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Offline Robin M.

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Robin's TKR post-op diary
« on: August 03, 2008, 02:29:41 AM »
I had a left TKR on May 12,2008. I've had multiple knee problems and was diagnosed with a chondral defect 4 years ago which led to the need for a knee replacement at 44 yrs. old. My surgery and hospital stay went smoothly. I was given a spinal and other medication to make me drowsy during the surgery. I didn't want to be awake. I also had an ON-Q pain ball (catheter)which was inserted into the incisional area. As a result of that I didn't have any pain at the incision site. I received oxycontin, oxycodone, or morphine orally as needed. The second day post-op I started PT, 2 sessions a day. I spent 4 days in the hospital. My pain had been so well controlled in the hospital, but once at home it took several days for me to adjust to taking only the oral medications. Sleeping was a challenge for many weeks.

We have a busy household with 5 children and have had to make many adjustments. Fortunately we have family in the area who are available to help. I started out-patient PT as soon as I came home. My ROM was 73, extension was -15. Over the next month or so my ROM was about 90(manipulation from therapist) and extension was -10. At 6 wk. post-op appt. OS felt that the knee was very tight. He injected with cortisone and I had a 2 wk. return appt. At the 2 wk. appt. the knee was still tight so it was decided that I would return to the hospital for a manipulation (MUA). I had the MUA on July 21.OS got my ROM to 130 degrees and extension to 0.Prior to the MUA the OS measured ROM 80 degrees and extension -10. I stayed in overnight and had one very tough session of PT at the hospital. I was glad to return home to my PT!

For the past 2 wks., since the MUA ,I have spent 5 days a week in intensive PT. I use the CPM machine for about 2 hrs. during the day and sleep in it at night about 6 hrs. or whatever I can tolerate. I also have to work on gaining full extension. My ROM is slowly improving it's about 108 and extension is about -6. PT has become a full time job. Last week my husband took our children to the shore so I could spend most of my time rehabbing, which is what I need to be doing right now. I try to be positive and focus on recovery and returning to all the activities that I have missed over the past year.

I have to go and finish laundry and do some of my exercises. I hope everyone's recoveries are going well.

Robin
Lt. knee- 6/04 scope and chondroplasty of MFC,11/04 Synvisc injections, 11/05 mosaicplasty, 3/06 scope,LOA and MUA, 1/08 degeneration entire knee, 5/12/08 TKA, 7/21/08 MUA
Rt.knee- 10/06 scope,,plica removal-OA, 3/07 HTO, 9/09 hardware removal  12/7/09 TKA 1/10,3/10 MUA, 11/10 LOA,partial revision

Offline kathat

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Re: Robin's TKR post-op diary
« Reply #1 on: August 03, 2008, 11:41:44 AM »
Hey Robin,

So good to see you back!!! I'm glad to see you have passed your pre-MUA ROM. It would have been so disappointing for it not to have worked. How are you sleeping now? Still a challenge? I find that I sleep well some nights, and poorly during others. It seems to be part and parcel of knee problems and chronic pain. How's the mobility? Have you ditched the crutches? Are you driving?

How nice of hubby to take the kids out so you could focus on your rehab. I hate having to focus my life around exercises, but with any luck it'll pay off in the long run.

How are the kids? Did Meredith go okay with the tests/scans she had to have on her ankle? Is it going okay now? Jordi is coping well with her orthodontic appliances, after a difficult visit initially (when a band had to be glued in). In a few weeks she will have three teeth pulled :P I am not looking forward to that particular visit, though if she doesn't have them out then the adult teeth underneath won't come down where they should and could cause problems with her front teeth. The worst thing will be having to convince her to put her plate in straight after having her teeth pulled!! If she doesn't then she may end up having to have a new plate made as her teeth could shift too much. What a rigmarole.

I am back at work. Financially I am happy to be back, but I was enjoying the time at home with the kids.

Anyway, I am about to take the kids to the DVD store to borrow some DVDs to keep them occupied tomorrow, as the school system is having rolling strikes which will affect our school tomorrow.

