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Author Topic: Partial knee replacement - info needed  (Read 3302 times)

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Offline BenEadir

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Partial knee replacement - info needed
« on: January 12, 2015, 12:42:39 PM »
Hi all,

47 year old male here, just over 6 ft and 98kg. I have long term but well under control hypertension (high blood pressure) but other than that in good medical condition.  I don't smoke and try and eat relatively healthy. 

To help manage my hypertension I started running about 15 years ago.  Nothing major just 35-45 minutes on a treadmill 3 mornings a week and maybe a 45-55 minute run around my local area at the weekend.  Now when I say "run" I mean jog or fast jog.  I wasn't breaking any speed records.  To keep motivated I'd enter a few 5k but mostly 10k runs a year, the charity run/Samsung Night Run kind of thing. I'd typically complete a 10k in about 55 minutes to an hour.

All was fine until April 26th last when all of a sudden during a gentle morning treadmill run I felt a sudden pain in my left knee.  I thought I must have somehow twisted the knee so I iced it for an hour and put a brace on it which I got from my local chemist as I was playing golf later that day and wanted to make sure it was supported.  It wasn't particularly sore so I went ahead and played golf albeit with a bit of a limp. 

After about 5 days the swelling hadn't really subsided and it was still tender so I went to see my GP.  He examined it and suggested a course of physio as he thought it was most likely Chondromalacia patellae.  I undertook a course of physio for about 6-8 weeks but that didn't solve the problem so I went for an MRI and was referred to a specialist knee surgeon.  Here is the text of my surgeons letters to my GP (I don't want to name the surgeon if that's ok?)

July 11th 2014

Dr. XXX,

This patient attended me today for an opinion regarding his left knee.

HISTORY:  He has been getting discomfort in the medial aspect of his left knee since April 26th 2014.  The onset was when he was working out on a treadmill.  He was going easy pace at the time and it began to get sore.  It has been a persistent feature since. 

He does notice increasing discomfort particularly with rotational activities.  Specifically if he turns anti-clockwise it can be sore. 

EXAMINATION:  He has no effusion.  No peripatellar discomfort.  He demonstrates a full range of motion.  He has no patellofemoral crepitus.  He does demonstrate significant discomfort to palpation along the medial jointline.  He has an equivocal McMurray.  The knee feels stable.  Negative Lachman.  Collateral ligaments are intact.  Negative posterior drawer. 

INVESTIGATIONS:  I reviewed his MRI scan dated June 27th 2014.  It does show a degenerative tear in the medial meniscus.  The more major feature however is quite extensive, articular damage done to bare bone affecting the medial femoral condyle. 

OPINION:  He has developed quite significant degenerative changes in his medial compartment.  Symptoms onset in April clearly the process was ongoing for some time prior to that.  He will require an arthroscopy to tidy it up.  Most likely will not settle symptoms completely but may improve somewhat for example rotational component of the discomfort.

He is likely to have ongoing symptoms with this as the degenerative changes are quite marked.  However minimising impact activity and reverting to the likes of cycling and rowing for general fitness will help going forward. 

He quite understands this.

Activities such as golf hopefully will be helped by the arthroscopy and he will be able to increase on that activity line.

I have explained to him what is involved.  We will arrange that for soon and I will let you know how he gets on.

Your sincerely etc etc.


I had the arthroscopy procedure on August 18th and was advised I'd have to adhere to a "no weight bearing" regime on my left leg for 6 weeks i.e. on crutches for 6 weeks with no weight whatsoever on the left leg.  (I adhered to this requirement 100%, difficult as it was.)

On Sept 2nd two weeks after the operation I had a follow up consultation with my surgeon and here is the letter he wrote to my GP summarising that consultation:-

Dr. XXX,

I reviewed Ben back today.

He is just over 2 weeks following his left left knee scope.  He had in fact a very extensive full thickness chondral lesion in the medial femoral condyle affecting a substantial portion of the weight bearing surface.  I did a general debridement and micro fracture to the affected area. 

EXAMINATION:  Today he is progressing satisfactorily.  Wounds are well healed.  He demonstrates good movement. 

OPINION:  Unfortunately it will be a non weight bearing regime for at least 6 weeks.  Microfracture just needs that length of time to get a reasonable start in terms of filling in the defect.  He can swim however and also do biking.  I will be reviewing him again in 10 weeks time to check his overall progress.  The prognosis is a bit guarded.  We will just have to see it if fills in adequately and gets reasonable control of pain and discomfort medially.  Hopefully that will be the case.

