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3-Days in on my left TKR......had it done on Monday 11-6-23 @ 7 AM
The pain and inflammation are now in full force........had the right knee done 1-year ago.
At this point PT sucks because of the pain, but you got to keep pushing forward.

Doctor stopped in after the surgery and we talked, said it was worse than the X-rays and MRI indicated.
Glad I got them done now under my wife's Medtronic insurance and while I'm still "relatively young"

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3-Days in on my left TKR......had it done on Monday 11-6-23 @ 7 AM
The pain and inflammation are now in full force........had the right knee done 1-year ago.
At this point PT sucks because of the pain, but you got to keep pushing forward.

Doctor stopped in after the surgery and we talked, said it was worse than the X-rays and MRI indicated.
Glad I got them done now under my wife's Medtronic insurance and while I'm still "relatively young"

View attachment 435621
Good luck my friend. Heal quickly.
 
3-Days in on my left TKR......had it done on Monday 11-6-23 @ 7 AM
The pain and inflammation are now in full force........had the right knee done 1-year ago.
At this point PT sucks because of the pain, but you got to keep pushing forward.

Doctor stopped in after the surgery and we talked, said it was worse than the X-rays and MRI indicated.
Glad I got them done now under my wife's Medtronic insurance and while I'm still "relatively young"

View attachment 435621
I'm not wishing you luck. As you and I KNOW, 'luck' has almost nothing to do with it. If you're surgery was successful, and I'm assuming from your post it was, what I want from you is rehab. It's not a 'wish.'

YOU control it. Period. No excuses. one HAS TO attack it or you face the consequences. Ask me how I KNOW this. And I don't mean JUST my personal experiences. I've been around ball players ( hoops ) my entire life.

I want for you a grea rehab. Did they recommend 3X a week ?? Laughable. You have to rehab ..................basically ALL day, EVERY day. Yes.
 
Make sure you do the exercises they gave you to do. It will get better. If your insurance allows PT at the office and not Home PT, get it at the office. Much better. Ice is your friend after the surgery for the first 2 weeks or so.
 
Make sure you do the exercises they gave you to do. It will get better. If your insurance allows PT at the office and not Home PT, get it at the office. Much better. Ice is your friend after the surgery for the first 2 weeks or so.
I did both knees as part of the Twin Cities Orthopedic (TCO) Excel program........it's an awesome way to get it done if you can and qualify.
You need to be approved for this by your surgeon.......which means you are otherwise in good physical health, not overweight and have no underlying medical conditions.

The great part is the overnight stay (or 2-day stay as necessary) is in a suite with a dedicated nurse, meals, PT, shirts/sweats/walker/cane and any other care or items needed.
You pay one flat fee for EVERYTHING....includes surgery, anesthesia, suite stay, all followup in-person physical therapy sessions, and office visits for up to 90-days following surgery.

Insurance pays their normal coverage percentage and then the patient pays what they owe in one lump sum transaction, 1-week before surgery.
Very nice setup......makes the whole deal easier for the patient.
 
Discussion starter · #133 ·
Just a PSA for anyone contemplating a TKR (or any surgery that involves an implant). If your surgeon, as part of pre-surgery protocol, does not mandate dental clearance, go ahead and get it on your own. Many of us have bacteria in the mouth, but normally harmless because our body successfully fights against it. But when a foreign object is implanted, any and all bacteria are drawn to it like a magnet, and the result is infection at the location, and can also spread throughout the body. This only happens in .5 to 1 percent of surgeries, but is a nightmare that can lead to amputation, or even death.

I'd think dental clearance is mandatory, and no surgeon would even consider the operation without it, but not so. Everyone I know who's had a TKR was required dental clearance, which often required dental work (and time to heal) before the dentist would sign off. That is, all but one person I know. His surgeon did not even mention a dentist, and 2-3 weeks post surgery, bacterial infection set in. It's difficult to know the bacteria source, but he's the only person I know who got infected, and happens to be the only one who did not get dental clearance. Just a heads up.
 
