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Need your help, knee surgery :-( Options
Jane.
#1 Posted : Wednesday, September 12, 2012 11:26:05 AM Quote
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Confused Sad

Hello all
The rheumy department called a short time ago to let me know the results of xrays I had done last week. They will refer me to orthapedic (sorry 4 spelling) because my knee has been worn away.

Help?? Oh my gosh.
I'm just getting over my foot, returning to work end of the week.
(Still on stick) now I know why and can't moan about my puffy foot.

How worrying.

Please fill me with help (any).

Thank you
Jane (the pain)
Xxx
smith-j
#2 Posted : Wednesday, September 12, 2012 8:26:02 PM Quote
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Jane

Oh no just what you needed. The outcome of this will very definitely depend on your Orthopaedic Surgeon and the severity of the knee damage. I don't think there is any hard and fast rule of what they will do next.

I saw my Rheumy Consultant a couple of years ago and mentioned knee pain. He sent me for x-ray and said "don't think there will be much damage". Unfortunately both knees were bone on bone. My Orthopaedic Consultant does not believe in anything other than total knee replacement and my first knee was done two years ago this coming January. Some Consultants, however, do go for debridement where the touching bone is chiselled away so that they can hopefully stop the pain.

Many people have total knee replacements and it is the best thing that can ever happen to them. They are pain free and their mobility improves immensely. Unfortunately for me, my rheumatoid arthritis is severely affecting my recovery and my mobility is very poor. This is why I am unable to have the second replacement at the moment.

I think you are going to have to wait to talk to your Consultant and see what the options are and weigh up what is the best option for you and your knee.

Keep us posted on what happens and hope they find a good solution for you.

Jackie
x
Jane.
#3 Posted : Wednesday, September 12, 2012 8:48:29 PM Quote
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Smile Thank you Jackie for your reply.
You are right, wait and see what the consultant says.
Just a shock.

I hope you are okay?
Do you get after care/physio?

Best I treat myself to some extra long (below the knee, excuse the pun) nighties from marks and spencers.

I shall keep you all posted (your all my tonic)!
Take care
Jane
Xxx
jenni_b
#4 Posted : Wednesday, September 12, 2012 10:00:42 PM Quote
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Hi Jane

Following a try at a clear out arthroscopy in oct 11, I've just had a spangly new knee put in in may '12

It's WONDERFUL I am so very pleased I had it done
Need the right one doing too
But the feet are wonky so they are wondering about those too although the insoles are going to be tried first apparently

The left knee has been bad for so long- certainly not straightening for at least 5 years now
Now it's going straight
Up down and i can even stand one legged on it!

Major surgery it was and it took 10 days admission rather than the standard 5 but
Its Super stuffBigGrin
how to be a velvet bulldoser
Blue Star
#5 Posted : Thursday, September 13, 2012 9:01:34 AM Quote
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Hi Jane had my left knee replaced 3 years ago and I am made up with it , right knee needs doing but my hand knuckles are worse , so am going to talk to both surgeons and go with what they think should be done first . I won't lie is a major operation but if you can't walk far and are in permanent pain then get it done .

Sophie x
Rebecca D
#6 Posted : Thursday, September 13, 2012 11:09:55 AM Quote
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I had both my knees replaced 2008, 4 months apart, definitely a good decision as I couldn't walk at all before the ops. It took quite a while to recover from, with loads of physio but was a real turning point for me.

It's naturally a big decision for you to make, you will know when the time is right....maybe wait till your foot is fully recovered.

Love
Rebecca
zena_mary
#7 Posted : Thursday, September 13, 2012 11:09:57 AM Quote
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Hi all, interesting reading all these comments as I am on a list to see the knee consultant too Jane.
It does make tummy flip just thinking about it, but some very possitive comments here of support. Its definately not what you needed to hear when you have only just got over your other op. though Jane!
Good luck when you return to work, hope you get lots of support there.
Zena x.
jenni_b
#8 Posted : Thursday, September 13, 2012 12:52:34 PM Quote
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Rebecca- can I just ask about the knee replacements- I had my left done in may
The surgeon wants to see me about the right knee appt next month
Can I ask please if you felt the timing was right with just months in-between?

My right knee isn't as bad as the left was. It's got 2 areas utterly destroyed and the cruciate ligament gone
The outside two are severely damaged
The left knee was just utterly destroyed throughout

The right one is bent
All the time
So I agree it needs doing
But
Should I try and hold on?

What do you think?