Yours sincerely etc etc


I subsequently had my follow up appointment with the surgeon in early November and he confirmed that the pain I am experiencing walking which is resulting in a limp and an inability to walk for more than a few minutes at a time is the result of the damage done to the knee.  In laymans terms he explained that the cushion (cartilage) which normally acts as a shock absorber between the weight bearing point of my knee and lower leg is gone and the pain I am experiencing is the impact of bone on bone as I walk.  This is very bad news for me as I am quite active and love playing golf etc.  He suggested I undertake a course of specialist rehab physio which I have been doing since mid November (focused exercises and weights etc) as they may change the dynamic of the knee/leg.  I can't quite explain how he explained it but the impression I got is that these exercises and weights might change the weight bearing point when I walk away from where there is no cartilage to a point where there is some functioning cartilage. 

I've now been doing the physio for 8 weeks and I'm still limping and the knee is still sore if I try and walk for more than a minute or two.  I feel like I am limping less and I'm dealing with it better but that may just be wishful thinking or the fact I am getting used to it but the fundamental pain is still very much there and I am still having to carefully manage the weight I place on my left leg as it feels weak or capable of collapsing at any time. 

My surgeon did explain that a partial knee replacement could be an option if the physio didn't work but I'm very concerned about going down that road given my age. 

At the moment despite my inability to walk freely I am able to cycle and this has completely replaced my previous running activity.  I've become a total MAMIL (Middle Aged Man In Lycra) having invested in a road bike and all the gear etc.  E.G. I did a 55km spin last Sunday in just under 3 hours with a good bit of climbing involved. 

Here's my dilemma:  I feel too young to accept that I'm going to have restricted movement and a horrible limp for the rest of my life i.e. an inability to walk/limp more than a few hundred yards at a time.  I have young kids and can no longer run around with them or play football with them.  I also love golf and prior to last April would play twice a week but haven't played since.  Even if I was to try and play with a buggy the pressure on the inside of my left knee when I try to swing the club is quite sore. 

On the other hand I'm concerned about going down the road of a partial knee replacement. From what I've read and heard the outcome is far from guaranteed and even if the outcome is good i.e. I'm back walking, golfing and able to play footie with the kids etc, my understanding is the partial knee replacement is likely to only last 5-7 years in someone my age and size at which time the operation has to be repeated to install a new partial knee and 2nd time round the probability of success is much lower. 

I'm really uncertain about what to do.  I don't want to accept that at 47 I have to walk with a limp for the rest of my life, give up playing with my kids, give up going for walks with my family and being able to walk normally for day to day activities in work etc but at the same time I don't want to risk going for a partial knee replacement and end up not only with a limp and possibly need a stick to walk if the operation isn't successful but also not be able to cycle which is at least something I am 100% able to do right now.

Apologies for the long winded post but I just wanted to put it all down in black and white and TBH the process of just posting here has been somewhat helpful in focusing my mind.

I'm due back to the surgeon on Friday and I'm expecting he is going to determine that the physio hasn't worked so it's decision time.  Do I stay with what I have and just adapt my life to limited walking and always with a limp, no golf, no playing footie with the kids etc or do I go for the operation to restore full movement in my knee and get another 5-7 years before I probably then end up with a more pronounced limp and curtailed range of movement?  Stick or twist?  :-\

FWIW there is great longevity on both sides of my family.  My father who smoked 80 cigarettes a day died aged 85 and his 100 year old aunt was at his funeral and my mother is now in her 80's and lives alone.  She has 3 sisters all of whom are in their 80's also and living 100% independently.  If I'm blessed with their genes I could live for another 40 years so this decision is something I may (hopefully) have to live with for a very long time.

I'd really appreciate any sort of input from anyone and everyone here.  I'm happy to make my own decision but at the moment I just don't feel like I have enough real information to do so.  My surgeon is wonderful but is very matter of fact. I'd like to factor some more opinions and input from people who've been through something similar into my decision making. 

Thanks for reading and in advance for your thoughts and feedback. 

