knee

[Conygree]

I get up to the Radcliffe quite often, how all aspects have changed over the last 30 yrs even the all male culture of surgical staff.

 

Say 20 yrs ago my wife was working with a consultant and asked him,"why with the same type of arm operation do you opperate on both arms with a man and only one arm at a time with a woman?"

 

He replied," well if I operate on both arms at once on a man, he only needs 1/2 the time off work, but with a woman I only operate on one at a time, so it leaves her with one arm to cook her husbands dinner"

[kdubya]

As I obviously know little about the subject I will refrain from any futher advice, I guess 30 years in the job and a post at a University Hospital doesnt cut the mustard these days.

 

You may whish to read the medical section in the Daily Mail, also a world reknown authority on all medical subjects

 

All the best with your knee, suggest you listen to your surgeon and not some of the other advice given allbeit with good intention.

 

go on then since you have gone straight into the defensive re what cranfield and others such as myself have been told I will counter by attacking, so unless you are blatantly calling us liars I will put some meat on the bones, 1st surgeon a dr or mr (dont really care) logishetty told me replacement knees last 5 years if your working 10 if not, mr cooke who did my 1st replacemnet told me 10-15 years.

 

Mr masheweran ( really good bloke) said 20 maybe longer when he had revised my knee ie given me a second total knee replacement in 10 months, so seeing as you know better than them go on what is it? as you seem to know we were told different? but then again according to you and an earlier thread on the subject it does not hurt much either, perhaps a little humility and a decent bedside manner rather than an all knowing alloofness may do you no harm whatsover.

 

KW

Edited May 13, 2011 by kdubya

[docholiday]

go on then since you have gone straight into the defensive re what cranfield and others such as myself have been told I will counter by attacking, so unless you are blatantly calling us liars I will put some meat on the bones, 1st surgeon a dr or mr (dont really care) logishetty told me replacement knees last 5 years if your working 10 if not, mr cooke who did my 1st replacemnet told me 10-15 years.

 

Mr masheweran ( really good bloke) said 20 maybe longer when he had revised my knee ie given me a second total knee replacement in 10 months, so seeing as you know better than them go on what is it? as you seem to know we were told different? but then again according to you and an earlier thread on the subject it does not hurt much either, perhaps a little humility and a decent bedside manner rather than an all knowing alloofness may do you no harm whatsover.

 

KW

 

 

I give up, get the daily mail i am sure it will give you all the information you require

Edited May 13, 2011 by docholiday

[kdubya]

I give up, get the daily mail i am sure it will give you all the information you require

 

dont need to mate had two done so think I am entitled to a say, oh forgot according to your highness I dont? still your the expert so go then give us your version could do with a laugh

 

KW

[docholiday]

Isnt it great, come on here and try to offer some help/ advice about a subject I am paid for as a so called specialist, then get abuse, as far as your comments go K I dont believe that you are quite correct in quoting my previous posts but are having a rant for what ever reason, good luck to you, I put up with enough hassle at work so thankfully have no intention of entering into name calling with yourself.

To anybody who wants any advice re above subject I would be happy to help if I can pm me, otherwise I have learnt my lesson about offering medical advice on an open forum

 

All the best K

doc

[ST3V3]

good luck with the op

 

A guy at work had his done couple of years ago and got an infection in it so had to have his leg lopped off

[kdubya]

Isnt it great, come on here and try to offer some help/ advice about a subject I am paid for as a so called specialist, then get abuse, as far as your comments go K I dont believe that you are quite correct in quoting my previous posts but are having a rant for what ever reason, good luck to you, I put up with enough hassle at work so thankfully have no intention of entering into name calling with yourself.

To anybody who wants any advice re above subject I would be happy to help if I can pm me, otherwise I have learnt my lesson about offering medical advice on an open forum

 

All the best K

doc

 

you never offered advice you simply said cranners info was not true ( I presume you meant the 25 year bit as you did not clarify your position) I stated quite truly that I was given different info from 3 surgeons who specialise in orthopedics ( that should qualify them an opinion) each gave varying timescales on the useful life of a knee prosthetic IE 5 -10 10-15 and thirdly up to twenty, you then attacked with the must be typical daily mail reader

retort( a sure sign your losing) and I asked you AGAIN for your understanding (it never came) just another attempt to put down anyone from outside your"specialist field" seems even subject matter experts IE orthapedic surgeons differ in opinion, but lord help us if we as lesser beings than you try to get that message accross.

