I watched one video by a sports medicine doctor that provides that the doctor knows which you need and what he/she is comfortable using for their personal best result. Therefore you should not be too concerned about the what; trust your doctor's experience and skills to determine the which. I take that to mean look more into your doctor's record of satisfied patients than what he's using to produce the satisfying result.
I had my second knee replacement in October. My surgeon was kind enough to replace my painful right knee when I was 55. I thanked him every day after initial recovery because I have had no pain since that surgery. Now that my left knee has been replaced, I am well on the way to no pain in that knee. Thank you for your gift of long hours of education and your commitment to helping us sufferers to relief. I do not take your talents for granted. I love your videos, your information and your sense of humor. Plus, you are both very handsome!
Hi Robin. You are very welcome. So glad we could provide any assistance and so glad to hear that you are doing well. You are too kind. Thanks for watching.
Dartox waiting for my third one any day now. Then I will need my fourth one done ! I got my two knees done together nearly ten years ago so it's time to change them!! Bummer really !!
Old Surgical Tech here guys. The procedure hardware components and glue used in the replacement haven’t changed much since the 90’s. 😊 Love the videos! Keep them coming.
Love watching your videos. I’m trying to get as much information ahead of my knee surgery and I’m finding you guys are all but boring. Straightforward and entertaining. Thank you both for making these videos.
I LOVE your videos! Am on a list for knee replacement and am quite nervous. Had loads of difficulty surgeries in my life, but for some reason this one has me worked up. Thank you SO much for what you do!
Wish I had found your channel months ago! I have needed a knee replacement for a few years and have put it off mainly because of anxiety related to the unknown I suppose. Didn’t personally know anyone that had one. So I had the surgery last week. I have an excellent physician but I find out more helpful info and tidbits from your channel. It’s been very helpful. Thanks so much for your helpful videos!
Great video. I've needed knee replacement on both knees for several years but I've been nervous about actually doing it. This video makes me more comfortable about taking the big step.
Hi Gaylene. Thanks so much. So glad we can help make you feel more comfortable. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
Gaylene - Hang tight. Knees recoup faster than shoulders. 2 months on knees, and you’ll be dancing. Just take your Pain pills 30 mins pre-therapy. Shoulder take longer. I’ve had all four replaced. Best move I’ve ever done. I’m ‘81 and still doing the Boogy Woogy dance. Major tip. Use your good leg to Lift the Op leg when getting Out and In Bed. Good lifts bad. It’s like the stairs. Down with the bad, Up with the Good! No falls, less pain. Get an inexpensive 6-pack thermos pouch to attach to your walker with Velcro strips. It carries lots of stuff. I also used a Peddler tied to my TV chair to peddle during the commercials. Keeps your leg moving. When you can, do some backwards. GB, you’ll have a much happier life ahead! DEWinit.
Hi Sven. That is very kind and we are glad to do what we can to help. All the best to you in Germany! Thanks for watching, subscribing and sharing if you did.
I am really gaining confidence and reducing my anxiety as I go in 09.07.23 for my right knee replacement. I have been practicing the after surgery exercises so it will be in my mind and ready to go. Have mentioned you both in my visits to the surgical team, saying your videos need to be part of the UBC/VGH ASAP program. Thanks again and keep up the great work and humour 😊
I really appreciate your videos. I'm getting a TKR in a few days and watching your videos has helped reduce any anxiety that I had. That and because of an engineering background, I kind of geeked out about the process and components used. Keep up the great work Docs!
Had my surgery yesterday and everything is going GREAT. Hospital recently started using a nerve block pump that lasts for approx 3 days. Had my first in house PT today 🤩 Really thanks to your videos I was not nervous at all
I've had both hips replaced about 20 years ago now with at the time a non-FDA approved ceramic hips. Still no problems. I have since had both knees replaced about 3 to 4 years ago now. I still am very active. I walk every day and also belong to a gym. I use the treadmill and work it pretty well. I DO NOT RUN Ever. My first surgeon said I could do anything but not run unless he said my house was on fire. These replacements have saved my life really. I will always stay active and do what I can to be in shape. I know someday 1 or more may need to be redone but so what I am not going to sit around and watch life just pass me by. I owe everything to my great surgeons that have made my life worth living. If you have any hesitation, I would just say, don't , live your life or it will be too late.
@@TalkingWithDocs HI DOCTORS IM IN AUSTRALIA IVE HAD BOTH HIPS REPLACEMENT 2009 AND 2010 IM HAVEING FIRST TOTAL KNEE REPLACEMENT DECEMBER 7TH 2022 I LOVE BOXING TRAINING NO RUNNING OR SKIPPING DUE TO ADVICE MY BIGGEST PROBLEM IS I GOT DOWN TO 86KG NOW 13 YEARS LATER IM 120KG DUE TO LACK OF EXERCISE COVID AND TRT REPLACEMENT IVE PUT ON WEIGHT BIT OF MUSCLE MY QUESTION IS CAN I SIT HIT MY BOXING BAG I JUST DONT STAND THERE AND HIT I HIT IT LIKE IM IN A FIGHT SO IM IN AND OUT CHANGING DIRECTIONS EVERYNOW AND THEN AND MAKEING OUT IM FIGHTING I LOVE IT SO MUCH ITS THE HIGHLIGHT OF MY DSY IM 55 SINGLE HAD LAMINACTOMY ALSO IN BACK OF NECK C456 FUSION IM AN EX PROFESSIONAL BODYBUILDER HEAR IN AUSTRALIA I TOLD MY STORY HEAR ON TV ABOUT HEAVYWEIGHTS ON YOUR JOINTS OVER TIME PLUS THE USE OF STEROIDS I MEAN I LOVE MY WEIGHT TRSINING ALDO BUT HAVE BACKED RIGHT OFF DUE TO JOINTS MORE LIKE A PSD TYPE PROBLEM CSUSEING MAJOR ANXIETY SO CAN I TRAIN LIKE A PROFESSIONAL BOXER LIKE I HAVE BEEN FOR THD LAST 5 YESRS ALSO HAD 2 SHOULDER RECONS ON RIGHT SHOULDER THANKYOU
I am scheduled for my knee replacement in two weeks. Although I complete trust my doctor and have confidence that the surgery will go well I have been wondering about what goes into the knee replacement. I have heard many stories and had to look for myself. I'm glad I came across your videos and watched intently. I'm still watching as many as I can before going under. Thank you for taking the time to make these available.
HI Thomas. So glad you found us too! Best of luck to you in a couple of weeks. Glad we can help get you prepared in any small way. Thanks for watching, subscribing and sharing if you did.
Thank you. My mom just finished her first one. I really had no clue what all went into it and figured I should find out. I wasn’t able to attend her class before surgery.
In two weeks I will be getting a Stryker Triathlon knee and the surgeon will be using the Mako Robotic Arm. I am really looking forward to having a better life. I am really enjoying the videos, thank you!
I had my left knee replaced at The Einstein Hospital of the Montefiore Network in 2014, Bronx, NY. The surgeon was Dr. Evan Schwechter, and he was brilliant. So brilliant, in fact, I recommend him whenever I can. I'm sure you guys are great, as well.
I had a total hip replacement this year, 2/24/2020. Prior to that I had watched ALL your videos and now I am doing GREAT. BUT, I enjoyed your videos so much, I am still watching when a new one is posted. This one "Knee Replacement Imlants" was so interesting to me I figured "Hmmm I am almost 75 and still have my ORIGINAL KNEES so who knows, that might be next." MANY MANY years ago I was an engineer, so I am fascinated with the materials used now. Thank you sooo much for your videos.
Hi John. Thanks for being such a loyal subscriber. The engineer in you keeps you searching for more info. That is awesome. Glad to hear we could help in any small way and that you are doing so well. Continued good health to you.
Thank you so much for these informative videos. I am 68 with bilateral arthritis in my knees in all 3 compartments. Anti inflammatories do help but clearly the arthritic changes are still there. I have talked to several excellent surgeons here in Asheville, and am going back and forth about both knees vs. one knee. Your videos are definitely a wonderful resource. And I love your humor and back and forth bantering......
Thank you both for doing these down-to-earth and honest videos. I've watched most of them whilst waiting for my TKR surgery to be done any day soon (I hope) after many years of pain having had my deformed lateral meniscus totally removed when I was 18 in 1973 (that's what they did back then) and an arthroscopy in 1992 on the same knee to repair behind the patella. I am now almost 68 after finally getting the go-ahead for the TKR a year ago (I live in the UK) and having 2 ops cancelled. I know it's going to be painful but I feel so much more reassured after watching your videos. You have addressed all my concerns: spinal anaesthesia, awareness during the surgery, pre and post op exercises, kneeling, showering, using a walker, stairs...the list goes on. Keep up the good work!
I couldn’t help but notice that you two surgeons respond to every comment. I just subscribed, you earned it! How very conscientious of you! We need a lot more of that type of humanity here in the states. I am 48. Two years ago I sustained a serious knee injury and had surgery under the Medicaid system. The doctor did not address my 60% ACL tear but did manage to remove 80% of my medial meniscus. It took him 1 hour and 40 min. I haven’t been able to walk since. Furthermore, when I ask for a TKR, the doctor just laughs and says I’ll have to wait until I’m 60. I can’t exist like this much longer. I wish my father had never immigrated to the U.S. If I could, I would take up Canadian citizenship and find a way to have you two surgeons perform the TKR. I don’t think I’m going to make it! I need some type of handbook to relieve this miserable existence. Long live Canada!
