I understand this question is slightly off topic, but I noticed as you made the initial incision there was no rush of blood, or really blood at all. Are there no major veins/arteries in the area?
@Einsteined We use a tourniquet to decrease blood loss. After the surgery is completed, before the tourniquet is released, we place a drain in the knee to prevent blood accumulation in the knee. We usually lose a total of approximately 250cc to 450cc, most of which is into the drain.
Had this done on 11/29/11 w/a spinal & nerve cath instead of going under general anesthsia. I was in the hospital for a total of 5 days. The day after surgery is when the PT begins. My BP kept dropping & it was 3 days before I was able to get out of bed w/o passing out. This severely slowed down the PT progress. It's been 6 weeks since surgery, scar tissue formed faster & the bend only got to 60 degrees even with PT, so my doctor set up a munipulation to hopefully help get the bend back. :(
I thought I was unlucky going in for an operation on my hand/wrist 2 weeks ago, this is gruesome, but still absolutely incredible. What does someone have to do to their knee to get it completely replaced but not amputated?
@BriBri897 Great question. My patients tell me (I don't have a TKR) that the deep pain is gone but initially there is a balance issue/sensory confusion. Remember that even though the bone is terribly arthritic, you receive a position sense from the diseased bone (degree the knee is bent) in addn to the pain. When the surface of the bone is gone and replaced, the brain and knee have to "learn each other" again. There is also some mechanical noise you get used to. Blessings, KLT
@ramadanhasani Good question. We cut to the inside (medial side) of the patella then extend the incision up toward the hip. This allows us to turn the patella over to see the deep side and resurface it. When the implants are in, the patella is turned back over and we repair the tendons that were initially cut to afford exposure.
I had bilateral total knee replacements three years ago. I was only 35, and had severe arthritis. After the procedure, I thought I would never be able to do any of the activities I loved to do. This procedure has given me a new chance at life! I am 3 years out and have no pain at all! It's a great thing you dr's do!!!!
The intent of this video is educational for those with osteoarthritis of the knee. While i respect your opinion, please don't flag a video because of your personal dislike. A tremendous amount of work goes into the development of resources like this. Please think of the thousands of people with this disorder who need genuine, straightforward information on their problem. I personally monitor my childrens' internet traffic -that is MY responsibility.
this video was flagged because internet access these days is very easy.. and i don't think that this video should be watched by kids or someone whose afraid of blood..:)
@Kotaztrafee you really think if a 10 year old see this video...his first thought would be "do i wanna be a doctor?" or "mommyyyyy i can't sleep tonight!!'???
@firefox8192 Actually with current regional anesthesia most patients have much less pain that you would imagine. Without modern anesthesia, the pain is severe.
my grandma had this done and she doesn't even want to see this.lol. she said that the surgeons wore some type of visor and I thought it was like one a ME would wear.NEver thought that spacemen were involved!
I always find videos likes these very.interesting, you know. I always search videos of surgical operations of any kind. :) When they cut open the knee, i almost fainted but i didn't! :)
Dr.Turnage: Excellent video and narration. Your description is outstanding. I had TKR (Stryker Triathalon) one year ago- 02/05/10 after 7 surgeries on R Knee and years of pain and limited range of motion I can't beleive how great it feels. Virtually pain free ( achey at times). Standing, walking, stairs and flexibility compared to before is unbelievable. So correct about the rehabilitation. First 3 weeks were hell. Then I noticed great gains. Must really work hard but surgery worthwhile. Thanks.
6 weeks after surgery and I'm heading back to work without a cane, although I take it along for just in case. Pain I had from bone-on-bone is gone. Still have tightness, but I'm still 4 weeks away from wrapping up twice-weekly out-patient PT (Pain and Torture). Do yourself a favor and make sure you take a Continuous Passive Motion (CPM) machine for at-home use... it's a bitch, but near-infinitely helpful in ensuring a good post-op outcome. Physical therapy is the absolute KEY to success.
I am 8 week since double total knee replacement and I am doing GREAT!! Two stitches abcessed but that is only a hic-up. I have 0/120 plus range of motion in both knees and can walk and do stairs better than in many years. I am so pleased.
Dr Turnage I have a question for you. I need total shoulder replacement next spring. Do you do them? What should I expect? Be honest. Would strength training help as it did with my knees? I could and can now leg press 95 pounds. I am 65. Female.
Sorry forgot to add the last op was April 10. The bad news is despite the knee being 100% perfect I have just found out after another bone scan that the whole thing needs to come out due to a "deep infection" which is also making the joint loose! So surgery in November to remove, six weeks with no knee and lots of antibiotics then another knee just before Xmas.
Hi that is a great video to watch. I'm 41 and had 8 knee ops on my left knee before they agreed to give me a new knee. The first one was half a knee which gave me more pain tan before. Eventually I found another surgeon who did bone scan and then agreed to replace the half knee with a full one, turns out the first one wasn't fitted correctly and was too small! The new full size knee is the first time I have been pain free for 6 years.
Great Vid, I'm in Australia and require knee replacement. Why do I have to be aged over 55 before they consider it? Instead I've been sent to pain management for both knees and back pain. My right knee is the real killer. I was (and might again) self medicating from pain and i felt that that was the best think for me. What can i do now? Qual of life is poor. From elite sportman to motionless...
What do I do? The pain management isn't working!!!!
OK I am going in. I will have double TKR on Wednesday 9/15/10. Getting Stryker Triathalon. Watched this video with my husband and feel good knowing. Our kids didn't want to watch. Fine. I understand. I get the message. Rehab is ultra important. Get my bend and flat knee and keep it up for a life time. I will. Thanks for all the blessings Doc. Blessings back to you.
I had this done to my left knee about eight weeks ago. I will be having the same procedure on my right knee in a month or so. I am almost 71 and I'm glad to be finished with it all so I can walk again. I have had knee problems for years. My left knee is doing fine and I am anxious for the right one to be done. Now I'm bionic! LOL
my mom just had this done to both knees this morning. i am so happy i waited until now to watch this otherwise i would've been freaking out . but im happy i was able to see this thank you it makes me feel better knowing what she went through while she was knocked out
I love science. Particularly physics but medical science is amazing too. I couldn't be a doctor though. I would take things too personally. I would love to help people but when I couldn't it would kill me. My friend is a doctor and he said that you get used to it, death and suffering included. I don't want to get used to it. The sadness is important for people, I think.
@thehageys I must admit I have no idea why this video went from 350+ views per day to about 30/day. What is flagging and how is this appealed? Thank you for your comments. I would appreciate any help as to how to "unflag" this video.Thanks KLT
@KirbyLTurnage I believe you have to contact YouTube to appeal it. There are hundreds of similar surgeries on YouTube, so why flag this one. This is a useful video for kids interested in becoming surgeons. Why deny them this opportunity?
Thank you for posting this Mr Turnage. I work in the sterile services of a local hospital in England, I clean these instruments for TKR nearly twice a day, sometimes even more. It is truly fascinating to see the things that we get back from theatres covered in blood and bone etc, actually being used.
One question I have though is, Why is it that when we rinse and clean the separate parts, the water is always oily or greasy?
