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Old 09-25-2008, 08:53 PM   #1
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Metal surgically implanted hardware question

Okay I hope this doesn't sound like a stupid question, but here goes.

Ever since my surgery 4 weeks ago my knee hasn't really hurt the most, the really bad pain has been in the area where the tibia was cut loose and repositioned and then bone grafted underneath and screwed down. I've never had any type of metal hardware put in my body, this is first for me.

We're having a 'Noreaster here on the East Coast and with the rain and damp and cold....I swear the area of my knee where the screws are has been hurting non stop? Is this normal?

 
Old 09-25-2008, 09:29 PM   #2
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Re: Metal surgically implanted hardware question

It sounds like what you are feeling is the bone pain. For example, when they do spinal fusions and they take a bit of the hip bone to help in the fusion - many people say the hip pain from where the bone was removed is more painful that the surgical site/fusion. So it is probably tibia based bone pain. Hopefully they've provided you with some medication to help you through this - if not call your surgeon and let them know about what you are experiencing.
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Old 09-26-2008, 04:20 PM   #3
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Re: Metal surgically implanted hardware question

Meds are not a problem, I've been well supplied with heavy duty narcotics, but I did go ahead and check in with my surgeon. He did some xrays and checked things. There was some swelling and "hot spots"...he said it was most likely over-exertion....so I got my "slap on the wrist" and was told to take it easy for a few days.

Thanks for your reply.

 
Old 09-27-2008, 01:27 PM   #4
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Re: Metal surgically implanted hardware question

Before I had ACLr I had a weather predicting knee that was VERY accurate..almost to the hour. After ACLr it stopped.

When I had TKA in 06 it started again. It is back. Not quite as accurate but definately more accutate than the weatherman who predicts from 100 miles away.

I taught school and it was standard for the teachers to ask "Does your knee feel like 'snow'?" I was accurate more than 90% of the time..they never doubted my knee.

Sounds like you have a weather predicting knee. When the front passes it will go back to normal.

Looks like we are "surgery racing".
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L.Knee: Arthroscopy: '98, '04, '06; ACLrecon: '02; TKA:'06
R.Knee: Arthroscopy: '06; TKA indicated
R Hip: Arthroscopy '08;

Gymnastics is fun at 18 but not at 40.

Last edited by lthomas; 09-27-2008 at 01:29 PM.

 
Old 09-27-2008, 02:58 PM   #5
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Re: Metal surgically implanted hardware question

I will gladly concede the title to you, hopefully I have one more in a year to do the reconstruction/osteotomy on the right knee....and then don't have to worry about tka's on both of them for 10 or more years.....in a perfect world anyway...*l*

 
Old 09-27-2008, 05:35 PM   #6
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Re: Metal surgically implanted hardware question

I went for a conference with the OS that did my TKA. I was concerned that even 2 years after TKA I was still getting more ROM. He confirmed I had more ROM and said it was fine. Then he turned around and looked at the x-ray..and said.."I'll see you in Dec 09 for your TKA but I think you will be back in about 9 months for TKA on your other leg. In the meantime you will probably need cortisone injections."

I didn't say anything to TKA OS but the OS that did my hip arthroscopy is going to work with my R. knee. He doesn't do replacements but there is another group he sends his TKAs to. I have met with the OS in TKA group and he is very supportive of exhausting all options before TKA.

Get this. I have an appointment with Hip arth. OS and wanted to "make a game plan" for my right knee. I live 90 miles from their offices so I wanted to get the appointments on the same day. The new TKA OS called and said he didn't do clinical appointment on the day I wanted the appointment but if I could be in the office by 8:15 he would see me before he did his hospital rounds...can you believe that?
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L.Knee: Arthroscopy: '98, '04, '06; ACLrecon: '02; TKA:'06
R.Knee: Arthroscopy: '06; TKA indicated
R Hip: Arthroscopy '08;

Gymnastics is fun at 18 but not at 40.

