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Author Topic: How young is too young for PKR?  (Read 3937 times)

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Offline Kimberly 77

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How young is too young for PKR?
« on: July 16, 2010, 06:54:43 PM »
I am 32 years old and have osteoarthritis of the patella and lots of pain in the back of knee too. My OS said I need replacement but am way too young. I have researched and understand most of the reasons. He is doing abrasion chodroplasty Aug. 2nd so hopefully this will help and I won't have to think about this anymore. But, how young is too young? At what age will they finally do one? Don't get me wrong I want to try all other options first.
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline KW

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Re: How young is too young for PKR?
« Reply #1 on: July 16, 2010, 07:43:20 PM »
I was 34 when I had my PFJR done.
Right Knee
2000 - 2002 - Scope,LR,TTT,Unscrewed
01-10-12 - PFJR

Left Knee
04/07 TTT/LR
08/07 Bone Grth Stim
10/07 Loose/Bent Screw
1/08 Unscrewed/MRI~NON-UNION
02/19/08 Lt  TTT Revision W/Graft
12/09/08 Scope
05/15/09 Scope
09/04/09 PFJR/Unscrewed

Offline Kimberly 77

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Re: How young is too young for PKR?
« Reply #2 on: July 16, 2010, 08:28:38 PM »
Interesting! I don't really like my OS he isn't giving me many options. I am a amputee and I can't help but think he is scared to touch someone like me. I am just so tired of the constant pain!!!! When I came in for my 2 month follow up with him after synvisc injection, he was saying there was nothing more he felt comfortable doing and I should seek the opinion of a specialist. He went on saying how he has done a scope and the shot and it all failed. I stopped him and said you have never scoped my knee, he looked puzzled and said oh well that is where we need to start then. So I know if this don't work he isn't going to help me anymore. I feel like he is brushing me off like I am already useless because of my current disability. I have been disabled my whole life but have never let it stop me, probably the reason for the condition of my knee and I don't feel like I can just let life go on around me and not be able to live it. Suggestions??
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline KW

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Re: How young is too young for PKR?
« Reply #3 on: July 16, 2010, 08:48:16 PM »
Get a new OS...Don't let someone you are not comfortable with work on your knee.  You have a very special situation that I'm not sure he is taking that into complete consideration.  From what I have read the abrasion chondroplasty is not the same as the standard chondroplasty most refer to on this site.  My reading leads me to believe a abrasion chondroplasty is a early version of microfracture.  You really really need to communicate with the OS office and get clarification.
Right Knee
2000 - 2002 - Scope,LR,TTT,Unscrewed
01-10-12 - PFJR

Left Knee
04/07 TTT/LR
08/07 Bone Grth Stim
10/07 Loose/Bent Screw
1/08 Unscrewed/MRI~NON-UNION
02/19/08 Lt  TTT Revision W/Graft
12/09/08 Scope
05/15/09 Scope
09/04/09 PFJR/Unscrewed

Offline pw

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Re: How young is too young for PKR?
« Reply #4 on: July 20, 2010, 05:22:42 AM »
I had a PKR four weeks ago. I had the medial side replaced and my patella resufaced with a plastic pad put on the under side. I had grade 4 and 5 on the both of these. I am 36 and my OS used this idea " If you bought a new car with a 50, 000 mile warranty and in 3 yrs it had surpassed the mileage and the warranty was no longer good. The motor blows up do you park it for 4yrs before you replace the motor because it is to new and should have made it longer. He also stated that it todays technology there is no reason for someone to live in pain he said who is to say you will live to 50 or 55 and you lived in pain for 20yrs waiting on the so called magical age when you could have been enjoying your life. I agree I would seek another OS especially when he cant remember what procedures he has done on you. Now with that said the post op pain has been something else I am just getting enough strength to walk some with out the crutches but i think in the coming weeks I will be glad I had it done. Best of luck.