Wow! I am glad I discovered this video! Very helpful for me to understand what they did with my left knee two weeks ago! I have the right knee pending for the same probleme! I sent this video to all my friends and family in Romania( I was born there)
I was a nurse in Romania and I am a nurse here too and I found this live video a very good lesson ! The comment it is so good also a lot of patience in your voice! Thanks doctor
Great video. I am an active 60 year old. Tore my meniscus four years ago while working as a soccer referee. After two arthroscopic surgeries to clean up and then clean out what was left, I had a TKL. It was a lot of work, but well worth it all. I haven't gone through all the posts, but have not seen any comments on PreOp preparation. The better shape you are in prior to the operation, the easier it will be in rehab. I teach skiing. Came off the slopes on Monday & was on the table Tuesday
My wife also an ER RN had bi-lateral knee replacement last Monday. It was agony for a few days, dont let anybody fool you, but if you need both done do it together, otherwise you will never go back! Second the nerve blocks, only way to go. Good luck.
i'm 21 and i have severe meniscus damage all around my knee that i feel bone on bone when it's cold, and clicking noises from cartilliage tear beside ACL...I have been nursing the pain everyday for 2 years almost 3 years...I have been super active person at birth...I hope to be able to run again but with clicking and inflammation all around I sometimes can't sleep. Do I need total replacement?
I'm a 36 year old pro wrestler w/ advanced degenerative osteoarthritis w/ spus. I have tried everything that there is short of having a knee replacement. My Dr. tells me that I am too young. My knee is completely useless though and I cannot wrestle anymore. Even kneeling in church is not possible. I wish that I could get this done. Thank you for posting this video Doctor.
This vid is exactly what I was looking for. I'm a 55 yr old RN and have been putting this off for as long as I can. My ROM is extremely limited. Thanks for the education! I would have chosen OR for my career but for these knees which have been years in their deterioration, combination osteo and RA. Do you bathe the joint in a local anesthetic to provide some post op pain relief?
Many Joint Centers, like ours, use femoral and sciatic nerve blocks with indwelling catheters which substantially reduce postop pain, with reduced narcotic usage, for approx 2.5 days. Other options include epidural anesthesia. I and most avoid any local anesthetic infiltration.
@autumngold2005 I understand your pain. I am 31 and am having my hip replaced tomorrow. I had my knee done when i was 19. Good luck with your procedure!
I forgot to mention that the first leg I had done is as straight as an arrow. The leg that is still hurting is very crooked. My P.T. measured it and it is 7 Degrees out of straight. It is easily seen by everyone. My surgeon won't return my calls. I have an appointment with him in 6 weeks. I think the prostetic (spelled wrong) is loose.
Dr. Kirby Turnage... Thank you for posting this video. It has helped me make my decision on having my left knee rebuilt. I am scheduled for surgery on April 13th. Dr. Murray Robertson of Tucson Orthopedic Institute is performing my surgery. I am looking for better days as I am totally bone on bone and in a great deal of pain.
I'm currently taking a physiotherapist assistant program and had TKR client during one of my clinical placements. So I could better understand my patient, I googled your video and was totally engrossed in the video; it is amazing to see. I am so thankful that you took the time to post this highly educational and informative video. Now armed with a much keener insight to TKR, I will be much more adept when dealing with my patients. Thank you. Sincerest Regards.
You are welcome. Glad it was helpful to you. I am honestly overwhelmed from the number of people literally around the world who have learned from this video. Good luck with your studies. Remember, without great PT, this surgery will fail.
I had both knees done 2 mos. apart. after 50 years of construction mine were shot. They gave me pain meds after, but after 2 months went from 2 every 6 hours to 3 a day. Lortab 10 was my meds. I now have 80% of the pain again and it is still in both knees. I think this is wrong and maybe cruel to do this. The pain meds. should have been more gradual. My surgeon did not do this. It was my regular doctor that is really a nurse practitioner. I am not a drug addict and want to quit altogether.
Wish I could be more helpful. 100% of my patients are off all pain meds by 90days postop, unless there is another surgery/complication. The real question is whether there is a problem with a solution that need be addressed (not saying there is a problem), If pain remains so prominent, could there be a scarring or other problem? Were you on pain medication prior to surgery? That can also decrease your response to the meds postop. This is much better discussed with your surgeon. Blessings.
This is an excellent video, Excellent. I had my left knee done 2 years ago in Sacramento. I can walk again. Mine was due to injuries from years in the fire service. Only concern, I cannot quite straighten the leg out completely. All in all very happy.
Thx for your comments. Bottom line is that nothing we surgeons can do is as good as what God gave you to start with. When the pain is great enough, and other options fail, TKR is an excellent choice. Congrats on the pain relief. Maintain the motion you have.
The pain in very intense but with endurance and a little time, (my Dr. says a full 6 months for recovery) I will regain my ability and activity and then on to weight loss.
I am told 46 is very young to have to have this procedure but I really want my life back. The procedure looks horrible and the pain is enough that at times I really wish I hadn't done it, but with all the people I have met who have had it done, they are very happy with their new knees. I plan on being one of them!
Pain is reason to have the procedure done. Wt loss is not important - it is critical. Like the determination in that area you have. One patient of mine shared with me, in terms of wt loss, something I remember well. "It never is a diet....It is a permanent lifestyle." Best wishes to you.
My first knee was done on Oct., 13th. therapy was completed when I was able to obtain a full extention to "0". That was just before Christmas. Although there was still a good amount of pain.
My second knee was 4 months later on Feb 22nd. (Today is March 6th)
The pain from the second knee seems to be much more intense however it has not swolen at all like the first knee did and sometimes still does. (Part 1 )
very helpful in writing a report I had for this surgery. So much going on when you're in there that it's hard to keep up with it. Very good narration.
Hey, petscanner here! I'm doing much better. Still some pain in Right knee, my left is starting to hurt. The rehab went well, I am bending at 134 degrees! :)))
congrats! you obviously have put in the sweat equity. maintain the ROM and the pain will subside. other side likely will improve when operative side begins taking its share of the weight. happy for you.
Theres a drug that might stave off TKR or PKR surgery. Its called Aquedan. Its available for humans in Europe or from a vet in the U.S. Animals that were forced to lay in a corner off their feet around the clock due to osteoarthritis soon sprung to life after having Aquedan administered. Those in the southwest U.S. could try getting it from a doc or veterinarian down in Mexico. Might be worth a shot if u have advanced O/A with chronic pain. If u the patient tries it please report back!
is there really a need for the space suits? im a trainee surgeon in the UK and we use standard face masks and a visor to protect the eyes. we only have a 1% rate of post-op infection, whats the rate where you are? if its less, might have a talk with the head of surgery about adopting them if possible
My mentor trained with Charnley. Personally: two infections, 19 years, both with significant risk factors (IDDM, Renal Dz, ASPVD,smokers). Statistically hard to prove space suits and laminar air markedly better than efficient surgery with all other antiseptic modalities. Post TKR infection is so devastating that perhaps here in the Colonies I/we err to an expensive extreme. Both patients eventually did well but I experienced a harvest of gray hair from the experience. Hope wisdom was result.
Physiologic age is more important than chronologic age. There comes a point of deterioration that can make rehab extremely difficult. Preop good muscle tone and range of motion, lack of huge deformity/contracture, lack of diabetes, renal and vascular disease are major factors in good outcome.