Hi carlorocky. Yes we do respond to every comment. Sorry to hear about your difficult time. A couple options before total knee depending on how the payment stuff works down there would be injections (either cortisone and/or hyaluronic acid) or custom unloaded bracing. There is no specific age we wait for. All patients should wait as long as they can but that is different for everyone. We wish you the best of luck. Keep in touch. And thanks for watching and subscribing
Thanks Docs. Actually I could watch your videos all day. I appreciate your video n information. I had quite an arrogant surgeon, who didn’t explain the procedure n kept me waiting over 8 years before performing it. Admittedly I was only 55 when I had it done in April this year, but I had been suffering since the age of 17, when I was involved in a rtc. Anyway it’s done now n I don’t need my walking stick, life is pretty dam good laugh out loud xx
I am having total knee October 3. The Surgeon is using Mako Robotic surgery. Thank you for such great information. Definitely helps my mind going in to this. I am 66 and an active golfer. Hoping to get back at it as soon as possible after surgery, planning to play right up till .
I had a full ACL repair in 89 by Pete Fowler, and a HTO by Willets in 2018, with a few meniscus repairs prior to and subsequent from the ACL repair. A TKR is likely in my future. I am enjoying your videos, very educational. ThNk you for doing these, and keep up the great work.
Thanks so much John. Dr Fowler was a real pioneer in orthopaedics and the pride of Western. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Hi Willow. We do our best to get the information out there and try to keep it somewhat entertaining. Thanks for the kind words and good luck pushing off your TKR! Thanks for watching.
I had them both done one at a time ! It’s a difficult surgery depends on each person make sure you do PT & lot of ice I had a good doctor thank goodness
I had a high tibial osteotomy in 2012 at age 46 to put off a knee replacement (goal was age 60). Healing failed and it was repeated. I limped along (literally 🙂) for 10 years and at age 56 had a total knee. Three weeks into healing, MCL ruptured and back to surgery for total knee replacement replacement. Now I have a SOLID knee and only the LCL left. I am working through some significant leg length differences but am so happy after this 7th knee surgery 😃.
Hi PhysioTeach. There are many factors to consider. Often a complete ACL tear will require reconstruction for stability. The meniscus will be treated if painful. Often the PcL is left alone. It really depends. Thanks for watching and subscribing
You misunderstood i try to know when your are doing knee replacement will you remove all the ligments from the attachments doctor or you follow any other procedure
Where I live the surgeon didn't explain anything. It was almost like it was none of my business. But he did say that I have extraordinarily hard bone and drilling took a long time. I put this down to free school milk from age 5 to 16. I'm glad that I had it done. Much reduced pain and increased mobility. My walking stick has been idle since... but don't expect too much. Thanks for this video.
Surgery in 10 days! Nervous, but your video really helped me with new questions for my surgeon. This is my 7th surgery in 40+ yrs on this knee and hopefully it's the LAST! Lol. Thank you!!
I'm 63 and had left knee replaced August 2nd and the right one Nov 12th Everything described here is really how it worked for me. The first one which was in worse shape healed quickly I was playing golf after 10 weeks. So i had a 3 week window before the second knee. The right one seamed to take longer to heal I am still working on flexibility but able to walk and returning to work January 24th. I probably waited 10 years to get this done but with the modern tech I am glad I did, my surgeon used auto alignment tool which I'm guessing is similar to the robot. If you are in pain like I was get it done!!! Over all I am very pleased and pain free.
Hi gilberte. Glad to hear you are doing well and yes, Canadians are blessed with universal health care. Thanks for watching and subscribing if you did.
I just turned 47 on January 23rd and i had a right knee replacement on December 6th , the reason i had to have 1 waa 4yrs ago i had a bad accident to my left ankle i had an open fracture and came very close to loosing my foot. Thank god that didn't happen and my surgeon saved it. So i had to have my knee replaced because i had to put all my weight on my right knee and ended up ruining my knee. But my knee replacement was very successful and thank you for your videos and information.😊✌👍
Hi Ashley Marie. Sorry to hear about your ankle injury but it sounds like you are doing well after your knee surgery. Best of luck going forward in your recovery. Thanks so much for watching our channel.
Refreshing to listen to unbiased MD’s with opinions regarding a multi-million dollar industry. I wish more stem cell therapy than currently available was implemented into the pre medical treatments than replacements, often pushed by some Physicians.
Oh Darn! Mine is Titanium. Done at VA Palo Alto 20 yrs ago in 2004 and I can feel alot of general pain down in my tibia and joint line suddenly and knock my socks off pain near top of tibia when a force is applied to my tibia, like foot caught on carpet, a twist of leg while foot is planted or just bending my knee over a pillow or easy chair foot rest. The femur implant looks similar but tibia implant doesn't have that huge long wide spike. Just 2 cylinder like numbs and inch long ...maybe if that, on inside and outside . Had it done at 49 due to a service "injury" a long time ago in a place far, far away under the sea. Got about 13 to 15 thousand miles hiking thru the sierra Nevada's and currently the High Desert Mts of Southern Utah. I'd say I got my moneys worth. I'll know if I need a new one in a few more days but Ive never felt pain like this in 20 yrs, yes the joint line pain has picked up, but there is defiantly a problem in the tibia, down in the bone away from the joint and my goodness does that hurt. Not once in 20 years until recently have a felt that. My femer also started rotating in the x-plane as well independent of my tibia. There's my 2 cents for how its gone the last 20 yrs, hope that helps you guys to evaluate other oldies. Great stuff, thank you
Hi Wiz Waz. We would love to have a tv show. Maybe one that you could call into. If you have any connections send them our way! Thanks for the positive feedback. Stay safe. Thanks for watching and subscribing if you did.
Thank you for the response. I am 10 weeks post op and everything you have gone over has been spot on. Your fun presentations are what makes it a pleasure to watch.
I went to a private Clinic in Lithuania for the left (1st) knee replacement. I was given a choice of two Brands "Persona" and another. Persona cost 4K Euros plus operation at about another 4K Euros for the operation. From the quote the Persona came in more sizes than any other brand of knee implant hence I chose it. I was also informed the persona came with more cutting guides/templates than others. For my right knee (2nd implant) It was carried out in a private hospital paid for by the NHS. In fact the operation was carried out by the same orthopedic consultant I saw in Salisbury NHS hospital. And he worked full time for the NHS but still had days off during the working week to operate and consult in a private hospital?? I was given no choice in what knee implant was being installed it was a case I am use to this one and you will get it. Is there any advantage of having one brand of knee implant over another? In the UK there is no advertising stating "We install xxx Knee implant" Hence looking around for a persona installer was not practical for my right knee. Just for uniformity I would have liked the same brand in both knees. Oh well it's done now just finishing 7 days after the right knee replacement.
Great info regarding knee replacement surgery. I just got my brand new knee yesterday! I'm feeling pretty rough right now but I'm trying to manage pain meds, ice, & walking in 10 minutes intervals every hour during the day but the swelling is a bit of a problem. So I'm telling myself that this was major surgery & to take it easy of which is conflicting with my "go getter" personality. 😖
Congrats Kim on surgery yesterday! That is awesome news. Now the hard work starts. Best of luck during your ongoing recovery. Thanks for watching, subscribing and sharing if you did.
Thanks docs! I really love you twos. 💖this video really helps me out just in case if I would need to get a knee or hip replacement in the future who knows. Keep up the great work 😊
Is there a way to tell if my implant is the wrong size. Are there any signs or problems that might indicate if you were given to large of a replacement. Thx
Hi Dominick. Usually you could see if the implant is too big on xray. Symptoms are very non specific like pain and swelling and stiffness but many knee replacements have these issues. Thanks for watching.
Loved this video, covered all of my questions. My surgery is coming rapidly and any accurate information I can get that makes this procedure easier for me to
I have been watching your videos regarding knee replacement surgery. I am 58 and have recently started having major pain and issues with one of my knees. The orthopedic surgeon I went to said that I had a torn meniscus, a baker's cyst & arthritis to the degree that I was "bone on bone" in places, specifically where the torn meniscus was located. He said I was not a candidate for arthroscopic surgery to repair the torn meniscus because of the likelihood of the procedure turning into a full knee replacement during the procedure because of the arthritis/bone on bone situation. He said I was looking at a total knee replacement in about 5 years. My question is why make me wait 5 yrs for a knee replacement if I'm in pain and limited mobility now. If a knee replacement has become such a "routine" procedure these days, why didn't my doctor think it was a procedure I should have done to my knee. Everyone I've talked to that has had a knee replacement surgery has said they wished they had done it sooner. Thank you for your insight!
Hi Jenny. The timing is up to the patient really based on pain. Ideally patients should wait as long as they can to increase their chance of satisfaction. Best of luck with your decision. Thanks for watching and subscribing
Thank you both for your knowledge and humour. I have watched many of your videos which have been exceptionally informative and easy to watch. I am 5 days post TKR and have just viewed the video 'what do they look like', I had a titanium replacement....should I be concerned? Pushing through the pain with physio with you 2 'cheerleaders' onside and hoping to get my life back after 4 years of misery.