Take care. ((((HUGS))))

Kathy xx

Offline Peg Leg

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Re: Robin's TKR post-op diary
« Reply #2 on: August 06, 2008, 11:11:59 PM »
Robin, I am so happy to see that you started a diary!  Hopefully it will be good therapy for your mind while you focus on the therapy for your knee.  I'm so glad you got the MUA behind you and that you are seeing some results.  How thoughtful of your husband to take the kids away for a bit.  I'm sure the down time for you at night is a good change of pace.  Are you in much pain after the therapy?  I sure hope not. I've got to run for now (well you know what I mean!!), but wanted you to know that I'm happy to see you back!

Hugs, Robin2 (Peg)
10/06  Miicrofracture Rt knee on mfc
defect was 1.3x2, small defect under patella
04/07 Arthroscopy/Cell harvest for Carticel
06/28/07 Carticel surgery ,Rt. Knee
12/27/07  Scope to debride Patella lesion,Rt. Knee
4/17/08  Fulkerson AMZ, Rt. Knee
6/25/09 ConforMis BiCompartmental Knee Replacement

Offline Robin M.

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Re: Robin's TKR post-op diary
« Reply #3 on: August 28, 2008, 05:03:03 AM »
Here is an update since the MUA. I've made significant progress with ROM, about 118 degrees. I still need to work on the extension, I'm about -3. I still have a pretty bad extension lag of about 25. The medical supply co. rep. picked up the CPM machine yesterday. I continue to use the tens unit 3 times a day for nueromuscular re-education.Hopefully with time the extension lag and quad weakness will improve. I still am using one crutch(usually when outside or walking long distances) and use of the cane while in the house. As my leg gets stronger I hope to transition to only using the cane. At this point my knee stil buckles due to quad weakness which my OS says is normal considering I had 2 surgeries in a short period of time. He is pleased with my progress and everything looks good with the x-rays. I also ride the stationary bike for 15 minutes everyday. I attend PT 3 days a week.

Kathy hope you're doing well. How is your return to work? How is Jordan doing? Hope everything goes well with her tooth extractions. Meredith continues to have problems with her ankle. MRI revealed an ankle contusion. OS is concerned about the possibility of getting a stress fracture. She is starting on her second month of PT and wears a stabilizing brace. She also has some activity restrictions,no running or jumping. She was able to start cheerleading but has been complaining about pain. Hopefully with continued strengthening her ankle will become stronger and the pain will lessen. Two weeks ago we got a yellow lab puppy for the kids. She's almost 9 weeks old and we named her Abby. She has a great temperment but is a big chewer, which is normal at this stage. The kids are having a good time taking care of her.Take care and hope to talk to you soon.

Peg hope you're doing well. Thanks so much for the PM back in July. I really appreciated your thoughtfulness and concern. How's your PT coming along? Have your kids gone back to school? Mine went back on Monday. Alex,our youngest, is in all day kindergarten. It seems really strange not to have any kids home during the day.  The house sure is quiet. Give me an update when you have time. Take care.

Robin
Lt. knee- 6/04 scope and chondroplasty of MFC,11/04 Synvisc injections, 11/05 mosaicplasty, 3/06 scope,LOA and MUA, 1/08 degeneration entire knee, 5/12/08 TKA, 7/21/08 MUA
Rt.knee- 10/06 scope,,plica removal-OA, 3/07 HTO, 9/09 hardware removal  12/7/09 TKA 1/10,3/10 MUA, 11/10 LOA,partial revision

Offline Mookie11

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Re: Robin's TKR post-op diary
« Reply #4 on: August 28, 2008, 06:48:15 AM »
Hi Robin,
I am glad you've started a post op diary. I've found it so incredibly helpful to write one myself and to read and keep up with others. I can't imagine having a TKR with 5 kids in the house. Though you probably had little choice, I still think you must have an amazing core of courage and patience to do it! I have only 1 21 year old step daughter and a husband to look out for and I find that demanding sometimes!!