I had both knees replaced at age 63, 9 months apart. Pain was excruciating (I'm a retired nurse), Rehab was very tough. I had a lot of swelling afterward. Now after 4 years, I still have pain over the incisions. I do water exercises 2-3 times a week which helps. I don't regret the surgeries, pain is less. But wouldn't want to do it again. It took me this long to finally watch the procedure live.
My knees both constantly grind, I have no cartilage on either knee, and it was never actually diagnosed as such, but they exhibit symptoms of patellofemoral syndrome. I'm 21, and I had arthroscopic surgery on both about 8 years ago. The surgery helped for a while, but now they're back to where they started, if not worse. I've been told to look forward to a TKR in the near future. Are there any alternate options?? I've heard about cartilage replacement therapy...does that have any effect??
Complex question and problem. You need the opinion of a sports medicine specialist who does complex patellofemoral care. Females much more commonly have patellofemoral problems, most of which can be helped. At 21, silly to speak of TKR any time soon.
im a scrub tech student and did my first one of these yesterday as well as a total hip.....just out of curiosity, do you hire your own scrubs or use the ones employed by the hospital? and how much do they make?
That is usually when I cut it. Allows removal post femoral spurs. However,it can be done at any time. Some times we like to trial with a nonconstrained trial (no cut). Other times with larger deformity and with minimal posterior femoral spurs posteriorly, we cut it right after other femoral cuts. Point is that we cut it when needed and when most efficient/best exposure.
I had TKR 12-10-09. I'm 49 . I did have a infection in the staples when I came home , red, warm to touch , discharge. Did clear up with antibiotics at home. Did set me back a little with PT. I can flex my knee 130 . Can't extend my knee yet still at 10. Working hard in PT and at home. Doing 30min on bike. Doing stairs slowly. Worried about getting my knee to extend to 0. Going back to work next week 1/2 days.
critical time to obtain the full extension or at least within 3 or 4 degrees of full extension. There are devices which can help you obtain this but you have a limited amount of time after which near impossible. Ask you doctor. One brand name is called "Dynasplint". Blessings!
The physio after surgery is what is hard to get through but you must get the rotation and flexability right away or else your in trouble so no matter how much it hurts, it is for your own good..
Patella turned laterally, patellar tendon retracted. ACL removed. PCL often removed in which case a cruciate sacrificing design is used. For greater deformity and contractures, usually a cruciate sacrificing design (this video) is utilized. Younger patients, less deformity we often use PCL sparing prosthetic design. Good question.
Is the patient at risk of developing heterotopic ossification around the knee? If so, would the new bone be in the muscle envelope, or the muscle itself?
Rare to develop H.O. about knee as postop complication - much more common about hip postop. Calcification about knee is more commonly assd with degenerative tendinosis in my personal experience and certain conditions that lead to tendon degeneration. H.O. can also develop in muscle as result of direct trauma and calcification within area of hematoma.
Im next for this surgery...jan8-10..i been educating my self watchen all thess videos really..make me fell better....i put it off for 7 years of limping around...
Well I had my operation back nov 10th, The CPM machine was a big help. I was doing pretty good with my physical theropy it hurt but was able to bend my knee120 degrees maxing out the cpm. A few weeks after I had my staples out , I noticed that the last inch or so of my scare wasn't healing and was red and still draining. I had an infection and the dr put me on antibotics. After a week with no change. I ended up back in the hospital to get it all washed out. I get the stitches out tomorrow :)
so sorry to hear about your setback. This happens to the best surgeons/patients. Sounds like your surgeon is all over it and doing what is necessary to move you along while controlling it. best wishes. KLT
Very nice! My step-dad is getting a Total Knee Replacement this month on the 23rd. I'm so interested in the healthcare field. I have the dream of becoming a surgeon but i'm a junior in high school so I have a long way to go :/ thanks for the video.
Hi Dr. T. I had my total knee replacement on 10/20/09(see my past comments). My range of motion is great. I have been diligently doing my "homework" exercises and going to PT 3x per week. My PTs are so kind and skilled and I am feeling even stronger now. I'm not a couch potato, however, I'm not a fitness enthusiast either. I feel the healing blood supply go to my knee when I do my exercises...it feels so great. Also, I lost 11 pounds!!! I am so happy. More mobility means less calories.
So good to hear you are doing well. Big procedure, harder rehab. Keep your proverbial "nose to the grindstone" and don't let up. Diligence pays off, even when the exercises get boring. Maintain your terminal ranges of motion for life daily once reached. Wt loss will not only help your knee, but also general health, any low back pain, etc. Blessings!
What a great video! The doctor is very informative and interesting as he explains what he is doing. This video demystifies what happens in surgery. Just amazing!
I'm on my CPM machine now. I had my right knee replaced on 10-20-09. God bless you skilled surgeons! I have been getting better every day. I had my surgery in Putnam Hospital, NY, Dr. Buchalter did a fantastic job.I was very apprehensive about the surgery and I'm glad it's over. I remember the most painful day which was when my femoral block ran out, then, after that the pain decreased little by little. Your 3 videos are so well done and I found them all quite helpful...thank you.
Our hospital uses Stryker, Zimmer, some Smith&Nephew. Again, surgeons choice - what works best for the individual surgeon. There may come a time when we will be forced to use the least expensive implants - I dread the day, much like I dread the thought of anything run by government, esp health care.
Here Here!!! I remember learning in Grammer school about a tribe that put their elders and sick on a raft and floated them out to sea to die. They did this when the person became a burden to the tribe. Maybe that's what we should do! The government should keep their nose out of medicine and stop giving money away! I'm an MRI technologist and remember the 80's when medical care had less rules...patient care was better now $ matters more than the patient...insurance companies don't care.
Thank you for your response, it is always cool to see diferent systems used across the country. Im pretty sure that all the smith&nephew systems are cruciate retaining except for one, but most of the surgeons in my area use the cruciate retaining. Do you also do THR's as well or do you stick with knees? If so, what system do you use? Thanks again for your reply's and for taking the time to answer my questions!
I work in surgery and I have done tons of TKR's and I have never seen a total knee system that looks like the one used in this video. Where Im from you use smith & nephew about 90% of the time. So basically what Im asking is, what system is this?
This is the Stryker Triathalon posterior stabilized system (cruciate sacrificing). Many surgeons use a posterior cruciate sparing system which does not cut out the central distal femur. Surgeon's choice. With greater deformity and/or contractures, the PCL sacrificing approach can make the knee easier to balance. Good question - thank you for your inquiry.
this is a video of an actual Total Knee Replacement. The idea is to teach people about knee replacement. One of my patients was generous enough to volunteer to allow videotaping of her TKR. Isolation/draping of the operative knee to further decrease potential for infection is why you don't see "the rest of the patient".
oh and by the way the dr even said he didnt even have to cut the knee out of her it just popped right out and he does not know how she has been walking on it..... strange huh?? i just feel horrible for her that sje again has to go through all this pain and rehab when she didnt thing she would have to go through this until she had the other knee done. well she has already said she will not be having that knee done at all now!
Its quite interesting that you said after it is cemented that it is nearly impossible for it to come loose.... my mom is in the hospital right now. about 18 months ago she had a total knee replacement done and today it has to be re done because the cement came loose. there was no infection and no breaks in her bones in there. the cement for some unknown reason just loosened it self from the bone and no one has a reason how this could have happened!! any advise??