Hi Liz. Don’t be concerned. Your implants are likely same as all the others. Keep up the hard work and so glad we can be on this journey with you. Thanks for watching and subscribing
I am scheduled for a knee replacement next month, and I have been hearing about Cobalt poisoning and metal shedding. I have not asked my ortho what materials he uses. Should I be concerned about this?
Great video, thanks! Very easy to see how this works. The question I would have now is how in the world does the doctor get his hands and tools into this area being that there are muscles, tendons, ligaments, nerves... Insane. Are things like tendons cut and then resewn when the replacement occurs?
Hi Michael. Sometimes they are retracted. Sometimes cut and resewn. Great question. Watch our total knee surgery video. Thanks for watching and subscribing
@Talking With Docs I had the same question as Michael and the TKR video didn't really answer it. If you ligaments and tendons are healthy isn't there a tkr that does not remove the pcl, acl, and other healthy tissues? Wouldn't keeping those result in a better outcome and less damage. Some of my friends had them removed when they got thier tkr and they now have some lateral instability. Thanks for meal details on the issue of less invasive tkrs and retention of more tissues.
Hey docs can you please make a video about meniscus replacement surgery and talk about some of the outcomes any information would be greatly appreciated!!!
Hi Larry. Meniscus replacement or transplant is an uncommon procedure with somewhat unpredictable results. The main difficulty is that the blood supply in this area is not ideal so it prevents tears from healing and complicates any potential transplant. This is certainly still being investigated as an option and done in unique circumstances but is not a routine treatment. Thanks for watching.
No rorie we do not have a specific limit. There is recent research that showed patients with a BMI greater than 40 have more complications so this is a good target. As low as possible is the best answer. Thanks for watching and subscribing
I had TKR 23 months ago. Continue to have pain in the knee. Performing surgeon says everything is fine, everything is tight and it sometimes takes 2, 3 or even 4 years to heal. This statement was made after viewing same day x-ray. Never put a hand on my knee. Last week I saw a different orthopedist Dr. , referred by my PCP.After exam, he said, you have 2 choices, live with the pain or have revision surgery. Using different brand of components. Obviously I'm not happy. Should I get a second 2nd opinion.
Hi Jack. Sorry to hear this. Some knee replacements look ok but feel bad for a host of reasons some of which are not known. Sometimes a revision can help but there is no guarantee. Another opinion is worthwhile. Best of luck
I have had both knees replaced with Stryker Triathlon Implants 3 yrs post in 9/24 19..I talked with my surgeon alot about my job, as I was still working & job requirements. I read alot about different makes/models & was surprised as there is alot of different models to consider...These implants is what my surgeon recommended & I trusted his opinion with my life..No regrets as there is very little pain & some stiffness on stormy days..I can do anything I want, & realise that new knees kept has me out of a wheel chair but are NOT like the knees of a 20 yr old.. I am now retired for 13 months & look forward to our new journey with my beautiful wife of 43 yrs. Just my $0.02 Ken PS: Love your channel..👍
I read a story about a woman who had hip replacement and then suffered for 2 years with inexplicable pain until they realized she was allergic to nickel. The implanted hip part was labeled titanium but also contained nickel. I can’t wear earrings with nickel as they immediately cause a dull pronounced ache and it doesn’t let up until they are removed. Can’t imagine something Implanted within the body that has an allergic component to it. I will soon need a knee replacement and have come across a suggestion on another channel to consider Oxinium which I believe is ceramic coated (so no nickel, chromium, or cobalt effects). Is this a comparable replacement to standard cobalt/chrome replacement you recommend? Do you ever run across this problem or are people oblivious to the fact they may be allergic to nickel? Thank you for producing such informative and entertaining videos that help SO many people.
Hi DEF. So a few options. Could get allergy tested. Abs yes we use oxinium for our nickel allergic patients. It is the same as other replacements. Best of luck to you!! Thanks for watching and subscribing
Hi Ortho Docs Who Talk, Teach and Entertain Inquisitive Minds! I am a 69 year old RN specialist with 47 years in and still going! Needless to say, between 10 years spent running the halls of ERs and, 37 years standing for extended periods to administer/infuse Chemotherapy and any/all IV treatments, courtesy of my career and a roaring familal gift of inflammatory, erosive osteoarthritis, I finally landed in the OR, only after all conservative treatment had failed . i am now 10 weeks post outpatient, minimally invasive, quad- sparing TLKA, complicated by the presence of a 10 year old, titanium rod, distal nail and a DHS stubbornly residing in my femur.. A displaced, oblique, middle femoral shaft fx and pre- trochanteric fx left me with this hunk of metal in my left leg. My OS in Hotlanta, Ga.,had to work around this challenging situation and used his oldie but goodie Depuy Sigma, fixed bearing, PCL retaining implant for end stage osteo. I was at 0 extension and 105 flexion pre-surgery and 0/110 during surgery. I seem to be stuck at 110 despite rigorous PT, starting from post op day 1, including 2 weeks of 3x weekly home therapy, and now, 2x weekly outpatient PT. I was blessed to have use of a CPM machine. I crawled in and ran it 1 hour before and after PT. I slept with it running all night long, measuring 90 degrees the first 4 days and increasing 5 degrees daily until 130 degrees by the end of the 3rd week. On day 4 post op, I climbed onto the elliptical machine in my bldg's work out room and started using it 2x daily. This was incredibly helpful at relieving stiffness and pain, until I got back upstairs, at which time it would become stiff and feel like a tight band was stretched around the joint. I have lived and breathed on an ice machine since surgery and have been diligent about wearing compression hose; 20-30 for the first 6 weeks and now 15-20 before, during and after PT and during any physical activity. Don't sleep in them now. My issues are related to stiffness, balance, swelling and minimal flexion. Dr said flexion is usually determined by the degree of flexion present PRIOR to knee replacement, surgery. I get this to some extent, but have to wonder and ask if a commitment to a consistent program of exercise and useful treatment modalities have the capacity to increase flexion and mobility? Or, are the muscles limited by pre-surgical conditioning? After delaying this surgery for over 10 years, The hope of gaining increased mobility was 2nd only to minimizing the relentless joint pain. I'm limited somewhat by the same end stage osteo in the right knee, which will be replaced no sooner than 6-8 months per my surgeon. He says the left MUST be stable and healed before replacing the right. He must know something he isn't sharing! I was handed a copy of the operative report when leaving. After reading at home, i have a few residual why and how" questions. We just didn't have time to address them at the first and last post op check up at 6 weeks. I was released from him to return in 1 year or in the event of any complications or problems, but to continue with PT. I know this rehab demands patience and consistency in maintenance. I also know it takes time before maximum function can be determined. Until that time, I will work hard, but would appreciate your opinion on level of flexion as it relates to pre surgical vs post surgical conditioning...based on your experience of course, please. Also, what is "pie crusting", performed during surgery, how is it used and what does it do!? Does it improve outcomes? I am lost on this one and just curious about the technique and it's function. I also noticed a medication was mentioned, IV tranexamic acid. Is it used to minimize bleeding!?;? I did not leave with any drains or a wound vac, had moderate swelling and bruising. After 47 years in acute care and infusion, I should know about that medication. Thank you both for being you, for all you do, for giving your time and sharing your experience and knowledge on social media. Combined, you, your willingness to help and share serve to promote health and wellness, build trust and offer hope and support during a very scary and challenging time in our lives. For all you do and more, please accept my appreciation and gratitude.🤗🙏🏻🦿🦵🏼
Hi Susan. So ... preop range is a very large determinant of post op range. The potential gain is usually realized on the operating table. Very few patients would get better range than right after surgery while anesthetized. So you may get a few more degrees but your upper limit was likely determined long ago with your history. Hope that clarifies. Tranxexamic acid is a real game changer that we started using about 5 years ago that drastically reduces bleeding both during and after the procedure. Lastly, pie crusting is a way to use multiple small cuts through tissue to allow it to stretch but prevents severing it completing. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Hi , I was wondering if bearing surface plastic could be replaced surgical after 20 -30 years of use or just whole implant should be replaced in case of heavy wear or instability ?
Hi Mike. Often it is the whole thing as sometimes the parts are not available, sometimes they are all worn out and sometimes the implants are loose. Thanks for watching and subscribing if you did
I am getting ready for total knee replacement surgery, I have nothing just bone on bone. This is because of all the jobs I have done in the past, standing on solid concrete floors!! Which type of surgery do you recommend??
Hi Jennifer. Total knee replacement is a good operation for those with advanced arthritis and have failed non operative treatment. Best of luck. Thanks for watching and subscribing
I am 80 and will be getting a partial knee replacement but I'm a little concerned that a total would be better for me, I'm very active, play golf twice a week, when knee wasn't hurting I walked four miles up and down hills. I work out twice a week with weight machines and walk on treadmill for 30 min. and 20 minutes on a sitting stair climber. Doc says my damage is on the inside of my knee, if I sit for a few minutes it is hard to get the knee moving and it hurts me at night. What do you think about partial knee replacement?
Hey Docs, For 14 years I have had a "partial" knee replacement with no pain. Why and when should a partial be done, instead of a "complete" replacement?
So it should be done when there is only one arthritic compartment rather than 2 or 3 which is usually the case. As well you need a better preop range of motion so no large contractures and no severe deformity. Hope that helps. Thanks for watching and subscribing
Hi, I am Cindy’s husband, I am 66 yrs and have had my right knee revisioned now 4 times because of a reoccurring infection. What does that 4x’s replacement look like? And why does my tibia hurt almost down to my ankle??? Why have I lost almost all ability to balance on the right leg? I really appreciate your input. Please let me know something.
