Should I have any concerns? Many patients are concerned that their knees will feel warm in the early days following surgery, swollen and/or pink in the early days following surgery. Ice, anti-inflammatory medication, relaxation techniques before bed, and maybe a gentle sleep aid could be considered in the meantime. I have seen and treated it, but it is rare. I don't know what the future holds for me and the medicals don't care. Your ongoing pain, warmth, and swelling at 15 months from surgery is not normal, however. The likelihood of healing problems after knee replacement surgery varies according to different studies. Read our, Skin Numbness After Knee Replacement Surgery, Meniscectomy: What to Know About Removal of the Meniscus, What to Know About Big Toe Bone Spur Surgery (Cheilectomy), Bunion Surgery: Everything You Need to Know, Complications after total knee replacement surgery, The role of wound healing and its everyday application in plastic surgery: a practical perspective and systematic review, Persistent wound drainage after total joint arthroplasty: a narrative review, Surgical approaches in total knee arthroplasty, Surgical site infections and other postoperative complications following prophylactic anticoagulation in total joint arthroplasty, Large-defect resurfacing: a comparison of skin graft results following sarcoma resection and traumatic injury repair, Acute Wound Complications After Total Knee Arthroplasty: Prevention and Management, Persistent or worsening drainage from the incision, Grey or dusky tissues around the incision, Broken sutures or skin staples that have come out of the scar area. I've have blood work 4 times so far. It is my opinion that because robotic systems allow joint replacement surgeons to do a much better job during surgery, eventually this is the only way they will be done. I went to a desk job can you tell me if that can make my knee less stronger? Now have 136 degrees of flexion and 0 extension, but the knee is so stiff and still aches. You should also be comfortable with the idea of revision knee replacement at some point in the, hopefully, distant future. or consultant just don't want to knowWhat has happened to the duty of care "to do know harm". That knee is great now, about 1-year out. and transmitted securely. https://www.yourorthomd.com/orthopedic-knowledge/metal-sensitivityallergy, I'm 7 months out from a TKR with a LONG history (almost 50 years) of knee surgeries and injuries, including a bout with RSD/CRPS2. This does not mean the MRSA caused your knee to become arthritic. I would appreciate any insights. The relative absence of pain is a very good sign, but I would definitely be concerned with the history you presented, and I recommend close follow-up by her surgeon. What you describe does not sound at all like that. The left knee still hurts alot but aches most of the time. 166170, 2006. 2016 Jul 13;6(7):e011139. Other conditions and medical treatments that can cause skin discoloration include: Bleeding into the skin. I showed him the report that I had tried to get his Nurse Practitioner to pay attention to and he said he was so sorry I had suffered so long. 6- Do your hips rotate normally and symmetrically? I have stents in the ileac arteries which are blocked 30% so infection was always my chief worry. I went back to therapy on Monday at 9 am and did 1/2 hour therapy, by 6:00 pm my upper thigh swelled so bad and I was in so much pain I called the Dr and he said it was bleeding inside around the surgery sight. 2014;9(4):e91755. If you don't take any blood thinning medications or supplements, perhaps your blood clotting factors should be checked. Hospital Discharge within 2 Days Following Total Hip or Knee Arthroplasty Does Not Increase Major-Complication and Readmission Rates. My range of motion is increased a lot. I had both total knee replacements 15 months ago and I have had what I think a slower recovery. My extension was about 0 and flexion up to 116. Not to worry you, but perhaps another opinion is warranted here as it seems you are doing significantly worse than we would normally expect at this stage. Rotator Cuff Authors Mustafa Citak, Thorsten Gehrke, Alaa Aljawabra PMID: 31288910 PMCID: In these situations, you should also seek the advice of a plastic surgeon who can work alongside your orthopedic surgeon to ensure a well-covered, healing surgical scar. In most cases, a Bruising is performed at the site of the incisions. Difficulty sleeping is a common complaint early after knee replacement surgery. doi: 10.1097/01.blo.0000229359.27491.9f. A 74-year-old lady represented to orthopaedic outpatient clinic. I am looking forward to hearing from you soon! The right failed after 6 months and the second repair was deemed sub-optimal because the bone surface was already deteriorating and the they couldnt get the anchors to attach properly. Should I take prescription drugs before bed time? I have a full range of motion (flexion 130, extension 0), but I'm still regularly experiencing significant swelling and discomfort and feel heat most days. You definitely need a second opinion. The replacement benefits was the deformity was resolved and the knee is more stable prior was instability. 157164, 1977. It is common for there to be some healing problems after knee replacement surgery. All of the possible issues I discussed can have a good outcome when handled properly. Knee hot to touch. If you have any concerns, it is best to pursue evaluation prior to any surgery to your satisfaction. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site.
Mayo Clinic Q and A: Pain after knee replacement surgery This Hip Surgery usually treats certain types of hip fractures. Hi, I am a 57 year old M who underwent a Conformis Left knee TKR on February 15th 2022. And had a second knee replacement in the same knee. We would obtain fresh x-rays as well. It is much easier when done as a primary knee replacement, as a non-modular, all polyethylene tibial component could be used. Some of these conditions can be prevented or at least minimized, while others may not be as easy to modify. It is not normal for your knee to hurt "a lot" at this stage of the recovery process. Since then 3 of my fellow co-workers have had the same procedure and they are pain free, no swelling and are can perform normal day to day activities.