Sorry to hear about your mother's problem. Not common to have loosening that soon. There are a number of reasons for loosening. Usually not cement/prosthesis failure but bone/cement failure. Dont' have enough facts to comment more. She will need much encouragement to keep moving forward with her rehab as depression over situation common.
I'm having my 2nd TKR on the 15th, I had my first one different knee back in 05 and I wish I took my Dr advice and had them both done at the same time...I know from experience that a key to recovery is mental preparation and staying with the rehab program, I rehabbed my first TKR in 9 weeks, I'm shooting for six this time.. Yes the pain for the first 48-72 hours is a bitch, but you will look back and know when you are healed it was all worth it.. Thanks for the inside look...
The procedure actually takes approx 1 hour. The entire procedure was filmed with a Canon Professional Camera (XHA1) The video is edited in Apple Final Cut Pro, separately narrated (audio edited in Logic Pro) after video editing. The editing was done to demonstrate the main steps in TKR for the patient. This is not intended to be a "how to" video for surgeons.
i know it takes longer than 10 mins but i mean on youtube i thougt the limit for a vid is 10 mins not 10 mis and 1 second even ( just curios don't take wrong way)
Just had this procedure done. The procedure was successful and I am in therapy. This is a painful recovery process but worth the long term goal.
This procedure is not for those with a low pain threshold. In my case there was no longer any point in waiting.The first 48 hours are the most brutal but as long as you push yourself to do your exercises, each day will get better.
If you are a candidate for this procedure and find yourself in constant pain, I would highly recommend getting it done.
This is absolutely amazing. It's wonderful we all get a chance to see the real procedure instead of some illustrations!
I want to be an orthopedic surgeon when I graduate from (many years) of college.
Thank you for posting this! Absolutely wonderful!
fracid1292 1 week ago
So let's say the Femur was drilled and cut on the bottom right side of your knee would that make u unable too walk for maybe 2weeks
Litlej0j0 2 weeks ago
This is so cool! I want to be a orthopedic surgeon when I grow up!!!
iVloggerz 2 weeks ago
I understand this question is slightly off topic, but I noticed as you made the initial incision there was no rush of blood, or really blood at all. Are there no major veins/arteries in the area?
Einsteined 3 weeks ago
@Einsteined We use a tourniquet to decrease blood loss. After the surgery is completed, before the tourniquet is released, we place a drain in the knee to prevent blood accumulation in the knee. We usually lose a total of approximately 250cc to 450cc, most of which is into the drain.
KirbyLTurnage 3 weeks ago
Thank you, i'm getting ready to get a total replacement now I know what the Doctors will be doing, amazing.
buddyeight2000 1 month ago
@KirbyLTurnage Do surgery techs take part in these surgeries?? I'm thinking of becoming one
Uprising229 1 month ago
omg i can take playen that virtual knee surgery game but i am barely able to take this lol
mddbassist2426 1 month ago
Had this done on 11/29/11 w/a spinal & nerve cath instead of going under general anesthsia. I was in the hospital for a total of 5 days. The day after surgery is when the PT begins. My BP kept dropping & it was 3 days before I was able to get out of bed w/o passing out. This severely slowed down the PT progress. It's been 6 weeks since surgery, scar tissue formed faster & the bend only got to 60 degrees even with PT, so my doctor set up a munipulation to hopefully help get the bend back. :(
DixieChick30813 1 month ago
I thought I was unlucky going in for an operation on my hand/wrist 2 weeks ago, this is gruesome, but still absolutely incredible. What does someone have to do to their knee to get it completely replaced but not amputated?
Hitmanfan91 2 months ago
Can you tell the difference? like.. does it feel like you have metal in your knee?
BriBri897 2 months ago
@BriBri897 Great question. My patients tell me (I don't have a TKR) that the deep pain is gone but initially there is a balance issue/sensory confusion. Remember that even though the bone is terribly arthritic, you receive a position sense from the diseased bone (degree the knee is bent) in addn to the pain. When the surface of the bone is gone and replaced, the brain and knee have to "learn each other" again. There is also some mechanical noise you get used to. Blessings, KLT
KirbyLTurnage 2 months ago
this video is very use ful for me as ihave osteoarthritis pain in my knee joint
acer5741 2 months ago
The patella seemed kinda loose there, obviously you made a cut through muscle and tendons.
How do they get back together, do you stich them before closing up the skin or does this happen on it self?
ramadanhasani 2 months ago
@ramadanhasani Good question. We cut to the inside (medial side) of the patella then extend the incision up toward the hip. This allows us to turn the patella over to see the deep side and resurface it. When the implants are in, the patella is turned back over and we repair the tendons that were initially cut to afford exposure.
KirbyLTurnage 2 months ago
thanks a lot for uploading this awesome vid.. :)
ameliasuhardi 2 months ago
I had bilateral total knee replacements three years ago. I was only 35, and had severe arthritis. After the procedure, I thought I would never be able to do any of the activities I loved to do. This procedure has given me a new chance at life! I am 3 years out and have no pain at all! It's a great thing you dr's do!!!!
jasonbehunin 3 months ago 4
The intent of this video is educational for those with osteoarthritis of the knee. While i respect your opinion, please don't flag a video because of your personal dislike. A tremendous amount of work goes into the development of resources like this. Please think of the thousands of people with this disorder who need genuine, straightforward information on their problem. I personally monitor my childrens' internet traffic -that is MY responsibility.
KirbyLTurnage 3 months ago 7
this video was flagged because internet access these days is very easy.. and i don't think that this video should be watched by kids or someone whose afraid of blood..:)
Mspetra92 3 months ago
@Mspetra92 Yea we wouldn't want kids to be doctors.
Kotaztrafee 1 month ago
@Kotaztrafee you really think if a 10 year old see this video...his first thought would be "do i wanna be a doctor?" or "mommyyyyy i can't sleep tonight!!'???
Mspetra92 1 month ago
Orthophedic surgery vs Trauma surgery... which one is better??
gioojj 4 months ago
what happens to the intracapsular and extracapsular ligaments of the knee?
matmarang 5 months ago
THAT MUST HURT LIKE HELL WHEN U WAKE UP!
firefox8192 6 months ago
@firefox8192 Actually with current regional anesthesia most patients have much less pain that you would imagine. Without modern anesthesia, the pain is severe.
KirbyLTurnage 6 months ago
OUCH!
firefox8192 6 months ago
Thanks, I may want to be a orthopedic surgeon one day because of the full range of instruments that they get to use.
cblazek23 7 months ago
my grandma had this done and she doesn't even want to see this.lol. she said that the surgeons wore some type of visor and I thought it was like one a ME would wear.NEver thought that spacemen were involved!
Great vid this!
