Post TKR swelling and noise (cracking)

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65 y.o. male. I had a TKR on my right knee Nov 2016. From the beginning I have had loud cracking, clicking, popping noises in my knee as well as prolonged swelling. Like everyone else, I was told "that's normal, it will go away after a few months". So, a year and a half later I can shake my knee left and right with loud noises, same with up and down. Each Dr I have spoken to, 4 so far including the surgeon, are shocked at the sound and have no explanation. The surgeon thinks it might be too thin a spacer between the two metal pieces, but he isn't sure. In addition he has drained 40 to 50 cc of fluid (pinkish red) from my knee on back to back weeks and decided there was no need to continue draining since it seems to fill up as fast as it comes out. No infection when tested. I did all the exercises, passed all the goals by week 7, did 2 weeks in house rehab (wasn't very happy with that) due to having a multi level home and wanting to reduce my fall risk. Fairly active, hunting, hiking, working, but have constant pain, don't fully trust the new joint, and the noise is driving everyone crazy. Dr wants to go back in to see what the problem is. Each Dr has said they've not encountered the symptoms I exhibit all at the same time. Anyone else have this? Oh, I also have 2 to 4 OTC heel inserts in my L shoe to make my legs the same length and reduce severe back pain. 

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  • Posted

    Just thought I would ask since there is no infection GREAT!!! and you still have pain and swelling along with a good amount of fluid you might want to see if they can do a bone scan on your knee. The bone scan will show whthere or not there is indeed a problem it will not be specific but by looking at the image then can tell where the problem is located at. My last TKR was done 2 years ago after getting the run around I found another Dr. and had a Bone Scan done it was pretty clear I had issues. Hope this might help??

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