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February 10, 2012

Patient Discussions: Total Knee Replacement - Describe Your Experience

Question:Please describe your Total Knee Replacement experience.

Comment from: grateful knee patient, 55-64 Female (Patient) Published: October 21

I had a total right knee replacement three weeks ago. My surgeon used peripheral femoral nerve blocks and surgically closed the knee in bent position in the operating room. I was up walking the next day. I spent seven days in rehab, and came home walking with a cane. I have taken no pain medication, except Tylenol. I even went back to work and am driving. It is fabulous! I had the left knee replaced in 2005, and even though that surgery went very well, it was very painful learning to bend it again. This surgery has been so much better and easier. Having the surgeon bend your knee in the operating room was key to such a good recovery. I am now doing outpatient therapy, and I look forward to dancing again.

Related Reading: nerve blocks

Comment from: Minnie__mouse269, 55-64 Female (Patient) Published: October 13

I had total knee replacements on both knees on Aug. 26, 2008. So far, I have gone back to have scar tissue loosened up during sedation on my left knee. I am still having tightness and excessive pain in my caves and left ankle. My doctor can't figure out why. I go to out-patient therapy for an hour and a half, three times a week. I also was in a rehab center for two weeks after my surgery for intense therapy. I am 55 years old. I never expected this surgery to be so painful so far out. I still have to take lots of pain meds just to keep going. I have been using a cane for three days now, and the pain is still very bad.

Comment from: sad and lonely, 45-54 Female (Patient) Published: November 03

I had a total knee replacement on my left knee in September of 2007. The pain would not stop after surgery. I was told that I wasn't exercising enough. Finally, in November, a therapist discovered the kneecap was dislocated. I saw my surgeon; he was going to do another surgery to repair it. Then I started getting signs of infection. The pain of getting up and down and walking makes it necessary to take pain meds regularly. On Monday, November 3, 2008, I am scheduled to have surgery to remove the knee for three months to get rid of the infection. This has been a nightmare for me. I am a 54-year-old female who lives alone. People don't want to help me. I can't drive. I can walk a short distance with a walker. I am in constant pain. I had no idea that I could have these complications. I had heard such great things about knee replacement. Now I have to have it removed because of infection that I probably got in my first surgery. If it doesn't work: amputation. That is what they tell me now. I would not recommend that anyone go through knee replacement until there is no other option.

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Comment from: Jackie, 75 or over Female (Caregiver) Published: November 03

My mom is 77 years old and had a total knee replacement six weeks ago. She still is in severe pain and the leg and knee are swollen. She has been to see her doctor many times, and he seems to think everything is fine. She is having so much pain and had to spend four weeks in a rehab clinic with no great results as of yet. She typically is very active but walking is now out of the question. The pain continues to be so intense that most days she is just trying to get through it. Her doctor felt she should be able to drive by six weeks, but at this point, it would just be a miracle to make it through the day!

Comment from: Sherry, 65-74 Female (Patient) Published: November 03

I had a total knee replacement on Oct. 28th. The surgery went great, but I was discharged after three days in the hospital, and I am trying to get around my home. I may be expecting too much, but my knee is so stiff and swollen. The physical therapy (PT) person said to exercise and bend it as much as I can. (In fact, she wants me to be able to sit in a chair and bend it under the chair like the other knee bends.) It's really hard to bend it enough to use the toilet. I have PT tomorrow, Monday. I think it is swollen more than it should be. I also have not been able to have a BM since the day of surgery, which was five days ago. I know the pain meds are the reason. I feel that I am constipated but not uncomfortable.

Comment from: gramasally, 55-64 Female (Patient) Published: November 03

In November of 2004, I had a total knee replacement done on my left knee. The hospital stay was terrible. I had lots of pain and lousy nursing care. (Mind you, I work in this hospital.) I went home in three days. I had so much pain more than I had before the surgery. I went back to the doctor several times. I went to another doctor who was a great guy but who couldn't find out what was wrong. He sent me to yet another doctor who put the picture up on his screen and said he could see what was wrong. It turns out that the first doctor cut the bone too short. In other words, the bone was kind of hanging and the replacement wasn't doing anything. I did better with recovery; I had lots less pain. However, now three years have passed, and I still have adhesions, lots of swelling, and pain. To make matters worse, my right knee needs to be done again. I'm chicken though! I now have pain that goes down both of my legs on the shins. My doctor told me some people have swelling after a total knee replacement. I would love to be able to go for a walk. I work in the local hospital, and it's very hard to work. Some days I am near tears!


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Total Knee Replacement - Causes Question: What was the cause of you needing a total knee replacement?

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Suggested Reading on Total Knee Replacement by Our Doctors

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Total Knee Replacement

Malignant hyperthermia facts

*Malignant hyperthermia facts Medically Edited by: Melissa Conrad Stöppler, MD

  • Malignant hyperthermia is a severe reaction to particular drugs that are often used during general anesthesia for surgery.
  • Malignant hyperthermia occurs in 1 in 5,000 to 50,000 instances in which people are given anesthetic gases.
  • Muscle rigidity, breakdown of muscle fibers (rhabdomyolysis), a high fever, increased acid levels in the blood and other tissues (acidosis), and a rapid heart rate are some of the effects of this potentially life-threatening condition.
  • Researchers have described at least six forms of malignant hyperthermia susceptibility, which are caused by mutations in different genes. For example, variations of the CACNA1S and RYR1 genes increase the risk of developing malignant hyperthermia.
  • Malignant hyperthermia susceptibility is inherited in an autosomal dominant manner (which means that one c...

Read the Malignant Hyperthermia article »




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