6 months post TKR - possible infection

Posted , 11 users are following.

I had my fourth post-TKR check up at the Orthopaedic Clinic yesterday.  I had the operation in July, and have been stuck at 67 degrees flexsion for most of that time.  For the first few months, I had intensive PT - but it had little effect.  Then, more recently, it was suspected I had scar tissue - and would maybe need an operation to remove that.  Yesterday, the surgeon suggested I may have an infection.  I had X-Rays and blood tests yestereday, and am awaiting a bone scan.  I understand that if an infection is confirmed, I will need the knee removed, followed by a period of treatment for 3-6 months, then another TKR.  Not looking forward to this, just wondered if anyone else had undergone a similar procedure and, if so, what their experience was.

0 likes, 11 replies

Report / Delete

11 Replies

  • Posted

    Just had TKR no complications, that was nearly 4 years ago. Excellent result.

    67 degrees flexion is very poor. Mine was not great but I did just manage to get to 90 degrees for my 6 week post op appointment.

    Don't want to be advising the wrong thing if you have an infection but I found this exercise very helpful for increasing the bend.

    Sit on the bed with a teatray and at your feet. Keep your socks on.

    Gently slide your feet up the teatray and mark where you get to. Next time try and slide a bit further up the tray.

    Hope this helps

    Take care and keep in touch

    Sarah

    Report / Delete Reply
  • Posted

    I'm still recovering from the same thing. It depends on the 44th p e staph you have. Mine was diagnosed as epi staph meaning it. Came from the outer skin or a hair folical. In Jan 2013 I had to have a revision. The next day I tell and brokethe femur. The rolling day a plate was inserted from the hip to the knee and held in place with 8 screws. I was wrapped from hi to ankle with ace bandage an he a satisfactory recovery bone wise and then did the rehab for the tkr. All went well until the plate started to irritate the skin in the area of the knee so the plate was removed. 4 weeks later the area around the knee eruped with a nasty drainage. They opened the original tkr entry loin and took out the disk, flushed 75th r area and replaced the disc, closed and immobilized the leg. I had 8 weeks of antibiotic infusion and then went through rehab again starting a regular 3 X's daily oral antibiotic. Somewhere a few months downline the antibiotic quit working and The staph returned. March 4 of last year they removed the entire prosthesis cleaned and flushed the area, inserted an antibotic spacer, tossed in a bag of antibiotics, put in a new picc line and reintroduced the antibiotic infusion 2x's daily for 2cmonths. I had to wait an additional 7 weeks for the new prosthesis to be installed. All of this time I was in an immobilizer and allowed only toe touch weight bearin. For 3 weeks each time post surgery I went to a rehab center for pro proper cars and therapy. This is serious business a and. Short cuts shouldn't be considered or taken. This is the 11th surgery plus radiation I've had on This leg as I have a rare condition called pvns. I sincerely happe you don't have to go through this but if you do take each of the steps cautiously. Imbin the US and the normal protocol is for the surgeon to work closely with an infectious disease Dr who will guide the antibiotic regimen. Good luck and let us know how it's going.
    Report / Delete Reply
  • Posted

    Hi all Lin here, not been on for a couple of weeks but been keeping close on on posts! The post about using a tea tray is a very good one! I used a tray after my last TKR at end of Sept 15 and that helped me so much to improve the bend!

    to bring you up to date I have been doing pt T the gym twice a week for an hour each time! That doesn't sound that much but I am exhausted after and next morning have a job to move! But it is working, I am walking much better and have no issue with bending!

    the thought of a possible infection must be very scary for Simon so I have all crossed for you that it is not that!

    i had my first tkr on right leg almost two years back and it was best thing ever done that knee totally pain free and no issues after it so I count my blessings!

    i know it is a long recovery much longer than I realised if honest but to be rid of awful arthritic pain it well worth it! I still ice and elevate my legs!

    wishing you Simon and everyone else all the very best in your recoveries, xx

    Report / Delete Reply
  • Posted

    I'm 4.5 months post tkr, 2.5 months post MUA, knee won't bend over 75 rom, hadon't test for infection was negative, on Monday I'm have a revision, to remove build up of scar tissue. Wish me luck
    Report / Delete Reply
  • Posted

    Dear Simon

    I am sorry to hear about your problems.  My replacement was and still is not without any problems. Which hospital you had TKR done?   When I am reading some emails, It makes me feel that I actually have it easy.  Then I read another post from someone who has 135 degrees bend and goes running, and  I am green with envy.

    I am not very happy about results of my TKR - right knee, I have only 90 degrees bend, often it is paiful just below  the knee when I try to walk (actually I cannot walk without pain more that 150 m). I would like to add that I am in the gym 4 times a week, always was very sporty, have personal trainer, run in the water etc. I am 69 years old.  Still work full time (to be able to afford personal trainer etc). After telling the hospital for one year  about various pains when walking, they finally have done the scan and discovered that I have pes anserine bursatis and thickening of the ilitibial band.  It hurts in these places.  IFew monhs after the operation my squad went, it felt like elastic bank going inside my leg and then the pain.  I had a scan and it was confirmed that the squad muscle was torn.

    I am waiting for another TKR on my left leg.  Would like to know if anyone can recomend a surgeon in London area. I am under Prof Briggs from Stanmore, but not sure if he will be able to or want to do the operation.   Then i have to go private. I will not allow just anyone to touch my knee.  I have learned the lesson.

    Best wishes to everyone, Good luck Simon and Jnrob!        Grace

    Report / Delete Reply
    • Posted

      Hi Grace,

      I had my operation done at Guys Hospital in London.  I think the name of the surgeon was Mr Sandiford, and al the check ups I have had confirmed that the operation was successful  I am now under the care of Mr Bliss - he seems quite emiment, he teaches and also practices at London Bridge Hospital (privately) as well as at Guys on the NHS.  I am going to try to stay with the NHS if I can.  But I understand your view.  I really want to be able to trust whoever is going to operate on me.

      I used to go the gym quite regularly - but really can't with my current ROM and level of pain.  I'm 53 and had always been in pretty good health until 6 years ago when I got knocked over by a police motorcycle (on the pavement!).  Since then I've had three operations on my knee and nothing but trouble,.

      Thanks for your thoughts.  And good luck with your own situation.

      Simon

      Report / Delete Reply
    • Posted

      Hi Grace. I had bi lateral TNR done last year, left knee in January then right knee in June. I went private at Spire Bushey Hospital and my surgeon was Jonathan Miles.  I found him very good and easy to talk to. 

      I know there's a lot of knee surgeons in London so it's hard to chose. I just kept researching the surgeons that were covered by my private insurance company.  I chose Bushey Hospital as it had a hydrotherapy pool so the Physios had you in the water the day after your op. 

       

      Report / Delete Reply
    • Posted

      Sorry Grace hit reply before i signed. 

       Also my knees are doing great, only have problem with a nerve and pain at back of first knee. Hopefully it will sort itself out.  Have my year check up in a couple of weeks time so will discuss it with Mr Miles. 

      Good luck with choosing your surgeon. 

      Patricia

      Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up