Skin necrosis after total knee arthroplasty - PubMed Total knee replacement and health-related quality of life: factors influencing long-term outcomes. A diagnosis of metallosis was made; the patient underwent debridement of the stained soft tissue and primary revision of the prosthesis. Difficulty sleeping in the first couple of months following total knee replacement is a common complaint. Having a lot of trouble getting a good nights sleep. My experience doing MAKO robotic joint replacements is consistent with your experience thus far: quicker recovery, more normal feeling joints due to improved soft tissue balance, less pain, and overall happier patients. I I was progressing well for the first 3-4 weeks but have lingering effusion and hamstring pain and slight limp. 2013 I had TKR: prior to Surgery I informed Surgeon and Preassessment nurse and threatre nurse that I had metal alloy allergies: Unfortunatly I became very poorly. Maybe I am too impatient? I am definitely finding a new surgeon for my other knee. I am 7 1/2 months since TKR of left knee. Glue used for the incision has left a very thin scar which is hardly visible. I'm 8 months into TKR I was doing good swelling down decrease pain and walking pretty good all the sudden my knee felt not as strong and started hurting when I walk. Is the swelling in the front of your leg (kneecap side) or the back of your leg (heel side)? Difficulty sleeping is a common complaint in the first few months following knee replacement surgery. In orthopedics, joint replacement surgery is becoming more common. I will now get a second opinion because I can't live like thisl. It feels like there's something catching and I hear it clicking when I walk. My Blood ion tests showed slightly elevated but very low for a bi-lat replacement. PMC A knee replacement surgery is a surgical procedure that is used to replace a damaged knee, usually because of severe arthritis. His answer was: No problem there, it will go away by itself when I repair the meniscus. Im discouraged with my progress fearing Ill never be the the same. If the incision is draining more than 72 hours after surgery, you should either remain in the hospital for observation or have a very close outpatient follow-up to ensure the wound does continue to heal. Then the knee is manipulated as described above. J Clin Orthop Trauma. Bruises can cause skin discoloration, swelling, and tenderness, in addition to bleeding or contusions. Knee replacement rehabilitation is really a race between regaining range of motion and developing scar tissue that restricts motion. However, Arthritis is the most common reason, leading to the requirement of the Hip Joint Replacement Surgery. https://www.yourorthomd.com/orthopedic-knowledge/metal-sensitivityallergy I know that warmth is normal. She had undergone a left total knee replacement six years previously with a metal-backed implant to resurface her patella. Home health reported my issues and they received no answers back either. I would not recommend a surgical procedure this early. I have had a blotchy look on my upper thigh since my surgery. If this is found aspiration and analysis of this fluid +/- a cortisone injection could be performed. Perhaps prior to this revision you could also be tested for sensitivity to titanium, oxinium (zirconium), and polyethylene- just to make sure some alternative materials will be well tolerated. Just be sure to maintain long duration deep flexion stretching on a daily basis. My hips also hurt along with the other knee. Bethesda, MD 20894, Web Policies MRI of spine was normal, MRI of hip did show chronic bursitis. Physical Examination The patient's right knee showed no skin discoloration, erythema, or hyperalgesia to light touch. My doctor recommend me to put some ice and helps a little bit and I'm also taking prescribed anti-inflammatory drug, but the medicine doesn't help at all. 2013;1(2):34-44. My knees are still warm to the touch and I am often awakened at night with pain. If the trend is not one of gradual improvement, I would recommend re-evaluation by your orthopedic surgeon. You need to discuss the situation with your surgeon, and I would expect they would ask you to come to the office for an in person assessment. If that happens, then tissue necrosis (an area of dead skin tissue) can occur. This is particularly true for people at high risk for healing complications after knee replacement surgery. Strengthening I guess that will go away in time, hopefully faster than not. I had a meniscus repair on 11/5/19 and now the end of the femur is dying. For that reason, ensuring the rapid healing of incisions is critical to the success of knee replacement surgery. 2019 Sep;105(5):949-955. doi: 10.1016/j.otsr.2019.04.012. Active Range Of Motion All of the above being said, this is not the proper forum to address your problem. google-site-verification: googlee8ce9aaf537c901b.html. 452, pp. Could you please comment on this as to whether you think I am right to be tested further for the viruses and metal before I proceed with the knee replacement? 2005 Feb;91(1):51-7. doi: 10.1016/s0035-1040(05)84275-8. By reducing your weight before surgery, you can reduce your chances of being obese. Arthritis The top of the sock come to that area and also am concerned if there is more pressure placed on that area exposed above the sock level that might cause swelling at the knee and on the red area. You should also have some bloodwork done. official website and that any information you provide is encrypted Sometimes i can attribute bad bouts of swelling to increased physical activity (ie a longer hike or bike ride, or standing for too long) but other times it's not clear why I am experiencing the discomfort. During this procedure, 2 tiny incisions are made in the front of the knee and the scar tissue that prevents motions is severed. Six months is the average time required for knee replacement surgery to heal. Metallosis Presenting as Knee Pain 26 years after Primary Total Knee Arthroplasty. Thigh pain could also be a result of lumbar spinal stenosis. I just wrote a new blog post discussing this issue further, and have a bibliography attached beneath the article. If both of those issues are ruled out, it sounds like RSD (reflex sympathetic dystrophy), also known as CRPS (Chronic regional pain syndrome). Epub 2019 Jun 15. At this point I was losing faith in him. To a certain extent, it may always be a bit larger in circumference due to scar tissue that forms after surgery.