It sounds like you've done very well, thus far, with your recovery. You must have a good team behind you, your OS and PT. At this point are you feeling that there might be some light at the end of the tunnel? I must confess, I don't know what a chondral defect is, nor how it affects the knee. Perhaps you might educate me on that??? It's odd, I never even gave knees any thought or any credit until I injured mine and now I like to know all I can. How the focus can change!

I wish you a few degrees of improved range of motion tomorrow!!

Candace

Who knew knees were so complicated!

Offline kathat

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Re: Robin's TKR post-op diary
« Reply #5 on: August 30, 2008, 09:36:10 AM »
Oh wow!!! A Lab puppy!! How exciting! Our Lab is about 4 years old now, and still behaves like a puppy at times. I love the fact that Labs are not fussy eaters - ours gets the brown bananas that nobody else will eat, and he thinks it's a real treat!! He also loves grapes and apples.

Jordan's teeth are a never-ending problem!! She has had one tooth out and it was so distressing for her that we have been referred to a children's dental specialist to have the other teeth out under sedation. I hope Meredith's ankle isn't an ongoing saga and that it improves fast. It's horrible to see our kids in pain. Jordan quit jazz and tap today. She is having problems with others in the class ignoring her (there is a real clique happening amongst a big group of the girls), and on top of that she is moody and tired (?puberty starting?), so I thought a break would do her the world of good. She still does ballet, but now she has her weekends all to herself, which I think she needs for now.

How's things with you? Good to hear your ROM is getting there at last. I hope you get that last bit happening soon. It must be so hard to get used to not having any kids at home in the day. It took me a while to get used to it and I only had two, and they were close together at that (so I only ever had kids at home for 6 years in total). What does Alex think of Kindergarten?

I hope things are going well for you.

Take care.

Kathy xx

Offline heather rae

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Re: Robin's TKR post-op diary
« Reply #6 on: September 01, 2008, 03:01:25 AM »
Robin:

Do you have a projected date to return to work? My job was only held for 90 days. I've been off for almost 16 months and was told I still have progress to be made first. I know that. I couldn't stand/walk for 9+ hours straight if I tried right now. Hope I don't bomb the FCE next time. Hope you can return to nursing, too.

Careful with that puppy. I have 2 pomeranians that love to get under your feet. They've almost tripped me on several occasions. My 1.5 year old female was quite young when I was injured. She sat right by my side, like she knew I needed her there. Labs are fun and very smart, too.

You're very lucky about moving your ROM after the MUA. I was stuck around 60 degrees of flexion when I had mine. It took me about 6 months after that to get to 120. My extension went to 0 much faster, through. I think it was from hanging weights around the ankle while prone. I also had heavy icepacks placed on the knee when the E-stim was going. Must've helped somehow.  ;D

So, are your kids helpful around the house? My son has been my left leg since the day I was injured. I'm so lucky to have him. My daughter helps but, she's too much of a social bug. It's strangely quiet when the kids are gone to school, isn't it? Getting ready to be busy with activities when their school starts on Tuesday. I have my hands full with 2. How do you keep up with 5?!? WOW! 

BTW: the bike was banned for me. The PT said it was too hard on the PF joint. I think PT itself may be worsening my problem. I am definitely asking the soft tissue OS specialist when I see him for my first appt next month. Can you believe I've had this much therapy? It's really becoming old hat and the pain from it isn't getting better. Take care and keep posted!  ;D

Heather
5/10/07- Comminuted-20 frag., displaced L patella Fx
5/15/07- ORIF L patella, Bledsoe brace, crutches
7/07- PT 3X/week
8/07- Brace off, ambulate without crutches
9/27/07- Hardware removal, MUA, crutches x 8 wks 
6/08- J-brace for lateral maltracking, Cont. PT
8/08- Referred to soft tissue OS