 

KW

Edited May 13, 2011 by kdubya

[docholiday]

OK my last words on the subject then it up to you to believe who you want.

 

Knee and hip replacements are classed as major surgery and as such carry risks and complications

Most joint replacement surgeons would tell you there complication rates, nationally for hips this is 9% for Knees 12% thankfully less than 1% are serious and life threatening, in a University department we would expect to receive the more complicated cases and that includes young people who may require joint replacement and that usually means complications are slightly higher.

every year there are several deaths from these procedures due to complications. Therefore the reluctance to carry out these procedures unless absolutely necessary

Young people due to there level of activity will experience failure of their prosthesis earlier than the elderly.

failure rates for both procedures are quoted on average to be about 15 years, however this is an average and you can not predict for individuals.

 

I dont think I know of any manufacturer who would suggest the surgeon tells their patients of 20 or 25 yr success, though a number of patients do experience this as do some only get a couple of years before revision is required,

 

In my view and I would suggest most of us, a 15 yr period would be hoped for but in the young it will often be less.

 

I hope this answers your question K.

doc

[kdubya]

OK my last words on the subject then it up to you to believe who you want.

 

Knee and hip replacements are classed as major surgery and as such carry risks and complications

Most joint replacement surgeons would tell you there complication rates, nationally for hips this is 9% for Knees 12% thankfully less than 1% are serious and life threatening, in a University department we would expect to receive the more complicated cases and that includes young people who may require joint replacement and that usually means complications are slightly higher.

every year there are several deaths from these procedures due to complications. Therefore the reluctance to carry out these procedures unless absolutely necessary

Young people due to there level of activity will experience failure of their prosthesis earlier than the elderly.

failure rates for both procedures are quoted on average to be about 15 years, however this is an average and you can not predict for individuals.

 

I dont think I know of any manufacturer who would suggest the surgeon tells their patients of 20 or 25 yr success, though a number of patients do experience this as do some only get a couple of years before revision is required,

 

In my view and I would suggest most of us, a 15 yr period would be hoped for but in the young it will often be less.

 

I hope this answers your question K.

doc

 

thankyou I suppose only time will tell BUT bupa and others are putting this out NOW

 

How long do total knee replacements last?

 

When knee replacement procedures were first performed in the early 1970s, it was thought that the average total knee implant would last approximately 10 years. We now know that approximately 85 percent of the knee implants will last 20 years. Improvements in surgical technique, prosthetic designs, bearing surfaces, and fixation methods might increase the survival rate of these implants even longer.

 

KW

Edited May 13, 2011 by kdubya

[sapper063]

started off a a sharp pain in knee,went to doctors in march he then sent me to skeletolassesment, went there april 8th, they sent me for xray,1 week later 15 april nurse phoned me to say i had 3 compartmets in knee all were arthritic and also full of fluid told me needed full knee replacement so what happens now she said wait for hospital getting in touch, well they phoned today for me to attend hospital at 2pm on the 17 may. any you guys know what happens now,o by the way they said i had choices these were the choices, (royal hospital,) that was my choices

 

well got appointment for pre op assesment on the 3rd of june, then the op will be on the 27 july if i last that long

[docholiday]

Good luck with the op, I am sure we all hope its a great success and you are soon out there knocking those pigeons over, keep us updated :good:

Edited May 29, 2011 by docholiday

[berties]

Good luck with the op mate Hope you get up and around pain free soon

[Cranfield]

Good luck and get in a positive frame of mind.

What you have now is miserable, but you have a new lease of life and mobility available to you.

Do what you are told and all will be well.