Regards,

Ben





« Last Edit: January 12, 2015, 12:54:49 PM by BenEadir »

Offline Vickster

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Re: Partial knee replacement - info needed
« Reply #1 on: January 12, 2015, 01:22:27 PM »
Hi Ben
Sorry to hear the surgery hasn't really helped, microfracture can work really well, but more in 'younger' (i.e. in 20s) patients with small focal defects rather than more extensive damage.

There are other options for arthritis - non surgical (like steroid and hyaluron injections, the latter have helped me), off loader braces for walking, but also surgical, like osteotomy where the bones are realigned to offload the damaged part of the knee and can help delay the need for replacement, which is irreversible.  Losing a few kilos is never a bad thing either (speaking for my self for sure).  Swimming can be a very knee friendly way of keeping trim too (avoiding breast stroke kick if it causes pain)

If you do go down the PKR route (make sure your surgeon has lots of experience, I had a similar discussion with a surgeon last year, my issues are lateral, with lateral PKRs less commonly done).  I don't know where you are in the country but the Oxford group are the PKR experts in the UK (having developed the implants)

I wouldn't rush into anything until you've explored all the options with the surgeon, it's your knee, and don't do anything (especially major surgery) if you're not comfortable with it.  There's no urgent deadline

Have a read of the arthritis primer in the information hub which covers the possible options.

Also, make sure that your bike is set up properly and that you avoid grinding up hills (I'm a cyclist and as much as I hate to admit it, it's probably one the causes of my knee issues, directly after a couple of accidents and indirectly)

Good luck :)
« Last Edit: January 12, 2015, 01:24:30 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline BenEadir

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Re: Partial knee replacement - info needed
« Reply #2 on: January 12, 2015, 01:44:41 PM »
Hi Vickster,

Thanks for the info.

Your reply focuses a lot on arthritis, does all the medial jargon in the two letter confirm that's the cause of my problem?  The surgeon mentioned there was something similar to arthritis going on but said he was reluctant to say "arthritis" as people can over react to the term. My recollection is that he said I didn't have full blown arthritis but something similar but milder.  I'll read the primer you referred to thanks.

Yeah, losing a few pounds is on the agenda all right  :-[

Offline Vickster

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Re: Partial knee replacement - info needed
« Reply #3 on: January 12, 2015, 01:49:31 PM »
Yes, essentially if you have damage to the articular cartilage (the shiny stuff on the bones) especially if through to the bone (in your post 'He had in fact a very extensive full thickness chondral lesion in the medial femoral condyle').   The point of the microfracture is to release marrow stemcells which 'clot' to form fibrocartilage (like scar tissue) to cover the hole

Have a read here

http://www.kneeguru.co.uk/KNEEnotes/primers/joint-cartilage-and-arthritis-primer  Can click through the sections

The milder term is sometimes chondromalacia - which just means softening of this cartilage.  The surgeon uses 'degenerative changes to the articular cartilage'

My surgeon doesn't use the term directly either - private insurance companies can use it as an excuse to wriggle out of covering
« Last Edit: January 12, 2015, 01:56:49 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline BenEadir

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Re: Partial knee replacement - info needed
« Reply #4 on: January 12, 2015, 03:14:15 PM »
Thanks for clarifying Vickster, I'll have a read of the articles you linked to.  Appreciate it.

It seems to me that my choices are:-

1. Physio - Started a physio program in early November. (Jury is still out)

2. A knee osteotomy - cut some bone from the knee to alter the dynamic of the knee and change the weight bearing point of the knee to a location that has some functioning Articular Cartilage.  See http://www.mayoclinic.org/tests-procedures/knee-osteotomy/basics/definition/prc-20019023 

3. A Partial Knee Replacement - http://www.cartilage.org/?pid=142

As you say, there isn't a deadline I have to work to.  The damage is done.  It can't be undone and it won't get much worse unless I really abuse the knee which I don't think I'll do although your point ref cycling is something I'll have to look into.




Offline Vickster

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Re: Partial knee replacement - info needed
« Reply #5 on: January 12, 2015, 03:31:07 PM »
I'd add the hyaluronic injections to the list, they certainly help me.  Are you being treated privately or on the NHS (some private companies won't cover these, I can get the appointment to have the injection covered but not the actual stuff).  Said to help in around 50% of cases, better in mild to moderate damage.  Ask the surgeon, they are indicated for knee arthritis (I have one about every 12-18 months, can be done as 3 injections or just one, not particularly painful)

Ref the osteotomy, look in the info hub for articles by Adrian Wilson, he's the top bloke pretty much doing these in the UK (in Hampshire)

Physio is a good thing to carry on with regardless of what else you choose to do (especially pre and post op)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline BenEadir

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Re: Partial knee replacement - info needed
« Reply #6 on: January 12, 2015, 04:10:13 PM »
I'm in Cork, Ireland so no NHS for me  :'(  Private (health insurance) I'm afraid. 