Offline tulip

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Re: Robin's TKR post-op diary
« Reply #7 on: September 08, 2008, 01:31:25 PM »
hi Robin
I'm new on here! and couldnt find how to post my story?
so I'm replying to your's - Sorry I havnt read all way through but it sound as if you've really been through it.
I had lateral release, removal of 2 large loose bodies and clean-up of my knee in june - 10 weeks on stll only 60 ROM and very painful so had a MUA. My surgeon said my knee bend fairy easily during MUA (which was10days ago) but Im in more pain and ithas improved my ROM but only to 80.
I feel so much comfort reading some of these posts on here as I started to feel like it was somehow my fault that I couldnt bend my knee!!
Hope all goes well for you - and I agree physio really hurts!
If anyone can give me any hope or advise I would be really happy.
Or if anyone can tell me how to post my own questions for the first time???
Thanks

Offline Robin M.

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Re: Robin's TKR post-op diary
« Reply #8 on: September 14, 2008, 05:52:29 AM »
My knee continues to improve. It's hard to believe that I'm already 4 months post-op. The MUA has definately helped. ROM is about 125 degrees and extension is about -4. My PT told me that achieving full extension for a TKR patient after a MUA can be difficult. After alot of manipulation  my PT can get the knee extension to 0, I just can't get there on my own yet. I'm concerned about the extension lag which is 30 degrees when she measured it on Friday. I think that I wil be in PT for quite some time due to this and the quad weakness. I feel that the surgery has been successful. I'm fortunate to have a good OS and a caring PT who provides a large amount of hands-on therapy during each session. I continue to do my home exercises as well as the tens unit 3 times a day and 15 minutes on the stationary bike. I've been having right hip pain for the past few weeks. My PT thinks that it is due to over compensation. She's treating it as if it were an injury so that it doesn't become worse. Several years ago I had a hip x-ray which detected cartilage loss. Hopefully I'm not on my way to getting a hip replacement. I've reduced the reps with the exercises and have to baby the hip a little. I'm somewhat depressed. The knee is progressing and now I have to deal with hip pain. Hopefully it's a temporary thing. If I still have the pain when I see the OS in October, I'll mention it to him.

Hi Tulip welcome to the site! To post you need to be logged in. then go to the section you want to post in and at the top click on New Topic. You can then post your topic, message and your screen name. I hope this helps you. It takes a while to gain ROM. How was your ROM prior to your injury and surgery? Are you using a CPM machine? I found the CPM to really help. Do you have alot of swelling? If you do that could be causing some of the increased pain. Did your OS say how far he could bend your knee? Even after a MUA it takes time to gain ROM. Hope things begin to improve for you. Take care.

Hi Heather how are you? I don't have a projected date to return to work. With the per diem position I can return at any time. Work is advertising for nurses per diem all shifts now. They also are doing a massive expansion over the next 2 yrs. so there will be plenty of positions. Whether I'll be able to be on my feet for an entire shift remains to be seen. The TKR knee,with time, will be ok. However the right knee with the HTO, that will eventually need a TKR, may not like standing for 8 hrs.Then there's the problem with my right hip, whatever that may be. My PT told me it will be months before I can consider returning to the same position. While I miss that pay check I'm enjoying being at home. Only wish that I was physically able to do all the projects around the house that I want to do.

My kids are pretty helpful. They have been busy since being back at school and Fall sports have started. The puppy is doing great. She does get under foot and there's been times that I've almost fallen over her. I sure hope that the soft tissue OS can help you. Let me know about the appointment. Take care and talk to you soon.

Kathy, noticed you haven't posted lately. Hope everything's ok and you've just been busy. How are the kids. Girls at this age can be very cliquey. I guess it doesn't matter what part of the world you live in it's all the same. Meredith occasionally has problems with a few girls in our development. I tend to stay out of it and let them sort it out on their own. They seem to never stay upset with each other for more than a day. Alex seems to have adjusted to kindergarten. The first week was rough,he spent much of the day crying. Teacher called to let me know what was happening. I spoke with her on Friday and she said he's doing much better. He tells us that he likes school. I've gotten used to having all the kids in school. I've been fairly busy with PT 3 times a week, caring for the puppy, lunch outings, and the house work. I don't even miss working, though I do miss the pay check. Take care and hope to talk to you soon.