Just a PSA for anyone contemplating a TKR (or any surgery that involves an implant). If your surgeon, as part of pre-surgery protocol, does not mandate dental clearance, go ahead and get it on your own. Many of us have bacteria in the mouth, but normally harmless because our body successfully fights against it. But when a foreign object is implanted, any and all bacteria are drawn to it like a magnet, and the result is infection at the location, and can also spread throughout the body. This only happens in .5 to 1 percent of surgeries, but is a nightmare that can lead to amputation, or even death.

I'd think dental clearance is mandatory, and no surgeon would even consider the operation without it, but not so. Everyone I know who's had a TKR was required dental clearance, which often required dental work (and time to heal) before the dentist would sign off. That is, all but one person I know. His surgeon did not even mention a dentist, and 2-3 weeks post surgery, bacterial infection set in. It's difficult to know the bacteria source, but he's the only person I know who got infected, and happens to be the only one who did not get dental clearance. Just a heads up.
My wife had a TKR and her doctor had dental requirements. Not so much as dental clearance, but he gave her an anti-bacterial prior to her operation and she was restricted from any dental work (cleanings included) for 3 months before and/or after surgery.
 
I still take Amoxicillin before every dental appointment. Probably always will. I just reread Joe's original post about fasting. I probably should have done that too. Our hospital has great food, so I chowed down at every meal. The constipation from the pain meds was the worst part of the whole deal.
 
Just a PSA for anyone contemplating a TKR (or any surgery that involves an implant). If your surgeon, as part of pre-surgery protocol, does not mandate dental clearance, go ahead and get it on your own. Many of us have bacteria in the mouth, but normally harmless because our body successfully fights against it. But when a foreign object is implanted, any and all bacteria are drawn to it like a magnet, and the result is infection at the location, and can also spread throughout the body. This only happens in .5 to 1 percent of surgeries, but is a nightmare that can lead to amputation, or even death.

I'd think dental clearance is mandatory, and no surgeon would even consider the operation without it, but not so. Everyone I know who's had a TKR was required dental clearance, which often required dental work (and time to heal) before the dentist would sign off. That is, all but one person I know. His surgeon did not even mention a dentist, and 2-3 weeks post surgery, bacterial infection set in. It's difficult to know the bacteria source, but he's the only person I know who got infected, and happens to be the only one who did not get dental clearance. Just a heads up.
How is that knee today ?? All healed up ?? You'll likely still have occasional stiffness every now and then due to current inactivity, sitting 'too long,' weather.


# 2 1/2
 
Discussion starter · #137 ·
How is that knee today ?? All healed up ?? You'll likely still have occasional stiffness every now and then due to current inactivity, sitting 'too long,' weather.


# 2 1/2
My TKR is great, only wish I'd done it sooner. It was a family member who got an infection, but he's on the mend. They went back in and scrubbed and scoured everything, then put disinfectant pellets inside, and sewed him back up. Then IV meds every 8 hours, 3x per day, for 6-7 weeks. He is now on oral antibiotics indefinitely. He had the TKR late April, then the complications in May. He had planned to get the second one in a few months, but that's now on pause, and probably not gonna happen.

Doc said, if the above procedure was unsuccessful, they'd remove all hardware, and place a disinfectant sponge block where the knee was, to hopefully kill the infection in a few months, then reinstall new hardware. Meanwhile, he'd have been in a wheelchair, and unable to even stand. We seldom hear of infection with such procedures, but it does happen. Hard to believe the surgeon did not even mention a dentist. That's why I mentioned it here recently.
 
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My Doctor before both left and right TKR surgeries told me no dentist procedures (including cleaning) for 3-months prior and 6-months post operation.......then mega-dose Amoxicillin 2-hours prior to Dentist after that time period.
As mentioned, I think it's a rare occurrence.....but one you don't want to risk. TKR surgeries and recovery suck anyways, you sure don't to risk having to go in again for cleanup or redo.