Hard to say but it likely looks like a regular implant with long stems up and down to support the bone loss from multiple surgeries. That is also why you may have pain down to the ankle. Infection is a very difficult problem. Best of luck going forward. Thanks for watching and subscribing
Hi my name is Debbie for two-and-a-half years I have been waiting to get a hip replacement I'm bone on bone I'm told I can't even have cortisone because there's no more tissue to put it into to look at my x-ray it looks like there's a big bite out of the side of my body what can I do to get help I am homeless in San Jose I have worked in the food industry as a waitress and manager for over 40 years and I can't walk across the street anymore what can I do to make them help me? I want to go back to work
Hi Debra. So sorry to hear this. We work in Canada so not sure how health care works in California. Best advice would be to see our a publicly or state funded hospital that provides care for people without insurance and go from there. We suspect there must be some. Some of the county hospitals do that. We wish you the best. And don’t worry about the cortisone as it often doesn’t help much anyway. Hope you get your surgery dear
I had total knee replacements on both knees at the same time, because my knee caps were eaten out by gout, I asked can't you just replace the knee caps, I was told no. I'm in Canada so it only took 15 years to get Hips and Knees done, Doctors say , you MUST wait till your 60 before any replacements can be done. So I put up with the pain since 91 and finally got both my Hips done too at the same time in 2006 and My knees in 2008. Not going to mention what I went through, it would take a 300 page book. I'm 76 still alive, and make the best out of a bad situation.
Yes Robert. Once you have xrays that are worthy you want to have daily severe pain and functional limitation. Good question. We have another video that answers this specific question. Thanks for watching, subscribing and sharing with someone if you did.
Hi Bobby A. Yes there are partial knee replacements. The principles are the same but the implants only replace one compartment - typically the medial or lateral compartments and less frequently the patellofemoral compartment. Hope that clarifies things. Thanks for watching.
Hi Rishi. So immunosuppressants are not used for TKRs. And yes they are safe in the elderly. A significant portion of our patients are elderly. Thanks for watching and for subscribing if you did.
How does surgery due to bone on bone pain compare to post surgery recovery? You have covered the rehab pain levels during rehab very well and I am curious how that pain compare to the lightening bolts, dull aching pain daily particularly while walking. Am am scheduled for TKR in April.
I can give some insight here. I was bone on bone. The Synvisc lubricant injection was a Godsend for me as mine was so bad i couldnt even bend it & im a carpenter. But i wanted to be pain free & be able to bowl leagues with my wife again which i had to quit 3 years ago, so I opted to go ahead with TKR. Im 3 weeks out & yes the PT is rough but not terrible. The worst part is sleeping. I got off the pain meds after 1 week. My sciatica & plantar faciistis have returned, so all that along with the "pressure pain" while trying to sleep is hard. During the day i dont have much pain at all in the knee. Surgeon said 2 days ago at my 3 week post op appt im 2 weeks ahead of schedule (121° flexion). The laying on the stomach with a strap pulling ur foot really accelerate the flexion, but hurts like hell while ur doing it. Im practicing hard on walking with no limp but the quad muscles just arent back 100% yet.
Im having a Total Knee down in 10 Day how soon can I start water activities, for therapy as Due to my knees being bad , I have become less active over the past 5 years and put on weight, my doc said I can start water activities when they completely heal up , Will swimming and snorkeling and walking in the water help greatly and help name speed up the recovery, Just asking for your opinion. Thank You in advance
Can the plastic parts be replaced when they wear or do you have to replace the complete part? I would like to thank you both for helping to improve peoples health and help to keep us active. Your work is truly life changing in a very positive way. Take car e
This was very interesting. I missed all the orientation since my replacement happened so quickly, so I’m catching up with your videos. I have my post-implant x-rays, and it looks like I have a much longer piece in my tibia. As you said, I guess it varies some by the brand.
Hi Kathleen. Sometimes you do need a stem on the tibial component if the support of the bone is deemed inadequate. Glad we could help in any small way. Best of luck. Thanks for watching and subscribing if you did.
Hiya, I'm on the waiting list in the UK for a TKR and I'm trying to do some research about the different types of implants that different consultants use. I appreciate that they are broadly all of a similar type and design, but is there one that is more suitable for persons who wish to return to a more sporty lifestyle? Can you also tell me which design it is that you are both demonstrating in your video. Many thanks
Hi Stephen. It would be difficult for any of the manufacturers to say their implant is better for more active lifestyles. In general knee replacement patients should avoid high impact activity and that would be the same for all implants. We are using a Stryker implant in the demonstration. Thanks for the question and for watching. Good luck with your upcoming procedure.
Far more informative than my surgeon who told me absolutely nothing and I was too uninformed to know what to ask.
I watched one video by a sports medicine doctor that provides that the doctor knows which you need and what he/she is comfortable using for their personal best result. Therefore you should not be too concerned about the what; trust your doctor's experience and skills to determine the which.
I take that to mean look more into your doctor's record of satisfied patients than what he's using to produce the satisfying result.
I had my second knee replacement in October. My surgeon was kind enough to replace my painful right knee when I was 55. I thanked him every day after initial recovery because I have had no pain since that surgery. Now that my left knee has been replaced, I am well on the way to no pain in that knee. Thank you for your gift of long hours of education and your commitment to helping us sufferers to relief. I do not take your talents for granted. I love your videos, your information and your sense of humor. Plus, you are both very handsome!
Hi Robin. You are very welcome. So glad we could provide any assistance and so glad to hear that you are doing well. You are too kind. Thanks for watching.
I got two knee replacements at the age of 44 and I'm getting my third one done soon.
@@beastyboyBlue WOW!!! You have 3 knees??!!!
Dartox waiting for my third one any day now. Then I will need my fourth one done ! I got my two knees done together nearly ten years ago so it's time to change them!! Bummer really !!
@@beastyboyBlue Why did yours wear out so quickly? Did the plastic parts fail? I hope everything is good now. Take care
Old Surgical Tech here guys.
The procedure hardware components and glue used in the replacement haven’t changed much since the 90’s. 😊
Love the videos! Keep them coming.
Agreed. For us the only difference is computer navigation. All the best Bob!
Back at yah!
Love watching your videos. I’m trying to get as much information ahead of my knee surgery and I’m finding you guys are all but boring. Straightforward and entertaining. Thank you both for making these videos.
You are very welcome Joan. Good luck with the TKR! Thanks for watching and subscribing if you did
Thank you guys for explaining my 2 knee replacements. I consider them a miracle of modern medical science
Hi Claudia. You are very welcome. Thanks for watching and subscribing
I LOVE your videos! Am on a list for knee replacement and am quite nervous. Had loads of difficulty surgeries in my life, but for some reason this one has me worked up. Thank you SO much for what you do!
Wish I had found your channel months ago! I have needed a knee replacement for a few years and have put it off mainly because of anxiety related to the unknown I suppose. Didn’t personally know anyone that had one. So I had the surgery last week. I have an excellent physician but I find out more helpful info and tidbits from your channel. It’s been very helpful. Thanks so much for your helpful videos!
OK Debbie you were in the thick of it now! Hopefully we can help you be successful along the way. All the best. Thanks for watching and subscribing
Great video. I've needed knee replacement on both knees for several years but I've been nervous about actually doing it. This video makes me more comfortable about taking the big step.
Hi Gaylene. Thanks so much. So glad we can help make you feel more comfortable. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
Gaylene - Hang tight. Knees recoup faster than shoulders. 2 months on knees, and you’ll be dancing. Just take your Pain pills 30 mins pre-therapy. Shoulder take longer. I’ve had all four replaced. Best move I’ve ever done. I’m ‘81 and still doing the Boogy Woogy dance. Major tip.
Use your good leg to Lift the Op leg when getting Out and In Bed. Good lifts bad. It’s like the stairs. Down with the bad, Up with the Good! No falls, less pain.
Get an inexpensive 6-pack thermos pouch to attach to your walker with Velcro strips. It carries lots of stuff. I also used a Peddler tied to my TV chair to peddle during the commercials. Keeps your leg moving. When you can, do some backwards.
GB, you’ll have a much happier life ahead! DEWinit.
The world needs more talented surgeons like you. Greetings from Germany, love your videos.
Hi Sven. That is very kind and we are glad to do what we can to help. All the best to you in Germany! Thanks for watching, subscribing and sharing if you did.
I am really gaining confidence and reducing my anxiety as I go in 09.07.23 for my right knee replacement. I have been practicing the after surgery exercises so it will be in my mind and ready to go. Have mentioned you both in my visits to the surgical team, saying your videos need to be part of the UBC/VGH ASAP program. Thanks again and keep up the great work and humour 😊
I really appreciate your videos. I'm getting a TKR in a few days and watching your videos has helped reduce any anxiety that I had. That and because of an engineering background, I kind of geeked out about the process and components used. Keep up the great work Docs!