Hi Candace thanks for posting me! How are you? My knee is improving and I feel confident that I will make a fully recovery. My original injury was to the articular cartilage. The OS isn't sure how or when it occured. I was a gymnast for 10 yrs., though that was many years ago. In 2003 I tripped and fell over one of the kids bike helmets and that's when the problems started. Though I had a repair to the cartilage which healed it caused severe arthritis to the rest of the left knee which led to the need for the TKR. I also have OA in the medial side of the right knee and had an HTO. eventually I will need a TKR in that knee too. It's true you don't think about your knees until you have an injury and are in pain. When I first started with problems I would spend hours researching. I think you need to be informed. I was given various options for treatment but the advanced cartilage surgeries(OATS and mosaicplasty) weren't being performed in my area. I traveled to a specialist for treatment. Then when I needed the TKR my cartilage OS didn't do replacements any longer. once again I traveled to an OS specializing in joint replacements. The area where we live is very conservative in orthopaedic care. At 44yrs. old I'm fairly young for a TKR but definately needed one and didn't feel like dealing with the conservative OSs in our area. My OS, who is just an hour away, is great. He came highly recommended, does alot of research and articles and is on the cutting edge for replacements plus he specializes in revisions. I receive excellent care and couldn't be happier with my decision. What type of injury and surgery did you have? I'll try to find your post-op diary.Hope to talk to you soon.

Robin
Lt. knee- 6/04 scope and chondroplasty of MFC,11/04 Synvisc injections, 11/05 mosaicplasty, 3/06 scope,LOA and MUA, 1/08 degeneration entire knee, 5/12/08 TKA, 7/21/08 MUA
Rt.knee- 10/06 scope,,plica removal-OA, 3/07 HTO, 9/09 hardware removal  12/7/09 TKA 1/10,3/10 MUA, 11/10 LOA,partial revision

Offline heather rae

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Re: Robin's TKR post-op diary
« Reply #9 on: September 14, 2008, 04:19:35 PM »
Robin:

Sorry to hear about the struggles you're having with the hip and the other knee, too. Fortunately, we do have flexible careers so, maybe we'll both be able to find suitable options. It's a good thing that your employer will be expanding. Fingers crossed that you'll have an easy time re-entering work. Have you done your CPR recert. yet? The instructor put the dummy on the table for me. I'm short so, that was pretty hard to use the upper body weight for compressions.  :P Kneeling isn't anywhere in my immediate future.

Glad your ROM is coming along. The MUA, while horribly painful, is a good thing. I hope the PT can work the bugs out of the other problems. Sounds like we're both in it for life, for the sake of our knees. My OS said this was easily a 2 year rehab from my injury. So, I've been in PT for 14 months now. I am convinced my quads are dead forever and are just flaccid. Why are they so stubborn? I've even had 3 rounds of E-stim. Another thing that concerns me is I don't feel or see them working in doing these exercises. Maybe I'm compensating somehow, too.

Glad to hear your HEP is going well. Have you done any aquatics? I really miss water PT. It's so much less painful. I've also started a walking regimen and do that twice a week. I'm up to about 1/2 mile. It's painful the entire way but, I force it. I REALLY got motivated and tried to get the entire mile Yikes! I paid for it for several days. I walk my pommys and that keeps me going with it. Aren't puppies fun? Are you going to be breeding?

I'm worried about having to start rehab all over if the knee needs another surgery. What happens if the cartilage in the trochlear grove was badly chewed up? Surely, as the patella was broken into 20 or so fragments, the cartilage on the back would've been badly disrupted as well. I'm dealing with articulation problems and PF arthritis. So, the PT thinks my options with the new OS may be something like a PFJR or patellectomy. I sincerely hope he's wrong!  :o I'll let you know what Dr. Wojtys says. As a matter of fact, he is recommended on this site. That's encouraging!

