 6 months will see further improvements.
Title: Re: Kinespring operation
Post by: bendzeknees on May 04, 2013, 03:19:31 PM
I had this operation at Spire Cheshire in February this year. I am just coming up to my three month check. I have had no real problem with flexibility having full ROM with a few weeks but I am having real problems with pain in my lower leg ,from the lower implant site downwards and also down the front of the shin. It is now a constant ache .Any twisting of the knee results in acute pain ,again around the lower implant area. Has anyone else had this problem ? Unfortunately the knee is more painful now than before the operation, just a different ( more intense) pain.

I had a lot of problem at the lower end of the scar on the tibia. A bit uncomfortable in the way you describe. Felt very tender and had 2 infections, treated by standard antibiotics. Thoughts were that it was just down to the sutures under the skin which can take up to a year to dissolve. Very thin part of the leg also unlike the upper end of the scar on the thigh.

The good news it did go away but probably 4-5 months before I stopped being aware of any tenderness. Overall it was a small irritation as all other expectations were met.

Was the post-op pain always there or has it increased as you are becoming more mobile?
Title: Re: Kinespring operation
Post by: Grumpy on May 04, 2013, 07:02:30 PM
I think the pain has been there since the operation, dulled at first because of the painkillers but as soon as I come off the tablets it is back full force. I am used to knee operations having had ACL reconstructions and numerous minor ops but I have never had to take painkillers in the way I do now. It is there , even at rest with the leg up and iced or resting in bed. It is not a question of mobility, I can walk, use bike ,cross trainer and leg press. I have a full range of movement, its just a deep ache/pain from the lower incision down the front of the shin to above the ankle and the pain is very acute if I attempt to twist or put any pressure on the inside of the knee . I haven't had any infections and the actual site isn't really tender. I was expecting a better outcome by this stage.
Title: Re: Kinespring operation
Post by: Apleyboy on May 05, 2013, 09:14:32 AM
hi Grumpy
I had "none " knee pains shins even my heals get sore if I do to much, you ve got to think a) the spring is the size of a pen pushed in under the muscle ligments b) these go all the way down to the feet.
I is a strange op and feeling and takes time, I was doing physio on friday and for my our fault went in the garden yesterday for 5 hour today is pay back time....

It´s a rocky road but you´ll see a improvement at about 8 10 weeks
Title: Re: Kinespring operation
Post by: sk8ing mom on May 09, 2013, 03:11:28 AM
I just went to OHSU today with my husband to see whether he could qualify for the KineSpring study. His primary care doc had recommended it and written the referral. My husband is 45 with bad medial compartment OA in his R knee.

When I heard about KineSpring I went online and found out all about it to get ready for this appointment. I was getting really excited for my husband - finally another option other than waiting as long as possible for the eventual TKA. I tried to get my husband interested too, but he wouldn't even watch a whole video on YouTube. I guess his intuition to avoid getting his hopes up was right. Turns out his OA is too bad to qualify for the study - his is grade 4 and they are only including grades 2-3.

Right now KineSpring is not available in the US outside of a trial. As this current study is a phase 2 trial it probably won't be FDA approved and widely available in the US for another 5 years - at least according to the PA we spoke with. Given that timeline and the fact that we don't have the funds to pay cash for this elsewhere, my next question is just academic.  Nonetheless, I'm really curious - does anyone have experience or know of success with KineSpring for grade 4 OA?
Title: Re: Kinespring operation
Post by: bendzeknees on May 12, 2013, 10:35:08 AM


Right now KineSpring is not available in the US outside of a trial. As this current study is a phase 2 trial it probably won't be FDA approved and widely available in the US for another 5 years - at least according to the PA we spoke with. Given that timeline and the fact that we don't have the funds to pay cash for this elsewhere, my next question is just academic.  Nonetheless, I'm really curious - does anyone have experience or know of success with KineSpring for grade 4 OA?

Hi - I have grade 3/4 medial OA and had the Kinespring fitted last year. It was a success and the pain has gone. It's also still in trial in the UK and as such I opted for this procedure knowing the study was not complete.

Is no-one offering it as a trial in the US? There are a few US people posting on here who have had it done.

Title: Re: Kinespring operation
Post by: Grumpy on May 12, 2013, 09:37:15 PM
Not a good weekend, pain when walking, pain when standing , pain when sitting. I don't think this is working for me. I can do much less now than before the operation. At 12 weeks Im sure things should be better. I see the consultant this week and am seriously considering having the spring removed.  :-\
Title: Re: Kinespring operation
Post by: sk8ing mom on May 15, 2013, 07:21:42 PM

Hi - I have grade 3/4 medial OA and had the Kinespring fitted last year. It was a success and the pain has gone. It's also still in trial in the UK and as such I opted for this procedure knowing the study was not complete.

Is no-one offering it as a trial in the US? There are a few US people posting on here who have had it done.

Hi bendzeknees,

That's what my husband tried to do - he tried to get into a trial. The current trial in the US is a phase 2 trial and is only in 2 places - Indiana and Portland, Oregon. Fortunately we live in Portland. Unfortunately the trial entry criteria are strict - only grade 2-3 OA and no significant OA outside of the medial compartment. My husband's OA is clearly grade 4 in the medial compartment (large osteophytes, severe joint space narrowing - bone on bone, marked sclerosis, and bone deformity), and he also has some milder medial patello-femoral OA. So there's no way they would let him join the trial. We asked if we could get it in the US outside of a trial and were told no.

Bendzeknees - do you have a picture of your 'before' XR online? I'm curious to compare it with my husband's and with the XR in the published case report from Australia. (The XR from Australia looks much more like my husband's good L knee than his bad R knee.)
Title: Re: Kinespring operation
Post by: Grumpy on May 17, 2013, 11:15:58 PM
Saw the consultant again this week who is very happy with my knee and says the pain is soft tissue which can continue for up to six months. I'm back on the painkillers but the consultant says its all good and nothing occurring that is unexpected. Just a case of grin and bear it and it will all be worth it in the end. ;D
Title: Re: Kinespring operation
Post by: Wobbley Chester on May 20, 2013, 06:28:43 AM
Five months post op...it gets worse (weeks 8-12) before it gets better.  It has been better.  Just enjoyed an easy 20+ mile bike ride on flat road:). I don't plan on pushing this but rather enjoying a much pain-less version of life.

