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Author Topic: Too young for PKR?  (Read 6669 times)

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Offline Joanna

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Too young for PKR?
« on: August 14, 2011, 08:25:55 PM »
Hi,

Easy question. 

I am 39 and need a PKR but have been told that I am too young.  I wondering what is the youngest age that any of you had your PKR?

I am in the UK so I am guessing that we have to wait a lot longer than knees in the US before being replaced but I could be wrong.

Thanks
Joanna
3 Arthroscopies; 2000 - Shaving and clean out; 2001 - Wash Out; 2002 - 1st Stage ACI. 2nd Stage ACI - 2002; Arthroscopy to check ACI graft - 2003; ACI failed - Jan 2005; High Tibial Osteotomy & MACI - March 2006; Hardwear removal - 2007; MACI failed - 2009.

Offline KW

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Re: Too young for PKR?
« Reply #1 on: August 14, 2011, 09:06:31 PM »
I had my 1st PFJR (Partial) at 34 and have other knee scheduled for early 2012 @ 37.
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 caroline889

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Re: Too young for PKR?
« Reply #2 on: August 25, 2011, 10:20:05 PM »
Hi Joanna,

Im 39 also and scheduled for pkr of both knees  - i should hear anytime now. I'm really worried about having it done at my age. My consultant said that most consultants would refuse to do it on account of my age but he will do it. I just worry about the next 20 to 30 years. it may be the worst mistake but my only option is to carry on suffering.

Best wishes

Caroline
Dislocations since 1986
Lateral Release RK June 2008
Diagnosed trochlea dysplasia RK & LK 2008
MPFL Recon. &  microfractures LK & RK April  2009
Diagnosed grade 4 arthritis RK & LK 2009
Scopes  & microfractures RK & LK Nov  2011
Fulk'n osteotomy, mpfl recon& trochleoplasty RK March 2012 LK Feb 2013

Offline Lynn82

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Re: Too young for PKR?
« Reply #3 on: November 22, 2011, 11:37:59 AM »
Hi Joanna,
I had a PKR at age 25!  I had dislocations on my knee since 3 months of age and numerous surgeries to fix it but they failed.  Ended up having the femoral condyle collapse on me and couldn't walk.  I was told since the lateral side was arthritic to just replace that...well it seems it was NOT pleasant from the very beginning...It's been 4 years since I had it done and I have to say I've only had about 2 years of being pain free.  I just found out I have arthritis in the patellofemoral joint and medial side now and the pain is getting to be unbearable.  So was is it because I was too young to have this done that now everything else is falling apart?  I am not sure but I feel so upset and wonder if I did the right thing.  I was in so much pain right before I had the PKR and just went with the surgery hoping it would fix my problems but now I feel it might have made it worse!!!   
Lynn

Offline TwoBadKneesUSA

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Re: Too young for PKR?
« Reply #4 on: November 22, 2011, 06:15:19 PM »
I had my PFJR at 39 three years ago.  Will be looking at number 2 next year some time.
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline captainruss

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Re: Too young for PKR?
« Reply #5 on: May 13, 2012, 12:18:57 AM »
Joan,

I am not sure what your condition is, but I  had my first TKR at 47.  I thought I was in bad shape.  I find myself in worse shape than before my TKR.  The majority of PKR and TKR's are very successful 

Just keep in mind their are complications that a few out of every hundred end up with.  If you are able to manage without it, I would say wait.  If you can't stand it.

I find myself knowing what I suffered with three years ago was NOTHING compared to what I have today and I would give anything to go back in time...but again....they are doing highly successful PKR's and TKR's on thousands of people twice our age every day.

Have you had any other opinions about your knee?  I know it is sometimes considered an insult or wrong to ask for another opinion, but I had six different opinions and not one of them was right.  I have had eight TKR's and I would sell you any one of them for a Big Mac!!

Just make sure and get as many opinions as possible.