Hope your kids have a safe and productive sports season. Mine has ditched dance (after being in it for 8 years) for cheerleading this year. She is really hoping that the dance experience will gain her a spot in competitive cheer. She competed in dance, as well. AHH, to be that flexible again! Then, we have track in the spring.

Keep working hard and hopefully you'll progress just fine. How's your pain levels now? I really hope the TKR has given you some relief! I'm glad you have a good team behind you!  ;D Don't feel bad, my OS had been quite conservative, as well. Glad I was referred for another opinion. He thinks I'm a perfectionist. I just want to walk without pain again. Don't think that's asking for much.  ::) Take care and hope to hear from you soon!

Heather
5/10/07- Comminuted-20 frag., displaced L patella Fx
5/15/07- ORIF L patella, Bledsoe brace, crutches
7/07- PT 3X/week
8/07- Brace off, ambulate without crutches
9/27/07- Hardware removal, MUA, crutches x 8 wks 
6/08- J-brace for lateral maltracking, Cont. PT
8/08- Referred to soft tissue OS

Offline kathat

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Re: Robin's TKR post-op diary
« Reply #10 on: September 26, 2008, 12:22:48 AM »
Hi Robin,

Everything's doing okay. I just haven't felt like posting because I have been so busy - once I get online I can waste so much time that I have been avoiding the computer completely. Then my laptop died and I didn't have a choice. Today I am in bed with a horrible throat infection, so I am resting and thought it would be a good time to catch up with things on KG. I just wish I felt better - my throat hurts, I have a cough and a pounding headache, and I'm running a temperature :'(

I had PT yesterday and the knees are doing okay. Certainly an improvement on what they were like before. My left has picked up because the right isn't holding it back anymore. I stilll get a fair bit of stiffness in them, but not as much pain and aching. I am hoping it lasts for a long time. I no longer feel that I need a TTT on the left knee. I think the problems would outweigh the benefits - I want to be able to kneel, and I can't on my TTT knee. If I have both done then I won't be able to kneel at all, though my PT said that there is room for improvement yet and the knee is still sensitive over the TTT area. I see my OS at the end of October.

Jordan's tooth extraction went well. We ended up having it done under a GA, due to her fear of dentists and the need for other dental work to be done at the same time. We found a lovely children's dentist and I think I'll keep taking the kids to her, rather than go to the school dentist (which is a government funded dental service that has clinics at many schools and offers set price dental care - we pay only a token fee per year).

How's the puppy going? Growing fast, I bet!! Is she a chewer or a digger, or well behaved? Our Lab has a fetish for soft toys and other fluffy items - they don't last long when he's around!!

Sorry to hear about your hip problems. I hope it improves as your knee does.

Well, I have to go. I need to lie down again. I hate being ill :P Especially during my days off!!

Take care,

Kathy xx

Offline Robin M.

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Re: Robin's TKR post-op diary
« Reply #11 on: October 02, 2008, 04:14:06 AM »
Hi Kathy,

It's good to hear from you. Hope you're feeling better soon. Glad to hear that PT is going well and you're seeing improvement in both knees. I've been so busy between PT and the kids activities that I find little time to be on the computer. The puppy is doing well and growing fast. She's not much of a digger but boy does she like to chew. We've bought her alot of bones and chew toys. Hopefully once she's through the teething phase the chewing will stop. We're taking her to puppy school at our vet in November. Take care and talk to you soon.

Hi Heather,

How are you? I'm doing ok. I have very little pain in the TKR knee some stiffness in the morning or if I don't ride the bike daily. Both my knees are a little sore today must be due to the damp weather. I'm no longer CPR certified, when I eventually get back to work I will have to retake the entire course instead of just the refresher course. I can't kneel on either knee so will also have to make adjustments for that. When do you see the new OS? You mentioned using the e-stim.unit. My PT had a home unit ordered for me,which I now own since it's cheaper than renting it. I use it for neuromuscular re-education(Russian stim.) three times a day. It has really helped to get the quad muscle contracting. You may want to talk to your PT about it. Hope you're doing well. Talk to you soon.