[sako751sg]

Not the same op as you but maybe give you hope that life will be better after it.In 95 i snapped and tore various ligaments in my right knee.Absolute agony and for the next 14 years i would collapse if i twisted the wrong way or stepped on something wrong.When it gave way it was sheer agony so i had to watch my step very carefully.In that time i had 2 ops to cut and tidy bits up,but it made no difference.In 2008 i started getting a different constant pain in the side of the knee,so went to a specialist to see about an op.I knew a reconstruction job was needed and had been told 6 months off work would be in order,but the MRI scans showed arthritis had set in due to my leg starting to bow with lack of support due to lack of ligaments.The specialist,who was mustard i must add,said the best option was to reconstruct the knee ligaments,break the leg below the knee and put in a 7mm wedge of coral in to straighten the leg and then reset with pins and plates.2 months later i had the op,and it was ******* agony for a good,or bad,6 months on crutches and indeed i needed painkillers for well over a year.In the 2 years since the op,the knee hasnt even attempted to collapse,and no arthritic pain has been felt at all.Im way more stable,in the leg at least,and wish i had it years before.Heres hoping you get the same results.

A couple of Xrays showing the Pins screws and plates6 months after the op,and you can hardly even see the break,which considering one side had to fill in a 7mm gap is unbelievable.

 

Edited May 29, 2011 by sako751sg

[sako751sg]

[docholiday]

Looks like you had a Tibial Osteotomy and Anterior Cruciate repair, looks good

[sako751sg]

Looks like you had a Tibial Osteotomy and Anterior Cruciate repair, looks good

 

That sounds like the job Doc.It maybe looks good,but it feels great now.

[sako751sg]

Maybe answer a query too Doc.What is the wee bit on my leg at the top in the 2nd xray?

[Troosers Too]

I'm a layman but would have thought that surgery should really be a last resort in most cases. Every case is different, I know.

 

My own experience with biff knees has been that having spent too many seasons skiing to a fairly high level with no knee injuries, I have been experiencing more & more pain in my right knee - to the point that it was really beginning to affect what I could & couldn't do. At first I put it down to wear & tear and rather thought I'd have to go under the knife. It was then suggested to me by my osteopath (skiing back injury) that I see a podiatrist. He, very quickly diagnosed that it was the way I was standing/walking that was causing strain on my knee & hips & suggested I try Orthotic footbeds. These were custom made for me & I've been using them for some weeks now & I can't believe the difference. I've now got zero pain when walking on the flat & stairs & slopes are no longer breathtakingly painful. Every day things seem to be getting better & better.

 

I know it may not work in every case & that you need to take real professional advice but, for me, it has been a relevation. I only realised how accostomed to the pain I had been getting when, after about a week of using the footbeds, I suddenly noticed that walking was pain free for the first time in months.

 

Best of luck with it whatever you do!

TT

[TaxiDriver]

Maybe answer a query too Doc.What is the wee bit on my leg at the top in the 2nd xray?

Ya Willy ?

[docholiday]

Maybe answer a query too Doc.What is the wee bit on my leg at the top in the 2nd xray?

 

 

The metal work is the bit holding the wedge together that they took out of the tibia to straighten the leg, you may have heared the term valgus deformity, the plastic bullet shaped thing in the middle is just that its a plastic anchor for the cruciate ligament, usually we use the centre of the patala tendon, (scar down front of knee. Or use a hamstring, (scar down back of leg).

the scroll like stuff above your knee is not something I have seen, maybe something in the plaster they put you in or something you were lying on

Edited May 29, 2011 by docholiday

[sako751sg]

Ya Willy ?

:o

 

The metal work is the bit holding the wedge together that they took out of the tibia to straighten the leg, you may have heared the term valgus deformity, the plastic bullet shaped thing in the middle is just that its a plastic anchor for the cruciate ligament, usually we use the centre of the patala tendon, (scar down front of knee. Or use a hamstring, (scar down back of leg).

the scroll like stuff above your knee is not something I havn't seen, maybe something in the plaster they put you in or something you were lying on

 

Cheers Doc.Top job in my opinion and cant fault the surgeon.

[hawkeye]

Doc i think he means in the at the top of the second xray

 

It looks like a bit of a meccano set they forgot to take out :lol:

Edited May 30, 2011 by hawkeye

[sapper063]

pre opp assesment tommorow friday. and they have brought my opp foreward to the 27th june. starting to get a bit edgy now.more tommorow after ive been for pre op and to top it all ive broken a toe yesterday on other foot.ouch.

[assassin]

Hi Saco, that small bit looks to me like a small titanium plate. dont know why its there, maybe they left it in ???

no surely not, they must have seen it on the xray??