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Brandell69
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Total Posts: 194
05-15-21 10:33 AM - Post#910363    



Well after dealing with this jerk of a left knee since 1983' and 6 surgeries, dozens of Synvisc, Monovisc, and Cortisone shots, it's time for a TKR. Last MRI on Monday showed Avascular Necrosis of the Medial Femur, a chunk of Cartlidge on the lateral side has broken off and is floating around, etc...

I have a really good surgeon in Dr. Small here in Tulsa, he is a Stryker/Mako Robotic surgery guy. He says within 90 days I should be able to do just about anything I want, these replacements last 30 years now.

I thought I would ask if anyone here has had a TKR and what advice do they have to pass on. I know coach, and a few others, have had a Hip done.
 
Old Miler
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Re: TKR 5/27 thought I would ask Advice
05-15-21 11:12 AM - Post#910364    



  • Brandell69 Said:

I thought I would ask if anyone here has had a TKR and what advice do they have to pass on. I know coach, and a few others, have had a Hip done.



My friend Tom came to visit us the last few days. He's in his mid 70s. I met him on vacation about 15 years ago - we had holiday homes in the same village. He had both knees replaced with titanium ones, in Poland, about 20 years ago (and some part of his shoulder more recently). He's been into waterskiing, kitesurfing and all manner of sports all the time I know him, and says he never felt any pain since the op - although he conceded over dinner last night that maybe paddleboarding was more appropriate than kitesurfing nowadays.

He said that at the clinic in Poland they pretty much put you through a boot camp with a month of hard therapy (several hours a day) afterwards, focused on getting to a full squat or knee bend; whereas in the UK they pretty much left you to yourself (and most people do a fraction of their therapy); and that his doc in the UK could not believe the results.

Curiously enough, he decided to get serious about maintaining strength so I'm writing up Easy Strength for him. He had no trouble at all with a good deep goblet squat.

I hope this gives you some encouragement!
 
Brandell69
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05-15-21 07:10 PM - Post#910372    



It does, thank you.
 
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TKR 5/27 thought I would ask Advice
05-16-21 10:17 AM - Post#910384    



Watch Mark Reifkind’s TKR talk, then look up his blog going back to his surgery and follow his progress. You’ll be inspired.

https://www.ihmc.us/lectures/20161215/

Then check in with Kelly Starrett, who had a knee replacement more recently and is still writing about his recovery process.

https://www.h-wave.com/blog/total-knee-repla cement-surgery-series-kel ly-starrett-part-1/


 
Steve Rogers
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Total Posts: 6158
Re: TKR 5/27 thought I would ask Advice
05-16-21 12:53 PM - Post#910388    



I had a right TKR in November 2011 expecting to have the left one done soon after. My experience is logged hre on IOL. First do what prehab you can before the surgery then all the recommended rehab PT.

Supplement the PT when you feel ready with additional strength, mobility and endurance work try not to overdo it. I did and had to back off a bit. Main focus should gaining a "normal" range of motion. My non-operative knee initially got worse post-op, then improved to the point where I could do just about anything that wasn't too high impact and my second TKR was indefinitely postponed.

A TKR is no guarantee of achieving pain free status. My titanium & plastic knee is still better than the natural one and has been mostly pain free though I go get some soreness at times. Some patients fail to get good ROM and have persistent stiffness and pain.

Good luck.
"Coyote is always waiting, and Coyote is always hungry."


 
Steve Rogers
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Re: TKR 5/27 thought I would ask Advice
05-16-21 04:46 PM - Post#910395    



Some more thoughts.

I'd take "the new ones last 30 years" and "you can do anything" with a grain of salt. The new designs are designed to last 30 years based upon what was learned from the earlier ones but they haven't been in use for 30 years yet. They estimate that the changes they've made will enable that longevity and I would hope they've done some accelerated testing to validate that.

As for doing "anything" I think you can but have to evaluate the risks. Some TKR veterans have run marathons but I'd advise caution with running as the repetitive impact could accelerate wear and tear. I tried a return to running experiment in the last year and the bionic knee held up fine but the natural one (bone on bone) got cranky. I've done some Highland Games since my TKR though I've used a pair of fancy knee braces for spinning events as the procedure used sacrificed both ACL and PCL and the features in the replacement appliance intended to serve their functions probably aren't as effective. I'm still competing in the Tactical Strength Challenge which gives me an outlet. In the latest one I placed 7th out of 23 in the 50+ class, pity they don't have a 70+ class.

Part of it is just getting older but year retired from motorcycling. An accident which would be relatively minor with a healthy natural knee could lead to a revision knee replacement and revisions generally don't go as well as the first. On the bright side, I was able to replace the Kawasaki Ninja 1000 with a Mustang Mach 1, so I'm not dead yet.

As DJ would say, "what are your goals for the next 20 or 30 years?"


"Coyote is always waiting, and Coyote is always hungry."


 
Brandell69
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Total Posts: 194
Re: TKR 5/27 thought I would ask Advice
05-16-21 05:13 PM - Post#910396    



  • Steve Rogers Said:
Some more thoughts.

I'd take "the new ones last 30 years" and "you can do anything" with a grain of salt. The new designs are designed to last 30 years based upon what was learned from the earlier ones but they haven't been in use for 30 years yet. They estimate that the changes they've made will enable that longevity and I would hope they've done some accelerated testing to validate that.

As for doing "anything" I think you can but have to evaluate the risks. Some TKR veterans have run marathons but I'd advise caution with running as the repetitive impact could accelerate wear and tear. I tried a return to running experiment in the last year and the bionic knee held up fine but the natural one (bone on bone) got cranky. I've done some Highland Games since my TKR though I've used a pair of fancy knee braces for spinning events as the procedure used sacrificed both ACL and PCL and the features in the replacement appliance intended to serve their functions probably aren't as effective. I'm still competing in the Tactical Strength Challenge which gives me an outlet. In the latest one I placed 7th out of 23 in the 50+ class, pity they don't have a 70+ class.

Part of it is just getting older but year retired from motorcycling. An accident which would be relatively minor with a healthy natural knee could lead to a revision knee replacement and revisions generally don't go as well as the first. On the bright side, I was able to replace the Kawasaki Ninja 1000 with a Mustang Mach 1, so I'm not dead yet.

As DJ would say, "what are your goals for the next 20 or 30 years?"






Steve, I asked him if he knew what the games were and he said yes and described a few events. I showed him the hammer and WFD's as those are the only two I would worry about. He said do them. Now that said, I am getting a brace for the knee for athletic stuff.

as for as Hammer, I am moving to a "Matt Sandford" style as the hammer is way off to the right (Left knee being done) and I won't wear a blade in the Right boot. No reason to get that thing stuck twisting.

As for as WFD, I'm gonna "Yoda" the thing and "hop" vs really digging in and driving. At my age and experience, I don't need much practice. Just some quality sessions then do a game.

Other than the Trap bar, it's Kettlebells, Bodyweight, dumbells, Bands, Sleds, mobility, etc. for me.
 
Brandell69
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Total Posts: 194
Re: TKR 5/27 thought I would ask Advice
05-16-21 05:14 PM - Post#910397    



  • Laree Said:
Watch Mark Reifkind’s TKR talk, then look up his blog going back to his surgery and follow his progress. You’ll be inspired.

https://www.ihmc.us/lectures/20161215/

Then check in with Kelly Starrett, who had a knee replacement more recently and is still writing about his recovery process.

https://www.h-wave.com/blog/total-knee-repla cement-surgery-series-kel ly-starrett-part-1/




Thanks, I can't get the device he is using so Ill have to do it old fashoned. But the sleep and protein intake info was good. I really like Mark and his stuff.
 
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