Watch out for 4:36 moment! Nnice
harrishairi1 7 months ago
I always find videos likes these very.interesting, you know. I always search videos of surgical operations of any kind. :) When they cut open the knee, i almost fainted but i didn't! :)
TheSnowFlake1992 8 months ago in playlist surgical operations
The new femoral condyles are SO beautifully made. Amazing surgery. Thanks for posting this.
ulfy01 10 months ago
good operation by docs..........
harimalaviya 11 months ago
my knee hearts now thank u =)
MsMonsterman420 1 year ago
Dr.Turnage: Excellent video and narration. Your description is outstanding. I had TKR (Stryker Triathalon) one year ago- 02/05/10 after 7 surgeries on R Knee and years of pain and limited range of motion I can't beleive how great it feels. Virtually pain free ( achey at times). Standing, walking, stairs and flexibility compared to before is unbelievable. So correct about the rehabilitation. First 3 weeks were hell. Then I noticed great gains. Must really work hard but surgery worthwhile. Thanks.
0poptate 1 year ago
How long does it take for the glue to dry?
surgicasurgeon 1 year ago
thnks for sharing! very helpful
querida1314 1 year ago
6 weeks after surgery and I'm heading back to work without a cane, although I take it along for just in case. Pain I had from bone-on-bone is gone. Still have tightness, but I'm still 4 weeks away from wrapping up twice-weekly out-patient PT (Pain and Torture). Do yourself a favor and make sure you take a Continuous Passive Motion (CPM) machine for at-home use... it's a bitch, but near-infinitely helpful in ensuring a good post-op outcome. Physical therapy is the absolute KEY to success.
littlemisspissy 1 year ago
I get my knee done in a week and a half and watching this is alleviating some of the anxiety that I am having. Fascinating!
mlmathes 1 year ago
Why in the hell did i click on this video?
Coynehole 1 year ago
I am 8 week since double total knee replacement and I am doing GREAT!! Two stitches abcessed but that is only a hic-up. I have 0/120 plus range of motion in both knees and can walk and do stairs better than in many years. I am so pleased.
Dr Turnage I have a question for you. I need total shoulder replacement next spring. Do you do them? What should I expect? Be honest. Would strength training help as it did with my knees? I could and can now leg press 95 pounds. I am 65. Female.
imricki1 1 year ago
Sorry forgot to add the last op was April 10. The bad news is despite the knee being 100% perfect I have just found out after another bone scan that the whole thing needs to come out due to a "deep infection" which is also making the joint loose! So surgery in November to remove, six weeks with no knee and lots of antibiotics then another knee just before Xmas.
wababoy1 1 year ago
Hi that is a great video to watch. I'm 41 and had 8 knee ops on my left knee before they agreed to give me a new knee. The first one was half a knee which gave me more pain tan before. Eventually I found another surgeon who did bone scan and then agreed to replace the half knee with a full one, turns out the first one wasn't fitted correctly and was too small! The new full size knee is the first time I have been pain free for 6 years.
wababoy1 1 year ago
Great Vid, I'm in Australia and require knee replacement. Why do I have to be aged over 55 before they consider it? Instead I've been sent to pain management for both knees and back pain. My right knee is the real killer. I was (and might again) self medicating from pain and i felt that that was the best think for me. What can i do now? Qual of life is poor. From elite sportman to motionless...
What do I do? The pain management isn't working!!!!
ddsdblue1 1 year ago
@ddsdblue1 Get a second opinion.
I am same condition - just had TKR 3 weeks ago.
Suggest Google search "Top Doctors" in your area.
sbyerley 1 year ago
@sbyerley is it better now? Are you pain free?
ddsdblue1 1 year ago
@ddsdblue1 Get a second opinion.
Suggest Google search "Top Doctors" in your area.
I was in same condition - just had TKR 3 weeks ago.
sbyerley 1 year ago
@ddsdblue1
Google "Top Doctors" in your area.
Get a second opinion.
Find someone who does 200+ TKRs per yr.
I was in same position and age as you.
Had TKR 3 weeks ago.
Good Luck!
sbyerley 1 year ago
what happens to the cruciates?
also, is the patella tendon intact throughout and the patella just pulled to one side?
freddie112358 1 year ago
OK I am going in. I will have double TKR on Wednesday 9/15/10. Getting Stryker Triathalon. Watched this video with my husband and feel good knowing. Our kids didn't want to watch. Fine. I understand. I get the message. Rehab is ultra important. Get my bend and flat knee and keep it up for a life time. I will. Thanks for all the blessings Doc. Blessings back to you.
imricki1 1 year ago
@imricki1 Thanks for the feedback. Glad this helped in some way. Blessings. klt
KirbyLTurnage 1 year ago
I had this done to my left knee about eight weeks ago. I will be having the same procedure on my right knee in a month or so. I am almost 71 and I'm glad to be finished with it all so I can walk again. I have had knee problems for years. My left knee is doing fine and I am anxious for the right one to be done. Now I'm bionic! LOL
heupiedupey 1 year ago
my mom just had this done to both knees this morning. i am so happy i waited until now to watch this otherwise i would've been freaking out . but im happy i was able to see this thank you it makes me feel better knowing what she went through while she was knocked out
90srawesome 1 year ago
I love science. Particularly physics but medical science is amazing too. I couldn't be a doctor though. I would take things too personally. I would love to help people but when I couldn't it would kill me. My friend is a doctor and he said that you get used to it, death and suffering included. I don't want to get used to it. The sadness is important for people, I think.
StuffyG 1 year ago
Thanks for posting this! Is there a reason this video was flagged? Doesn't make sense to me.
thehageys 1 year ago
@thehageys I must admit I have no idea why this video went from 350+ views per day to about 30/day. What is flagging and how is this appealed? Thank you for your comments. I would appreciate any help as to how to "unflag" this video.Thanks KLT
KirbyLTurnage 1 year ago
@KirbyLTurnage I believe you have to contact YouTube to appeal it. There are hundreds of similar surgeries on YouTube, so why flag this one. This is a useful video for kids interested in becoming surgeons. Why deny them this opportunity?
robertvisconti 1 year ago
Thank you for posting this Mr Turnage. I work in the sterile services of a local hospital in England, I clean these instruments for TKR nearly twice a day, sometimes even more. It is truly fascinating to see the things that we get back from theatres covered in blood and bone etc, actually being used.
One question I have though is, Why is it that when we rinse and clean the separate parts, the water is always oily or greasy?
Purplesexslave 1 year ago
@Purplesexslave Thanks for your comments. The oily feel/substance is actually the marrow of the bone which is largely fatty in constitution.
KirbyLTurnage 1 year ago
ewwie!!!
um12345678910 1 year ago
Wow! I am glad I discovered this video! Very helpful for me to understand what they did with my left knee two weeks ago! I have the right knee pending for the same probleme! I sent this video to all my friends and family in Romania( I was born there)
I was a nurse in Romania and I am a nurse here too and I found this live video a very good lesson ! The comment it is so good also a lot of patience in your voice! Thanks doctor
mthrash001 1 year ago
@mthrash001 So glad to be helpful to you. Hope your recovery goes extremely well! Blessings!
KirbyLTurnage 1 year ago
WoW! That's so fascinating! Now I know how a knee replacement is done!!
