Total Knee Replacement Surgery Part 2 - Update 2011

[jpsweetheart]

Ohhhh will I ever get over my vasovagal response???

[kananga309]

Are they....are they actually cutting the Knee cap? isn't bone suppose to be like super hard?

[TheSirPwnage]

@kananga309 They have bone saws to cut through the bone

[fuckcalgarysucks]

watching most surgeries doesnt bother me but that looks painful!

[NoJohnZz]

I'm so interested in stuff like this for some reason.

[LeanneRodriguez]

This is so cool!

[Filemeno80]

Thank you so much for this video it helped me see that the operation is not as bad is it always sounds.

[yosefcoelho]

just amazing! it's a great relief to know that people can walk again after having these problems... Would it mean amputation in the past?

[omone00]

The Doc I worked with yesterday made Tibia cuts 1st then the femoral cuts. Was the first time I've ever seen it done like that.

[arashd]

Extremely helpful as I am actively pursuing a career in surgical device sales here in atlanta, ga. Out of curiosity, what brand of prosthesis do you prefer? Very, very great quality and well done narrating.

Thank you,

Arash D.

[juris229]

why isn't the cut all bleeding?

[KirbyLTurnage]

@juris229 We use a tourniquet as well as cautery to decrease bleeding. When we close the knee, we place a drain to collect the blood that collects there as there will be moderate bleeding when the tourniquet is deflated.

Good question. thx..KLT

[bibo1234ize]

@KirbyLTurnage What kind of company is it? it`s not Aesculap, correct ?

[tommyrockon]

I had this surgery done on my right knee 24 days ago. The Morphine tablets ran out a week ago and I've had no real pain at all. The bruising has just about gone down and the staples have been removed. I am walking quite comfortably without crutches and have driven short distances without any problems. I'm 62 and had a bad Motorcycle accident in 1982 that damaged the knee and cartilage allowing a lot of lateral knee movement. I now have a positive feel with the prosthetic and would recommend it..

[9588alamALI]

does a person with a lateral meniscus tear needs this ?:(

[KirbyLTurnage]

@9588alamALI patients with a significant amount of lateral meniscal tissue removed typically will develop arthritis long before medial meniscus excision. Not all with lateral meniscectomies will need Knee Replacement. Good question.

[DeathBlade182]

So the "knee" includes the tips of the Femur and Tibia, as well as the Patella?

[KirbyLTurnage]

@DeathBlade182 exactly. It also includes the meniscal tissue, articular cartilage, and the ligaments that stabilize the knee. Good question

[gopflash]

This is a great and informative video. As a Physical Therapy student, I find videos like this to really help my understanding of what the patients go through before coming to therapy. Thank you so much for your passionate work!

[KirbyLTurnage]

@gopflash Good luck to you. Glad this was helpful. KLT

[KirbyLTurnage]

Congrats on your progress. Therapy is critical. Primarily your job. Thanks for the kind comments.

KLT

[AnneInCt]

What an amazing video, THANK YOU! You may wonder why so many hits? I'm watching because I had this procedure 7 weeks ago. I delayed it for months, but I'm SO happy I had it done, as I no longer have awful bone pain (had torn bunched up cartilage removed a year and half prior to surgery). I have stiffness when sitting or lying down for a long time, but it improves every week + disappears with movement. Doing daily P.T. exercise is crucial! Thank God for modern technology + you Doctors!

[KirbyLTurnage]

@AnneInCt Glad to hear you are doing well! Blessings! KLT

[Declextreme]

@KirbyLTurnage Do you have an estimate of how much is this surgery? And are there any nonprofit foundations who can help people paying for this kind of surgery....Thanks.

[KirbyLTurnage]

@Declextreme Surgery is expensive, inclusive of prosthetic implants, surgeon fees, anesthesia fees, hospital charges for inpatient care and then physical therapy. Programs like Vocational rehab, Medicaid, Medicare if you are declared disabled can help. Some communities will help those who cannot afford care. Best wishes. KLT

[pinkvolvo2001]

8===========D

[pinkvolvo2001]

I'm so gonna be a doctor when I grow up!

[KirbyLTurnage]

@pinkvolvo2001 Good for you! Keep the grades up, remain focused. Know that one of life's greatest privileges is to serve others, to help those in medical need. Best wishes! KLT

[DWarrior4]

Rise of the machines oO

[ChemicalFlood]

i might need this done to my knee, broke leg in 7 places in a skating accident. it lets me down all the time, gotta wait till im 21 or if i break it again before surgreys an option

-Rees

[KirbyLTurnage]

Glad it was helpful to you. Best wished. Blessings! KLT

[sowhatbitch103]

@KirbyLTurnage why do they put the plastic looking stuff on the knee instead of just making the incision on the flesh??

[KirbyLTurnage]

@sowhatbitch103 Actually if you look closely at the start of the video, you will notice a substantial incision. All implant are deep within the knee, not on the knee. It may be that some of the angles may be confusing. Thaks for watching.