Offline Kimberly 77

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Re: How young is too young for PKR?
« Reply #5 on: July 21, 2010, 03:23:59 PM »
Thank you all so much! Maybe there is hope for my knee! I am getting a second opinion, just hope it isn't too late. My surgery is scheduled for Aug. 2nd so I am hoping I can do something before the surgery. I just want another doctor to tell me he thinks this guy is doing the right procedure. Knowing that 2 people around my age have had the PKR makes me feel better. Atleast if this surgery fails I know I have another option. Thanks! and PW I wish you a fast recovery!
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline Plumb

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Re: How young is too young for PKR?
« Reply #6 on: August 01, 2010, 02:07:24 AM »
I was 35 when I had my TKR.    While being one of my doctor's younger patient he wasn't ready to remove natural bone until he saw me sink to my lowest point.    While going through the paces of how better will I get post chrondroplasty.     I never got better infact i got worse post scope.     I saw three Sports medical doctors  and they all had different mindsets.    ONe doctor I saw who wanted me to wait until 40 said.. that he had a patient whom was 13 and had a double knee replacement.    I honestly think they like to monitor you for a while and when quality of life starts to fade.. that is the time they feel it is right for a younger patient.      Basically for me  I was crawling around and life was a daily struggle ..   

I need my left knee replaced at some point  but I can get around  for a few hours at least.. and I am given pain medication  for when I over do it and become miserable.    Doctors do not like to mess around with a limb that is working..    When it starts to fail..  and your quality of life deminishes.. and your depressed about the whole thing..   than they start taking about  operating..  my one OS    always mentions..  "depression" being a big key turning point  on when he thinks it's time.. and ofcourse  crawling your way to get along in life.


The operation has its risk..  and in general they do not want to hand off a worse situation to you than what you started out with.   However you need to see a surgeron skilled in replacements..   not someone who just scopes and runs.

Offline Mr.F

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Re: How young is too young for PKR?
« Reply #7 on: August 07, 2010, 03:45:46 PM »
Hello,
I can not tell you at what age will doctor(s) perform an operation.  I had bilateral PFR when I was 35.  I had to go to 3 different OSs.  My third OS took x-rays and my medical history.  He asked if he could share my x-rays and medical history with other OSs he knows (without telling my age).  We scheduled another appointment for 2 weeks.  When I came back he asked me what I wanted (meds and PT, PFR, removing the knee cap, or nothing).  I said PRF.  He, and the other OSs he talked to, all said PFR.  About a month later I had my operations.
Talk to people in your area and see if you have an OS who will take all factors into consideration and call your health insurance provider.  Tell them what you are going through.  Tell them about the OS you would like to see for a second opinion.  (I found out about my OS from a neighbor who had her hips replaced by this doctor...She was in her late 80s early 90s).  This is what I did.

Take care,

Mr.F

Offline pegleg78

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Re: How young is too young for PKR?
« Reply #8 on: November 04, 2010, 03:24:31 AM »
I  had a medial partial knee replacement 6 years ago and I have never regretted doing it. When I had surgery I was 27 and very hesitant to jump into a TKR at such a young age. I have had multiple injuries and surgeries and I knew a TKR was in my future, but I wanted to give myself more time. My whole knee was esentially bad, grade 4 in medial compartment and 3 in lateral and patellar compartments.

I think I made a great decision! The PKR was not the most painfull surgery or recovery I had, but it was hard. I was 4 weeks NWB and then progressed to PWB. I took about 4 weeks off of work, I remember not feeling fully back to normal till about 6 months post op.

Unfortuantly now I need to have a TKR because my lateral compartment is also gone now and I have extreme pain daily. I have surgery on November 30, but I am unsure if I will now do a lateral PKR or a TKR. I am 32 so I need to think about the future of my knee.

I have not had any problems what so ever with my PKR and my OS said they can last 20 years, that is why I'm leaning more towards a lateral PKR instead of a total.
Melanie
99 ACL, med, lat men repair
00 Med menisectomy, lat men repair
01 med, lat meniscus transplant, ACL rev, LR
01 chrondroplasty, manip & debrid
02 med, lat partial menisectomy
03 Arthrotomy,  LOA, LR
05 chrondroplasty, lat men repair, shrink ACL
05  med menisectomy, chrondropla
05 med PKR















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