Knee replacement ?’s...

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4/25/2020 10:40 PM

49, left knee bone on bone (old injury in 92 femur break, pcl replaced, loose knee back in 92, years of abuse) always swollen, hurts, tired of the pain and limping around for the last two years. Tried gel shots, prp, didn’t work for me. Been putting off tkr in fear of no more moto. I think it’s time. Did a search, a lot of guys here talked about getting tkr’s around 2012, curious how it turned out? Or more recent tkr’s. Still able to ride? New knee(s) holding up? Thanks in advance for +\- replies.

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4/25/2020 10:56 PM

Im very sorry but i can't help you. But it must be very hard not being able to ride because of the fucking knee. I hope you get that replaced and jump back on your dirtbike asap.

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rarararaataatatatata

4/25/2020 11:19 PM

I had mine replaced a year and a half ago and I honestly haven’t even thought about it for about a year, I run in the street, ride etc no issues, felt the best it has ever felt in my opinion. It may vary with age? I’m 36

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4/26/2020 6:16 AM

I had an MRI last week and it looks like I am going down the knee replacement road myself..

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4/26/2020 6:35 AM

blockhead17 wrote:

I had mine replaced a year and a half ago and I honestly haven’t even thought about it for about a year, I run in the street, ...more

Just curious, but what did you do to your knee to get a tkr at that age? Shattered my tib plateau 10+years ago. In need of one but my ortho suggests waiting as long as possible. Meanwhile this things fucked and bugs me on the regular. Im 39.

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4/26/2020 7:02 AM

Get more than one opinion. Im 2.5 weeks out from my 3rd knee surgery. My previous surgeon, did the first 2, wanted to do a replacement. Get it over with. Surgeon i ended up going with did a complete rebuild. New ACL, new LCL, new MCL, PCL repair, meniscus repair, it was split in 2 and folded over. Tibia and femur plateau's broken off. I did this Feb16 of this year. Had the surgery April9. Was walking April13 in a lockout brace. Walking unlocked for the last week, riding my bike on my trainer at home and will be going full weight bearing this coming week. Started light weight leg curls and squats this past week.

It all depends on who you perform the surgery and how good your PT team is. Im less than 3 weeks post surgery and barely feel like i had it done.

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4/26/2020 11:08 AM

Be aware there are many factors, and no matter how much homework you do, the outcome is never guaranteed.

I had my left leg done in December 2016, and the right should have been done two weeks after the first operation, but due to insurance issues, it was 5 weeks after, January 2017.

I went with a doctor that does 300 knees per year, has a great reputation and I loved working with his PA.

A millisecond after waking up, I knew it was one and done, the pain was off the charts and it felt like someone cut my leg off. Oh, yes, they actually did do that. Thankfully the recovery room nurse knew exactly what to do and in 15 seconds I asked her to marry me. Luckily she has heard this a million times and my wife was not there. Turns out the anesthesiologist did not give me enough pain meds after the surgery. I was walking 20 minutes later with my hospital PT. Home PT was about 3 weeks and then out patient PT. I had already found an outstanding PT (the other half of the battle). If your PT is clueless or lazy, your recovery will suffer.

So, five weeks after the first knee getting done. I was running around like a monkey and thinking this is too easy. And here is where it took an evil turn.

Second surgery and no pain, and same story. walking 20 minutes after being released from the recovery room. 3 weeks home PT and out patient afterwards. Yet, for some reason, I am in much pain trying to stand up from a sitting position. I have good flexion, I can walk without pain now (of course they do not tell you anything about NOT being able to kneel ever again). So, I tell my doctor and this knucklehead indicates I am just being a baby and any pain is from the incision. No, I have had three knee surgeries, tore my nose off my face mountain biking in the snow, blew my chin open to the bone crashing during a night ride, I know what pain incision pain is and what is "other pain". So, I left thinking I would have this pain for the rest of my life and I need to work around it somehow.

