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Another arthroscopy or TKR

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Topic Title: Another arthroscopy or TKR
Created On: 11/25/2007 09:58 PM

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 11/27/2007 10:26 AM
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kneenofun

Posts: 2

Hi Jeff
Sorry you have such a bad knee as such a young age.

I have had painful OA of the knee for 2 years, tried cortizone shots and Voltaren, not much but some relief. Then I twisted the knee and tore the meniscus this year. Went to a new OS who performed arthroscopy in August and cleaned up the meniscus and scraped out OA and bits and pieces. He also sent me to physical therapy. At one month postop told the doc I never would have thought the knee would feel so much better. It still swells and I have to ice it every day, but continue with the exercises learned in PT.

Doc told me that there is no cartilage left in that knee, it is bone on bone now. I will need a TKR, just depends on how long I can stand the pain. He said that at 50, I am still fairly young to have a TKR.

I am trying everything I can find to prolong time I will have TKR - supplements glucosamine, MSM, chondroitin, ASU, fish oil, natural anti-inflammatory foods, exercise and ice, looking at different braces soon.

Jeff, TKR only last 15 to 25 years, at best. The bone surrounding/supporting the replacement will begin to break down the more, longer, harder you use the knee. You may or may not be able to have only 1 or 2 more replacements before you end up in a wheelchair or, the ultimate last resort, amputation.

Not trying to scare you, and I am not a health professional at all, but my best advice is: get a second or even third opinion, find the best knee surgeon in your area that you can. Do your research - there is lots of info online.

But the final decision rests with you -- how long can you live a quality daily life and how much pain can you tolerate before you have a TKR.

Karen
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 11/25/2007 09:58 PM
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Jeffrey

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Hi beautiful people, My name is Jeff and this is my first time on this forum and thanks to anybody who reads and inputs to this because I am confused and need help...
I had a knee infection out of a surgery that I had when I was a child and due to that, my knee is very athritic. My doctor said my knee is like that of a 90yr old.
Even though he told me that since last year, I didn't really feel any pain in my knee and I was very active at that time.
I am 29yrs old and in July this year, I tore my meniscus which made my knee lock after bending beyond a certain point. After a couple of months, I had an arthroscopy to remove the torn meniscus.Unfortunately, the arthroscopy was not successful because even after sugery, anytime I bend my knee it locks up and hurts for three days and then goes back to normal after icing and rest (typical symptons of a meniscus tear). If I don't bend, I am fine with almost no pain.
When I went back to my OS to tell him my knee is still locking after the arthroscopy (which is what the arthroscopy was for in the first place) he told me my knee is very arthritic so the only option I have now is TKR.
I am confused because I am only 29 and I have almost no pain in the knee as long as I don't bend it beyond a certain point. On x-ray it looks like my knee is 90yrs old but in my day to day activities I am fine.

Should I have the TKR or another arthroscopy to see if the previous arthroscopy didn't take out all the torn meniscus? Your input will be extremely appreciated....Thank you
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