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Author Topic: Post-tkr bleeding prognosis  (Read 974 times)

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Offline numberfourson

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Post-tkr bleeding prognosis
« on: July 13, 2005, 07:13:52 PM »

My father just had a tkr and is experiencing a LOT of post-op bleeding (also bad reactions to anasthesia, but that's another story). From my mom's email:

also lost a good deal of blood post-op because, they
inform us, his knee was so arthritic that a lot of spongy/scar tissue
had formed around it over the years, so when the new knee was in place
and the incision stitched shut there wasn't the usual pressure on the
vessels; instead there was a pocket into which the vessels continued to
bleed.  The pocket should shrink somewhat over time but one doctor
hinted that this is not the ideal for optimum operation of the new

---does anyone know what the long-term possible effects this bleeding could have on my dad's new knee? The big questions are hiking and biking, especially biking, which is one of my dad's major sources of R&R.

(My dad is also on blood thinners usually for high blood pressure, though he was taken off them before the surgery)

Any advice and/or insight much appreciated!


Offline Heather M.

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Re: Post-tkr bleeding prognosis
« Reply #1 on: July 14, 2005, 02:54:26 AM »
Post-op bleeding is a major culprit in the development of serious problems with scar tissue.  This is what happened in my knee, though of course everyone is different.  If the doctor is concerned, usually he/she will flush the joint out in a procedure called debridement & lavage.  But with a TKR, they are so concerned about infection--don't know what they would do in that case.  Your dad really needs to talk to his doctor, seriously, and get beyond the cryptic comments about 'non-optimal results.'  His quality of life is at stake, not the doctor's!

Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja