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jtopping 03-11-2013 06:59 PM

Knee Replacement
 
Not sure if this belongs here, but here goes.

65+, wife and I race a Rebel and are 2 years into ownership of Horizon 39, cutter rigged ketch, center cockpit, over the "horizon" in 3 years or so, sailing Lake Huron in the meantime.

Right knee is getting buggy. Doc says only realistic option is knee replacement. Concerns: range of motion; kneeling (on deck, down below, on the beach, etc.); agility; durability; discomfort; which model.

Any input?

Squidd 03-11-2013 07:25 PM

Re: Knee Replacement
 
In the old days they just cut it off and strapped on a peg leg...never slowed 'em down...

So what you worried about...??

Lake Superior Sailor 03-11-2013 07:38 PM

Re: Knee Replacement
 
Stay away from metal!.....Besides it will screw up the compass!.Dale

kd3pc 03-11-2013 07:47 PM

Re: Knee Replacement
 
as long as you can walk and play and tolerate the pain and ache with some tylenol....do so....surgery like this is not to be taken lightly. It is major and has risks.

Most do very well with the surgery, others not so much. Part of it is the Dr, of course, part is the artificial joint and who made it and the biggie is the post op deal. Therapy is "un-comfortable"....the truth is, some days it hurts like hades. But you have to rebuild all the motion, strength and coordination. The sooner your Dr will let you up and around the better.

I had a friend who had both knees (some Dr will only do one at a time, now) done at the same time in October, and he was down hill skiing in Jan, and swore he was more comfortable with his new knees, than years with the original equipment.

Best of luck no matter what you decide.

bobnpaula 03-11-2013 09:00 PM

Re: Knee Replacement
 
My sister was an active 50-something, triple black diamond skier and blew out her ACL. The choice was to live gingerly and not be as active, or replace it. She is now back to doing everything she did, if not better. But, as mentioned, post-op rehab and physical therapy is the key. I have known many 60-somethings who've done TKR and are all glad they did it.(I'm a nurse, with lots of patients in this category) The rehab can be painful and tedious, but if you are determined, you will end up more agile and active than you are now. Find a good surgeon, with lots of experience and a good track record. Good luck!

mad_machine 03-11-2013 09:12 PM

Re: Knee Replacement
 
My father had his first hip replacement at 23 years old. the second at 25 and is now looking forwards to hips number 7 and 8 at age 65..

Never stopped him from getting into or out of a boat

lancelot9898 03-12-2013 09:04 AM

Re: Knee Replacement
 
And here I thought the topic was knee replacement for the chain plates. :)

dongreerps 03-12-2013 09:06 AM

Re: Knee Replacement
 
Make sure you have a surgeon who is really well trained and experienced in total knee replacement.
The metal on metal joint replacement prostheses were not well thought through. Do not allow a metal on metal replacement under any circumstances. Very important!
The results from joint replacement depend upon the effort the patient puts into their rehab. Putting extra effort into your rehab will repay you many times over. Hang a full length mirror at the end of the longest hall in your house. Plan to watch yourself walk post op, and MAKE yourself walk with a flat out dead level symmetrical gait. No cheating here, do it right.
The rehab specialists will have lots of suggestions and tricks. Here is some additional. When you are able start riding a bicycle. Having your body tied into a mechanical device will ensure that your motions are symmetrical. Or better yet, row in a sliding seat rowing shell.
The old rehab saw "No pain no gain" is BS and counter productive. Pain means something is being stretched beyond it's limits. You want to push yourself well into discomfort, but not pain. Your goal is for your muscles to be really tired at the end of a rehab session, but able to recover by the next morning.
If your knee is really giving you trouble now, and cymbalta etc doesn't help, then post op you will be grateful. If your knee is just sore, live with it

flandria 03-12-2013 09:19 AM

Re: Knee Replacement
 
Ignoring some of the levity offered by some, you have been given some good advice. My wife (who will turn 67) soon will need 2 new knees. The most recent advice the surgeon gave her is: If you are without pain, or it can be reasonably controlled, don't do the surgery (yet), and do proper exercise. We also have an acquaintance, in his 70s, who recently had 2 knees replaced (seperate procedures, of course) and has gone through convalescence. He is happy. And, I can testify to that, he walks fast, again. Good luck.

pdqaltair 03-12-2013 09:46 AM

Re: Knee Replacement
 
My wife had TKR ~ 7 years ago; as many have said, the rehab is very tough, but she is certainly better and has less pain. Mobility? Enough. We were sailing Sunday.

She also has a co-worker that had TKN and has been fighting infection for 9 months (parts out, several antibiotic inserts...). He still does not have the final repair in place and the infection still simmers. Active guy. Not trying to be negative, but it is a serious matter, not like a motor rebuild. I have a gimpy knee to, and it makes me pause.


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