KLT

[JJStuffEngineering]

@KirbyLTurnage

wow,the best quality video i've seen yet of the total surgery.

Thank you very much!

I very much appreciate it!

greetings and all the best JJ

luxemburg

[KirbyLTurnage]

@JJStuffEngineering You are most kind. One of my passions is to educate while trying to speak plain English and not "Doctor-ese". Thanks for making time to go thru the video and for your comments. KLT

[KirbyLTurnage]

@JJStuffEngineering You are most kind. Thank you for watching and for your comments. The main purpose of this and other videos I have produced are for patient education (in plain English). Thanks again. KLT

[thenocalrock]

This was the best...I am having the surgery 4 days from now, have viewed numerous sites and videos and this was the most informative presentation I have seen...excellent.

[tatotimbal]

Hi

I really like it.

I am Student of Physical Therapy Assistant

need to know what happened with the ACL and PCL.

Thanks

keep posting videos like this is one, very helpfull to understand how this is done.

GREAT JOB!!!!!!!!!!!!

[KirbyLTurnage]

Wish i could help you better but the answer depends on what is wrong in the first place. Secondarily, the revising surgeon should have substantial experience before attempting to revise your father's knee. Why Mexico? While there are many good surgeons in Mexico, there are many more in the US and Canada that have extensive experience in revision joint replacement. If your surgeon there has revision experience, your Dad should do much better. Blessings! KLT

[gabriel1231234]

my dad is going to get a knee replacement because in the beginig he broke his tibia so wee went to surgery and very thing went fine but almost a year his knee is still in pain and the best part is that the surgen didnt do the surgery right because his leg is littery crooked so now he is going to mexico to get the knee replacement bbecause he is tired of the pain soo i am here to ask you right now if he does have the surgey will his leg be straight and he wont feel pain from your experience

[PETEVIDS69]

Oh hell

[blazingdarkness16]

Now I can finish my home work question on arthroplasty

[KirbyLTurnage]

Good question: we usually use a tourniquet that extremely limits blood loss/flow. We cannot use a tourniquet on patients with peripheral bypass surgery which increase blood loss. Limiting blood flow during surgery also allows the cement that bonds the prosthesis to the bone to be less diluted by blood, increasing the strength of the bond. Thanks for your observant/thinker question. KLT

[ShadowSpy99]

Wheres the blood?

[naVigator2293]

Just amazing

[lovelessforever0]

Wow. This is amazing! Thank you for uploading this video. I'm just a high school student, but this really leads me in finding out what interests me about surgery and human anatomy.

[iansoady]

Excellent video - many thanks for putting it up for us all to see. I'm having this done in the next few months so it helps to see exactly what's involved.

I am however very lucky in that I live in the UK so have no concerns about needing to pay for the procedure!

[aznprc4lyfe]

i see chunks and chunks of bones being sawed. no big deal not alot removed.

[iilovecokee]

Thank you for sharing this video! My grandma is having her knee replaced in a couple of weeks and watching this has lessened my anxiety. I'm glad that you've made the point that not a lot of bone is taken off, I definitely thought otherwise.

[debliv54]

Wow..that was some video - hard for me to watch but I am glad I did. I am wondering why there isn't a lot of bleeding? Also - I have been reading about and am concerned about the use of polyethylene (breaking down and causing inflammation). Any comments re: use of oxidized zirconium? I am 56, female, thin, strong and very active. My arthritis is post traumatic (1974 injury and cartilage removed from inside of my left knee), leg is very bowed.

[KirbyLTurnage]

@debliv54 good question. longevity key: the poly bearing surface and quality of surgery. Several companies have good poly. Stryker has the best wear characteristics in independent lab tests. My partner uses the Oxinium knee and is pleased. There are many factors that go into a successful knee replacement, one of which is good materials. More important is how well surgery is done and the rehab. ignore the advertisements directed at you.

[debliv54]

@KirbyLTurnage Thank you so much for your reply - it will help me talk more knowledgeably with my surgeon.  I have read that quad soreness after surgery may be due to the use of a tourniquet - is that how you control bleeding. The video was surprisingly unbloody. Thanks. debliv.

[KirbyLTurnage]

@debliv54 tourniquet allows minimal bleeding to allow better visualization but also better cement interdigitation with cancellous bone to bond the implants to bone (less blood to compete with). Tourniquet is not used when a vascular stent is present as this can lead to failure of stent. Many reasons for quad to be sore postop. Remember that your goals are LONG TERM. Good luck.

[TheMonkey1958]

I watched this when in rehab for the same procedure. I nearly gagged! I now understand why the first 3 weeks were so painful. I'm 53, and my left knee was destroyed by osteo combined with Crohn's arthritis. I was too close to looking at life in a wheelchair.

Three weeks post op, the pain shut off as though someone hit a switch. At six weeks I was walking without crutches. Today I can vacuum my house and bear weight as never before with little or no pain.

