Re: Need Help Deciding between PKR and TKR ...Please Help
Renegade Rob, I am sorry you are having so many issues with your knee and shoulders. I can definitely relate, having two TKRs and rotator cuff surgery twice in the same shoulder. It's been a few months since you last posted, so I don't even know if any of our comments to you are being seen, or if they apply any more. Please let us know where you're at in the process, and how you are doing. For now, I will go on as if you are still considering your options.
I'm curious. You have not mentioned physical therapy. Did you ever try that? What about pain management? Have you seen anyone specifically for that?
I think I would agree on the TKR over the PKR, but I would not jump to anything unless you absolutely need to. The thing about orthopedic surgeons is that most think about surgeries or braces or things like that. They sometimes forget about other professionals that can also help a situation without ever cutting. They even forget about basic things like the value of using ice, and elevating the leg, not just right after surgery but well into the future. I am not suggesting that any of this applies to your doctor(s) or for you, but I am letting you know about my experiences. A good physical therapist - whether you end up having surgery or not - is a vital part of preparing you FOR surgery as well as recovery FROM surgery. When a knee is properly conditioned, the muscles are strengthened to keep everything sort of "snug as a bug in a rug," and things like misaligned or poorly tracking patellas are virtually non-existent.
Although knee replacements last so, so much longer than they did before, there is no guarantee that one person's will last as long as another person's, even if all contributing factors are identical (height, weight, overall health, etc.). So, if you can find a way to make your knee stronger, you might well be able to avoid surgery - and wear on your shoulders by crutch use - for a good while longer. And even if you DO have surgery, you will be on your way to recovery before you even have it. The better conditioned you are beforehand, the faster and smoother your recovery will be. That is absolutely speaking from experience.
The other thing about ortho surgery is that new techniques, new cements, new tools, new ideas, new implants, new (fill in the blank) come along all the time. What was not possible yesterday may very well be possible tomorrow. Especially with knees and hips, I would say.
If you are still on the fence as to what way to go, if you can, get a third opinion. HealthBoard members can certainly offer opinions and suggestions, but we are not seeing x-rays, watching you walk, reviewing your test and op reports, and so on. Be sure, or as sure as you can be, that you have all the facts before you make a decision.
I am not in any way diminishing what you are going through now. I am merely offering, as you request, some opinions as food for thought.
I wish you well,
Best wishes to all, FleaFly
"The way I see it, if you want the rainbow, you gotta put up with the rain." ~ Dolly Parton