Total Knee Replacement ??

A Friend at work and a Police Officer friend both had a knee done. They were up and about in a couple of days. Total replacement and both said the pain re-habing was less than what They had before. Neither one took pain meds. PO is a big dude, so re-hab took a little longer. Neither have any problems or pain.
 
Sal can I have your 3.5" Model 27 in case you don't make it!!!;)
In all seriousness though, make sure you get them BOTH replaced or you will be forever walking in circles due to the difference in performance.
:D

LOL. So true. I had my right knee done first. The first time I stood on it (on a walker), I noticed that my left foot barely touched the floor. If your left knee is OK, you may need a built-up left shoe so that you're "even". After all, we don't want you leaning to the left.
 
So, I won't even read the other posts, I'll just give you my experience:

On December 5th of last year I had total bilateral knee replacement done. I had suffered for a very long time with bone on bone arthritic pain in both knees so I wasn't inclined to shilly-shally around with one knee at a time. So, I scheduled the surgery for March, the pandemic hit, we had to postpone, when the "break" came in December I jumped right into the surgery.

When I awoke I had two 6" long, dark red scars covered by a weird, sort of soluble bandage. Within two hours they had me out of bed and walking - carefully and slowly and the physical therapist had a belt around my torso to support me, and I was using a walker. No problem.

Did it hurt? I reckon, but intense discomfort is a better description. Anyway, I walked a few more times that day and the next, and on the third day they sent me home. On the fourth day I pretty much figured out that without anyone living with me I was screwed* so I called the doctor's office and they relented and sent me to a rehabilitation facility.

*I had ice packs on my legs and "massagers" below those to ensure blood flow, prevent clots, etc. I could tell that without assistance I couldn't handle the on and off of those gizmos, which explains my insistence on a rehab facility. Otherwise, physical therapists would have been coming to my home.

Anyway, the facility was great. They did the same things as the hospital PTs, made me walk, made me exercise, etc. The only really significant pain was when they massaged the back of my legs behind my knees and thighs. That hurt like hell. Meanwhile, for almost the entire time I was there they were giving me Lyrica for nerve pain, narcotics for general pain (I quit those on the second day at rehab), aspirin to avoid clotting (which I said was all the pain medication that I needed), and lots of PT.

The key to recovery is walking (I walked freely by day 5), physical therapy that includes all kinds of interesting leg exercises and stretching, and pain relief if you need it, which I did not.

After ten days they discharged me and I had no trouble functioning at home. I stopped using the ice packs and massagers so I gave them back. I wasn't doing the Charleston but I was getting around fine and they sent home PT professionals several times a week for three weeks.

They will teach you some interesting exercises, some of which I still do and some of which I don't. They key is walking walking walking - learning to really walk again, with real steps and not shuffling along like before.

I prepared myself for the surgery by exercising using techniques I learned in martial arts years ago. I held what is known as "horse position" (not as low as when I had good knees!) and got my thighs into reasonable shape. After the surgery I had to get up and down in a chair, always ten times, and now I do it 40 and 50 times.

The out patient physical therapy, which I did for a month, was very valuable. Stationary bicycle, up and down in a chair, stretching (hamstrings were very stiff), and bending (bending the new knees to increase range of motion).

I forget how long I waited to drive but I think I was good to go in January but I had no place to go so I didn't drive until February. One of my vehicles is a standard/5 speed and I have no issues with the clutch pedal.

Are my knees perfect? No, not really, they'll never be "perfect", they'll probably always have numbness, and I'm certainly not running any foot races. But I get around much the same as anyone else, I have some stiffness interfering with getting dressed but that's interfering, not preventing.

Do not try to literally "get on your knees" - they're not the same as before and it's not good for them - so don't get arrested or mugged or you'll have to explain to the police or the robbers why you cannot comply. :D

Would I do it again? In a heart beat, and I strongly recommend that if you need bilateral then do the bilateral, don't cause yourself to have to go through rehab twice. It's dumb.

I see a post that says they'll perform differently if you do them at separate times. That's a sufficient reason right there to do the bilateral surgery.

For the record, because this is a gun forum, once I could stand on my feet for an hour or more at a time shooting at the range was no problem.
 
There is another benefit to doing the physical therapy. Back in 2017 I had arthroscopic knee surgery on my right knee. The cartilege looked like cole slaw. I went in twice a week for physical therapy faithfully. I discovered that not only did my knee get better from the surgery, but discovered that I was feeling better all over. I was kind of disappointed when the physical therapy stopped.
 
Check for allergies, be advised...

Find out what your surgeon is going to put in. While an adverse allergic reaction is very rare you do not want to that one guy that is allergic to the material in your new knee... The VA did a full replacement using the standard Cobalt Chromium knee and I was that guy... deathly allergic to Cobalt.

My body was rejecting that knee before I was off of the operating table. Following 17 days in the hospital and after 6 months of hell, pain that no amount of opioids could mitigate, swelling, warm to the touch I fired my surgeon {who was the head of the orthopedic department} and got a second surgeon who immediately recognized the problem.