Soon I will dance! I LOVE MY NEW KNEE

[fobfob13]

i feel my patella creaking every time that i inflect my knee...i have chondropatheia and i must to exercise my quadriceps..the muscle rectus femoris .to keep the patella up. the exercise must be without inflect of the knee

My patience is exhausted..so..tell me..can replace a patella?

and if is possible..will leave any defect?

i can't run i can't play..i can't do whatever i want...becouse of my problem with my knee

[Redis57]

I"m a retired USN. This is done on my right knee last Aug 8, 2011, after 10 years of suffering. I'm feeling grateful and great. I am looking forward in about 3 to 4 months to have it done on my left knee. Thanks the Lord for giving this Ortho surgeons great hands and skills to help us with "Ortho Arthritis". For those of you who are a candidate, there is nothing to worry about, we are all in good hands of the Lord and in the hands of this skilled Orthopedic Doctors. Good Luck, God Bless.

[karenmahoney42]

I am due to have this surgery in a couple of months. I am really scared, but your wonderful video has really helped me to know what is going on and what to expect. I am still scared of the pain, but know that in time it will dissipate too.

[rainbowspromise2]

I had total replacement in May2011 and the muscle tissue was "chewed up" by going into the space left by osteoarthritis. I am54 yrs. old. Yes, there was a LOT of pain after but I would do it again in order to have what I have now. I worked hard at my therapy and achieved a 135 bend which I understand is rather unusual. It is now almost August and I'm barely using a cane. I do my exercise daily for the knee and I love being pain free on that knee. I had an excellent Dr. Very kind and caring. ty

[robactor]

Damn, I will likely have to have this surgery again this autumn. Looks like a part, or parts of the prosthetic has to be replaced. Will be the 6th operation in 5 years on this knee. I wonder if I get a free liver transplant after the 10th.....;-)

[rayrod930]

I'm a Ballet Master and was wondering if I had this surgery (which has been recommended by my doctor), would I be able to still teach/demonstrate ballet?Thank you for your time.

[KirbyLTurnage]

@rayrod930 TKR does not give you what God gave you. There are limitations. You will need to avoid concussive activities like jumping. Deep bending as in a grand plie is not recommended. Teaching is not always synonymous with demonstrating, but my ballet teachers have a hard time separating the two - would seem the passion for graceful movement never leaves those who have graced the stage with ballet. I wish you well. KLT

[rayrod930]

@KirbyLTurnage Thank you so much for your prompt reply and kind words.

[rayrod930]

@KirbyLTurnage Thank you for your prompt response and kind words.

[robactor]

I had this surgery in April 2010. I'm only 40 and my knee was in such bad shape that this is the only thing the doctors here could recommend (I had 5 operatoins in 3 and a half years). I'm still in quite a lot of pain and discomfort and it's difficult for me to think positively about the future of this knee. I've been told it can take up to a year before one knows if it was a successful operation; meaning no more pain. I can't see that happening in the next 3 months....

[KirbyLTurnage]

@robactor At one year you will not likely see further change is what "waiting a year" means. Being young, having prior surgeries on this knee, being more active than most who have this procedure are unfortunately negative risk factors for a less-than-perfect result. I assume you have had complete workup for infection? Sometimes this can be subtle and not a big red and swollen knee. So sorry to hear of your difficulties. This can occur even with a perfectly done knee replacement. Blessings. KLT

[robactor]

@KirbyLTurnage Hey, and thanks for the reply. Yes this poor knee has been through too much really. 5 operations in 3 and a half years, starting with a failed cruciate ligament operation that resulted in a severe infection (they never found out where or what kind of infection it was). They replaced that but I kept having a lot of pain and so I asked to be transferred to a different hospital where they found, during the 4th operation severe damage to the cartilage in basically the whole knee.

[robactor]

@KirbyLTurnage con't.: After suggestions of an Osteotomi and total ligament replacement, they decided that because of the extent of the cartilage damage (star formed cracks everywhere), there wasn't anything else do do. I didn't work for 3 months after the op but then have been working non-stop almost every day since the end of August 2010. Now I have decided to go on sick-leave as I feel the knee needs a break and I need a break from the constant pain. A vacation in Cuba is the first step;-) R.

[mlmathes]

This video has alleviated some of the anxiety I'm having about my upcoming procedure. Fascinating!

[KirbyLTurnage]

@mlmathes  Glad to hear that. That is a large part of my purpose in educating patients about TKR. Blessings! KLT

[KirbyLTurnage]

I wish you the best. Australian orthopaedic surgeons are extremely well trained. You should be in excellent hand. Blessings!

[jxpress1234]

i am booked in to have both knees replaced in three months. It is amazing how things are done and how it improves the quality of peoples lives. It's good to watch your 4 videos and see what to expect. I love your calming manner and how you explain everything. I am hoping the procedures are the same as the way they do it in Australia.