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I have posted before about my ongoing knee problems. Summary:
Ongoing knee pain form 2011, physio, steroid injections (no relief) knee arthroscopy, microfracture & chondroplasty in 2013 - not a good result, more steroid injections, repeat of surgery in 2015 - some relief then gradual deterioration to 2017, usual round of physio & steroids,
Have been diagnosed with pes ansurinus and a steroid injection would cure - it didn't
Bad alignment with the thought of tibial osteotomy - disregarded after repeat xrays and mri
Bad arthritis on patella and thought of knee cap replacement
Led to repeat arthroscopy in 2018 and chondroplasty again - no real results from this.
I didn't particularly like the last surgeon.
As no real result asked to see different consultant who said knee cap not too bad. It's the trochlear groove that is bad. Also I am very wobbly - not ligaments or muscle - they are as good as they can be (I have been doing my physio well since 2013!!) But my hips are slightly too far forward and I have some lower limb torsion (I think)
So he is offering the thought of a trochlear - no so much replacement but putting a shield over it - that's how I understand it anyway - to alleviate the patella and trochlear situation. Apparently it's reasonably rare - he does about 2 or 3 a year.
He said I would inevitably need a TKR in the future due to the arthritis - which is everywhere but not terrible in other places. I could carry on for another 10 years till I have a TKR or I could go for this in the meantime.
I am in constant pain - some days are bad. Driving is a real issue, Sitting with my knees at right angles is an issue. I've had a bad week this week - to the point of crying with pain, co-codamol, ibuprofen and voltarol gel to manage. Some weeks are not as bad.
So what to do? This week I would have happily gone in for any surgery to try to help. Maybe next week won't be as bad. Can I cope with another 10 or so years of this - I'm not convinced.
I do understand that there is no guarantee of success but should I give it my best shot
I've had 5 surgeries in 5 yrs - 2 for another problem - it's been a lot.
I'm in the UK and I'm 55 - have a job where I have to be able to drive and get up and down off the floor
Any thoughts appreciated, thank you
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