I only had a brief conversation with the surgeon about next steps as he wants to see if the physio will suffice.  I know he is reluctant for me to go for a PKR given my age and when I asked (previously in pure ignorance) if there wasn't anything which could be injected or inserted into the knee to act as artificial lubricant in place of the missing cartilage he didn't give me any indication that would be a viable option but I'll ask again more specifically.

I know he checked to see if an osteotomy would be viable but because my legs are pretty straight he said it wouldn't necessarily be a runner.  Apparently if you have bow legs it is easy enough to straighten them thus changing the dynamic of the weight bearing point away from the area with no cartilage but not vice versa.  I can't catch any break  :(

Offline Vickster

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Re: Partial knee replacement - info needed
« Reply #7 on: January 12, 2015, 04:20:48 PM »
At least if the knees are well aligned, I believe a PKR is more likely to be successful

Look at the Oxford groups website, I seem to remember it being quite informative when I was doing some research about possible options.  I am a little knock kneed and had DFO mentioned by one surgeon - however, same as a replacement, the thought of all that metal terrifies me (a little irrational probably, but hopefully I have lots of years to perhaps get used to the idea)!

It sounds like the surgeon has all the bases covered at least :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Lottiefox

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Re: Partial knee replacement - info needed
« Reply #8 on: January 12, 2015, 06:23:11 PM »
Hi Ben

I think Vicks has given some great advice - I too have medial damage but have not any surgery done at all to mine. I am also pretty worn out behind the kneecaps due to mistracking female knee joints! My issues started in 2009. All I would say is DO NOT RUSH into any decision re surgery PKR. You are clearly fit, able to work on physio and now know what you're dealing with. Mine did settle down. I cannot run (do you ever see happy runners anyway? ;-)) but they don't bother me much for other stuff now.

Things that helped me:
1. The RIGHT Physio - working on all round leg strength and mobility not just quads. Glutes, hamstrings, tight calf muscles etc. Giving it at least 6 months of steady physio. At least.
2. Celebrex - an NSAID targeted for osteo arthritic changes, really settled down the extreme of inflammation I had.
3. Euflexxa injections - visco supplements which over time seem to have allowed me to build tolerance to exercise. I paid for these as NHS weren't willing to give them me, don't think they thought I was old enough (42 at time). Definitely worth considering though, for some people they do nothing but for me I think they were fab.
4. Modifying exercise. No running. I like indoor cycling like spinning, rowing machine but this may not suit you depends on the site of damage, water based stuff, weights (no lunges or heavy squats though, big load through knee), walking/hiking etc.

Having said that PKR can really work - member here seerobinbike had a PKR some years back and is now super active but it was long route back. I am sure she will happily offer advice if you're interested. Once you have false parts things are never quite the same again but if you're in severe pain then the benefits usually outweigh risks.

Keep us posted. Don't rush, don't panic, knees take FOR EVER to calm but calm they can. Not always but you won't lose anything by giving yourself a longer period of decision and evaluation.

:-)

Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline muscle20

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Re: Partial knee replacement - info needed
« Reply #9 on: January 12, 2015, 09:19:55 PM »
hi ben
        pretty much in the same position as you but a bit further in front. 6 foot tall and about 15st now. I have/had grade 4 arthritis (bone on bone and rated 1-5 with 5 the worst) in the left knee medial head 4 years ago at 49 and also had a clean out etc which helped a bit. area was too big for microfacture. got offered the same full , partial knee repl. or the osteotomy which looks absolutely barbaric to an engineer like me when you watch the video. recovery time is lengthy with little success rate when you read all the people on here who have had it done. I think generally injections don't work beyond grade 2 so no use to me. done lots of years of bodybuilding so gym work no problem and perhaps this has helped me do another 4 years so far with mild discomfort only but still able to walk just about as much as I want. gym work is obviously much modified to my former past but still got good muscle tone and control.
        other knee now needs the artho. clean out as I reckon ive got a tear at least in there and probably wear too but no time at present . so I would certainly keep up or increase the physio/cycling or weights.
        4 years more than the surgeon said id get with no increase in symptoms yet so im carrying on.
wish you luck

Offline BenEadir

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Re: Partial knee replacement - info needed
« Reply #10 on: January 13, 2015, 10:01:03 AM »
Hi M20,

Thanks for the feedback and encouragement. 

