It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Knee & Hip Problems Message Board
Post New Thread   Reply Reply
LinkBack Thread Tools
Old 08-16-2011, 03:38 PM   #1
Newbie
(male)
 
Join Date: Aug 2011
Location: Nanaimo BC
Posts: 2
Williesdad HB User
Total Knee Replacement Question

Hi all, I am a 50 year old male with a long history of knee surgeries. The long and the short of it is this...I have had 3 ligament re-constructions ACL, PCL and MCL. I was on holiday in Italy (last week) and fell tearing both my ACL and PCL. I have been on the knee replacement waiting list and this obviously poses a new dynamic....OK....the question.

Can an orthopedic surgeon perform a total knee replacement when the ACL and the PCL ligaments both need to be either replaced or repaired...??? If so, are they done as separate procedures or are they done at the same time. If separate, which procedure is done first...the kneee replacment or the ligament reconstruction/replacement...???

MY GP is a bit of a pin head and doesnt know the answer and I'm waiting to get in to see my Orthopedic surgeon...Any help or advice would be greatly appreciated.

Cheers,

Stu

 
Reply With Quote
Sponsors Lightbulb
   
Old 08-16-2011, 07:16 PM   #2
Senior Veteran
(male)
 
Join Date: Mar 2011
Location: B.C. Canada
Posts: 724
james079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB User
Re: Total Knee Replacement Question

Welcome Stu to the board,
Sorry to hear about your knee problems especially in one so young. Thinking about the knee anatomy, the anterior cruciate would have to be removed in any case so nothing lost here. Depending on the position of the posterior cruciate it may in some cases be saved but if yours is already ruptured it would be academic to repair it. The medial and lateral ligaments will remain intact. So I would think one operation and knowing several people who have had one, or in some cases two, all are happy that they had the operation.
Just one word of advice, no tub racing until next year!
James

Last edited by james079; 08-16-2011 at 07:20 PM. Reason: missed a Y !

 
Reply With Quote
Sponsors Lightbulb
   
Old 08-16-2011, 08:08 PM   #3
Newbie
(male)
 
Join Date: Aug 2011
Location: Nanaimo BC
Posts: 2
Williesdad HB User
Re: Total Knee Replacement Question

Quote:
Originally Posted by james079 View Post
Welcome Stu to the board,
Sorry to hear about your knee problems especially in one so young. Thinking about the knee anatomy, the anterior cruciate would have to be removed in any case so nothing lost here. Depending on the position of the posterior cruciate it may in some cases be saved but if yours is already ruptured it would be academic to repair it. The medial and lateral ligaments will remain intact. So I would think one operation and knowing several people who have had one, or in some cases two, all are happy that they had the operation.
Just one word of advice, no tub racing until next year!
James
Hi James, Thanks for the reply...that was helpful. Clearly I haven't done enough research on the Total Knee Replacement (TKR) surgery itself. I wasn't aware that the ACL and PCL weren't needed after such a surgery. Thats good news not having to undergo two procedures. Having said that, do you know why the ACL and PCL aren't needed.

What I thought was involved with the new knee was simply the replacement of the surfaces between the Femur, the tibia and the patella. I do know a fair bit about ligament function as I've had so many surgeries on them but I can't even begin to imagin what is used to stabilize the knee when they are gone.

I didn't know they actually sacrificed the ACL anyway and the same for the PCL...Do you know if it depends on what type of knee appliance is used by the surgeon or is removing the ACL and PCL a routine part of such a surgery...???

Thanks again James....

Cheers....Stu

 
Reply With Quote
Old 08-19-2011, 10:34 AM   #4
Senior Veteran
(male)
 
Join Date: Mar 2011
Location: B.C. Canada
Posts: 724
james079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB Userjames079 HB User
Re: Total Knee Replacement Question

Stu, There is a Simon H Palmer who seems to be a bit of a medical historian and has written on such things as knee arthroplasty. Look him up, see what you think.
James

 
Reply With Quote
Old 11-13-2012, 08:48 PM   #5
Junior Member
(female)
 
Join Date: Dec 2011
Location: Kings Park
Posts: 21
suecoffee HB User
Re: Total Knee Replacement Question

I was reading your questions and answers regarding which ligaments are actually used in a TKR and it brought up a question for me. I am a 46 yr old female who has had surgery to both my MCL & ACL. Both are reconstructions. My doc is concerned about the possible weakness to my MCL if we do a TKR. He says if its not strong enough then we will have to use a hinged knee(constraint knee). Does anyone have any experience with that type of a knee. The one thing I do know is that it does not last long at all!

Any help would be appreciated.

 
Reply With Quote
Reply Reply

Similar Threads
Thread Thread Starter Board Replies Last Post
Total Knee Replacement wifeofpatient Knee & Hip Problems 20 01-11-2012 09:28 AM
total knee replacement dolly42 Knee & Hip Problems 9 10-09-2011 08:43 AM
Total Knee Replacement PAIN Charmoore Knee & Hip Problems 3 07-17-2011 06:07 PM
Bilateral Total Knee Replacement floating island Knee & Hip Problems 43 01-18-2011 11:30 PM
Knee pain before/after Total Hip Replacement Lynnmaree Knee & Hip Problems 4 11-16-2010 06:26 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 10:25 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!