 
Old 09-27-2008, 07:50 PM   #7
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Re: Metal surgically implanted hardware question

Geez they never make it easy on you do they? So if I read that right they're already wanting to redo your tka from 'o6?

I have really great surgeons. All three of mine are at Duke University here in North Carolina. The one that just did my reconstruction/osteotomy is also the team doc for the Duke Basketball team.

Being only 39 the joint replacement specialist, my 2nd surgeon wanted to exhaust all options he could before doing a tka, so he sent me to my 3rd surgeon who thought the reconstruction/osteotomy would work. And if not, what's the harm, they do the tka in a year once this is totallly healed. But with all the pain, and there's been a helluva lot of pain, and recovery, and PT with this...I really hope it works. I'd never heard of this procedure before, but if it works, I'll gladly let 'em do it on the right knee.

 
Old 09-28-2008, 11:30 AM   #8
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Re: Metal surgically implanted hardware question

When I went in for my TKA they told me I would need it on the other knee (right knee) in 3-5 years. BOY did they hit that nail on the head. No one can understand why I am changing OS. The TKA OS mainly does knees. and not that many hips.

The new group that I have chosen does more hips and they are very experienced in complicated cases.They do replacements for a lot of pro-athletes (or should I say former pros) . About 1/2 of their practice is referrals from failed replacements. The OS in the group taught OS at Vanderbilt and set up that joint replacement center. They decided to go into private practice.

The OS that did my hip is the soft tissue OS for the Tennessee Titians. He literally wrote the book on hip arthroscopy that is used in medical schools. I was a little intimidated when I went to his office. There are team jerseys' and autographed pictures of pros everywhere. I thought to myself "How in the world did I get in this place..58 and falling apart".
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L.Knee: Arthroscopy: '98, '04, '06; ACLrecon: '02; TKA:'06
R.Knee: Arthroscopy: '06; TKA indicated
R Hip: Arthroscopy '08;

Gymnastics is fun at 18 but not at 40.

Last edited by lthomas; 09-28-2008 at 11:36 AM.

 
Old 09-28-2008, 05:21 PM   #9
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Re: Metal surgically implanted hardware question

Choosing the right docs makes all the difference in the world doesn't it? I realize that some people aren't able to get the kind of OS's that you and I have had...but I know that I would have traveled before I would have let some hack touch my knees.

 
Old 09-30-2008, 06:43 AM   #10
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Re: Metal surgically implanted hardware question

One thing that people do that I don't understand is stay with a MD who they really aren't pleased with but "Don't want to hurt his feelings" or worse "Don't know what to do". I figure my money spends everwhere, not that I think it is a financial tarnsaction but I feel you should be proactive chosing in your health care provider.

When I told people that I was having TKA they always said they had TKA with "OS" because he was so nice. With medical procedures as important as TKA I am really more concerned with my body than to rely totally on someone's opinion of the "personality" of an MD.

I was concerned with number of TKA annually, fellowship trained, staph rate, revisions, contacting OS after hours, hospital rating, joint replacement center...etc
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L.Knee: Arthroscopy: '98, '04, '06; ACLrecon: '02; TKA:'06
R.Knee: Arthroscopy: '06; TKA indicated
R Hip: Arthroscopy '08;

Gymnastics is fun at 18 but not at 40.

Last edited by lthomas; 09-30-2008 at 06:45 AM.

 
Old 09-30-2008, 07:30 AM   #11
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Re: Metal surgically implanted hardware question

That's what I do with all my docs and I have 9 that I see on a regular basis, and I shopped for the best. I don't feel bad about hurting anyone's feelings when it comes to someone "cutting" on my body. I've had far too many operations and far too many "parts" removed. Luckily I have great insurance that lets me use whatever doc I choose. And when it comes to a good OS, the choice of a great surgeon and being able to walk, or a hack and perhaps not being able to walk, it's a no-brainer. Like you, I just wish people would become educated in how to pick a good doc.

 
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