Glad to hear most are improving.

WC
Title: Re: Kinespring operation
Post by: Apleyboy on May 20, 2013, 07:59:27 AM
Yes it a very rocky road, I thought all was good doing some good work with the phsyio, running yes not done that for years, weights etc. than we added 5 kg to the "leg curl" and 8 to leg press . I m paying the price.. so it slow down for a week or so.
This op´s is very diffent to orther I ve had weird one step forward two step then 4 backwards. but I must say my main problem before the op was "rest" pain in bed and that was taking alot of my sleep. That as all gone so that a problem solved
 Their is a alot of mental nerve/ pressure on this operation, sometime hard to keep going but a few weeks later you think what was that about.
keep going it pays off later
Title: Re: Kinespring operation
Post by: timm on May 20, 2013, 04:02:32 PM
Two weeks until my surgery.  I'm looking forward to not having pain every step I take.  I've been lucky enough to be able to work on strength and flexibility in the leg and I hope that will help with recovery.  Thanks again for all those who have posted their reports.

Title: Too much exercise?
Post by: timm on May 24, 2013, 02:37:56 PM
I've seen several people post about pushing too far during recovery.  I know this will be an issue for me and I am curious as to what the problems are.  After ACL I know I pushed as hard and fast as possible and was way ahead of schedule up through the three month visit (last one they looked at progress).   

This surgery appears to be much less damaging and invasive than the ACL.  It looks to me more similar to my meniscectomy where I was walking without crutches and back at work in under a week.  I realize there will be more soft tissue damage and that will take time to heal, but soft tissue heals a lot faster than bone.  It appears to me that the recovery is 1)wound healing, 2)swelling reduction, 3) recovery of flex/strength loss from immobility during 1&2. 

For those who have had multiple surgeries on their knee, is the recovery more similar to the time and effort of an ACL, total knee replacement, meniscectomy, other?

Is it an issue with re-injury?  Or is it more of you've pushed too hard (like working out too hard) and then have to take a while off due to pain/over-stressed muscles?  People have talked about soft tissue pain... what is that referring too? 
Title: Re: Kinespring operation
Post by: Apleyboy on May 27, 2013, 05:13:14 PM
I ve been Around the Block a Few Time Törn cartlidge ,OATS op with Hip Bone being implanted , And really ready for total knee before kniespring came as a Option. Yes the op is different I think Mainly because of the stretch on the muscle And ligamnets And that slight Realinemnt of The Leg .
One tip i Spotted early was New Shoes yes small Thing but can make that diffrece.
I doing okay just Not like a "knee " op somehow it different.
But i d say now Nearly 6 Months later  i made Chosen the right Direktion to Cover maybe the next Ten years .before TKR maybe in Ten we can Rebuild with our Own Material. . Or just change the Spring who knows
Title: Re: Kinespring operation
Post by: bean568 on June 04, 2013, 12:19:55 AM
I had this procedure on March 14th 2013 in Indiana. I have enjoyed reading the experiences mentioned on here. It has helped me understand that what I deal with is normal.

I have laid down some serious scar tissue around the spring and continue to have pain. It seems the scar tissue has actually grown into the spring and the connections on the plates. I don't have full flex or mobility yet. I think I have gotten to 122 degrees in my bend during my PT.

I have a good week then I tear some more tissue. Last week it began to pop and leg locked up. Popped again and felt better. I went in for xrays as there was concern about another issue. It was scar tissue again. I have been to therapy for 6 weeks (2-3 times a week).

I am told as well to be patient as the soft tissue takes quite a while to heal. Patience is starting to go and some days I wish I hadn't gotten it done. I will say the spring is working and my knee pain prior to surgery is gone. I just need to get over the hump. All my pain is around the spring and not down the leg like some.

I can usually feel it grinding against scar tissue as I walk or bend. Any of you feel that? My wife can actually hear it sometimes when I walk into the room.

I know it will get better. I just thought I would be farther along than I am. Age is 45.

Brian
Title: Re: Too much exercise?
Post by: bean568 on June 04, 2013, 12:28:28 AM
I've seen several people post about pushing too far during recovery.  I know this will be an issue for me and I am curious as to what the problems are.  After ACL I know I pushed as hard and fast as possible and was way ahead of schedule up through the three month visit (last one they looked at progress).   

This surgery appears to be much less damaging and invasive than the ACL.  It looks to me more similar to my meniscectomy where I was walking without crutches and back at work in under a week.  I realize there will be more soft tissue damage and that will take time to heal, but soft tissue heals a lot faster than bone.  It appears to me that the recovery is 1)wound healing, 2)swelling reduction, 3) recovery of flex/strength loss from immobility during 1&2. 



For those who have had multiple surgeries on their knee, is the recovery more similar to the time and effort of an ACL, total knee replacement, meniscectomy, other?

Is it an issue with re-injury?  Or is it more of you've pushed too hard (like working out too hard) and then have to take a while off due to pain/over-stressed muscles?  People have talked about soft tissue pain... what is that referring too?

Title: Re: Kinespring operation
Post by: bean568 on June 04, 2013, 12:30:08 AM
This surgery was NOTHING like my meniscectomy. I was back quick too w/ that surgery. For my spring surgery I think it was 10 days before I could put pressure on my leg. I had 30-some staples in my leg - not counting the stitches on the inside. If you are back to work after a week - that would be impressive. I have heard of people being out 8-10 weeks depending on the kind of work they did. I was out at least 2 weeks and missed some days do to soft tissue issues after that.
Title: Re: Kinespring operation
Post by: timm on June 10, 2013, 06:04:08 PM
Well my surgery did not go as expected.  Once the surgeon got in my knee he found torn cartlige and scar tissue that precluded me from being in the study.  So he cleaned that up and stiched my knee back together without a spring.  This may take care of the problems and if it does I will be much happier.  The best recovery from a meniscecotmy that I've had as I was without crutches at 2 days, off pain meds at three and can do full 90 degree squats (no weight) by day 6.  I climbed 8 flights of stairs this morning with little trouble.  I'm pretty sure none of that would have happened with kinespring.  If this doesn't take care of my problem then I'm out of the trial and am back to looking for another solution.  I think all of the trial implants will be taken before I hit the three months after meniscectomy and could get one if I need it.  Praying this takes care of it, and if not that there is another viable solution if it doesn't.