LadyBlueGreenFairy 1 year ago
Great video. I am an active 60 year old. Tore my meniscus four years ago while working as a soccer referee. After two arthroscopic surgeries to clean up and then clean out what was left, I had a TKL. It was a lot of work, but well worth it all. I haven't gone through all the posts, but have not seen any comments on PreOp preparation. The better shape you are in prior to the operation, the easier it will be in rehab. I teach skiing. Came off the slopes on Monday & was on the table Tuesday
AnotherPatroit 1 year ago
My wife also an ER RN had bi-lateral knee replacement last Monday. It was agony for a few days, dont let anybody fool you, but if you need both done do it together, otherwise you will never go back! Second the nerve blocks, only way to go. Good luck.
micp696 1 year ago
@micp696 O..it's terible to do both knees at the same time,I can imagine how hard was for your wife! Take care of her!God bless your heart!
mthrash001 1 year ago
is this real?
viperdude281 1 year ago
well there it is.... what will be done to me May 20th....just AMAZING!!!
sammy2bowie2 1 year ago
So some drywall screws, an angle, a level, a 3/8th drill bit, some crazy glue, 3/4 inch plastic, and a Dremel Got it.
ThunderAppeal 1 year ago
@ThunderAppeal lol seriously!! still amazing
turgo82 1 year ago
i'm 21 and i have severe meniscus damage all around my knee that i feel bone on bone when it's cold, and clicking noises from cartilliage tear beside ACL...I have been nursing the pain everyday for 2 years almost 3 years...I have been super active person at birth...I hope to be able to run again but with clicking and inflammation all around I sometimes can't sleep. Do I need total replacement?
tldevilsh 1 year ago
I'm a 36 year old pro wrestler w/ advanced degenerative osteoarthritis w/ spus. I have tried everything that there is short of having a knee replacement. My Dr. tells me that I am too young. My knee is completely useless though and I cannot wrestle anymore. Even kneeling in church is not possible. I wish that I could get this done. Thank you for posting this video Doctor.
metalbornmetalbred 1 year ago
i am a student nurse and i am really glad that i've watched this video. thanks for the education
14mgin 1 year ago
This vid is exactly what I was looking for. I'm a 55 yr old RN and have been putting this off for as long as I can. My ROM is extremely limited. Thanks for the education! I would have chosen OR for my career but for these knees which have been years in their deterioration, combination osteo and RA. Do you bathe the joint in a local anesthetic to provide some post op pain relief?
autumngold2005 1 year ago
Many Joint Centers, like ours, use femoral and sciatic nerve blocks with indwelling catheters which substantially reduce postop pain, with reduced narcotic usage, for approx 2.5 days. Other options include epidural anesthesia. I and most avoid any local anesthetic infiltration.
KirbyLTurnage 1 year ago
@autumngold2005 I understand your pain. I am 31 and am having my hip replaced tomorrow. I had my knee done when i was 19. Good luck with your procedure!
deannej21 1 year ago
I forgot to mention that the first leg I had done is as straight as an arrow. The leg that is still hurting is very crooked. My P.T. measured it and it is 7 Degrees out of straight. It is easily seen by everyone. My surgeon won't return my calls. I have an appointment with him in 6 weeks. I think the prostetic (spelled wrong) is loose.
tandforsumr 1 year ago
FUCK
what13521 1 year ago
Dr. Kirby Turnage... Thank you for posting this video. It has helped me make my decision on having my left knee rebuilt. I am scheduled for surgery on April 13th. Dr. Murray Robertson of Tucson Orthopedic Institute is performing my surgery. I am looking for better days as I am totally bone on bone and in a great deal of pain.
YouFoldTwoPairs 1 year ago
Blessings to you. Sounds like you are in very good hands. Work hard on the rehab.
KLT
KipTurnage 1 year ago
I'm currently taking a physiotherapist assistant program and had TKR client during one of my clinical placements. So I could better understand my patient, I googled your video and was totally engrossed in the video; it is amazing to see. I am so thankful that you took the time to post this highly educational and informative video. Now armed with a much keener insight to TKR, I will be much more adept when dealing with my patients. Thank you. Sincerest Regards.
TheKimmer2011 1 year ago
i am physiotherapist trainee..
this video very good..
thank u... :D
kotoque90 1 year ago
You are welcome. Glad it was helpful to you. I am honestly overwhelmed from the number of people literally around the world who have learned from this video. Good luck with your studies. Remember, without great PT, this surgery will fail.
KirbyLTurnage 1 year ago
@KirbyLTurnage can i get other surgical procedure?any..
kotoque90 1 year ago
I had both knees done 2 mos. apart. after 50 years of construction mine were shot. They gave me pain meds after, but after 2 months went from 2 every 6 hours to 3 a day. Lortab 10 was my meds. I now have 80% of the pain again and it is still in both knees. I think this is wrong and maybe cruel to do this. The pain meds. should have been more gradual. My surgeon did not do this. It was my regular doctor that is really a nurse practitioner. I am not a drug addict and want to quit altogether.
tandforsumr 2 years ago
Wish I could be more helpful. 100% of my patients are off all pain meds by 90days postop, unless there is another surgery/complication. The real question is whether there is a problem with a solution that need be addressed (not saying there is a problem), If pain remains so prominent, could there be a scarring or other problem? Were you on pain medication prior to surgery? That can also decrease your response to the meds postop. This is much better discussed with your surgeon. Blessings.
KirbyLTurnage 1 year ago
This is an excellent video, Excellent. I had my left knee done 2 years ago in Sacramento. I can walk again. Mine was due to injuries from years in the fire service. Only concern, I cannot quite straighten the leg out completely. All in all very happy.
blinko656 2 years ago
Thx for your comments. Bottom line is that nothing we surgeons can do is as good as what God gave you to start with. When the pain is great enough, and other options fail, TKR is an excellent choice. Congrats on the pain relief. Maintain the motion you have.
KLT
KirbyLTurnage 2 years ago
That is so true, he gave me a strong set of legs that lasted pretty long but nothing more important or stronger for me in the belief in him :)
blinko656 2 years ago
The pain in very intense but with endurance and a little time, (my Dr. says a full 6 months for recovery) I will regain my ability and activity and then on to weight loss.
I am told 46 is very young to have to have this procedure but I really want my life back. The procedure looks horrible and the pain is enough that at times I really wish I hadn't done it, but with all the people I have met who have had it done, they are very happy with their new knees. I plan on being one of them!
olglory4263 2 years ago
Pain is reason to have the procedure done. Wt loss is not important - it is critical. Like the determination in that area you have. One patient of mine shared with me, in terms of wt loss, something I remember well. "It never is a diet....It is a permanent lifestyle." Best wishes to you.
KLT
KirbyLTurnage 2 years ago
Comment removed
olglory4263 2 years ago
My first knee was done on Oct., 13th. therapy was completed when I was able to obtain a full extention to "0". That was just before Christmas. Although there was still a good amount of pain.
My second knee was 4 months later on Feb 22nd. (Today is March 6th)
The pain from the second knee seems to be much more intense however it has not swolen at all like the first knee did and sometimes still does. (Part 1 )
olglory4263 2 years ago
very helpful in writing a report I had for this surgery. So much going on when you're in there that it's hard to keep up with it. Very good narration.
MrGeneric67 2 years ago
Hey, petscanner here! I'm doing much better. Still some pain in Right knee, my left is starting to hurt. The rehab went well, I am bending at 134 degrees! :)))
petscanner 2 years ago
congrats! you obviously have put in the sweat equity. maintain the ROM and the pain will subside. other side likely will improve when operative side begins taking its share of the weight. happy for you.