Eight months to the day from my original surgery they cut my leg off again putting in a high tech ceramic knee. This time I was only in the VA hospital for 14 days {for a total of 31 - after each surgery I lost 25 pounds due to the yummy VA hospital food and all of the drugs...ARRRRG!} It will never be great, 6 years later it is somewhat functional.

Good luck!
 
You're getting a lot of good advise. I'll just say that you want to be sure to tell your doctor to remember "toes to the front, toes to the front.

You'll be fine if he remembers that.

Hope this helps.

Pete99004
 
In the case of all surgeries do it with a Dr that does is often, not just saw it done and assisted a couple of times. The younger the MD, the newer the info he got in school. The older the MD the more probable he will act to solve the problem if it goes outside the lines.
 
Find out what your surgeon is going to put in. While an adverse allergic reaction is very rare you do not want to that one guy that is allergic to the material in your new knee... The VA did a full replacement using the standard Cobalt Chromium knee and I was that guy... deathly allergic to Cobalt.

My body was rejecting that knee before I was off of the operating table. Following 17 days in the hospital and after 6 months of hell, pain that no amount of opioids could mitigate, swelling, warm to the touch I fired my surgeon {who was the head of the orthopedic department} and got a second surgeon who immediately recognized the problem.

Eight months to the day from my original surgery they cut my leg off again putting in a high tech ceramic knee. This time I was only in the VA hospital for 14 days {for a total of 31 - after each surgery I lost 25 pounds due to the yummy VA hospital food and all of the drugs...ARRRRG!} It will never be great, 6 years later it is somewhat functional.

Good luck!

You post told me I should mention one of the minor side effects of my knee surgery. It has to do with dental work. Every time I go in for dental I have to take 4 Amoxicillin 500MG about a hour before the procedure. There is a real bad infection that can hit you if you do not. Both my ortho and primary care doctor told me that.


Another thought, a earlier post made mention about kneeling. My ortho docs exact words on that subject were. "Dave I got to tell you these knees do not like kneeling or going down stairs"
He was right on both. It hurts like hell to kneel, and its much easier and comfortable to go upstairs.
 
Find out what your surgeon is going to put in. While an adverse allergic reaction is very rare you do not want to that one guy that is allergic to the material in your new knee... The VA did a full replacement using the standard Cobalt Chromium knee and I was that guy... deathly allergic to Cobalt.

My body was rejecting that knee before I was off of the operating table. Following 17 days in the hospital and after 6 months of hell, pain that no amount of opioids could mitigate, swelling, warm to the touch I fired my surgeon {who was the head of the orthopedic department} and got a second surgeon who immediately recognized the problem.

Eight months to the day from my original surgery they cut my leg off again putting in a high tech ceramic knee. This time I was only in the VA hospital for 14 days {for a total of 31 - after each surgery I lost 25 pounds due to the yummy VA hospital food and all of the drugs...ARRRRG!} It will never be great, 6 years later it is somewhat functional.

Good luck!


I developed a bad case of eczema a few months after surgery. Never had it before. My dermatologist gave me some ointment, and it cleared up after a few weeks. Ortho Dr. said it's possibly an allergic reaction to the knee materials but had never seen it before personally. Sent me to an allergist and got tested for everything under the sun with no conclusion.

The Doc's think because the eczema is under control, I'm probably OK to proceed with the second knee. But I don't have a warm feeling about doing it, not knowing the root cause.
 
Any update on this you care to give us? Here's hoping all went well.
I got my second one done recently and it seems to be recovering even better and faster than the first one did.
 
Had a partial in 2018. Very glad I did it. (Even tho the damn thing dislocated itself six months later and I had to go through a redo...)

Getting a full replacement on the other knee late this month. Not looking forward to it, but very much looking forward to having two good knees a year from now.

Lotta good info in this thread. I, too, believe that the secret sauce is to be absolutely dedicated to the recovery PT.
 
I have been a commercial HVAC technician for 11 years, and we climb ladders to roof tops daily. Some ladders are 12 feet , but more often than not, they are considerably higher. During my rehab for my knee replacement, I told the therapist this and he got me a ladder to practice on at the end of each session. Just tell the therapy folks what you need and they will take care of you. As my username suggests, I was a brick mason for 30+ years, during which time my knees took a lot of abuse. I was more than ready for my new knee!
 
Out patient physical therapy started this week three times a week.

It's all about Bend the knee… BEND THE KNEE🤬🤬🤬

Saw the surgeon on Thursday, he happy with my progress.

Everyone asks about the "Recovery Pain" I would call it discomfort more than pain.

The good part is each day it gets less and less:D

The answer is DO THE THERAPY
 
Had my left knee replaced three years ago. Completed PT, and did what I was told to do. The pain is about the same now as it was before the surgery. I'll never go through that surgery again.
 