Title: Re: Kinespring operation
Post by: noni3650 on June 13, 2013, 04:40:30 PM
I'm coming up to 6 months post op for the kinespring surgery.  While my journey has been a bit up and down - as others have described - I am really appreciating NOT having the bone on bone pain.  Soft tissue healing really seems to be an issue with this implant.  I still have sensitivity (though not bad) around the spring and implants.  Also I think that having so many screws into the tibia (in particular) create a lot of discomfort/pain.  The screws are long and the tibia is not that big.  Also because the incisions are on the medial side of the knee there are a lot of nerves that need to be moved which can cause nerve issues.  Which was the case for me.  At this point I don't have full ROM but close.  I have minimal swelling around the site and joint.  Sensitivity around the implant/spring and a bit more discomfort where the implant is on my tibia.  At times the sensitivity/discomfort is almost not existent and other times it is more.  Numbness from next to the lower incision and on my shin - which will likely not go away.  All of that said... I can take stairs, bike, WALK, etc.  And it isn't something I think about every minute of the day anymore.  I often wonder if the implant/spring will ever fully heal to where it is never uncomfortable.  But the alternative was so painful that I am happy I had this done.  I am taking my daughter to Europe next month and plan on doing a ton of walking that I would not have been able to do 6 months ago.
Title: Re: Kinespring operation
Post by: Apleyboy on June 16, 2013, 06:50:11 AM
HI Noni
We about the same stage lower "mount " can be a pain in the butt some days, I wonder why then the next now problem I cannot find logic to it. I currently got a foot problem think I pulled a ligament training. which is not helping. But the innner joint pain level is "null " and rest pains in the night have gone too. so yes I ve moved forward. If I was was asked would I have it done again ? yes . but a word of warning to none "springer" the mental state is important because looking at all of us it a very strange process of healing.  my motto "Stay calm and carrry on " . 
Title: Re: Kinespring operation
Post by: pdx-spring on June 24, 2013, 03:23:22 AM
Hello everyone.  I was really glad to locate and follow this forum since May prior to my Kinespring surgery.  I was aware of this device two years ago when my Dr told me about it's development.  So I was super excited to get accepted into the Portland study with Dr. Crawford recently. 

I am a 48 year old male who has suffered from osteoarthritis for the last ten years.  I had a microfracture surgery in 2004.  The pain was gone for six month but then returned.  It used to be just late afternoon and evening pain.  In the last year or so it has been a constant pain from sunrise to sunset.  I have given up the sports I enjoy which included basketball and golf.

I finally had the surgery last Friday, June 21st.  Since so many of you have share your experiences and given support, I thought I would share my experience.  As I write this, I am 2 days post-op. 

Day of surgery went well.  The pain pump is very helpful but I think we forgot to elevate mine above my let the first night.  I woke up at 4am in extreme pain, was able to get to the bathroom and return to bed.  Two pain pills and 20 minutes later the pain had subsided to almost zero.  Just a word of warning about the pain pump.  Sleep has been difficult I believe due to the pain medication.  The first night I slept on my back which was difficult because I am a side or belly sleeper. 

Day one post-op.  Pretty much went to my man cave and stayed there.  Tried to do the exercises as best I could but the pain pump numbs your leg and the swelling had begun, limiting my ROM.  Pain was tolerable.  Sleep was again difficult this night.  Catching lots of cat naps during the day to catch up.

Day two post-op.  Feeling much better today.  Starting to ween off of the pain medication.  Took a walk around the block, up and down hill, twice.  Worked my quads well.  Pain pump comes out tomorrow so we shall see how that works out. 

Have to say at this point I have felt none of the osteoarthritis pain that used to be there.  I could almost never walk around the block like I did tonight.  Very excited about my progress so far but I know there are many ups and downs to come.
Title: Re: Kinespring operation
Post by: Apleyboy on June 28, 2013, 05:29:46 PM
Welcome to the Elite Club of "Springers "PDx , Keep Head up And it Pass Off After ca 10 Weeks
Title: Re: Kinespring operation
Post by: godfearer on July 02, 2013, 11:42:24 AM
I think my profile allows you to e-mail me.  I am looking to speak to someone on the phone or in person who has already had kinespring installed.  I am in the Indianapolis area.  Anyone willing to make contact?
Title: Re: Kinespring operation
Post by: noni3650 on July 03, 2013, 12:01:05 AM
Apleyboy ~ how is your foot problem?  It (Kinespring) is a journey that's for sure!  My lower mount and the spring itself seems to keep going through different stages of healing.  Just when it feels like it is really really good I will have a bad day or so where it is uncomfortable.  Last night was that way.  Today it is good.  Who knows!

Pdx-Spring - Hey another fellow Portland Springer!  I'm impressed with your first two days!  How are things now that you are over a week out?

godfearer - I didn't see a way to email you.  You can email me at nonicanavavan at aol.com if you would like. 
Title: Re: Kinespring operation
Post by: Apleyboy on July 22, 2013, 06:00:59 AM
Well noni ,
Stay calm and carry is working again, although I damaged my heal/ ligments some how, so now getting some special insoles made up and have a block of manuel treatment
slowly getting better. cycling is okay which is good the knee is very good only a few small sensation every now and again feels like blood running down the bone / spring very strange feeling
but after 6 nearly 7 months yes good move.
 8) 
Title: Re: Kinespring operation
Post by: pdx-spring on August 16, 2013, 12:20:52 AM
8 weeks out things are getting much better.  This is really a week to week recovery, if not month to month. 

Days 4-6 were certainly the worst as far as pain goes.  Pain pump was out and found all new pain I was unaware of.

Around day 10 I was crutch free except for stairs.

PT started at 2 weeks.  Have had PT once a week for the duration of the recovery.