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

Offline LindaM

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Re: Too young for PKR?
« Reply #6 on: May 14, 2012, 01:50:59 AM »
Dear Joan,

I am very happy with my two PKRs and wouldn't be able to work or walk without them.  Arthritis runs in our family-my sister (who is a very large woman) had two TKRs in her mid-forties and they are in perfect shape after over 15 years despite the extra stress her size puts on them.  I think that in the end your decision will be guided by your pain and disability-are you able to live your life in the shape your knees are, and is the pain changing your personality and relationships with those who you love.

I agree with Russ, find out everything you can, but most especially investigate the doctors in your area and find the very best one you can-someone who knows their job and treats you like a person.  Russ speaks from experience-his OS did not have the knowledge needed to prevent his problems nor the wisdom to find some other doctor to advise him when things started going wrong.  I have been blessed with an excellent OS who had done 4 surgeries for me.  On my first surgery, he came in to see me right before I went in and he was excited and looked like a kid with a new toy.  He just loves his work.  He also is one of the rare ones who will greet you by name when he sees you on the street and ask how the knees are doing-  I am a person, not just a knee to him.  I suggest you check with the little old ladies at church for their recommendations, and if you can, check with your high school's athletic trainer on who they would recommend.  They see all the knees that the kids rip up in sports and how their surgeries go.  Be sure to check too in the listings on this site.  I recommended my surgeon because I think he is very skilled, there will probably be some who we kneegeeks think are great in your area as well.

Good luck as you make this important decision. :)

Linda
>20 yrs. osteo and inflammatory arthritis, fibromyalgia
meniscus repair Sept. 2009
right PKR June 2010
left PKR Feb. 2012

Offline captainruss

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Re: Too young for PKR?
« Reply #7 on: May 14, 2012, 05:13:03 AM »
Joan & Linda,

Linda has had good experiences.  I agree there are very successful PKR's and TKR's  I actually think I found a situation with my doctors that  is not unique unfortunately.

My OS said something 2 months ago when I was complaining about not working and needing to get to a point where I could return to work.  I am frustrated at no progress.  My OS told me "He is is the same position, if he is not doing surgery he is not making money to pay the bills"

I fear a great many of the OS such as mine are working so hard to do office visits at his two locations and surgeries (as many as eight a day) so where do they get time to read and research new/updated procedures.  My OS recommended a LR for my daughter which would have been catestrophic because he has not had time to read the paper stating LR's are not recommended for rotational conditions and subluxing patellas.

The really sad part is I like him very much and I think he truly cares about my daughter and I.  He gives me his cell number and texts/calls me every two days to check on me.  On the other hand, he almost did a surgery on my 14 year old that would have seriously endangered her future.

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

Offline Joanna

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Re: Too young for PKR?
« Reply #8 on: May 15, 2012, 04:07:27 PM »
Hello,

Thanks for the replies, haven't looked on the board for months as life got busy.

I live in the UK so we don't really get much of a choice of surgeon but I was referred to a specialist orthopaedic hospital so they are pretty good at what they do.

Since I last posted my surgeon suggested the PKR subject to the results of my latest MRI scan.  I will be getting these results tomorrow.  Although I know I am probably too young for this surgery but I guess if my knee is the point when the surgery is required then I guess I should go for it.

I will let you know how it goes tomorrow.

Joanna
3 Arthroscopies; 2000 - Shaving and clean out; 2001 - Wash Out; 2002 - 1st Stage ACI. 2nd Stage ACI - 2002; Arthroscopy to check ACI graft - 2003; ACI failed - Jan 2005; High Tibial Osteotomy & MACI - March 2006; Hardwear removal - 2007; MACI failed - 2009.

Offline captainruss

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Re: Too young for PKR?
« Reply #9 on: May 15, 2012, 04:55:03 PM »
Joanna,

I only hear stories about medical care in the UK, but home your appointment goes well.

We are looking forward to visiting more doctors.  I know the pain is the toughest thing for me to handle

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















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