Doing great after my 2 replacements..........well worth the efforts for sure.
 
My TKR is great, only wish I'd done it sooner. It was a family member who got an infection, but he's on the mend. They went back in and scrubbed and scoured everything, then put disinfectant pellets inside, and sewed him back up. Then IV meds every 8 hours, 3x per day, for 6-7 weeks. He is now on oral antibiotics indefinitely. He had the TKR late April, then the complications in May. He had planned to get the second one in a few months, but that's now on pause, and probably not gonna happen.

Doc said, if the above procedure was unsuccessful, they'd remove all hardware, and place a disinfectant sponge block where the knee was, to hopefully kill the infection in a few months, then reinstall new hardware. Meanwhile, he'd have been in a wheelchair, and unable to even stand. We seldom hear of infection with such procedures, but it does happen. Hard to believe the surgeon did not even mention a dentist. That's why I mentioned it here recently.

Yikes. Of course complications and/or mistakes happen. We could back and forth all day with stories. But, it's not really THAT connected to this site. Maybe a bit.

Anyway.............true. I've had both knees replaced after 14 prior surgeries on my knees. ALL basketball related. Did I stop playing ?? Of course NOT !!!!! The dental thing................I was also placed on antibiotics for the rest of my LIFE for EVERY dental visit. I'm a fact based guy. My deduction based on FACT. They ALWAYS ask me 'did you take your antibiotics ?" I ALWAYS say yes...........even though I haven't taken them. It's been just about 20 years now. MY FACT based thinking........................if it REALLY WAS THAT important, they would administer it to the patient in front of them. Yes. Not just take the patient's word for it. If it was THAT IMPORTANT/VITAL, they would not take someone's word for it. Of course.

In my case, I don't take the antibiotic because MOST of the time in the beginning when I told them I forgot, ( legitimately ) I'd have to go take them right then and there...................and then wait another hour for them to take effect. I didn't wanna wait. You can see from all my previous posts how busy and important I am. ;););)

Glad you're knee is much better.

# 2 1/2
 
Today is day 14 since (left) total knee replacement (TKR). I followed surgery prep instructions diligently, except did not drink a sports drink a few hours prior. I was told I'd be there several hours, so would need 'nourishment' the sports drink would provide. Instead, I drank a zero calorie electrolyte mix. I was also allowed to eat up to 8 hours prior to surgery, but I stopped 32 hours prior, and continued to fast afterward, a total of 72 hours. After that, I ate one light meal per day for the next 4 days. My thinking, was to keep the digestive system empty so the body could focus on healing. Day after surgery was the worst, it felt like I'd been ran over by a truck. But next day I began feeling better, and an exercise bicycle was delivered, per doc's order, and I logged all five, 12 minute sessions that day, and every day since. On day 3 post surgery, I began PT at a nearby facility, 3x per week. On day 4, I set the walker aside and stopped the pain pills. The physical therapist recently said I am doing well, and most TKR patients are still using walker or cane at 3 weeks, so that was encouraging. I am also continuing PT at home for my left shoulder, and range of motion is good as new.

On day 5, I sat on both motorcycles (GL1800 and BMW Airhead) and, with effort, could get my foot on the floor board / foot peg, albeit with much pain; day 6 it was easier, but painful; day 7, pain was more tolerable; day 8, pain was much less, and I could operate the shifter, so I rode the GooldWing about 75 miles, and have ridden both bikes a collective total of about 400 miles since.
While riding, I constantly exercise the knee, alternating foot position on the peg/floorboard, for more/less knee flex. I also use the highway pegs to straighten the knee some and do 'foot pumps'. I also often hook my heel over the highway peg and pull the leg forward, for max straightness of the knee.

No regrets on the surgery, I pray for continued improvement, and getting fully back into the swing of life, which includes riding motorcycles. Hope to see y'all on the road!
I had my surgery 10/15/23. Just getting better walking/exercising. In the meantime I had bike triked. CSC. Haven’t been on it yet.
 
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