Have strained my hip a couple of time now because I was compensating for some of the pain in my knee.  That set me back a few days each time but it was nothing serious.

Went back to work 3 weeks after surgery.  That might have been a little early.  Knee became pretty unbearable in the afternoons.  I would say 4 weeks would be better.

Now at 2 months out I am starting to see lots of progress.  Swelling around the implant continues but we are knocking that back with Celebrex.  Seems to be working.  PT is going well.  Have full range of motion and then some.  About 138 degrees which is greater than before the surgery.  Pretty much working on getting the muscles in the leg to fire faster and working on strength and balance. 

Day to day I still know the implant is there but the pain is subtly disappearing.  From time to time I can get up and walk around with no pain. 

I look forward to months 4-6 when I believe most of the pain will be gone.

Title: Re: Kinespring operation
Post by: Lappel1998 on August 27, 2013, 12:11:35 AM
I finally located the thread I wanted to be in. I guess I can cut and paste my entries from earlier an then perhaps get input from others. I too am a Kinespring implant patient out of the OHSU study I had my surgery as an outpatient on the 1st of Aug.
Title: Re: Kinespring operation
Post by: Lappel1998 on August 27, 2013, 12:15:34 AM
here is my paste up from the thread I tried to start 3 weeks ago

« on: August 09, 2013, 07:35:06 PM »
I just discovered this website and am eager to get information from others who got the Kinespring Implant. I am a 61 yr old male and received the Kinespring implant operation one week ago as part of the SAARS clinical trial at OHSU. I live in the Gorge one hour from Portland and have seen threads from others who had this work done by Dr. Crawford. I too have now had about a week post op and here is where I am at. I would love to hear what others have to say especially those who have had this proceedure years or months ago.
I was prompted to do this due to a diagnosis of bone on bone in my left knee after consulting 2 surgeons about the condition. I was starting to experience on going pain in the knee  especially when climbing stairs and kneeling. I had an early meniscus surgery in this knee at perhaps age 35 and live an active lifestyle which includes Snowboarding, Windsurfing, Bicycling, Motorcycles, and Hiking. While I feel I have a high pain tolerance, the idea of doing something proactively before conditions got worse appealed to me. I happened on the Kinespring while researching Knee pain online and was able to get accepted in the study at OHSU

I did the surgery outpatient on the 1st of August 2013 I went home by car about 3hrs after I entered preop they sent me home with a nerve block pump which proved effective and taking 5mg Oxycodone prn no more than 1 or 2 every 6 hrs. (I never took more than 1 )The Oxy and nerve pump worked so well that I did have a couple of falls getting around in the first 24 hrs. At that point I slowed the delivery from the pump and got more careful about getting around They also gave me crutches and a full leg brace which I used for the first few days. After about 26 hours I stopped taking the Oxy and about that time the nerve block catheter started leaking so bad I don't think I was getting anything through it. I started using Ibuprophen or Naproxen for the inflamation not taking more than 800 mg twice a day or sometimes 400 distributed in various intervals but probably never more than 2400mg in any 24 hr period.
At 72 hrs I took a shower and removed the pump, it had not worked properly for at least 12 hrs at that point anyway and my pain levels were relatively low maybe a 2 or 3
The study also provided a compression pump which had a "ice pack" type loop as well as 2 booties for the feet. The icepack was designed to go around the knee but I was instructed not to use the compression function on my knee due to the stiches. I did use the device placed under my leg turned sideways to provide icing. (in fact I still have that unit and am still using it in that fashion)
I was force to travel by car for business from Oregon to California 4 days after the surgery. My wife drove me for a post op appointment the mornining of the trip. Dr. Crawford looked over the incisions and said all was well. We stopped periodically so I could walk around a bit and I did try to sit up in the back seat and do some of my exercises on the way down. The trip was a little rough and the knee remained perhaps more swollen than it might have been had I stayed home resting and elevating, but we made it down in 2 days. I have finished here in Ca. and return by car to Oregon today. I have lately been using only a cane to walk and continue with my execrcise regiment. I am able to drive a bit and slowly the swelling is going down I have very tolerable pain most of the time but tightness from swelling by the end of the day is common. Bending much beyond 90 degrees does not feel feasible at this time and would bring more pain. All seems to be healing well.
Title: Re: Kinespring operation
Post by: Lappel1998 on August 27, 2013, 12:17:58 AM
and from earlier today on the other thread

Well I am either not using this site correctly or there is not much interest and no feedback on my earlier post. It is now 3 and one half weeks since my surgery. I am healing well taking only 2 800mg ibuprophens per day and doing my physical therapy regimens. I stopped using a cane after week 1 and can walk fairly normally. Not fully mobile yet and the scars have another few days before I can immerse in water. I can't wait to get into a swimming pool!
Title: Re: Kinespring operation
Post by: Grumpy on August 27, 2013, 04:58:59 PM
I am almost at seven months now and my knee pain has been getting worse. I saw my consultant last week and have been told I have a bursar. I have been booked in for surgery early on next week to have this removed (inflamed scar tissue).This may also be pressing on nerves causing further pain down my leg. Hopefully this will solve the problem, if not removal of the implant will be my next move. Thought thinks would be better by this stage but sadly not.
Title: Re: Kinespring operation
Post by: Lappel1998 on August 27, 2013, 11:52:00 PM
I got the kinespring on Aug 1st I would be willing to chat, online or by phone. Have you had your operation? Les Appel
[email protected]
Title: Re: Kinespring operation
Post by: Apleyboy on August 28, 2013, 05:51:33 AM
Well Here we are Sept. Almost this Time last Year it was make up your mind Time total knee replacemnt or kniespring I went for kniespring op was in Dezember 2013 so now 9 Months later Status Not Perfect but Alot Better no Big pain issues a Few Problem Along the Way, the Foot pain as now almost gone. Cylcling Swimming etc all okay.
Was it the right Way ?  YES I stay Open minded if in Five Ten Year the Spring Break then i still have to Option TKR . But at 47 just to Young
Title: Re: Kinespring operation
Post by: noni3650 on August 29, 2013, 09:43:11 AM
Wow a few more Portland Kinespring folks! :)
Title: Re: Kinespring operation
Post by: noni3650 on August 29, 2013, 09:48:36 AM
I'm 8 months post op.  I still have some sensitivity issues with the soft tissue around the implants.  I also have minimal swelling and I do not have full range of motion.  THAT SAID I spent 3 weeks overseas in July/August...my daughter and I went to Ireland, France and Italy.  We spent our days walking and walking and walking...stairs and hills.  Everything.  I have a TKR in my left knee and the Kinespring in my right knee.  My knees held out fantastically.  I've had some more inflammation and discomfort since being home but Kinespring was fantastic on my trip!  I could not/would not have attempted this trip prior to Kinespring.  Time will tell how this soft tissue healing/non-healing goes but I'm happy for the opportunity at this point. Feeling grateful.   
Title: Re: Kinespring operation
Post by: Apleyboy on September 06, 2013, 05:47:10 AM
Good to hear noni your doing Good. My current Status Heal Problem has gone done to almost Null , had a long thought about Sport which And what taken up Archey After a 30 Year Break And really got back into it .
I ve got a Check up next week but really Feel do i Need a Check. I better than the Last Five Years
Would be Good to hear from bendzieknees And if he s back Sking ? Yeah i have that thought Shall i or Not Take the Risk ....
Happy days all
Title: Kinespring operation 1 year mark
Post by: bendzeknees on September 25, 2013, 10:16:51 PM
It occurred to me a short time ago that I am one year today since my Kinespring op. Been a rather up and down but ultimately satisfying year of progress.