Jenni xx
how to be a velvet bulldoser
Jane.
#9 Posted : Thursday, September 13, 2012 9:06:14 PM Quote
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ThumpUp thank you everyone for your experiences.
I remember the rheumy nurse saying the xrays show bone on bone and badly worn away.
This year has been bad to walk, I thought it was just the bunions!! Now and then pain in knee (which I thought was because of my feet).
This flare up seems like the knee wants to say me me me, I'm next to annoy you!

I would rather read other people's stories than google something.

Zena - thankyou! Back to work this weekend, have to try my best to stay awake! Got into the habbit of a nap in the day is wonderful. Dreading going back in an open plan office with my stick!
I have emailed occupational health unit at work to keep them in the picture, and cover myself over getting up for walk/stretch legs. Said I can't wear tights with my uniform because I can't bend my knees.
Going back in my crocs as well - they are like what nurses wear without holes on top and in black.

Do keep posting knee info.

Jane
Xxx
Rebecca D
#10 Posted : Friday, September 14, 2012 10:52:43 AM Quote
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Jenni B - The surgeons at Exeter recommended doing knee replacements six months apart to give the first knee time to recover. However after my first replacement (right knee) the left knee started to deteriorate rapidly and suddenly became excruciating. I just couldn't get through a day with the unbearable pain despite buckets of painkillers, so I pleaded to the surgeon to take it out as soon as possible.

My advice to you is to try and wait as long as possible, especially if the right knee isn't as bad. How does the left replacement knee feel now, have you made a good recovery? When I had my other knee replaced I got a nasty Staph. infection in the wound which took months to heal, I think it was because I was so run down from lack of sleep and unbearable pain before the op.

See what your surgeon says next month...

Love
Rebecca
zena_mary
#11 Posted : Friday, September 14, 2012 5:43:01 PM Quote
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Sorry Jane to barge in on your thread, but one thing that I have wondered about is, do you still get ra type inflamation in a replaced joint?

It may seem a silly question, but if a joint is removed does that then mean that the fluid lining in the joint,( synovil fluid or something,)that is said to cause the inflamation in ra is totally gone and therefore the inflamation can not come back in that joint?

Just wondering, Zena x
Jane.
#12 Posted : Friday, September 14, 2012 5:58:04 PM Quote
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Hello everyone.

Hi Zena you are not barging in on my thread, its everyones thread!

No idea about knee until I speak with ortho surgeon when appointment comes through.
When I went to rheumy nurses last week for steriod injection I said my foot hurts, knee kills, and fingers belong to a witch!
The nurse said it may be oesto, and organised for me to go to xray straight away.
When the rheumy nurse called this week, she said it was bone on bone severe arthritis............I was shocked, so when I get a letter to see the surgeon I shall sit down with a note book and think of questions.

I guess there isn't fluid left in the knee, the thought of what is happening is scarry.

Its a shame you all can't come and hold my hand!

My husband said don't worry, you will look good on an electric scooter!

Jane
Xxx
jenni_b
#13 Posted : Sunday, September 16, 2012 8:41:55 PM Quote
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Hi

The first operation on the knee I had was a synovectomy and debridement
They take all the swollen bag with thickened fluid and nastily annoyed stuff out
Then they noticed all the inside bits looked chewed.
I had an MRI a few months later
But the results explained I needed a TKR

Thanks Rebecca, my right Knee is suffering and it won't straighten. Trouble is the feet and hip and shoulders and elbows plus spine things need a look at.... That's the thing, one relates to another.
I start with having orthotics in my shoes next wk to help hold my feet better
My knee that's been totally replaced on the left is a corker. It still clunks a bit but i can stand one legged (leaning on my frame) but can stand one legged on it. I can't do that on the unoperated knee at all.
It's straight, I can now lift it off the bed without the leg lifter strap.
The only concern is that in the joint, it's warm. It's been that way since the op. it's not painful or red or infected its just warm inside. I wondered if it was because I can't feel much still I'm the side of the knee post surgery if it's so,e sort of neuro heat?. I'm going to ask my surgeon when I see him later in the year.
Tbh the surgeon didn't dare hope the outcome would be so good.
Having so many have post surgical infections etc.
But they had got the pain relief sorted out (syringe driver) and they were much more clued up
The biggest stress was my carer mutiny at home- but in the end that sorted itself out.
how to be a velvet bulldoser
Rebecca D
#14 Posted : Monday, September 17, 2012 10:36:47 AM Quote
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Zena - Unfortunately, you can still get R.A inflammation in replaced knees. Mine have flared really badly in the past few years when the R.A is going mental. They remove as much of the synovial lining as possible during a knee replacement op but the R.A still manages to attack the tissue around the knee replacement when the disease is active.