Had one knee done over thirteen years ago at the relatively youthful age of 50 (it was that bad). First week or so was pretty rough but after that I made therapy a challenge given that I was pretty much bored. Did all I was supposed to do and more. Seems to have paid off, and I've never regretted having the surgery.
 
Had my left knee replaced three years ago. Completed PT, and did what I was told to do. The pain is about the same now as it was before the surgery. I'll never go through that surgery again.

Sometimes the first surgery goes terrible and sometimes it goes great. Same can be said of having another knee or hip done. A lot of times the patient does not do as they are instructed in rehab, we found that a lot of times was the case. But some folks just did not have a good experience........
 
Out patient physical therapy started this week three times a week.

It's all about Bend the knee… BEND THE KNEE🤬🤬🤬

Saw the surgeon on Thursday, he happy with my progress.

Everyone asks about the "Recovery Pain" I would call it discomfort more than pain.

The good part is each day it gets less and less:D

The answer is DO THE THERAPY

Glad to hear that it went well and you're on your way to recovery.
 
I didn't see this earlier. I'm glad it is going well for you. I'm also glad you get how important it is to do all the therapy. With your attitude you'll be back on the dance floor in no time. ;^)

Jack,

Did you revise what you wrote and repost as this? I thought what I got in email from the forum was great and right on the money as far as rehab goes. I saw about 500-600 knees and hips done every year for about 14 years as a Ortho Nurse. I can't empathize rehab enough. Some people just will not do it because it hurts, well it is going to hurt! But it will get better. Have seen little old ladies that recover faster and better than younger stronger men. Pain is relative and ever bodies threshold of pain is different. Most of the time just suck it up and tough it out and get it done.
 
I may have been pushing the envelope, but I drove my truck almost exactly one week to the hour after my last knee surgery. I was worried that being my right knee this time, I would have trouble managing the gas and brake pedals. No issues there.

Getting in and out in the parking lot was challenging. Things went fine overall but if I had it to do over, I probably would have waited a couple more days.
 
I'm about 3 weeks out from having my right knee replaced. Not sure what to expect.

Been thought open heart, by-pass etc. So I'm not a stranger to major surgery.

But I'd like to hear from those who have been though the knee being replaced.

Recovery times ? Therapy ? How long ? Driving, Sleeping? You get
the idea.

Let's hear your thoughts :D

Just had my left one done in January...

Was out of the hospital walking the next day...off the walker in 5 days and no cane after 10 days...

Rehab went so well that they kicked me out two weeks early saying they couldn't do anything for me there that I wasn't already doing at home...

Had no pain killers after leaving the hospital. Was able to drive after the two week checkup.

Friends wife had one of her's done the same morning as mine...her recovery and pain lever was a lot longer than mine...

Everyone is different...Bob
 
Had no pain killers after leaving the hospital. Was able to drive after the two week checkup.

Friends wife had one of her's done the same morning as mine...her recovery and pain lever was a lot longer than mine...

Everyone is different...Bob

I had patients that I could not give enough pain meds to, to control their pain in their minds. I had other patients that took no pain meds. They would tell me "It hurt worse before the operation".

Yes, everyone is different.

AJ
 
Jack,

Did you revise what you wrote and repost as this? I thought what I got in email from the forum was great and right on the money as far as rehab goes. I saw about 500-600 knees and hips done every year for about 14 years as a Ortho Nurse. I can't empathize rehab enough. Some people just will not do it because it hurts, well it is going to hurt! But it will get better. Have seen little old ladies that recover faster and better than younger stronger men. Pain is relative and ever bodies threshold of pain is different. Most of the time just suck it up and tough it out and get it done.

Yes. I posted the original after he was already in rehab and doing well.
 
Both hips and R knee done twice (my fault, felt so good I started jogging, jumping)
Surgeon sent me to allergist for testing, patches on back for a few days and then evaluation.
To get out of hospital you must have BM, be able to do flight of stairs, get in and out of car, do leg lift.
Prunes and prune juice ordered for first and every meal in hospital.
Do leg lifts for weeks before surgery.
R knee takes longer for independence because of use in driving.
Do PT, Do PT, Do PT.
Don't be like me, you can't go jogging or jumping over streams, at least not for a few years after surgery. A loose replacement hurts like heck and there are all sorts of tests they have to do to prove it, Revision doesn't happen quick enough.
Best of luck.
 
Had my left knee done about 6 years ago. Was on a machine that bent my knee for two weeks along with home physical therapy for two weeks before going to hospital for therapy for about a month.
Every person has a different experience with pain and recovery time.
I was up walking and climbing stairs at the hospital within hours of my surgery.
I would have No problem doing my right knee if it comes to it.
The one important thing I learned was that you MUST do the physical
therapy! I have talked to at least a dozen people about their surgery and the ones that have limited motion did not keep up with the physical therapy!
I have the same range of motion with the left knee as I do with
the right knee. Within a few months all pain goes away. Every day less than
the day before after about a month.
Good luck with your surgery and a speedy recovery!
 
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