Got off to a super fast recovery, dipped in February, another op in April and still in physio. It's not as bad as that reads though. There have been some dark moments but I have gained so much more. OA is under control (albeit some further damage to centre of knee, not medial side), I'm pain free and getting stronger every day. I'm active in sports coaching again and have had a successful year working with my young athletes.

Thanks to the opportunity I was given as part of the Kinespring trial, my surgeon and physio team my outlook is very positive.

It's not been easy but 100% worthwhile  :)

Hope everyone is continuing to improve.

 
Title: Re: Kinespring operation
Post by: timm on October 19, 2013, 10:02:40 PM
Last Thursday (Oct 10) I became the recipient of the 500th kinespring implant.  I had attempted back in June to have the implant but had a torn meniscus that prevented that from happening.  I was able to get back in the trial 90 days after the meniscectomy. 

I talked to my anesthesiologist about some issues I had with a complete nerve block and he decided to go with a pain ball - basically a slow drip of nerve block that you carry around with you for 3-4 days after the surgery.  I highly recommend this to anyone as it allows for quick recovery and for me, at least, really helped with the pain during those first few days.   

My recovery was fairly similar to most people.  I was in the hospital for ~20hrs and was able to do a straight leg lift before I left.  I got home and started that day doing the recovery exercises and stretches.  I've kept ice on the knee most of time when I'm not exercising it.  I've kept pushing as hard as I can, and by day 8 I was off crutches and was able to walk a mile today but that was a big mistake as I'm feeling a lot of pain from doing too much.   

I do have to say that most of the pain has been either due to swelling or in the soft tissue, not as much in the bone as I expected. 

So far, this has been a great recovery, I will keep posting as things progress.

Title: Re: Kinespring operation
Post by: Lappel1998 on October 30, 2013, 10:22:28 PM
I have a time navigating this site but I keep trying. The following is part of another post I made earlier.
I am dealing with shin pain similar to what others have reported here, I guess thats a relief as it has thrown a wrench in my A+ recovery.
Resting has not provided the relief I had hoped for and neither the doctor nor the PT have been able to tell me exactly what the cause is, what I should do about it, or when it might go away.
I am taking Naproxen or Ibuprohen when the pain is severe (800mg) and this seems to help a bit so I do believe it is a nerve/inflammation problem. I have decided I need to remain active and try to confront the pain head on. I continue to try and stretch (at times into the pain) and remain active by walking and using the stationary bike. (my attempt to road bike failed as the pain was too great)
I will return to work the first week of November which should prove interesting as walking, bending, climbing, Kneeling,etc. are all required in my job. I am not overly optimistic at this point and would love to have someone with greater knowledge give me some feedback.
Title: Re: Kinespring operation
Post by: bendzeknees on November 06, 2013, 07:06:59 PM
Last Thursday (Oct 10) I became the recipient of the 500th kinespring implant. 

My recovery was fairly similar to most people.  I was in the hospital for ~20hrs and was able to do a straight leg lift before I left.  I got home and started that day doing the recovery exercises and stretches.  I've kept ice on the knee most of time when I'm not exercising it.  I've kept pushing as hard as I can, and by day 8 I was off crutches and was able to walk a mile today but that was a big mistake as I'm feeling a lot of pain from doing too much.   

I do have to say that most of the pain has been either due to swelling or in the soft tissue, not as much in the bone as I expected. 

So far, this has been a great recovery, I will keep posting as things progress.

500th patient - they are starting to rack them up now. I was around 140, Sept 2012.

Good to hear that things are progressing as 'normal'.
Title: Re: Kinespring operation
Post by: bendzeknees on November 06, 2013, 07:14:32 PM
I have a time navigating this site but I keep trying. The following is part of another post I made earlier.
I am dealing with shin pain similar to what others have reported here, I guess thats a relief as it has thrown a wrench in my A+ recovery.
Resting has not provided the relief I had hoped for and neither the doctor nor the PT have been able to tell me exactly what the cause is, what I should do about it, or when it might go away.
I am taking Naproxen or Ibuprohen when the pain is severe (800mg) and this seems to help a bit so I do believe it is a nerve/inflammation problem. I have decided I need to remain active and try to confront the pain head on. I continue to try and stretch (at times into the pain) and remain active by walking and using the stationary bike. (my attempt to road bike failed as the pain was too great)
I will return to work the first week of November which should prove interesting as walking, bending, climbing, Kneeling,etc. are all required in my job. I am not overly optimistic at this point and would love to have someone with greater knowledge give me some feedback.

Biggest issue I had was the dull, fairly constant shin ache. It was manageable though and like you went for the approach of confronting it. I stayed active, took as little medication as I needed. Walking, climbing were fine: bending was a different issue and I would have struggled. Are you bending as in lifting things or bending as in kneeling?