Thanks Jim and best of luck to you once you get surgery. Thanks for watching and subscribing
Had my surgery yesterday and everything is going GREAT. Hospital recently started using a nerve block pump that lasts for approx 3 days. Had my first in house PT today 🤩
Really thanks to your videos I was not nervous at all
I've had both hips replaced about 20 years ago now with at the time a non-FDA approved ceramic hips. Still no problems. I have since had both knees replaced about 3 to 4 years ago now. I still am very active. I walk every day and also belong to a gym. I use the treadmill and work it pretty well. I DO NOT RUN Ever. My first surgeon said I could do anything but not run unless he said my house was on fire. These replacements have saved my life really. I will always stay active and do what I can to be in shape. I know someday 1 or more may need to be redone but so what I am not going to sit around and watch life just pass me by. I owe everything to my great surgeons that have made my life worth living. If you have any hesitation, I would just say, don't , live your life or it will be too late.
Thanks so much for sharing Brian. Awesome story. Thanks for watching and subscribing
@@TalkingWithDocs HI DOCTORS IM IN AUSTRALIA IVE HAD BOTH HIPS REPLACEMENT 2009 AND 2010 IM HAVEING FIRST TOTAL KNEE REPLACEMENT DECEMBER 7TH 2022 I LOVE BOXING TRAINING NO RUNNING OR SKIPPING DUE TO ADVICE MY BIGGEST PROBLEM IS I GOT DOWN TO 86KG NOW 13 YEARS LATER IM 120KG DUE TO LACK OF EXERCISE COVID AND TRT REPLACEMENT IVE PUT ON WEIGHT BIT OF MUSCLE MY QUESTION IS CAN I SIT HIT MY BOXING BAG I JUST DONT STAND THERE AND HIT I HIT IT LIKE IM IN A FIGHT SO IM IN AND OUT CHANGING DIRECTIONS EVERYNOW AND THEN AND MAKEING OUT IM FIGHTING I LOVE IT SO MUCH ITS THE HIGHLIGHT OF MY DSY IM 55 SINGLE HAD LAMINACTOMY ALSO IN BACK OF NECK C456 FUSION IM AN EX PROFESSIONAL BODYBUILDER HEAR IN AUSTRALIA I TOLD MY STORY HEAR ON TV ABOUT HEAVYWEIGHTS ON YOUR JOINTS OVER TIME PLUS THE USE OF STEROIDS I MEAN I LOVE MY WEIGHT TRSINING ALDO BUT HAVE BACKED RIGHT OFF DUE TO JOINTS MORE LIKE A PSD TYPE PROBLEM CSUSEING MAJOR ANXIETY SO CAN I TRAIN LIKE A PROFESSIONAL BOXER LIKE I HAVE BEEN FOR THD LAST 5 YESRS ALSO HAD 2 SHOULDER RECONS ON RIGHT SHOULDER THANKYOU
I am scheduled for my knee replacement in two weeks. Although I complete trust my doctor and have confidence that the surgery will go well I have been wondering about what goes into the knee replacement. I have heard many stories and had to look for myself. I'm glad I came across your videos and watched intently. I'm still watching as many as I can before going under. Thank you for taking the time to make these available.
HI Thomas. So glad you found us too! Best of luck to you in a couple of weeks. Glad we can help get you prepared in any small way. Thanks for watching, subscribing and sharing if you did.
Thank you. My mom just finished her first one. I really had no clue what all went into it and figured I should find out. I wasn’t able to attend her class before surgery.
Now you know!
Never boring! Great job guys!
Love these two. Helping me to feel OK about a knee replacement💗
Thanks Debra!! Thanks for watching and subscribing
In two weeks I will be getting a Stryker Triathlon knee and the surgeon will be using the Mako Robotic Arm.
I am really looking forward to having a better life.
I am really enjoying the videos, thank you!
Hi Larry. Best of luck with your robot assisted TKR! So glad we could be of assistance in any small way. Thanks for watching.
I had my left knee replaced at The Einstein Hospital of the Montefiore Network in 2014, Bronx, NY. The surgeon was Dr. Evan Schwechter, and he was brilliant. So brilliant, in fact, I recommend him whenever I can. I'm sure you guys are great, as well.
That is awesome Dan! Thanks for watching and subscribing
I had a total hip replacement this year, 2/24/2020. Prior to that I had watched ALL your videos and now I am doing GREAT. BUT, I enjoyed your videos so much, I am still watching when a new one is posted. This one "Knee Replacement Imlants" was so interesting to me I figured "Hmmm I am almost 75 and still have my ORIGINAL KNEES so who knows, that might be next." MANY MANY years ago I was an engineer, so I am fascinated with the materials used now. Thank you sooo much for your videos.
Hi John. Thanks for being such a loyal subscriber. The engineer in you keeps you searching for more info. That is awesome. Glad to hear we could help in any small way and that you are doing so well. Continued good health to you.
You're never boring! I love you guys!!!!
Why thank you NSkrobis. Thanks for watching and subscribing
Thank you so much for these informative videos. I am 68 with bilateral arthritis in my knees in all 3 compartments. Anti inflammatories do help but clearly the arthritic changes are still there. I have talked to several excellent surgeons here in Asheville, and am going back and forth about both knees vs. one knee. Your videos are definitely a wonderful resource. And I love your humor and back and forth bantering......
Thank you so much John. Best of luck with your decision and procedure. Keep us posted. Thanks for watching and subscribing if you did
Thank you both for doing these down-to-earth and honest videos. I've watched most of them whilst waiting for my TKR surgery to be done any day soon (I hope) after many years of pain having had my deformed lateral meniscus totally removed when I was 18 in 1973 (that's what they did back then) and an arthroscopy in 1992 on the same knee to repair behind the patella. I am now almost 68 after finally getting the go-ahead for the TKR a year ago (I live in the UK) and having 2 ops cancelled. I know it's going to be painful but I feel so much more reassured after watching your videos. You have addressed all my concerns: spinal anaesthesia, awareness during the surgery, pre and post op exercises, kneeling, showering, using a walker, stairs...the list goes on. Keep up the good work!
That’s so cool Sue that we can help get you ready for surgery! Best of luck. Thanks for watching and subscribing
After watching this I going to make sure that I take good care of my knee joints! Interesting video.
Thanks Chryseas S. Yes, take care of your knees!
Have a good day Doc's, I am getting closer to surgery. Thank you for your information has made me so much more prepared.
You are very welcome Darlene. Best of luck.
Just to let you know you two are never boring
Thanks so much Darlene. We try to keep it interesting.
Talking With Docs you do keep it interesting and you two work well together.
I couldn’t help but notice that you two surgeons respond to every comment. I just subscribed, you earned it! How very conscientious of you! We need a lot more of that type of humanity here in the states. I am 48. Two years ago I sustained a serious knee injury and had surgery under the Medicaid system. The doctor did not address my 60% ACL tear but did manage to remove 80% of my medial meniscus. It took him 1 hour and 40 min. I haven’t been able to walk since. Furthermore, when I ask for a TKR, the doctor just laughs and says I’ll have to wait until I’m 60. I can’t exist like this much longer. I wish my father had never immigrated to the U.S. If I could, I would take up Canadian citizenship and find a way to have you two surgeons perform the TKR. I don’t think I’m going to make it! I need some type of handbook to relieve this miserable existence. Long live Canada!
Hi carlorocky. Yes we do respond to every comment. Sorry to hear about your difficult time. A couple options before total knee depending on how the payment stuff works down there would be injections (either cortisone and/or hyaluronic acid) or custom unloaded bracing. There is no specific age we wait for. All patients should wait as long as they can but that is different for everyone. We wish you the best of luck. Keep in touch. And thanks for watching and subscribing
Great video. I have a new hip now. Was replaced on July 15. I'm still in hospital in rehab. I'm going home Friday. Yay.
Hi Eliska. Congratulations on getting our new hip. Good luck recovering and thanks for watching.
Thanks Docs. Actually I could watch your videos all day. I appreciate your video n information. I had quite an arrogant surgeon, who didn’t explain the procedure n kept me waiting over 8 years before performing it. Admittedly I was only 55 when I had it done in April this year, but I had been suffering since the age of 17, when I was involved in a rtc. Anyway it’s done now n I don’t need my walking stick, life is pretty dam good laugh out loud xx
i am due to have a TKR very soon your videos are helping me to learn exercises and taking care of myself Thank you
Good luck Roy! Thanks for watching and subscribing if you did
@@TalkingWithDocs yes i subscribed
I’m 64 and a year and a half out from having both of mine done the same day. It was a tough first 6 months but I’m glad I did them at the same time.
Glad to hear it Lori. Thanks for watching and subscribing
Your videos are not boring Dr Zalzal
Awesome Nancy!
Thanks for all the great videos! They tell me I have a Stryker implant. It took away ALL the pain I was having.
Glad to hear it Todd. You are very welcome. Thanks for watching and subscribing if you did
You guys should do stand up. But I just had full knee done. 2 months now. Can't go up steps. Hurts in the middle super bad. Had me scared.
It’s early and will likely improve. Good luck
I am having total knee October 3. The Surgeon is using Mako Robotic surgery. Thank you for such great information. Definitely helps my mind going in to this. I am 66 and an active golfer. Hoping to get back at it as soon as possible after surgery, planning to play right up till .
Hi Gil. Glad we could help. Good luck. We usually tell people 3 months for golf. Thanks for watching and subscribing
I had a full ACL repair in 89 by Pete Fowler, and a HTO by Willets in 2018, with a few meniscus repairs prior to and subsequent from the ACL repair. A TKR is likely in my future. I am enjoying your videos, very educational. ThNk you for doing these, and keep up the great work.