KLT
KirbyLTurnage 2 years ago
This has been flagged as spam show
Theres a drug that might stave off TKR or PKR surgery. Its called Aquedan. Its available for humans in Europe or from a vet in the U.S. Animals that were forced to lay in a corner off their feet around the clock due to osteoarthritis soon sprung to life after having Aquedan administered. Those in the southwest U.S. could try getting it from a doc or veterinarian down in Mexico. Might be worth a shot if u have advanced O/A with chronic pain. If u the patient tries it please report back!
AcuteAnalogy 2 years ago
wow..its soo disturbing and fascinating at the same time.. :O
mufffin777 2 years ago
is there really a need for the space suits? im a trainee surgeon in the UK and we use standard face masks and a visor to protect the eyes. we only have a 1% rate of post-op infection, whats the rate where you are? if its less, might have a talk with the head of surgery about adopting them if possible
lukeycc67 2 years ago
My mentor trained with Charnley. Personally: two infections, 19 years, both with significant risk factors (IDDM, Renal Dz, ASPVD,smokers). Statistically hard to prove space suits and laminar air markedly better than efficient surgery with all other antiseptic modalities. Post TKR infection is so devastating that perhaps here in the Colonies I/we err to an expensive extreme. Both patients eventually did well but I experienced a harvest of gray hair from the experience. Hope wisdom was result.
KirbyLTurnage 2 years ago
I can only imagine the toll rehab takes on the body. I wonder if someone in their 70s can cope :(
b1ueocean 2 years ago
Physiologic age is more important than chronologic age. There comes a point of deterioration that can make rehab extremely difficult. Preop good muscle tone and range of motion, lack of huge deformity/contracture, lack of diabetes, renal and vascular disease are major factors in good outcome.
KirbyLTurnage 2 years ago
I had both knees replaced at age 63, 9 months apart. Pain was excruciating (I'm a retired nurse), Rehab was very tough. I had a lot of swelling afterward. Now after 4 years, I still have pain over the incisions. I do water exercises 2-3 times a week which helps. I don't regret the surgeries, pain is less. But wouldn't want to do it again. It took me this long to finally watch the procedure live.
Sissy63 2 years ago
My knees both constantly grind, I have no cartilage on either knee, and it was never actually diagnosed as such, but they exhibit symptoms of patellofemoral syndrome. I'm 21, and I had arthroscopic surgery on both about 8 years ago. The surgery helped for a while, but now they're back to where they started, if not worse. I've been told to look forward to a TKR in the near future. Are there any alternate options?? I've heard about cartilage replacement therapy...does that have any effect??
adventuregal2003 2 years ago
Complex question and problem. You need the opinion of a sports medicine specialist who does complex patellofemoral care. Females much more commonly have patellofemoral problems, most of which can be helped. At 21, silly to speak of TKR any time soon.
KirbyLTurnage 2 years ago
Thank you! I kinda thought the person was crazy who suggested it, but it's nice to have some confirmation...
adventuregal2003 2 years ago
im a scrub tech student and did my first one of these yesterday as well as a total hip.....just out of curiosity, do you hire your own scrubs or use the ones employed by the hospital? and how much do they make?
blinky855 2 years ago
hospital provides scrubs. I bring my own PA. Salary regional and based on experience.
KirbyLTurnage 2 years ago
why not do the keel punch right after the tibial cut? why come back to it after the patella cut?
sadykf 2 years ago
That is usually when I cut it. Allows removal post femoral spurs. However,it can be done at any time. Some times we like to trial with a nonconstrained trial (no cut). Other times with larger deformity and with minimal posterior femoral spurs posteriorly, we cut it right after other femoral cuts. Point is that we cut it when needed and when most efficient/best exposure.
KirbyLTurnage 2 years ago
Is that a real human knee because the leg didn't look real. My dad is having it one and my uncle had it and isn't happy with the result.
Mazzy95 2 years ago
As real as it gets.
KirbyLTurnage 2 years ago
I had TKR 12-10-09. I'm 49 . I did have a infection in the staples when I came home , red, warm to touch , discharge. Did clear up with antibiotics at home. Did set me back a little with PT. I can flex my knee 130 . Can't extend my knee yet still at 10. Working hard in PT and at home. Doing 30min on bike. Doing stairs slowly. Worried about getting my knee to extend to 0. Going back to work next week 1/2 days.
echo400 2 years ago
critical time to obtain the full extension or at least within 3 or 4 degrees of full extension. There are devices which can help you obtain this but you have a limited amount of time after which near impossible. Ask you doctor. One brand name is called "Dynasplint". Blessings!
KirbyLTurnage 2 years ago
excellent video. I had a TKR in 1996 and I am pain free now. this video helped me understand the whole procedure. thank you.
edna
ednanerio68 2 years ago
Grateful to be of service. Glad you are doing so well. Good doctor and hard work on part of patient - no substitute for either. Blessings. KLT
KirbyLTurnage 2 years ago
The physio after surgery is what is hard to get through but you must get the rotation and flexability right away or else your in trouble so no matter how much it hurts, it is for your own good..
spysear 2 years ago
OUCH!! IT HURTS!
jojosh234 2 years ago
Do you cut the patellar tendon, or do you retract the patella to the side? Also, what happens to the cruciate ligaments?
gleabe07 2 years ago
Patella turned laterally, patellar tendon retracted. ACL removed. PCL often removed in which case a cruciate sacrificing design is used. For greater deformity and contractures, usually a cruciate sacrificing design (this video) is utilized. Younger patients, less deformity we often use PCL sparing prosthetic design. Good question.
KirbyLTurnage 2 years ago
Is the patient at risk of developing heterotopic ossification around the knee? If so, would the new bone be in the muscle envelope, or the muscle itself?
gleabe07 2 years ago
Rare to develop H.O. about knee as postop complication - much more common about hip postop. Calcification about knee is more commonly assd with degenerative tendinosis in my personal experience and certain conditions that lead to tendon degeneration. H.O. can also develop in muscle as result of direct trauma and calcification within area of hematoma.
KirbyLTurnage 2 years ago
Thank you!
gleabe07 2 years ago
nasty but interesting
AnimationAnimater12 2 years ago
Im next for this surgery...jan8-10..i been educating my self watchen all thess videos really..make me fell better....i put it off for 7 years of limping around...
ralphmbrooklyn2010 2 years ago
Best of luck, Ralph. work hard in the rehab. makes a big diference. KLT
KirbyLTurnage 2 years ago
had mine done glad I never watched the video..
spysear 2 years ago
Well I had my operation back nov 10th, The CPM machine was a big help. I was doing pretty good with my physical theropy it hurt but was able to bend my knee120 degrees maxing out the cpm. A few weeks after I had my staples out , I noticed that the last inch or so of my scare wasn't healing and was red and still draining. I had an infection and the dr put me on antibotics. After a week with no change. I ended up back in the hospital to get it all washed out. I get the stitches out tomorrow :)
stonecraz1 2 years ago
so sorry to hear about your setback. This happens to the best surgeons/patients. Sounds like your surgeon is all over it and doing what is necessary to move you along while controlling it. best wishes. KLT
KirbyLTurnage 2 years ago
Very nice! My step-dad is getting a Total Knee Replacement this month on the 23rd. I'm so interested in the healthcare field. I have the dream of becoming a surgeon but i'm a junior in high school so I have a long way to go :/ thanks for the video.
jaredb93 2 years ago
Very impressive, I recognize the surgical procedure from somewhere else.
adept91 2 years ago
Stonecraz1, please tell me how you are doing. I hope all is well and you are on your way to a full recovery.
petscanner 2 years ago
Hi Dr. T. I had my total knee replacement on 10/20/09(see my past comments). My range of motion is great. I have been diligently doing my "homework" exercises and going to PT 3x per week. My PTs are so kind and skilled and I am feeling even stronger now. I'm not a couch potato, however, I'm not a fitness enthusiast either. I feel the healing blood supply go to my knee when I do my exercises...it feels so great. Also, I lost 11 pounds!!! I am so happy. More mobility means less calories.
petscanner 2 years ago
So good to hear you are doing well. Big procedure, harder rehab. Keep your proverbial "nose to the grindstone" and don't let up. Diligence pays off, even when the exercises get boring. Maintain your terminal ranges of motion for life daily once reached. Wt loss will not only help your knee, but also general health, any low back pain, etc. Blessings!