It is without doubt a slow but constant recovery from my own experience. Very much depends on other factors such as fitness, associated injury, strength in leg/knee etc.

One thing I would have done more of is resting when I could and elevation/ice pack as I had a lot of swelling.

Keep positive. Improvement wont be far away.
Title: Re: Kinespring operation
Post by: timm on November 07, 2013, 12:58:19 PM
I've had issues with shin splints in the past and when I started feeling the pain in my shins, I added shin stretches to my routine.  http://walking.about.com/od/stretching/a/shinstretch.htm is a good picture of the way I've always streched for my shins.  This was able to take care of most of the problems I had with the shin pain.

My last visit with the surgeon went pretty well.  As far as swelling, activities, and general recovery I am ahead of the normal pace.  I attribute a lot of that to using a polar care icing device and keeping my knee elevated as much as possible.  For the first couple of weeks I was icing it all night long and then for at least 15 min every hour duirng the day.  I still try to keep it elevated and ice several hours each day, and today is day 28.

The one disapointment in my last visit was in my range of motion.  I'd been working and doing all the exercises, but was stuck around 90, which is where I'd been from day 1.  I was stretching to pull the muscles, which is what I thought I needed to do.  I was going to where I could feel it, but not to where it really hurt and holding that for 12 seconds.  My doctor indicated that I needed to go to where it hurt, to the point that I almost couldn't stand it, and then hold it for 45 sec.  That is to break up scar tissue that has formed.  I've started doing that, and begun PT this week.  I've never been a big fan of PT, previously it has been about them telling me/showing me strength and streches that I could do at home.  This is entirely differenty.  My therapist really identified the muscles that needed to be streched and the issues that were going on in the knee to cause the pain.  Some of the exercises require two people, and they really hurt.  However; in a week, I've added nearly 15 degrees of additional range.  I'm finally making progress in the area that was frustrating me.  While the study doesn't cover the cost of the PT, to me it is well worth the copay for the progress I'm making.  If anyone has hit a plateau you might want to talk to you doctor about PT for a short time. 
Title: Re: Kinespring operation
Post by: Apleyboy on November 14, 2013, 05:59:29 AM
 :) well here we go nearly 12 month later, I got a check up today with my Dr. Would I have the Op again  yes but I still have problems around the lower "hinge" if I sit at my desk to long (2hrs.+) the the first few step are stiff. and a feeling like pulling hair out of my leg. but still alot better than being awake with pain in the joint. do to much the the shin will go numb and knee swollen.
Let see what the Dr says
Title: Re: Kinespring operation
Post by: Apleyboy on November 15, 2013, 04:25:13 PM
 8) We´ve made good progress over the last year, and both the Dr and are happy. Now okay to move on to the next stage "get  fit again "  but in slow time and safe parameters
Title: Re: Kinespring operation
Post by: Sandromtb on December 05, 2013, 09:47:00 PM
Hello, i am writing from Italy needing to have some answer from  all the people had implanted kinespring system.
I am 55 with medium stage  OA but  i am still sport active except for running and skiing.
I still do a lot of mountain biking without too much pain . I have more pain when climbing stairs or walkiing too much. I have been told that my case is just off label for the kine spring but it still  worth to try it and I have just today booked  the surgery for late January.
Todaay I have found this Knee guru forum but I couldn' t find anyone on it   telling that after kinespring surgery is  back to very active sports like skiing or mountain biking as told by Moximed .
Also I understand that the recovery is much longer than expected  and that i will not be able to mountain biking for long time after the surgery.

Thanks


Title: Re: Kinespring operation
Post by: Apleyboy on December 13, 2013, 06:18:39 AM
I m now 12 month post Op (5.12.12) , normal cycling was easy even when I was not walking right . As to sking I know Bendzeknees is back sking. I missed Last season becasue of the OP date, I think I can the only "mental block" I have is "what if" my employer as been very good the last few years.
We ´ve booked Austria for Febuary, but I know alot of people their so even if I don´t sking we can have fun.
In general I m in good form, nearly 0 pain only every now and again a bit but normally when I ve done to much.
 When I think my neighbour had partial knee replacment on the same day as my Op and as had more problems,okay he is ten years older but he´s only going back to work now .
Kinespring was the right way for me yes the first month were very strange and hard going, 
Title: Re: Kinespring operation
Post by: dietrichate on December 16, 2013, 04:33:22 PM
I have gone past the anniversary of having my implant 13 Nov 2012) so I felt an update was overdue.

I am back playing squash without too much difficulty, not quite back at the same level, but relatively pain-free. I wear a kneepflexx support which is great for stability and confidence during exercise. I have also taken up biking and spinning classes which have been absolutely brilliant for strengthening the muscles around the knee, and I have even tried mountain bike trails (which probably is not such a good idea!!).

Until a couple of months ago, I was very worried that I had made the wrong decision with the implant, as I was not back to where I wanted to be, but I have noticed a marked improvement over the last three months. I can still feel the thing constantly, but the only thing I can't do comfortably is kneel down on it, as the knee and shin are still numb and it just feels weird

I hope this update will give those of you who are in the early stages of recovery some confidence to persevere, do plenty of exercise and be patient! There is a light at the end of the tunnel, and I think the benefits of having this op will become apparent at around the 12 month stage

Look up the kneepflexx I started using mine at about the six month mark. It has two resistance bars either side of the knee. they don't cause any discomfort on the implant and help with muscle strengthening and stability as I mentioned earlier

Dave
Title: Re: Kinespring operation
Post by: Grumpy on December 28, 2013, 05:33:01 PM
Unfortunately, on December 10th I had my Kinespring removed. It was causing me more problems and pain than I had before I tried this option. Although my knee is still healing it already feels less painful in general. Sadly, for me, it just didn't work, although there was no apparent reason for it to fail  :(
Title: Re: Kinespring operation
Post by: timm on January 14, 2014, 09:46:35 PM
Just had my three month check-up and it's finally looking up.