I continue to see improvement.ROM is close to 125 degrees,extension is not quite at zero. I still have the extension lag but it's not as bad as it was. I went to the rheumatologist on Monday for a bone density test. The results are good. The bone that I had previously lost is regained and my vitamin D levels have normalized. I have another year that I don't need to take the Fosamax just continue with the vitamins and calcium supplements. I mentioned to the doctor about the hip pain. He thought that it was a problem with the hip and not the back. He did an x-ray which shows that I have OA in the right hip and will eventually need a hip replacement. He injected the hip with cortisone and said if it didn't help that he recommends that I have an MRI.He said that I may have a tear or loose cartilage in the joint. He also said since I'm seeing my OS next Friday that I should talk with him about what's going on and see what he recommends. The injection has relieved some of the stiffness but hasn't helped with the pain. I'll update you after my OS visit.

Robin
Lt. knee- 6/04 scope and chondroplasty of MFC,11/04 Synvisc injections, 11/05 mosaicplasty, 3/06 scope,LOA and MUA, 1/08 degeneration entire knee, 5/12/08 TKA, 7/21/08 MUA
Rt.knee- 10/06 scope,,plica removal-OA, 3/07 HTO, 9/09 hardware removal  12/7/09 TKA 1/10,3/10 MUA, 11/10 LOA,partial revision

Offline heather rae

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Re: Robin's TKR post-op diary
« Reply #12 on: October 02, 2008, 01:31:58 PM »
Robin:

Glad to hear your knee pain is much better!  ;D Way to go on the ROM, too. Hope the extension works itself out. What kinds of exercises are you doing? I had a major problem with that as well. The PT used ankle weights and I hung my lower leg off the edge of the bed while lying prone for about 10 min. at each session after the MUA. She also placed heavy icepacks on the knee during E-stim. It went to 0 pretty fast!  ;D

All I can say is thank goodness for technology that can replace joint parts! I'm sorry, that really sucks about your hip! Hope the injections can ward off things for a while. My OS doesn't use cortisone because of links to further bone loss. Have you researched hip resurfacing? Sound like it may be something workable for younger folks. And then, there's Regennex injections. Hope you can find success with solutions other then a total hip!!  :-\

That was pretty ingenious of the PT to let you use E-stim at home. I'm glad it's working for you, too!!I've had Russian E-stim for quite a while after the surgeries and then again a few months ago. It was even left in place with a portable while I was exercising after surgery #2. The PT is convinced the articulation problems is what's keeping the quads so weak. As the patella is the lever to the knee, when it's off, everything else is too. Makes sense to me! I've gotten a very, very small amount of quad muscle tone back but, the calf and hamstrings are somewhat better after 14 months of working my tail off.

BTW: I'm back to aquatic exercise only at PT now. It's great because it does unload those joint forces!! You don't realize how much you've done until ... you exit the water. Gotta be careful!! I'm still banned from cycling because it's too hard of the PF joint. Guess I'm alright with that because I do have alot of painful grating/grinding with it. Are you ok with it?

Are you doing any walking now? We were out of town this past weekend at a really cool German village. I was celebrating my one yr post-op progress and my friend's B-day. We both made our husbands come along for the adventure LOL! I soon realized just how "handicapped" I still am. I made it for about 20 min of walking (with my brace on) before having to sit and prop this leg up for a total time of 1.5 hours on the town. I thought my knee was going to explode. When does that horribly painful pressure get better? Fortunately, the hotel had a hot tub and an ice machine next to our room! AHH!

Well, I had my PT reassessment about 10 days ago. He says the patella is WAY too tight and they need to do a release or something about the articulation problem. Then, I saw the OS and he agreed. He said I'm up for 2 more surgeries with the new OS. #1- scoping to do medial/lateral release, debridement and check the degree of cartilage damage behind the patella/trochlear grove. #2- cartilage repair in whatever fashion is deemed workable. A PFJR is a solution but, he feels I'm too young at 37. I see Dr. Wojtys on Oct. 21. OK, I'm scared now, yikes!! Just hope he has a miracle up his sleeve!