Thanks so much John. Dr Fowler was a real pioneer in orthopaedics and the pride of Western. All the best. Thanks for watching, subscribing and sharing with someone if you did.
I have Zimmer Persona implants in both knees. The surgeries were done by Dr. Richard Moore in Boise, Idaho - great surgeon!
Thanks for sharing Neil. Thanks for watching and subscribing if you did.
Thanks Doc! I’m due for knee replacement so thanks for the visual
Very welcome Jane. Good luck with your TKR! Thanks for watching, subscribing and sharing with someone if you did.
You guys are fun to watch. Putting off knee replacement until I am 60 if I can.
Hi Willow. We do our best to get the information out there and try to keep it somewhat entertaining. Thanks for the kind words and good luck pushing off your TKR! Thanks for watching.
I had them both done one at a time ! It’s a difficult surgery depends on each person make sure you do PT & lot of ice I had a good doctor thank goodness
I had a high tibial osteotomy in 2012 at age 46 to put off a knee replacement (goal was age 60). Healing failed and it was repeated. I limped along (literally 🙂) for 10 years and at age 56 had a total knee. Three weeks into healing, MCL ruptured and back to surgery for total knee replacement replacement. Now I have a SOLID knee and only the LCL left. I am working through some significant leg length differences but am so happy after this 7th knee surgery 😃.
Wow Lana. Quite the journey. So glad you are doing ok now. Thanks for watching and subscribing if you did
Dear doctor what will you do the ligaments ACL PCL meniscus all stuffs kindly need your expert answer TQ
Hi PhysioTeach. There are many factors to consider. Often a complete ACL tear will require reconstruction for stability. The meniscus will be treated if painful. Often the PcL is left alone. It really depends. Thanks for watching and subscribing
You misunderstood i try to know when your are doing knee replacement will you remove all the ligments from the attachments doctor or you follow any other procedure
Very informative !!! I just had both knees replaced Aug and January
Very nice Sandie. Thanks for watching and subscribing
Where I live the surgeon didn't explain anything. It was almost like it was none of my business. But he did say that I have extraordinarily hard bone and drilling took a long time. I put this down to free school milk from age 5 to 16. I'm glad that I had it done. Much reduced pain and increased mobility. My walking stick has been idle since... but don't expect too much. Thanks for this video.
You are very welcome Mel Mo. Thank you for telling your story. Glad it worked out for you. Thanks for watching and subscribing if you did
Are the polyethylene plastic bearing surfaces replaceable without replacing the metal parts?
Very good…any information I can acquire prior to my surgery is beneficial, answers my questions and makes having this surgery easier. Thank you!
Nice Carol !!! Thanks for watching and subscribing
Surgery in 10 days! Nervous, but your video really helped me with new questions for my surgeon. This is my 7th surgery in 40+ yrs on this knee and hopefully it's the LAST! Lol. Thank you!!
I'm 63 and had left knee replaced August 2nd and the right one Nov 12th Everything described here is really how it worked for me. The first one which was in worse shape healed quickly I was playing golf after 10 weeks. So i had a 3 week window before the second knee. The right one seamed to take longer to heal I am still working on flexibility but able to walk and returning to work January 24th. I probably waited 10 years to get this done but with the modern tech I am glad I did, my surgeon used auto alignment tool which I'm guessing is similar to the robot. If you are in pain like I was get it done!!! Over all I am very pleased and pain free.
Glad to hear it Skip. Thank you for sharing. Thanks for watching and subscribing if you did
I have mine 3 month ago and I am doing well. Here in New Brunswick CANADA we do not have to pays nothing for the surgery, so everything is good. 👍
Hi gilberte. Glad to hear you are doing well and yes, Canadians are blessed with universal health care. Thanks for watching and subscribing if you did.
Thanks for this. I'm getting a new knee in 4 weeks. This was very helpful. Also the one about 5 mistakes to avoid.
You are very welcome Kathy. Good luck! Thanks for watching, subscribing and sharing with someone if you did.
I just turned 47 on January 23rd and i had a right knee replacement on December 6th , the reason i had to have 1 waa 4yrs ago i had a bad accident to my left ankle i had an open fracture and came very close to loosing my foot. Thank god that didn't happen and my surgeon saved it. So i had to have my knee replaced because i had to put all my weight on my right knee and ended up ruining my knee. But my knee replacement was very successful and thank you for your videos and information.😊✌👍
Hi Ashley Marie. Sorry to hear about your ankle injury but it sounds like you are doing well after your knee surgery. Best of luck going forward in your recovery. Thanks so much for watching our channel.
I had both of my knees did and I havent had any pain or trouble with either one of mine.first. One on June 14,, 2014, and June 14,2015 all is well.
Very nice Mary. Thanks for watching and subscribing
Refreshing to listen to unbiased MD’s with opinions regarding a multi-million dollar industry. I wish more stem cell therapy than currently available was implemented into the pre medical treatments than replacements, often pushed by some Physicians.
Thanks. There is limited to no evidence for stem cells working though. Thanks for watching and subscribing
Oh Darn! Mine is Titanium. Done at VA Palo Alto 20 yrs ago in 2004 and I can feel alot of general pain down in my tibia and joint line suddenly and knock my socks off pain near top of tibia when a force is applied to my tibia, like foot caught on carpet, a twist of leg while foot is planted or just bending my knee over a pillow or easy chair foot rest. The femur implant looks similar but tibia implant doesn't have that huge long wide spike. Just 2 cylinder like numbs and inch long ...maybe if that, on inside and outside . Had it done at 49 due to a service "injury" a long time ago in a place far, far away under the sea. Got about 13 to 15 thousand miles hiking thru the sierra Nevada's and currently the High Desert Mts of Southern Utah. I'd say I got my moneys worth. I'll know if I need a new one in a few more days but Ive never felt pain like this in 20 yrs, yes the joint line pain has picked up, but there is defiantly a problem in the tibia, down in the bone away from the joint and my goodness does that hurt. Not once in 20 years until recently have a felt that. My femer also started rotating in the x-plane as well independent of my tibia. There's my 2 cents for how its gone the last 20 yrs, hope that helps you guys to evaluate other oldies. Great stuff, thank you
Fellas, you should have your own tv show. Love your presentation. Great
Hi Wiz Waz. We would love to have a tv show. Maybe one that you could call into. If you have any connections send them our way! Thanks for the positive feedback. Stay safe. Thanks for watching and subscribing if you did.
Thank you for the response. I am 10 weeks post op and everything you have gone over has been spot on. Your fun presentations are what makes it a pleasure to watch.
I went to a private Clinic in Lithuania for the left (1st) knee replacement. I was given a choice of two Brands "Persona" and another. Persona cost 4K Euros plus operation at about another 4K Euros for the operation. From the quote the Persona came in more sizes than any other brand of knee implant hence I chose it. I was also informed the persona came with more cutting guides/templates than others.
For my right knee (2nd implant) It was carried out in a private hospital paid for by the NHS. In fact the operation was carried out by the same orthopedic consultant I saw in Salisbury NHS hospital. And he worked full time for the NHS but still had days off during the working week to operate and consult in a private hospital??
I was given no choice in what knee implant was being installed it was a case I am use to this one and you will get it.
Is there any advantage of having one brand of knee implant over another?
In the UK there is no advertising stating "We install xxx Knee implant" Hence looking around for a persona installer was not practical for my right knee. Just for uniformity I would have liked the same brand in both knees. Oh well it's done now just finishing 7 days after the right knee replacement.
Great info regarding knee replacement surgery. I just got my brand new knee yesterday! I'm feeling pretty rough right now but I'm trying to manage pain meds, ice, & walking in 10 minutes intervals every hour during the day but the swelling is a bit of a problem. So I'm telling myself that this was major surgery & to take it easy of which is conflicting with my "go getter" personality. 😖
Congrats Kim on surgery yesterday! That is awesome news. Now the hard work starts. Best of luck during your ongoing recovery. Thanks for watching, subscribing and sharing if you did.
Thanks docs! I really love you twos. 💖this video really helps me out just in case if I would need to get a knee or hip replacement in the future who knows. Keep up the great work 😊
Glad you do! Thanks for watching and subscribing
Is there a way to tell if my implant is the wrong size. Are there any signs or problems that might indicate if you were given to large of a replacement. Thx
Hi Dominick. Usually you could see if the implant is too big on xray. Symptoms are very non specific like pain and swelling and stiffness but many knee replacements have these issues. Thanks for watching.
GREAT...VERY HELPFUL. THANKS DOCS.
You are very welcome Rhory! Thanks for watching and for subscribing if you did.
I had a knee replacements in year 2000 so glad I did it still doing great 😍😍😍😍❤️❤️
That is awesome Linda. Thanks for watching and subscribing if you did
Loved this video, covered all of my questions. My surgery is coming rapidly and any accurate information I can get that makes this procedure easier for me to
Awesome carol. Thanks for watching and subscribing
I have been watching your videos regarding knee replacement surgery. I am 58 and have recently started having major pain and issues with one of my knees. The orthopedic surgeon I went to said that I had a torn meniscus, a baker's cyst & arthritis to the degree that I was "bone on bone" in places, specifically where the torn meniscus was located. He said I was not a candidate for arthroscopic surgery to repair the torn meniscus because of the likelihood of the procedure turning into a full knee replacement during the procedure because of the arthritis/bone on bone situation. He said I was looking at a total knee replacement in about 5 years. My question is why make me wait 5 yrs for a knee replacement if I'm in pain and limited mobility now. If a knee replacement has become such a "routine" procedure these days, why didn't my doctor think it was a procedure I should have done to my knee. Everyone I've talked to that has had a knee replacement surgery has said they wished they had done it sooner. Thank you for your insight!
