Doctor insights on:
Knee Replacement Incision
Yes: Most knee replacements are made of cobalt alloys because they are harder. The titanium is generally too soft to work as a knee surface. There is, however, one total knee replacement made of titanium where they have hardened the end of the titanium (making it a ceramic compound). ...Read moreSee 1 more doctor answer
Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read moreSee 1 more doctor answer
A number of reasons: The typical incision sites for knee arthroscopy lies over a number of structures that can be the source of pain after arthroscopy. 1) the skin itself, 2) superficial nerves crossing the incision that were cut, 3) the meniscus underlying the incision, 4) the cartilage that is directly deep to the incision. Any of these can be the source of pain. ...Read more
Incresed blood flow: After an injury or surgery, there is increased blood flow to the injured area. Due to small blood vessel damage, there is also some swelling in the area. This leads to increased warmth in the knee. This can last for several months as the soft tissues continue to heal around the knee. ...Read moreSee 1 more doctor answer
See ur surgeon: There can be several reasons for your symptoms depending on your diagnosis which led to your surgery, other possible knee problems not addressed by surgery, and the type of surgery you had, along with post-op duration and course. See your surgeon to re-evaluate your knee. ...Read more
Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more
Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?
Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more
Knee locking: You should have this discussion with your surgeon. If he does not give you a satisfactory answer and solution, it is okay to get a second opinion. ...Read more
No: These screws were designed for use in acl reconstructions. ...Read more
Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read moreSee 2 more doctor answers
What are the symptoms of a surgical glue allergy? I had knee replacement surgery and the incision started to weep clear yellowish.
Common: The incisions weep clear fluid on occasion. This does not imply an allergy. Sometimes we still see it several days later when the person is already at the rehabilitation unit. The discharge should be decreasing with time. If it does not or redness, warmth or fever develops contact your surgeon immediately. ...Read moreSee 1 more doctor answer
Had total knee replacement in December still very painful and have small knots down incision is that normal can't get answer from doctor ?
Varies: The recovery from knee replacement varies somewhat from patient to patient and surgeon to surgeon. If you are slowly but surely getting better, than it is likely you will continue to improve. If you are not getting better or are even getting worse, then you need to sit down with your surgeon to discuss this further or seek a second opinion. ...Read more
I am having knee replacement in april, 2013. I can't take opium pain medication. What else can I take to relieve the pain? Thanks, dee
Many Choices: It would be very wise to meet with a pain specialist prior to your surgery to set yourself up for success. Alternative investigation too may help: meditation, acupuncture, massage. Possible meds include pain blocker Gabapentin (neurontin) anti inflammatory such as meloxicam, naprosyn, (naproxen) etc opiate alternative tramadol (warning; addictive too) seek specialty advice. ...Read moreSee 1 more doctor answer
I had a medisic knee repair 1 yr ago and since then I have been in constant pain can't do the simplest thing do u think i could get knee replacement?
See Ortho doc: you may need exercises to range your knee, however if there is something wrong with your replacement the orthopedic doc may need to further evaluate you. ...Read more
On june 10 th I have knee replacement. My knee doesn't respond as well as i expect. It doesn't flex enough. I will have knee manipulation. What is this?
Mortality TKR: This is certainly a complication of any surgery. It will be necessary to get medical clearance by your primary doctor and/or pulmonologist or cardiologist if you have any lung or heart conditions prior to the surgery. Mortality from total knee surgery is exceedingly low. You will be placed on a blood thinner after surgery to prevent blood clots. ...Read more
3-6 month recovery: This surgery can improve your function and pain level but takes a while to recover. The hospital stay is usually 2-3 days, followed by 4-6 weeks of therapy to regain the knee motion and strength. Post operative pain can be managed with pain medication. Sleeping may be interupted at night for 6 or more weeks due to knee discomfort. Energy level after surgery takes 2-3 months to return. ...Read moreSee 1 more doctor answer
VERY, if indicated: Total knee replacement (tkr) is a real success stories of modern medicine. When indicated, a tkr can be a overall health game changer. Tkr recipients usually regain levels of activity that became otherwise impossible or intolerable (walking, biking, stair climbing). Aerobic exercise in turn provides excellent support for overall cardiopulmonary health. Discuss tkr with your orthpaedic surgeon. ...Read moreSee 2 more doctor answers
Total knee needed: The most concise answer is when arthritic knee pain is not relieved any longer by nsaids, therapy, cortisone injections, hylauronic acid injections, knee braces, ice, nutritional supplements or arthroscopy and x-rays show advanced arthritis and cartilage loss or spurs. When function is impaired and activity declines from pain. Or, when start subtracting things you enjoy from your life due to pain. ...Read moreSee 2 more doctor answers
Partial Knee: With partial knee replacement, only one of the three knee compartments is replaced (or resurfaced). I have a good comparison of issues with partial versus total knee replacement on my website at the following link: http://www.andrewpearle.com/robotic/robotic-knee-resurfacing.html ...Read moreSee 2 more doctor answers
Yes, but not often: Knee replacements can feel like "seizing" or "locking up" on rare occasions and they are usually not due to the device. The most likely phenomena you are experiencing is either "crepitus" or "clunk" which is when scar tissue surrounding the front of the knee gets trapped within the device creating a sensation of locking up. When severe enough, it can be alleviated by removing that scar tissue. ...Read more
With advise: You can exercise after knee replacement, and it is a good idea. The best exercise is that which avoids stress across the knee. Although you want to strengthen the muscles around the knee, you do not want to place undue stresses across the replaced knee. Your orthopedist and your physical therapist can best advise you. ...Read moreSee 3 more doctor answers
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