Please keep posted after next Fri's appt ok. Hope you continue to do well and good luck with your hip. Those kiddys do keep us busy and out of trouble, don't they? Take care!  ;D

Heather
5/10/07- Comminuted-20 frag., displaced L patella Fx
5/15/07- ORIF L patella, Bledsoe brace, crutches
7/07- PT 3X/week
8/07- Brace off, ambulate without crutches
9/27/07- Hardware removal, MUA, crutches x 8 wks 
6/08- J-brace for lateral maltracking, Cont. PT
8/08- Referred to soft tissue OS

Offline Robin M.

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Re: Robin's TKR post-op diary
« Reply #13 on: October 12, 2008, 06:36:40 AM »
Hi Heather,

Here's an update of my OS appt. this past Friday. My OS is pleased with my progress. He said that the ROM and extension is good. I still have an extension lag which he says  I should continue to work on. He told me that you can see improvement with a TKR up to two years post-op. I have been discharged from PT and can continue with exercises at home and the gym. My next OS appt. is in May 2010. My hip continues to be a problem. My OS looked at the x-rays and said it doesn't look like I need a hip replacement but that something isn't right with the hip. He ordered an MRI and I have a follow-up appt. with a non-surgical sports medicine doc on Oct.27.If the MRI would indicate a cartilage or joint problem I would be referred back to my OS for evaluation.

Hope you're doing well. Not too long until your OS appt. Let me know how it goes. Take care and have a good weekend.

Robin
Lt. knee- 6/04 scope and chondroplasty of MFC,11/04 Synvisc injections, 11/05 mosaicplasty, 3/06 scope,LOA and MUA, 1/08 degeneration entire knee, 5/12/08 TKA, 7/21/08 MUA
Rt.knee- 10/06 scope,,plica removal-OA, 3/07 HTO, 9/09 hardware removal  12/7/09 TKA 1/10,3/10 MUA, 11/10 LOA,partial revision

Offline heather rae

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Re: Robin's TKR post-op diary
« Reply #14 on: October 12, 2008, 03:00:14 PM »
Robin:

YAY! You've graduated from PT, that's wonderful news. I'm going to have a party when that day comes around for me!! Congrats!!!  ;D

I'm wondering if your hip problem is like my friend's. She subluxates in both hips all the time and it causes ALOT of pain for her. She just goes to the doc and he readjusts her. Her mother and her 9 yr old daughter has the same problem. I think their sockets are too shallow or something like that. Glad you're going to the sports med. doc. Please keep posted after the MRI, ok?

I'm also glad to hear that your TKR can continue to get better for 2 yrs. My OS said to expect that long with my injury, too. I would imagine that as fast as the muscle atrophy settles in, it takes 10X longer to get it back. Surely, ROM can take just as long. Mine's still not fully back after 17 months post-injury but, still s-l-o-w-l-y climbing.

So, I see that you've had chondroplasty and mosaicplasty. My OS is convinced that something similar or an OATS is what I'm facing. I'm pretty confused because I didn't think anything like that worked very well in the PF compartment. The PT has also added his 2 cents about the other compartments. Seems that he's curious as to what those looks like now, too. He's a pretty smart fellow and has been right 100% of the time. So, when he's concerned, I am too. Not sure if anything would be successful with the maltracking going on, ya know? Hopefully, it won't be too complicated for the new OS. I'm just a "little" nervous!!  :-\

Take care and happy rehabbing on your OWN!!  ;D Hope that extension improves and the hip stays manageable until you can get it figured out. Chat with you soon!!

Heather
5/10/07- Comminuted-20 frag., displaced L patella Fx
5/15/07- ORIF L patella, Bledsoe brace, crutches
7/07- PT 3X/week
8/07- Brace off, ambulate without crutches
9/27/07- Hardware removal, MUA, crutches x 8 wks 
6/08- J-brace for lateral maltracking, Cont. PT
8/08- Referred to soft tissue OS















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