Jenni- Your left knee sounds brilliant, to be able to stand one legged against your frame and not have to use the leg lifter strap must be real progress. The replacement will clunk alot, and will feel warm for ages after the op and also if the R.A is active. I guess once the right knee is replaced too, it will really help the rest of you, hips, spine etc . My shoulders and elbows are pretty destroyed now, since my knee op's because of being on a frame and crutches and off Enbrel for so long because of infection.

Love
Rebecca
zena_mary
#15 Posted : Tuesday, September 18, 2012 11:27:34 AM Quote
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Thanks Rebbecca, though not good. So it seems really its probably best not to have a knee replaced until absolutely necessary for patients with R.A.??
Zena x
annamaria
#16 Posted : Tuesday, September 18, 2012 12:08:32 PM Quote
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Hi everyone

Just thought I would add my thoughts about TKR surgery. I had mine done in 2003 (left) and 2011 (right). In between I had ankle fusions and foot reconstructions as well as a shoulder replacement removed.

MY knee replacements are my best joint replacements out of about 20 joint surgeries over the years. I have had RA for 40 years this year.

Maybe I should have gone for it earlier, but for me the surgery is always last resort stuff and I couldn't walk at all by the time I got to it or get any sleep at all.

However, I recovered well and the knees are brilliant. I do get pain and stiffness in them during a flare like everywhere else in my body, my rheumy says there is still synovial fluid in a flare with joint replacements.

I think we know when the time is right for surgery for us personally. I have been prevaricating for a long time over a third cervical spine fusion which my neurosurgeon says is very necessary though complicated and not straighforward, and finally agreed to have the surgery in two weeks. Having decided, I won't look back, just forwards!

Good luck with whatever you all choose to do and take care,
Love Lizx
Jane.
#17 Posted : Tuesday, September 18, 2012 2:03:23 PM Quote
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Smile ThumpUp Hi Liz

Good luck for your surgery in a few weeks.

At least with technology we can all be more mobile in our own ways.

So sorry for being nosey Liz, what roughly does your op involve?

I find it all a learning curve to understand the process of what happens.

Jane
Xxx
zena_mary
#18 Posted : Wednesday, September 19, 2012 5:49:06 PM Quote
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Wow Liz, you've had this debilitating disease such a long time, and so many ops.!
Thanks for your possitive comments. How is your mobility now after so much surgery? if you don't mind me asking, don't answer if you don't want to, just wondering.
Is there any surgery that you regret having?
At my last app. the nurse asked if I wanted to be referred to see about my toes too. But one thing at a time is enough to think about.
Good luck with your next op. you have a very possitive attitude to it all.
Thanks Zena x
Jane.
#19 Posted : Friday, November 09, 2012 9:40:33 PM Quote
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Scared hello everyone.
Re-reading things on here to see other peoples experiences and take on things.
Got busy week next week, surgeon Tuesday and rheumy the next day.
Not had good week, pain in knee & other places. Worried about the surgeon's take on his vision for my knee...
So scared..seems silly I know.

Blood results
The past two months the doctors surgery has printed off the results for me to take to rheumy because blood goes to one primary care trust, and rheumy comes under another pct and they don't link up for results on their nhs.
Sat down earlier with last months and this months - blood results are all raised moreSad maybe leth meds not helping - rheumy said about biologics (been reading Paula's thread) its scary as well.

Chilling out to olympics opening ceremony music on ipod.
Wished I could have a guiness - can't drink on leth.
Have to eat little - leth made me unwell with ongoing runs.

Jane
Xxx
annamaria
#20 Posted : Saturday, November 10, 2012 1:07:42 PM Quote
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Hi there

I have just realised I havent replied to these questions on Jane's thread. So sorry, how rude of me. Dont want to hijack it though.


First of all, wishing you the very best of luck Jane, for next week's appointments. Do mention the side effects of (leflunomide?) as that is very debilitating and you need to be as strong as possible for surgery. Maybe an intramuscular steroid jab would help your inflammation levels?

As for me, I came through the very long neck surgery OK (have put a bit about it under C spine fusion thread) Nearly six weeks on, still a fair way to go. It seems that I did crack the bone under the bone graft site on my hip unfortunately a few weeks ago.

And no I dont regret any of the surgeries at all, even the not so successful ones, it was worth a try. My mobility is limited, especially at the moment, but I dont use a wheelchair indoors or in the garden, just for longer trips. The main aim for the surgeries is pain relief and they have definitely helped.

The main thing with surgery is patience in the recovery period, but it soon passes and hopefully is well worth it:-)

Lots of luck,
Lizxx
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