Bought a tall seat kit for my 2013 KTM 350, sold my beloved Mtn Bike and a vintage bike to get an Ebike to help me regain strength, and still, I felt fucked. But I wanted to ride. The KTM was ok as I just slid way back on the seat and rotated to a standing position. Could not even ride my Ebike all through 2017-2018. Finally after another year passed I went back to the doctor at my PT insistence and lo and behold, they sang a different tune. I had tendinitis of the patella tendon. NO SHIT. 6 weeks of specific therapy and and my world was a completely different place. Unfortunately, atrophy set in and my comeback is way behind. I am very lucky to have a friend with a private track that is more 1980 GP than 2020 SX. But any time I tried to go to any other track, I still would have a hard time getting out of the seat for jumps right after turns. Given enough time I can stand up, but I cannot jump up from sitting to standing. I was ready to go sign up for a gym to do leg work to get back to normal, but I started a new job in Dec of 2019 and knew by March 1, 2020 my new schedule after training for this new position would allow me a ton of time to work out.....................COVID-19 sad

1) No matter what doctor you finally choose ( I went with what all my research said was a top rated doctor) that your results will be YOUR results. Do not look to heavily at any one person's experiences.
2) If your doctor acts like a god, move on, he is most likely a dick and will not listen, as in my case, that pushed back my full recovery by over a year.
3) ASK what you can not do after the replacement. Some is good advice, other stuff, not so much, and push for full disclosure.
4) If I could go back in time and do ONE thing over, it would be to wait for at least one year between knees. I think I would have recovered faster with one god given knee helping the new knee as I felt great after five weeks. After the second knee, I was back to zero as I did not have a leg to stand on (so to speak).
5) I have spoken to many people that had super successful double knee replacements, and no issues and a better life right away. I am relating my story so you know, shit can go sideways.

Finally, am I better off, most definitely. The pain pre-replacement was just stupid. I could not walk the dog around the block. I could ride better, but I would be in pain all week. and generally, it sucked to do most anything. And sleeping was a nightmare pre-knee replacement. If I moved the wrong way, I was screwed for the rest of the night.

Opps, now is finally. I had recently been told, if you damage the replacement knee and bone to the point they cannot replace your knee again, the only option is amputation. Yep, cut that sucker right off.

Do your homework and good luck.

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4/26/2020 11:39 AM

Had both of mine done in '11 at 45 and after years of agony it was a god send. Best decision l ever made.

I rode in between the first surgery and the second and was riding again about four months after second surgery. The only complaint l had post surgery was the limited ROM of the implant. I could no longer sit on my heels and it made some stuff l do a little more difficult and l still struggle to get my legs under me surfing too. All in all though l recommend it to anyone who asks. Being pain free is life changing.

Good doc and do your PT, they went much easier after the implants than after ACL replacement, and you'll fine.

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4/26/2020 3:51 PM

Had my left replaced almost 2 years ago. I had a bad reaction to anesthesiology but I didn't have any over the top pain issues. I quit around clock the opioids after 2 days and used tylenol during the day and the good stuff at night. after about 10 days I quit them altogether except for a couple times after PT. I got all my flexibility back real fast. I never had aggravated pain IN my knee from PT. I ride and it has never bothered me riding. I've done a few foot drags where my leg gets whipped around into the swingarm and it has been good. It's was little unnerving the first time I fell on that side and I took a huge digger in Colorado but never felt a thing in my knee. I have a little funkiness coming down stairs but it's probably some thing I have to work on.
You are in that place where your knee pain effects your quality of life. Some days I couldn't walk 40' to my mailbox. It would wake me in pain at night. If you get this surgery, you will wonder why you waited. I did. The biggest tip I would give you is to find a PT that works with athletes and will whip you accordingly. You don't want that PT that thinks being able to get off the shitter is good enough.

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The older I get, the faster I was.