Hi Jenny. The timing is up to the patient really based on pain. Ideally patients should wait as long as they can to increase their chance of satisfaction. Best of luck with your decision. Thanks for watching and subscribing
Hey doctors advice on how to go about picking the best doctor for my knee replacement surgeon
Ask around and read reviews. Nurses from the OR are a great resource. Thanks for watching and subscribing
Thank you very much. I've gotten lots of great info from you two. :)
Glad we could help DBJones! Thanks for watching and subscribing if you did.
@@TalkingWithDocs Of course I subscribed. ;)
You guys are fantastic!
I would like to know the weight of the full knee replacement "kit" I have had both knees done and it's the best thing I ever did. No pain whatsoever.
Hi Linda. Maybe 1-2lbs. Thanks for watching and subscribing if you did
Well presented.. many thanks
Hi Giovan. Glad we could help. Thanks for watching.
Thank you both for your knowledge and humour. I have watched many of your videos which have been exceptionally informative and easy to watch. I am 5 days post TKR and have just viewed the video 'what do they look like', I had a titanium replacement....should I be concerned? Pushing through the pain with physio with you 2 'cheerleaders' onside and hoping to get my life back after 4 years of misery.
Hi Liz. Don’t be concerned. Your implants are likely same as all the others. Keep up the hard work and so glad we can be on this journey with you. Thanks for watching and subscribing
I am scheduled for a knee replacement next month, and I have been hearing about Cobalt poisoning and metal shedding. I have not asked my ortho what materials he uses. Should I be concerned about this?
Hi Mavis. This is very uncommon but has been an issue with metal on metal bearing hip replacements. Thanks for watching and subscribing
Great video, thanks!
Very easy to see how this works. The question I would have now is how in the world does the doctor get his hands and tools into this area being that there are muscles, tendons, ligaments, nerves... Insane. Are things like tendons cut and then resewn when the replacement occurs?
Hi Michael. Sometimes they are retracted. Sometimes cut and resewn. Great question. Watch our total knee surgery video. Thanks for watching and subscribing
@Talking With Docs I had the same question as Michael and the TKR video didn't really answer it. If you ligaments and tendons are healthy isn't there a tkr that does not remove the pcl, acl, and other healthy tissues? Wouldn't keeping those result in a better outcome and less damage. Some of my friends had them removed when they got thier tkr and they now have some lateral instability. Thanks for meal details on the issue of less invasive tkrs and retention of more tissues.
Are there non-metal knee replacements for those with metal hypersensitivities? What options exist?
So no. But there are implants designed specifically for those with documented metal allergies. Discuss with your surgeon ahead of time
Thanks for this!
No worries!
Hey docs can you please make a video about meniscus replacement surgery and talk about some of the outcomes any information would be greatly appreciated!!!
Hi Larry. Meniscus replacement or transplant is an uncommon procedure with somewhat unpredictable results. The main difficulty is that the blood supply in this area is not ideal so it prevents tears from healing and complicates any potential transplant. This is certainly still being investigated as an option and done in unique circumstances but is not a routine treatment. Thanks for watching.
@@TalkingWithDocs Thank You great videos
Hi Larry. You are very welcome.
Due 4 my 2nd knee replacement after cateracts & eye surgery ..Oh boy!!!
Good luck Bonnie! Thanks for watching and subscribing
Thank you for the information! I am hoping to have my first replacement in August.
Hi Carla. Great profile picture. Good luck in August and keep us posted. Thanks for watching.
@@TalkingWithDocs Thanks! The pic is Job's Peak, Northern Nevada. The entire valley is beautiful.
Die Telefonnummer von mir ist 514 816 6777 und ich habe gerade noch mal nach Hause geschrieben. Die haben uns sehr gut gefallen
Is there a certain BMI that your patients have to achieve before surgery?
No rorie we do not have a specific limit. There is recent research that showed patients with a BMI greater than 40 have more complications so this is a good target. As low as possible is the best answer. Thanks for watching and subscribing
I had TKR 23 months ago. Continue to have pain in the knee. Performing surgeon says everything is fine, everything is tight and it sometimes takes 2, 3 or even 4 years to heal. This statement was made after viewing same day x-ray. Never put a hand on my knee. Last week I saw a different orthopedist Dr. , referred by my PCP.After exam, he said, you have 2 choices, live with the pain or have revision surgery. Using different brand of components. Obviously I'm not happy. Should I get a second 2nd opinion.
Hi Jack. Sorry to hear this. Some knee replacements look ok but feel bad for a host of reasons some of which are not known. Sometimes a revision can help but there is no guarantee. Another opinion is worthwhile. Best of luck
I have had both knees replaced with Stryker Triathlon Implants 3 yrs post in 9/24 19..I talked with my surgeon alot about my job, as I was still working & job requirements. I read alot about different makes/models & was surprised as there is alot of different models to consider...These implants is what my surgeon recommended & I trusted his opinion with my life..No regrets as there is very little pain & some stiffness on stormy days..I can do anything I want, & realise that new knees kept has me out of a wheel chair but are NOT like the knees of a 20 yr old.. I am now retired for 13 months & look forward to our new journey with my beautiful wife of 43 yrs. Just my $0.02 Ken
PS: Love your channel..👍
Hi Ken. So glad to hear you are doing well. Enjoy retirement and your wonderful wife. Congrats. Thanks for watching.
I read a story about a woman who had hip replacement and then suffered for 2 years with inexplicable pain until they realized she was allergic to nickel. The implanted hip part was labeled titanium but also contained nickel. I can’t wear earrings with nickel as they immediately cause a dull pronounced ache and it doesn’t let up until they are removed. Can’t imagine something Implanted within the body that has an allergic component to it. I will soon need a knee replacement and have come across a suggestion on another channel to consider Oxinium which I believe is ceramic coated (so no nickel, chromium, or cobalt effects). Is this a comparable replacement to standard cobalt/chrome replacement you recommend? Do you ever run across this problem or are people oblivious to the fact they may be allergic to nickel?
Thank you for producing such informative and entertaining videos that help SO many people.
Hi DEF. So a few options. Could get allergy tested. Abs yes we use oxinium for our nickel allergic patients. It is the same as other replacements. Best of luck to you!! Thanks for watching and subscribing
No implant yet. I have been putting it off for 10 years.... now my pain is over+riding the fear! Gonna do it this fall.
Good luck Lara! Thanks for watching and subscribing if you did
Hi Ortho Docs Who Talk, Teach and Entertain Inquisitive Minds!
I am a 69 year old RN specialist with 47 years in and still going! Needless to say, between 10 years spent running the halls of ERs and, 37 years standing for extended periods to administer/infuse Chemotherapy and any/all IV treatments, courtesy of my career and a roaring familal gift of inflammatory, erosive osteoarthritis, I finally landed in the OR, only after all conservative treatment had failed . i am now 10 weeks post outpatient, minimally invasive, quad- sparing TLKA, complicated by the presence of a 10 year old, titanium rod, distal nail and a DHS stubbornly residing in my femur.. A displaced, oblique, middle femoral shaft fx and pre- trochanteric fx left me with this hunk of metal in my left leg. My OS in Hotlanta, Ga.,had to work around this challenging situation and used his oldie but goodie Depuy Sigma, fixed bearing, PCL retaining implant for end stage osteo. I was at 0 extension and 105 flexion pre-surgery and 0/110 during surgery. I seem to be stuck at 110 despite rigorous PT, starting from post op day 1, including 2 weeks of 3x weekly home therapy, and now, 2x weekly outpatient PT. I was blessed to have use of a CPM machine. I crawled in and ran it 1 hour before and after PT. I slept with it running all night long, measuring 90 degrees the first 4 days and increasing 5 degrees daily until 130 degrees by the end of the 3rd week. On day 4 post op, I climbed onto the elliptical machine in my bldg's work out room and started using it 2x daily. This was incredibly helpful at relieving stiffness and pain, until I got back upstairs, at which time it would become stiff and feel like a tight band was stretched around the joint. I have lived and breathed on an ice machine since surgery and have been diligent about wearing compression hose; 20-30 for the first 6 weeks and now 15-20 before, during and after PT and during any physical activity. Don't sleep in them now. My issues are related to stiffness, balance, swelling and minimal flexion. Dr said flexion is usually determined by the degree of flexion present PRIOR to knee replacement, surgery. I get this to some extent, but have to wonder and ask if a commitment to a consistent program of exercise and useful treatment modalities have the capacity to increase flexion and mobility? Or, are the muscles limited by pre-surgical conditioning? After delaying this surgery for over 10 years, The hope of gaining increased mobility was 2nd only to minimizing the relentless joint pain. I'm limited somewhat by the same end stage osteo in the right knee, which will be replaced no sooner than 6-8 months per my surgeon. He says the left MUST be stable and healed before replacing the right. He must know something he isn't sharing! I was handed a copy of the operative report when leaving. After reading at home, i have a few residual why and how" questions. We just didn't have time to address them at the first and last post op check up at 6 weeks. I was released from him to return in 1 year or in the event of any complications or problems, but to continue with PT. I know this rehab demands patience and consistency in maintenance. I also know it takes time before maximum function can be determined. Until that time, I will work hard, but would appreciate your opinion on level of flexion as it relates to pre surgical vs post surgical conditioning...based on your experience of course, please. Also, what is "pie crusting", performed during surgery, how is it used and what does it do!? Does it improve outcomes? I am lost on this one and just curious about the technique and it's function.
