Partial knee replacement - ongoing pain at 30-60 degrees

[Alegra]

I had a unicondylar knee replacement in March 2023. I recovered full flexion and extension very quickly but I’m experiencing ongoing extreme pain extending my leg midway (c 60 degrees) and I have ongoing general inflammation for most of the time (like severe arthritis!). This affects my ability to walk up and down stairs, walk downhill, getting up from the floor and any cycling type movement. The surgeons and physiotherapists are not able to provide diagnosis or help and I am repeatedly told that I should wait and no intervention is likely until at least 12-18 months.

I am coming to the end of ideas to tackle this (I’ve tried physio, Hydrophysio, acupuncture, osteopathy…..I could go on). It seems that it is unusual so no formula to resolve it. Can anyone help or know a specialist who can advise in UK?

[The_KNEEguru]

Mr Rajaratnam - /KNEEnotes/knee-surgeon/dr-mr-samuel-rajaratnam - is highly regarded when it comes to arthroplasty.

Otherwise explore our directory - https://www.kneeguru.co.uk/KNEEnotes/specialists - but please note that it is not fully up-to-date.

[vickster]

The Oxford group of surgeons are very highly regarded when it comes to PKR (they pretty much pioneered these).
https://oxfordkneegroup.com/

The received wisdom is that recovery from any joint replacement can take a year or more and that PKR is no quicker than a TKR. That said there’s no harm in getting a further opinion (although you’ll likely have to go private).
Was it a lateral, medial or patellofemoral replacement? Laterals are less common and a tougher recovery usually.

Have you had any post implant imaging?