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Knee Replacement Surgery, and Riding Afterward
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I think in the future robotics will be more the case but for now they only use it for obese or bad destruction of the knee. Lot of doctors can't afford the it yet but this year more and more invasive TKR clinics are advertising. In DFW only one clinic 2 yrs ago did it for a cash cost of 12K but that has changed. Some private insurance will pay to travel to another town but its rare. I don't think Medicare would cover invasive TKR but maybe wrong since I'm on company advantage plan. To get the muscle sparing technique you got to be age and weight appropriate and able to do the therapy. Doctors don't do acl reconstructive surgery on anyone over 50 but cause I was in shape and dirt biking he agreed to do it. If you can't prove you are willing to work thru it....you will get the standard procedure. That to may change in the future. The muscle sparing was developed by an athlete that had a double TKR and worked at JNJ. Know alot of people have TKR because of the pain even though they are not bone to bone. I know of several doctors doing this and it seems to work well and makes complete sense as well but not covered on insurance Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: The Why and the How - PubMed
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This was the original document that went out to employees.
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Brian
have not tried kneeling yet... still working through the process
however I did get a pretty good set of gel kneepads
one I wear in the shop as I am trying to avoid banging my knee (can be a bit touchy)
the other is as I progress, it will likely use it at least initially in kneeling
best wishes on continued recovery
bryon
Is it possible that that's regional? Here in Los Angeles, robotic knee replacement is now routine.
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As for kneeling, that's the one thing my BIL say he still cannot do, so has learned to swing that leg out sideways when kneeling on the other. He's always been a skinny guy, so still can get up and down on his other knee, apparently. He also said he has kneepads, with a recess in center, and uses those when he has no choice other than to kneel.
As for my experience, so far: about a week ago the wife asked me to massage her back. The way we've always done that is for the one receiving the massage to lay face down on the carpet floor. I never thought anything of it, straddled her, on my knees, and did my duty with the massage. As I was getting up, she asked if it had bothered me knee at all. OOPS, I had forgotten all about the bionic knee till she said that. I did not even notice, then or later. No problem whatsoever. But I do not plan to make a habit of kneeling on that knee, especially on hard surfaces. And will likely buy some kneepads, like my BIL's.
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I just read the attachment and, unless I missed something, it talks about a knee joint he had installed in 2016, that did not require use of cement; nothing about the procedure, or muscle sparring. For sure, mine was cemented, the NP even pointed it out to me in the x-ray. The cement is also visible in post 71, where I posted the x-ray. At least it is for the lower half of the joint.
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no you didn't it was just the knee but they were using soft tissue preservation so if you read the robotic system gets more deeper into the surgery itself. https://www.jnjmedtech.com/en-US/products/digital-surgery/velys-robotic-assisted-solution the article was the first attempt athletes had to stay in the sport that wasn't available.
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I also have a pretty consistent light pop / click in the joint now, with each step I take. I mentioned it to the NP during the 3-week followup, and she said it is normal. She explained, as the plastic piece between the joints (cartilage replacement) wears in to conform with the new hardware, it should lessen or disappear - she said.
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Moral of the story is no matter which system you use ask the doctor what he is doing and research it. Medicare is going to approve the golden product which maybe 60 yrs old. JNJ is always a leader in renovation. I once was referred to a doctor for a herniated disc. The doctor only used old technology cage and screws which would have affected my quality of life at the same time artificial disc have been used for awhile with success. I don't need that yet but be aware. Here's a story of what you can get from new technology. If he can do this then you can ride a wing. https://www.jnjmedtech.com/en-US/patient-stories/knee/george
Can confirm. Mine was very clicky, now almost never. Occasionally, for some reason, it will click for a few minutes. But then it goes away and is gone for months.
EDIT: PS, mine's a Stryker.
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If you need help with the center-stand, there’s a solution available....
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Not sure what brand my hardware is, but they used a Stryker 'zip tie' to stitch the 6" incision with. Actually, no stitches, just a .5" to 1" wide strip of tape on each side of the incision, pulled together with tiny zip ties, about 1/4" apart, top to bottom. After 13 days, I simply pulled the two tape strips off, and the zip ties came off with them. Not a sign of a stitch anywhere, no staple scars or stitching scars. Better living through modern technology.
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The world will be different and the old gold standards will be quickly replaced. This unit has been pushed out 2yrs but its here. Currently my knee condition is treated with Gel injections that last 6 months for the past 4 yrs. Medicare only allows for 2 series but as a benefit they are free. Soon I will have to choose which process I need to go with but babysitting the issue gets old compared to a permanent solution. Every 5 years is something new so who knows. I'm part of endoscopy so I see everything from new medical devices to vaccines. Medical inventions are faster then doctors can peal away from their practice and learn new techniques.
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Nope, same here ... surgery knee is numb and I don't want to kneel down on something that I didn't see and injure it.
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I tried the weekly injections, for 6-8 weeks last year. After the series of injections, it was supposed to then last for 6 months, but was a major disappointment, not even 10 percent improvement. But I also think that paved the way for getting a TKR later, as they could not say try the injections first, as I'd already been there - done that.
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Same here.......tried injections into knee, basically no improvement for me at all.
Got my right TKR 6-months later..........left coming Q4 2023.
They didn't try the injections or anything on me. The Orthopod looked at the xrays and asked how I was still walking. Three bones spurs on the tib/fib, three on the head of the femur, and two on the patella. He said the xrays he'd seen like that, the people were using walkers.
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