At 6 weeks I was really disapointed as I hadn't hadn't gained flexibility even though I'd been working my knee hard.  My doctor advised I stop PT, which I did and that helped a lot with the pain level.  As I continued to do everyday things (including working up to going up and down stairs) the range of montion increased.  I didn't work specifically at stretching it out, but by my 3 month check up I was up to 135 degrees in my operated knee as compared to 140 in my other. 

It was around the 10 week point that I woke up one day and realized I hadn't been feeling any pain, some aching but no pain for several days.  This was after thinking at 6 weeks that I had made a mistake in having the surgery.  The swelling is gone down to the point that I can pretty well make out the outline of the device.  It's not bad, but anyone can tell there is something different with my knee.

I now only have pain when I work out on my knee.  I am doing Beach-body T25 workouts which involve jumping, squats, and single leg work.  Most of it I can do and there's only a bit of internal swelling afterwords (Aleve is enough to take care of the swelling).  I started riding my bike yesterday, and there were no problems in my knee (endurance is a different matter!). 

There is hope, and it may take longer to get there than expected but it can also come on pretty suddenly.  I'm currently OA pain free, very little soft tissue issues, and only have some swelling when I work out hard (tough for me to keep from pushing too far). 

Title: Re: Kinespring operation
Post by: doclarry on February 28, 2014, 09:04:33 AM
I'm not sure if there is a way to ask someone something privately ?? is there ? I was curious to hear more from Grumpy on specifics on how the removal was and how soon shin pain went down after Kinespring was out ? How was post op or recovery to get back work etc ? did you have any joint pain return inside knee since removal ?...my pain is higher on shin by device as I posted earlier, but had flare recently down at Oregon coast walking over rocks and just "too much" walking..it really flared pain wise and am not where other folks seem at 8 months as far as activity/recreation..I'd be happy to walk on level street without aggravation !!..Going to gym and working out to build overall fitness..trying to be patient and keep plugging away. thanks
Title: Re: Kinespring operation
Post by: bendzeknees on March 02, 2014, 06:56:10 PM
Todaay I have found this Knee guru forum but I couldn' t find anyone on it   telling that after kinespring surgery is  back to very active sports like skiing or mountain biking as told by Moximed .
Also I understand that the recovery is much longer than expected  and that i will not be able to mountain biking for long time after the surgery.
Thanks

I was back on skis but not skiing anywhere to the level I can at 7 weeks. Less than 5 months later I was in Italy doing some teaching. The recovery is longer than is being portrayed and reading over these threads that is becoming the norm. Mountain biking will put a lot of stress on the healing area. Depends on your level. If you just want to build up your leg muscles, keep the knee active then you should be able to do it fairly quickly. I was mountain biking around 10-12 weeks on some intermediate trails and it was fine. Cycling in general should be pushed I think, it was really beneficial for me though not using by me PT very much until quite into the recovery period.
Title: Re: Kinespring operation
Post by: bendzeknees on March 02, 2014, 07:01:40 PM
Unfortunately, on December 10th I had my Kinespring removed. It was causing me more problems and pain than I had before I tried this option. Although my knee is still healing it already feels less painful in general. Sadly, for me, it just didn't work, although there was no apparent reason for it to fail  :(

Sorry to hear it was not a success. What sort of pain were you experiencing? From x-rays I know the medial gap is slightly wider and maintained so not possible to have pain from the original issue (for me). Did you have other issues around surgery or further deterioration around the problem area?

 
Title: Re: Kinespring operation
Post by: bendzeknees on March 02, 2014, 07:07:10 PM
my pain is higher on shin by device as I posted earlier, but had flare recently down at Oregon coast walking over rocks and just "too much" walking..it really flared pain wise and am not where other folks seem at 8 months as far as activity/recreation..I'd be happy to walk on level street without aggravation !!..Going to gym and working out to build overall fitness..trying to be patient and keep plugging away. thanks

I've said before it's not a linear progression. It's better, down, better, plateau etc. More a slower progress, sawtooth type progression line.

You have to take it easy now and then when it flares and then start again from where you were. Definitely slower progress than I expected. It's easy to get disheartened. I still see myself in recovery 18 months on. Physically my leg muscle is still not where it should be but overall activity is way up and sporting activity is improving all the time.

 
Title: Re: Kinespring operation
Post by: Apleyboy on April 11, 2014, 06:34:55 AM
We here is a short sitrep , just had 3 weeks in a Rehab centre I pushed out the limits 2 hour plus sport every day (bike weights aqua fit nordic walking ) I know now I can push harder then my brain was saying .. I meet another springer that was not having so much fun but wasonly 6 months into the process so I how I help with motivation

Title: Re: Kinespring operation
Post by: Grumpy on May 14, 2014, 03:20:31 PM
My knee was never very happy with the spring implant. I had constant pain down the inside of the knee and down the shin. I was unable to twist or pivot on the knee. This movement caused a sharp shooting pain. My knee felt much more comfortable as soon as the spring was taken out.  It would appear that whilst the spring is in the leg it does leave a beneficial side effect as my knee is not as painful or stiff as it was previously and I am not intending any further treatment at the moment. I am able to go walking, stop off for lunch and continue walking now, previously ,once walking , if I stopped that would be it for the day as it would have been too stiff and painful to get going again. How long this will last I don't know but overall this is better for me than having the spring in. Whilst the spring was in I had a full range of movement ,that wasn't a problem, it was the constant pain that made it a failure for me. The pain wasn't the original pain in the knee of bone on bone it was a different kind of pain but still across the knee.Hope this helps answer some questions :)
Title: Re: Kinespring operation
Post by: Apleyboy on May 31, 2014, 08:16:07 AM
 8) Well it been a long road current status  I m up to over 4 hours sports a week,(2 hrs gym 1 swimmming 1 aqua fit) + plus my achery which I dont really count  + weather permiting cycling to work (20mile a day)
 the weight gain in the "dark days" is now falling away I now feel much better in general

I meet other "springers" the last few months I must also say I was the "happier one " with the results maybe a bit of luck is also the result or relaxed approch  I didn´t stress myself to much at the begining or the journey  maybe that the trick ? 
Title: Re: Kinespring operation
Post by: Beausknees on July 11, 2014, 06:46:19 PM
Hi Apleboy,

I'm curious to hear more.  I'm 1 week out and would like to talk to you.  Maybe we can video chat at some point?  Can you send me the best contact information.  Assuming you would like to share?