KirbyLTurnage 2 years ago
Really cool video! Its interesting to learn about all this because my dad is a distributer of joint replacement supplies in the pennsylvania area.
cbedogs68 2 years ago
What a great video! The doctor is very informative and interesting as he explains what he is doing. This video demystifies what happens in surgery. Just amazing!
DENISEMC5 2 years ago
I'm on my CPM machine now. I had my right knee replaced on 10-20-09. God bless you skilled surgeons! I have been getting better every day. I had my surgery in Putnam Hospital, NY, Dr. Buchalter did a fantastic job.I was very apprehensive about the surgery and I'm glad it's over. I remember the most painful day which was when my femoral block ran out, then, after that the pain decreased little by little. Your 3 videos are so well done and I found them all quite helpful...thank you.
petscanner 2 years ago
Glad to hear you are progressing so well. Follow you rehab instructions. Blessings!
KirbyLTurnage 2 years ago
Having it done Nov 10...Yikes!
stonecraz1 2 years ago
Blessings! Work hard on the rehab and it will pay great dividends.
KirbyLTurnage 2 years ago
Good luck, I had mine on 10-20-09, I'm 46 and had trauma at work too. :(( you'll be happy you did it.
petscanner 2 years ago
Comment removed
stonecraz1 2 years ago
I love science! This is truly amazing. Thanks for the info!
lambiesme 2 years ago
Our hospital uses Stryker, Zimmer, some Smith&Nephew. Again, surgeons choice - what works best for the individual surgeon. There may come a time when we will be forced to use the least expensive implants - I dread the day, much like I dread the thought of anything run by government, esp health care.
KirbyLTurnage 2 years ago
Here Here!!! I remember learning in Grammer school about a tribe that put their elders and sick on a raft and floated them out to sea to die. They did this when the person became a burden to the tribe. Maybe that's what we should do! The government should keep their nose out of medicine and stop giving money away! I'm an MRI technologist and remember the 80's when medical care had less rules...patient care was better now $ matters more than the patient...insurance companies don't care.
petscanner 2 years ago
Thank you for your response, it is always cool to see diferent systems used across the country. Im pretty sure that all the smith&nephew systems are cruciate retaining except for one, but most of the surgeons in my area use the cruciate retaining. Do you also do THR's as well or do you stick with knees? If so, what system do you use? Thanks again for your reply's and for taking the time to answer my questions!
fatdrummertim 2 years ago
I work in surgery and I have done tons of TKR's and I have never seen a total knee system that looks like the one used in this video. Where Im from you use smith & nephew about 90% of the time. So basically what Im asking is, what system is this?
fatdrummertim 2 years ago
This is the Stryker Triathalon posterior stabilized system (cruciate sacrificing). Many surgeons use a posterior cruciate sparing system which does not cut out the central distal femur. Surgeon's choice. With greater deformity and/or contractures, the PCL sacrificing approach can make the knee easier to balance. Good question - thank you for your inquiry.
KirbyLTurnage 2 years ago
wait, thats not a real leg is it? it doesnt seem attached to a body
horsediamond8 2 years ago
this is a video of an actual Total Knee Replacement. The idea is to teach people about knee replacement. One of my patients was generous enough to volunteer to allow videotaping of her TKR. Isolation/draping of the operative knee to further decrease potential for infection is why you don't see "the rest of the patient".
KirbyLTurnage 2 years ago
oh and by the way the dr even said he didnt even have to cut the knee out of her it just popped right out and he does not know how she has been walking on it..... strange huh?? i just feel horrible for her that sje again has to go through all this pain and rehab when she didnt thing she would have to go through this until she had the other knee done. well she has already said she will not be having that knee done at all now!
mnpusateri 2 years ago
Its quite interesting that you said after it is cemented that it is nearly impossible for it to come loose.... my mom is in the hospital right now. about 18 months ago she had a total knee replacement done and today it has to be re done because the cement came loose. there was no infection and no breaks in her bones in there. the cement for some unknown reason just loosened it self from the bone and no one has a reason how this could have happened!! any advise??
mnpusateri 2 years ago
Sorry to hear about your mother's problem. Not common to have loosening that soon. There are a number of reasons for loosening. Usually not cement/prosthesis failure but bone/cement failure. Dont' have enough facts to comment more. She will need much encouragement to keep moving forward with her rehab as depression over situation common.
KirbyLTurnage 2 years ago
I'm having my 2nd TKR on the 15th, I had my first one different knee back in 05 and I wish I took my Dr advice and had them both done at the same time...I know from experience that a key to recovery is mental preparation and staying with the rehab program, I rehabbed my first TKR in 9 weeks, I'm shooting for six this time.. Yes the pain for the first 48-72 hours is a bitch, but you will look back and know when you are healed it was all worth it.. Thanks for the inside look...
cmalings 2 years ago
cool thx got any tips from a anesthesiologist like you
RMcGO28716 2 years ago
that was very interesting video i am thinking of working in that profeesion
PS how did ou get the vid over 10 mins?
RMcGO28716 2 years ago
The procedure actually takes approx 1 hour. The entire procedure was filmed with a Canon Professional Camera (XHA1) The video is edited in Apple Final Cut Pro, separately narrated (audio edited in Logic Pro) after video editing. The editing was done to demonstrate the main steps in TKR for the patient. This is not intended to be a "how to" video for surgeons.
kltmd 2 years ago
i know it takes longer than 10 mins but i mean on youtube i thougt the limit for a vid is 10 mins not 10 mis and 1 second even ( just curios don't take wrong way)
RMcGO28716 2 years ago
Just had this procedure done. The procedure was successful and I am in therapy. This is a painful recovery process but worth the long term goal.
This procedure is not for those with a low pain threshold. In my case there was no longer any point in waiting.The first 48 hours are the most brutal but as long as you push yourself to do your exercises, each day will get better.
If you are a candidate for this procedure and find yourself in constant pain, I would highly recommend getting it done.
Apolyion 2 years ago
this is so cool!
I hope to be a doctor one day. I'd really like to work in the OR (not sure if I want to be a surgeon or an anesthesiologist tho)
moseleych 2 years ago 2
This is a great video, thanks for uploading this. Educational and presented methodically.
Very meticulous surgeons at work too. Good work!
oldsk00l 2 years ago