I am assuming from the statements made by my surgeon who is a specialist knee surgeon with over 20 years experience and a long list of top sports people as clients that my arthritis is also either a grade 4 or 5.  I haven't asked him (will do so on Friday) but based on "quite extensive, articular damage done to bare bone affecting the medial femoral condyle", "He has developed quite significant degenerative changes in his medial compartment" and "He had in fact a very extensive full thickness chondral lesion in the medial femoral condyle affecting a substantial portion of the weight bearing surface" I don't think there is much doubt but that the damage is quite severe and injections aren't going to be of much help.  He has already more or less ruled out injections as an effective treatment to explore. 

I personally don't like the sound of the osteotomy either, it does sound a bit barbaric but I'll keep an open mind and be guided by him.

I'm interested in the fact you have achieved good results from gym/exercise work.  I can live with mild discomfort if it means I can get back to going for walks in the forest/hills with the family and do a small bit of running around with them playing football etc.  Nothing serious or extended, just a few minutes here and there. 

What I can't really figure out is what the ultimate goal/objective of the gym/physio work is.  Is it to strengthen particular muscles so there is less strain on the weight bearing portion of the medial compartment or is it do change the dynamic of how you walk or what?  I just can't visualise what the objective is. I've been following the course of exercises my physio gave me (one legged leg press with my injured leg 120kg 4 X 10 reps, goblet squat 17.5KG 3 X 8 reps, step up with 5kg medicine ball overhead 3 X 5 reps, hip hitch 3 X 8 reps, high knee walking 3 X 8 reps, high chair squats 3 X 8 reps and split lunges 2 X 8 reps) plus doing cardio on the eliptical trainer and/or spin classes (too cold and windy to get out on the road bike the last few weeks) which has helped with a bit of weight loss (6kg since Christmas  ;)) all of which makes me feel like I'm limping less and getting more in control of being able to walk without too much pain but I'd like to know what the end game is and how long it will take to get there. 

If I opt to not go for the PKR does it mean I have to adhere to an exercise regime on a permanent basis?  I don't mind that as I traditionally went to the gym to use the treadmill around 6am before work 3-4 mornings a week anyway so I'd only be replacing treadmill work with exercises and weights but I'd like to know if that's the case. 

I guess I'll get some answers on Friday.   

Congrats on getting in control of your own situation via exercise and gym etc.  It's good to know it can be done and long may you stay that way.

Cheers. 

Ben




Offline muscle20

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Re: Partial knee replacement - info needed
« Reply #11 on: January 15, 2015, 10:03:45 PM »
hi ben.  firstly im not qualified or a physio but have 30+ years of experience of weight training and also living with a similar condition to yourself. I had decent amounts of muscle built up over lots of years with no drugs involved. when I first had the keyhole and had it confirmed that I was bone on bone my first reaction was to stop all leg work, after the initial few weeks standard rehabilitation which were probably not needed but done all the same. my limping got worse.about 2 months after seeing my regular sports therapist and getting some electro stimulation he showed me I could walk better and explained how my muscles were shutting down and that I needed to get back in the gym and work through moderate pain if needed to get the muscles working gain. so I did. quite how this has actually worked I cant answer for definite .
in my opinion for bone on bone your routine looks painful. I would not do stepups, squats or lunges as the knee strain would be excessive for me. leg press with the feet higher than usual on the plate would/is my choice . I would also put leg extensions on the top of my list with emphasis on the top movement .this really hits around the knee area for maximum support. one legged leg press has always been an exercise ive hated and would/have never done. the potential to aggravate both hip and back problems far outweighs benefits. two legged press done with concentration to use the bad leg will soon see it catching up in a far safer manner.
so for me its all about maintaining muscle balance and to keep them working and hence gain support. I don't think you can significantly shift the strain point when we are this far gone. I do 20 mins fast walk on treadmill but take short strides with only mild niggle. I use no painkillers or anti inflams and will maintain this regime as long as possible.

god luck


Offline MDAL

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Re: Partial knee replacement - info needed
« Reply #12 on: January 15, 2015, 10:19:26 PM »
Muscle20:

Just a curiosity if you don't mind:

How would you describe your pain levels?

