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Message
Revision knee replacement surgery
Posted on 3/9/21 at 9:10 pm
Posted on 3/9/21 at 9:10 pm
Good day. I need to have a total knee replacement revision surgery. I was referred to a orthopedic surgeon at Baton Rouge General Orthopedic who apparently is a great surgeon on revisions. Watched his video about pain management after surgery and is not too keen on using opiods except for acute pain post-op. I've had 3 knee replacements already. Can someone suggest a great orthopedic surgeon that does believe in using opioid for longer than 3 day post op for a T.K.R? I'm not a drug seeker. I just prefer not to hurt too bad.
9
Posted on 3/9/21 at 9:15 pm to UncleD7734
A script for 3 days worth after a knee replacement? Are you sure you watched the right video?
Posted on 3/9/21 at 9:16 pm to UncleD7734
If it’s my fourth knee surgery (original Knee replacement with two subsequent revisions—assuming it’s the same knee), I would be worried more about the quality of the surgeon as opposed to the days of pain meds.
Or just go to a SNF for a week post surgery. They won’t worry about your opioid usage until discharge.
Or just go to a SNF for a week post surgery. They won’t worry about your opioid usage until discharge.
Posted on 3/9/21 at 9:17 pm to UncleD7734
Revision surgery video, or initial replacement?
Posted on 3/9/21 at 9:19 pm to UncleD7734
4 times? When do you consider a peg leg?
Posted on 3/9/21 at 9:20 pm to UncleD7734
Did you have an infection and have to get a spacer?
Posted on 3/9/21 at 9:21 pm to UncleD7734
A video on what he does after primaries may not reflect what he does after revisions. Also how much/long you will need the medication may be dependent on how extensive of a revision you need. Less opioids is the new norm so regardless of where u go you likely won’t get a long duration
Posted on 3/9/21 at 9:21 pm to Ric Flair
No. I made a poor choice for the first 3.
Posted on 3/9/21 at 9:22 pm to Ric Flair
It just said T.K.R., didn't mention revision.
Posted on 3/9/21 at 9:24 pm to UncleD7734
quote:have you considered amputation ?
I've had 3 knee replacements already.
Posted on 3/9/21 at 9:27 pm to lsuesac
The implant that was put in the 3rd time is too big and a tendon is catching on the implant on the lateral side which has now stretched the tendon. It was also placed to far laterally. So both the top and bottom implant has to come out. They were cemented. I have a feeling it will not be a pleasant experience.
Posted on 3/9/21 at 9:27 pm to UncleD7734
Lots of knee replacements are discharged the same day as surgery these days. Typically the 65 yo lady with bad OA who still plays tennis 3x/week.
Any comorbidities? (DM/HTN/CHF)
Any comorbidities? (DM/HTN/CHF)
Posted on 3/9/21 at 9:32 pm to Ric Flair
C.O.P.D., that's it. And I'm a little overweight. The last replacement, 4 years ago, before the media started beating the drum on the opoid epidemic, I was hospitalized 3 days, hydromorphone pump for a day and a half, plus oxycodone every 6 hour. At discharge Norco 10 q 6hrs for a week.
Posted on 3/9/21 at 9:37 pm to UncleD7734
I think a week of norco/Percocet (28 tabs) is what you can expect these days. Something to discuss in the preop appointment.
You walking ok now, or using a cane/walker?
You walking ok now, or using a cane/walker?
Posted on 3/9/21 at 9:37 pm to UncleD7734
quote:
hydromorphone pump for a day and a half, plus oxycodone every 6 hour. At discharge Norco 10 q 6hrs for a week.
Posted on 3/9/21 at 9:43 pm to UncleD7734
If it’s not infected you should get exparel. That will help with the pain but to completely avoid opioids will be tough
ETA: I misread. You want opioids
ETA: I misread. You want opioids
This post was edited on 3/9/21 at 9:45 pm
Posted on 3/9/21 at 9:48 pm to Ric Flair
Not not walking well at all. I also have a serious bulging disc at L-5/S-1 that I believe has been caused by the knee issue. I've lost 4 cm of muscle mass in the affected leg vs normal leg. I've been through this before and I think alot is the anxiety of going through the pain since the government is wanting doctors to reduce the use of opiods.
Posted on 3/9/21 at 9:50 pm to UncleD7734
Sounds like your football career is done
Me either, they find me.
quote:
I'm not a drug seeker.
Me either, they find me.
This post was edited on 3/9/21 at 9:52 pm
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