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Almost 6 months since my first TKR. Plan was to return for the other knee 3 months ago/3 months after the first. However.....
Five weeks after the TKR I underwent an MUA (more painful than the op itself) as the knee wouldnt bend much beyond 70 degrees and the extension was around -10 to -15 degrees.
The surgeon managed to bend the knee to 100 degrees and hes a big bloke. I then rented a CPM machine for home and twice a day for 4 weeks, strapped myself in and (always starting at around 70 degrees) increased the bend to the mid 90's, over the next couple of hours.
The surgeon had mentioned the day after the TKR that he was in two minds as to whether to fit a 9mm or 10mm plastic, so went with the 10mm, 'so it didnt rattle around'..
The surgeon was/is therefore adamant that the lack of bend is due to the 1mm too thick plastic and gave me the following options : 1) Another MUA 2) Open the knee back up and change the plastic to a 9mm.
Neither option excites me, so he suggested I see a colleague of his for a second opinion. Another 5 weeks passed and I finally met with his colleague, who (given the info above) I was fully expecting to concur with surgeon one.. Much to my surprise however, he suggested I leave it alone and 'see how it goes'.
I now have two professionals who are diametrically opposed as to my next move and I am supposed to make a decision about my knee's future based on this !
I immediately went to see my surgeon who when asked how they can have such a different view, responded with 'Im a surgeon and if I see something not right, I fix it surgically'... Not exactly helpful..
I decided to take the second opinions suggestion as it sounded less painful !
I have since tried hydrotherapy and another physiotherapist. My latest physio moved my leg around and is adamant that the plastic isnt too thick, as my knee does indeed rattle. Very irritating when driving, as I have to keep my left leg wedged against the footrest (I drive an auto) so it doesnt rattle.
The most useful info I have had so far was from a chance meeting when I took my dog to the vet a couple of weeks ago. Two ladies were talking knees, so I rudely interrupted !
One of the ladies had been in my position 6 months in, of still being uncomfortable most of the time, very itchy inside, especially at the back of the knee, unable to walk unaided due to the lack of extension and generally wondering why she bothered doing it in the first place.
She did however then tell me that she pretty much left the leg alone and now at 14 months post-tkr is able to touch her heel to her backside.
Im due to meet with my surgeon in 3 weeks for a followup, but not sure as to what to do next, if anything.
The thought of waiting another 1/2 year to 'see how things are' doesnt excite me too much, but nor does another procedure. Im therefore hoping that some of you will have been in a similar position and will be able to tell me how it went for you thereafter.
Im now pretty clear that changing the plastic isnt the way forward, given it has some play already. Im not so sure if a further MUA might help, but would do it, if I thought it would.
Looking forward to any feedback, be it positive or otherwise.
Peter..... 53 years old.....
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