How are your inflammatory reactions? During normal days and after exercise?

How is the state of your medial meniscus? Intact or what is left of it?

I know some people who have extensive damage but remain mildly asymptomatic... looks like you may be one of those?

Offline NAC01

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Re: Partial knee replacement - info needed
« Reply #13 on: January 16, 2015, 12:05:48 AM »
Hello Ben, I hope you see this email and that it helps you and others make the right decision when faced with the choice of having partial knee replacement or Osteotomy surgery. I faced having a partial knee replacement or high wedge osteotomy at the age of 49. I work in the building trade, employ staff and up until my knee problems started coached youth football, was quite fit, not over weight or smoked.

My GP (I live in Guildford) referred me to Basingtoke Hospital, where I meet Adrian Wilson and importantly Mike Risebury. When Mike fully explained the osteotomy procedure and the fact it could last 10 years (before my knee failed and needed total replacement) using my existing bone work I went ahead and had this surgery in January 2012. I initially like you, struggled with the fact that my leg would be broken in two places but was most surprised, post op to find that my scar was covered by only a large plaster, with no cast!

I spent 5 days in hospital and after 6 days at home was re-admitted into the care of the Royal Surrey Hospital, Guilford, following negligence from my practice nurse, who failed to spot a developing blood infection. For my troubles I spent two nights on the men's dementia ward, I soon realised there were people here far worse off than me.

Transported back to Basingstoke and after a further 10 days in isolation my leg was again opened to remove a bacteria growth and clot, during this procedure I had a 'back flow' from the spinal block and was dead for a bit..brought back with a jolt and was back home after a further week under the most excellent care of all the wonderful people at Basinstoke Hospital. Even the food was good!

Both Andrew and Mike operated on me, visited me on their days off work, are the MOST skilled surgeons in the country in their line of work.

All surgery comes with a risk, I personally could not face having another spinal block, the blood infection was just pure unlucky. I was advised to sue the Doctors surgery, but did not want to see a 40 year old mum loose her job, her apology was accepted and I moved on.

So Ben, moving on.... Since the surgery I hear you ask. Well, my knee is wonderful, the odd grumble, sure I don't want or see the need to go base jumping again. I ski, badly, I add. Sadly no football, if the Shots came asking I just might. I walk every day two miles with my springer, climb ladders at work for fun and dangle from scaffolding. Kneeling is okay but I don't push it now like I used too.

Since I was a boy, I dreamed of going to the World Cup to watch England play and last summer my son and I went to Brazil, which football wise I'm sure you may say was worse than the surgery, however jokes aside without having the opportunity to have 'something done' think back how it was 60 plus years ago for people in the same boat. Take a leap of faith Ben and just one day like me, the final pain free goal will enable you to swamp wade in the amazon. For that experience, I cannot thank Andrew and Mike Risebury enough enabling me to spend such quality time with my son.

oh talking of faith, my left legs being done next month.......

All the best.

Nigel

Offline BenEadir

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Re: Partial knee replacement - info needed
« Reply #14 on: January 16, 2015, 08:47:36 AM »
Thanks for the post Nigel, sounds like the Osteotomy actually went well but the post op care team dropped the ball.  I guess that can happen with any form of surgery and was just bad luck.  The fact you were grateful to come out the other side and not sue the negligent doctor is a credit to you.  If negligence results in some ongoing issues or real permanent damage then seeking compensation is certainly justified but we all make mistakes and the fact you accepted the Doctors apology without ruining their professional record and seeking damages is good to hear, I'm sure that Doctor will learn from the experience and not repeat the mistake.

I was due to see my surgeon today but the appointment has been re-scheduled for Monday evening so I'll probably revert with the options I'm given then but as I'm making progress with physio I expect to be given 3-6 months to see how far I can get without any further surgery.

I'll report back Monday evening/Tuesday.

BTW, at least England made it to the World Cup, we didn't get close to making it.

I did however make the 1994 World Cup in the US and was in Giant stadium the day we beat Italy.

What a day and what a night  ;D

Ben