4/26/2020 4:08 PM

Every older guy I meet that has a knee replacement says they’re good as new and they have no issues with a replacement knee

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4/26/2020 4:48 PM

captmoto wrote:

Had my left replaced almost 2 years ago. I had a bad reaction to anesthesiology but I didn't have any over the top pain ...more

I cant stress enough how important a good PT group is. Find a sports based group and let them know you ride moto. They will accomodate accordingly. Im lucky enough to have Seth Enslow's sister as one of my therapists lol. Shes a badass and she knows what i need to be able to ride

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4/26/2020 5:19 PM

blockhead17 wrote:

I had mine replaced a year and a half ago and I honestly haven’t even thought about it for about a year, I run in the street, ...more

Dirtydeeds wrote:

Just curious, but what did you do to your knee to get a tkr at that age? Shattered my tib plateau 10+years ago. In need of one ...more

Dirtydeeds, I would search a other ortho. When you have a lot of pain now then a replacement is a good idea. Because of a genetic disorder I've got a hip replacement when I was 18 and a knee replacement when I was 20. Is that ideal? No but because the technology is continue evolving, you can get one now who can be used for 15 years at minimum and 25 years at max. (that means that you are 55/65) then they can lengthen his lifespan with a revisions with 10 year and probably even more towards 15 year and they can do that twice if I'm not mistaken (its been a while since I've seen my doc.) So that means 55 + 10 + 10 that is 75 year old and that can be also 80 years and older. Then again we don't know how future science will evolve, I mean one of my medics is working to create artificial joints from Bone, cartilage... The first one he wants to create is the thump because that is a small one and easy to get stabilized. But just to say that maybe in 10 years time we can go to the hospital to get rid of that metal knee/hip and they fill that gap with a real one again.

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4/26/2020 8:53 PM

blockhead17 wrote:

I had mine replaced a year and a half ago and I honestly haven’t even thought about it for about a year, I run in the street, ...more

Wait, you’re running on it?? How many years are they telling you it will last? I’ll be needing one in the next 10-20 years.

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4/26/2020 10:20 PM

blockhead17 wrote:

I had mine replaced a year and a half ago and I honestly haven’t even thought about it for about a year, I run in the street, ...more

dpingree101 wrote:

Wait, you’re running on it?? How many years are they telling you it will last? I’ll be needing one in the next 10-20 years.

The only absolute my doc put on me was running on it. If I was your doc I would have serious concerns. They are pretty much lifetime knees but you need to play by some different rules.

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The older I get, the faster I was.

4/26/2020 10:23 PM
Edited Date/Time: 4/26/2020 10:24 PM

mister2dt wrote:

I cant stress enough how important a good PT group is. Find a sports based group and let them know you ride moto. They will ...more

Some people from SoCal will remember the Mace brothers. They did PT where I did. The only thing my PT said was he wanted me to wait and build up some more strength. I ran out of insurance visits so I started riding in August of 18. My surgery was on May 9, 2018.

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The older I get, the faster I was.

4/27/2020 9:21 AM

Mossy wrote:

Every older guy I meet that has a knee replacement says they’re good as new and they have no issues with a replacement knee

I unfortunately know and have spoken to people that have had issues, even as far as having to have another doctor remove and change out a poorly installed knee a year after it was installed. This is still not a slam dunk operation.

That said, these knee replacement surgeries are wildly successful for he most part. Follow the advice of doing your homework on the doctor you want to use and get a great PT from a sports oriented facility and the chances of success go right up.

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4/27/2020 9:41 AM

dpingree101 wrote:

Wait, you’re running on it?? How many years are they telling you it will last? I’ll be needing one in the next 10-20 years.

My doctor said to not run with my knees. My PA said that my knees (Zimmer) should last 30 years, 20 if I run as they will wear out
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If I was looking at new knees in 10-20, then anything you read here Ping will be laughable at that time. If it was a 5 year window, perhaps this thread might still be relevant.

I was 60 when I got my new knees, I wanted (needed) them at 50. The insurance company denied me stating I was too young based on the life expectancy of the replacement knees manufactured in 2008. sad

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