Thx

Beau
Title: Re: Kinespring operation
Post by: timm on October 21, 2014, 12:45:57 PM
I just had my one year check-up and thought I would post on my progress.  According to my surgeon, I am doing very well.  There are no issues with the implant and there is even evidence that there has been recovery of the meniscus due to the implant (spacing went from 3.2 mm to 3.7mm).  I have played tennis for up to 90 minutes without any imediate complications.  There was swelling internal to the knee for a couple of days after.  I have no arthritic pain.  I can run up to 4 miles, but don't as the swelling in the knee is persistent for up to 3 days after.  I am up to 90 min on the eliptical and I have almost no issues after that workout.  I can also do squats with 2/3 of my pre-surgery weight. 

Still trying to get the range of montion that I would like to have.  I have decent range (135 degrees), but cannot squat down on my heals like I would like to.  I'm being told that may be the maximum, which is a fine trade for no pain.

My biggest issue is with nerves in my foot.  The thinking is that a nerve was damaged during the surgery and that it will eventually grow back.  The results are that the outside of my foot feels "asleep" most of the time and is also hypersensitive to pain.  I also cannot walk for more than 2 hours (like at an amusement park) without the ball of my foot becoming painful.  This is still a vast improvement over the inablity to walk across the street without pain in my knee. 
Title: Re: Kinespring operation
Post by: bendzeknees on November 26, 2014, 04:38:50 PM

I meet other "springers" the last few months I must also say I was the "happier one " with the results maybe a bit of luck is also the result or relaxed approch  I didn´t stress myself to much at the begining or the journey  maybe that the trick ?

The journey back to a good recovery & fitness level takes longer than expected. I'm sure the feedback from the various centres will be showing that and therefore help to set reasonable expectations for those having the procedure.
Title: Re: Kinespring operation
Post by: bendzeknees on November 26, 2014, 04:44:14 PM
Still trying to get the range of montion that I would like to have.  I have decent range (135 degrees), but cannot squat down on my heals like I would like to.  I'm being told that may be the maximum, which is a fine trade for no pain.

My biggest issue is with nerves in my foot.  The thinking is that a nerve was damaged during the surgery and that it will eventually grow back.  The results are that the outside of my foot feels "asleep" most of the time and is also hypersensitive to pain.  I also cannot walk for more than 2 hours (like at an amusement park) without the ball of my foot becoming painful.  This is still a vast improvement over the inablity to walk across the street without pain in my knee.

I didn't ever do squats with weights - just free squats. I'm ok with them now and can pretty much get down on to my heels and back up with no issues around knee - just my fitness!

I had a completely numb area around the front of my knee and towards the medial side. That has improved. Feeling is there but just a little numbness left. That took 12months+.
Title: Re: Kinespring operation
Post by: bendzeknees on November 26, 2014, 04:49:09 PM
My 2yr checkup is due in a weeks time. I don't think I'll hear anything unexpected as things are going well. The only slight issue is that on the odd occasion I do manage to twist my knee slightly I can get swelling easily. It goes away over a few days and I just take a few anti-inflammatory tabs.

Other than that it feels great. Walking, cycling, swimming and rarely aware of the Kinespring.

Still the best option for me and hopefully it will continue to function for many years to come.

I'll report back on progress next week. 
Title: Re: Kinespring operation
Post by: manel_abuelo on December 24, 2014, 12:26:40 PM
Hi all, I'm on my almost one moth kinespring portoperation day, glad to found this forum. I had some questions to ask to the experiencied springers, I got yesterday a pain exactly as someone descibed on the forum as sharp shooting pain on the central part of my knee, It was really painfully, even harder than the day after the surgery. Does anyone know where this pain ( as well the shin pain ) comes from ? Is it normal  ? when should I expect it to completely disappear ?
An also, has someone a set of exercises appropiates to the kinespring rehabilitation ? I'm in Barcelona and this operation system is very new, I thing I'm the second case on my city and I have the felling that rehab staff is not enough trained yet on the suitable exercises to employ.
Thanks in advance,  I hope I ve made the correct desicion with this operation and be helpfull for new pacients on the comming future, especially in my country where there isn't many information
Title: Re: Kinespring operation
Post by: manel_abuelo on December 30, 2014, 04:51:28 PM
Hi all, I'm on my almost one moth kinespring portoperation day, glad to found this forum. I had some questions to ask to the experiencied springers, I got yesterday a pain exactly as someone descibed on the forum as sharp shooting pain on the central part of my knee, It was really painfully, even harder than the day after the surgery. Does anyone know where this pain ( as well the shin pain ) comes from ? Is it normal  ? when should I expect it to completely disappear ?
An also, has someone a set of exercises appropiates to the kinespring rehabilitation ? I'm in Barcelona and this operation system is very new, I thing I'm the second case on my city and I have the felling that rehab staff is not enough trained yet on the suitable exercises to employ.
Thanks in advance,  I hope I ve made the correct desicion with this operation and be helpfull for new pacients on the comming future, especially in my country where there isn't many information
Title: Re: Kinespring operation
Post by: Apleyboy on March 11, 2015, 06:16:32 AM
I ve not been in the forum for some time (sorry) , I m now 2 year 4 month post op , do sometime come to limits but in general very happy its a long road . but better than a replacement joint...
tip for the newer country have a x ray photo  on you mobile phone you tell Dr / physio you´ve got a spring fitted normal reply is"NO it a artifical joint" show them the photo and they shut up ! and listen..

I m back sking to a recreational level I know my limit and enjoy the days on the mountains and all of my normal day to days thing so I m a happy springer,  just stay calm and aviod over loading at the start it will pay off later
Title: Re: Kinespring operation
Post by: swisschrisuk on June 22, 2016, 09:12:24 AM
Hello - just wondering if this thread could be reactivated?
My interest is that my wife had the kinespring operation which failed and was removed. WOuld be interested in prompting discussions around post-op failure recovery ...
Thanks