I also noticed a medication was mentioned, IV tranexamic acid. Is it used to minimize bleeding!?;? I did not leave with any drains or a wound vac, had moderate swelling and bruising. After 47 years in acute care and infusion, I should know about that medication.
Thank you both for being you, for all you do, for giving your time and sharing your experience and knowledge on social media. Combined, you, your willingness to help and share serve to promote health and wellness, build trust and offer hope and support during a very scary and challenging time in our lives. For all you do and more, please accept my appreciation and gratitude.🤗🙏🏻🦿🦵🏼
Hi Susan. So ... preop range is a very large determinant of post op range. The potential gain is usually realized on the operating table. Very few patients would get better range than right after surgery while anesthetized. So you may get a few more degrees but your upper limit was likely determined long ago with your history. Hope that clarifies. Tranxexamic acid is a real game changer that we started using about 5 years ago that drastically reduces bleeding both during and after the procedure. Lastly, pie crusting is a way to use multiple small cuts through tissue to allow it to stretch but prevents severing it completing. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Hi , I was wondering if bearing surface plastic could be replaced surgical after 20 -30 years of use or just whole implant should be replaced in case of heavy wear or instability ?
Hi Mike. Often it is the whole thing as sometimes the parts are not available, sometimes they are all worn out and sometimes the implants are loose. Thanks for watching and subscribing if you did
I am getting ready for total knee replacement surgery, I have nothing just bone on bone. This is because of all the jobs I have done in the past, standing on solid concrete floors!! Which type of surgery do you recommend??
Hi Jennifer. Total knee replacement is a good operation for those with advanced arthritis and have failed non operative treatment. Best of luck. Thanks for watching and subscribing
About how long is the actual surgery for a total knee replacement?
1 hour
I am 80 and will be getting a partial knee replacement but I'm a little concerned that a total would be better for me, I'm very active, play golf twice a week, when knee wasn't hurting I walked four miles up and down hills. I work out twice a week with weight machines and walk on treadmill for 30 min. and 20 minutes on a sitting stair climber. Doc says my damage is on the inside of my knee, if I sit for a few minutes it is hard to get the knee moving and it hurts me at night. What do you think about partial knee replacement?
Hi Jess. If your disease is isolated to the medial compartment it can be a very successful operation. Best of luck.
Hey Docs, For 14 years I have had a "partial" knee replacement with no pain. Why and when should a partial be done, instead of a "complete" replacement?
So it should be done when there is only one arthritic compartment rather than 2 or 3 which is usually the case. As well you need a better preop range of motion so no large contractures and no severe deformity. Hope that helps. Thanks for watching and subscribing
Hi, I am Cindy’s husband, I am 66 yrs and have had my right knee revisioned now 4 times because of a reoccurring infection. What does that 4x’s replacement look like? And why does my tibia hurt almost down to my ankle??? Why have I lost almost all ability to balance on the right leg? I really appreciate your input. Please let me know something.
Hard to say but it likely looks like a regular implant with long stems up and down to support the bone loss from multiple surgeries. That is also why you may have pain down to the ankle. Infection is a very difficult problem. Best of luck going forward. Thanks for watching and subscribing
Hi my name is Debbie for two-and-a-half years I have been waiting to get a hip replacement I'm bone on bone I'm told I can't even have cortisone because there's no more tissue to put it into to look at my x-ray it looks like there's a big bite out of the side of my body what can I do to get help I am homeless in San Jose I have worked in the food industry as a waitress and manager for over 40 years and I can't walk across the street anymore what can I do to make them help me? I want to go back to work
Hi Debra. So sorry to hear this. We work in Canada so not sure how health care works in California. Best advice would be to see our a publicly or state funded hospital that provides care for people without insurance and go from there. We suspect there must be some. Some of the county hospitals do that. We wish you the best. And don’t worry about the cortisone as it often doesn’t help much anyway. Hope you get your surgery dear
I had total knee replacements on both knees at the same time, because my knee caps were eaten out by gout, I asked can't you just replace the knee caps, I was told no.
I'm in Canada so it only took 15 years to get Hips and Knees done, Doctors say , you MUST wait till your 60 before any replacements can be done. So I put up with the pain since 91 and finally
got both my Hips done too at the same time in 2006 and My knees in 2008. Not going to mention what I went through, it would take a 300 page book. I'm 76 still alive, and make the best out of a bad situation.
Thank you for sharing your story Fred. Keep it going! Thanks for watching, subscribing and for sharing if you did.
Thanks again!
Very welcome DAN. Thanks for watching and subscribing if you did
WOW, thanks, I had this crazy idea of what the replacement joint looked like. Oh, yeah, my surgeon never told me the kind of replacement I had.
Glad we could help Mark. Thanks for watching and subscribing if you did.
How do you determine if someone is a candidate for a knee replacement? Is chronic pain the primary consideration or are there other factors?
Yes Robert. Once you have xrays that are worthy you want to have daily severe pain and functional limitation. Good question. We have another video that answers this specific question. Thanks for watching, subscribing and sharing with someone if you did.
Is there such a thing as a partial knee replacement and how does it differ from what you described here? Thanks.
Hi Bobby A. Yes there are partial knee replacements. The principles are the same but the implants only replace one compartment - typically the medial or lateral compartments and less frequently the patellofemoral compartment. Hope that clarifies things. Thanks for watching.
Thanks!
Welcome! Thanks for watching and subscribing
Are immunosuppresants used in TKR ? for elderly are they safe ?
Hi Rishi. So immunosuppressants are not used for TKRs. And yes they are safe in the elderly. A significant portion of our patients are elderly. Thanks for watching and for subscribing if you did.
Thanks good info. 👍
How does surgery due to bone on bone pain compare to post surgery recovery? You have covered the rehab pain levels during rehab very well and I am curious how that pain compare to the lightening bolts, dull aching pain daily particularly while walking. Am am scheduled for TKR in April.
Hi Clayton. Typically the pain is quite severe. Overdone with ice and medication but it’s hard for sure. You’ve got this though. Good luck in April
I can give some insight here. I was bone on bone. The Synvisc lubricant injection was a Godsend for me as mine was so bad i couldnt even bend it & im a carpenter. But i wanted to be pain free & be able to bowl leagues with my wife again which i had to quit 3 years ago, so I opted to go ahead with TKR. Im 3 weeks out & yes the PT is rough but not terrible. The worst part is sleeping. I got off the pain meds after 1 week. My sciatica & plantar faciistis have returned, so all that along with the "pressure pain" while trying to sleep is hard. During the day i dont have much pain at all in the knee. Surgeon said 2 days ago at my 3 week post op appt im 2 weeks ahead of schedule (121° flexion). The laying on the stomach with a strap pulling ur foot really accelerate the flexion, but hurts like hell while ur doing it. Im practicing hard on walking with no limp but the quad muscles just arent back 100% yet.
Im having a Total Knee down in 10 Day how soon can I start water activities, for therapy as Due to my knees being bad , I have become less active over the past 5 years and put on weight, my doc said I can start water activities when they completely heal up , Will swimming and snorkeling and walking in the water help greatly and help name speed up the recovery, Just asking for your opinion. Thank You in advance
Hi Capt. We say 4-6 weeks and agree with your doc. Totally healed incision. Good luck! Thanks for watching and subscribing if you did
Is testing done prior to surgery for a reaction to the cobalt metal?
Hi L. No. Allergy to cobalt is exceedingly rare. Some patients are allergic to nickel though. Thanks for watching and subscribing you did
Can the plastic parts be replaced when they wear or do you have to replace the complete part? I would like to thank you both for helping to improve peoples health and help to keep us active. Your work is truly life changing in a very positive way. Take car e
Hi Scott. Sometimes but often it is everything that needs to come out. Good question. Thanks for watching and subscribing
@@TalkingWithDocs thanks take care
This was very interesting. I missed all the orientation since my replacement happened so quickly, so I’m catching up with your videos. I have my post-implant x-rays, and it looks like I have a much longer piece in my tibia. As you said, I guess it varies some by the brand.
Hi Kathleen. Sometimes you do need a stem on the tibial component if the support of the bone is deemed inadequate. Glad we could help in any small way. Best of luck. Thanks for watching and subscribing if you did.
Maybe you could do a video of a revision? Have a good day Docs.
It's on our list Darlene. Thanks for watching.
I will keep watching, thank you!
Hiya, I'm on the waiting list in the UK for a TKR and I'm trying to do some research about the different types of implants that different consultants use. I appreciate that they are broadly all of a similar type and design, but is there one that is more suitable for persons who wish to return to a more sporty lifestyle?
Can you also tell me which design it is that you are both demonstrating in your video. Many thanks
Hi Stephen. It would be difficult for any of the manufacturers to say their implant is better for more active lifestyles. In general knee replacement patients should avoid high impact activity and that would be the same for all implants. We are using a Stryker implant in the demonstration. Thanks for the question and for watching. Good luck with your upcoming procedure.