Further X-rays might be necessary as well as other studies such as blood work, including an ESR and CRP. In my experience, these non-anatomic soft tissues often weaken or stretch out after initially doing well, at which point the knee can become unstable and painful. We are so fortunate that we live in a country with many excellent physicians. We fully respect if you want to refuse cookies but to avoid asking you again and again kindly allow us to store a cookie for that. I need to understand if there was ever a period where the patient seemed to be doing well or at least improving and then the circumstances changed. Reviewing X-rays that were taken very soon after the index surgery and comparing to the most recent X-rays allows me to compare and look for subtle changes. Look for his or her advice in how to resolve it. Informed surgeon that the implant was wrong. I have had success diagnosing imbalance by using the Verasence OrthoSensor, if one is made for the particular implant that you have. You can check these in your browser security settings. It’s possible you are beginning to develop this. I didn’t sign up for these results. Possibly pain, stiffness, poor range of motion, or feeling like the knee is not stable and that the patient can’t trust the new knee. What you describe now will only get worse. The surgeon also needs to review the “implant record.” Like the operative report, the “implant record” is also a permanent part of the medical record and contains labels provided by the manufacturer naming the company that manufactured the implant, the implant brand name, size, FDA number, and expiration date. Once again, this is just a sampling of information that the physical exam can provide, giving clues as to why the result is not acceptable and to help determine the next steps to correct the problem or problems. Of course, these are just a sampling of questions that must be explored if the underlying problem is to be diagnosed and corrected. Post op. Pain can begin as a mild soreness, or it … Synovial fluid is aspirated and sent to a special laboratory where specific tests are performed. It is unusual for someone as young as you to already have undergone a TKR. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. If so, where? Dr. William Leone, The Leone Center Thanks. This may be a clue to the underlying problem. There are of course exceptions to the general rule. I recognize that when people go on line and search ‘symptoms of wrong size knee replacements”, they are looking for answers. Most likely, it will be surgical. for Orthopedic Care Does the knee fully extend? Patients complain that their knee doesn’t feel stable, especially walking down steps or a curb and is often associated with pain. An experienced orthopedic surgeon, his specialty is solving complex hip and knee problems. The majority of patients who undergo knee replacement surgery experience successful outcomes, with long-lasting improvements in pain, mobility, and knee function. It was a right implant in a left knee. If you feel that “something is wrong” and these symptoms persist, I would consider seeking the advice of other orthopedic surgeons, preferably ones with a special interest and skill in revision surgery. This helps for about 3 days. I’ve got many years ahead of me…to think that this is “as good as it’s going to get” is depressing indeed. I wish you a full recovery. This is the most common type of implant. Some of these options may only be temporary, while others may provide a more permanent solution. You describe postop medical complications as well as weakness, pain and deformity associated with your TKR. He took more x-rays & ordered blood tests to rule out infection. Original anatomic soft tissue structures were re-positioned to give the knee support after injury. If your surgeon is concerned there is underlying infection, in spite of you reporting two prior negative cultures, then I agree with his determination to rule out infection above all else. I have had success treating in a number of patients using kinematic sensor technology to help me pin point the mechanical problem(s) and then address surgically to correct. And ended up having a total knee in March 2015. Swelling is minimal and I have good leg strength but cannot walk or stand without a lot of pain. You can also change some of your preferences. If your treating surgeon has not been able to identify the problem, I also would recommend you find a specialist who can. Many times, the specific complaints give clues as to the underlying problem. Op rpt is only 1 page long & very inarticulate. It is important that the replacement knees fit as perfectly as possible to maximise comfort and mobility for patients. When too little patella bone is resected, the total thickness of the reconstructed patella is increased and can result in abnormally high forces created between the patella and the femur when the knee is flexed. Though knee-replacement implants are indeed built to last, unusual amounts of friction and use can lead to bone less and cause the implant to either wear out or loosen. Artificial knee replacement surgery is a major surgery. During your first year after surgery you were satisfied despite “a little pain and numbness,” symptoms have escalated and are now disabling. Many infections are subtle and difficult to diagnose. When I walk or bend my knee,it feels as if my knee isn’t tracking right.I went to my surgeon many times,complaining of pain and swelling and all he would do is pat my leg and said some people take longer to heal.I finally was able to get a second opinion after a year of pain,and that dr said the pain could be that he didn’t put a slider behind my own kneecap. The fact that your first TKR has done so well and your second did not begs the question, what is the difference between the two? i have had 2 tkr on LT knee in less than 2 years. A blood clot behind knee can cause sharp pain at the back of the leg. It is very concerning that your knee is developing progressive genu varus (bowleg) deformity and that it is causing pain. This just came on in the past week or so and although very active, I cannot recall a specific event that may have caused this.
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