After my visit with the ortho surgeon I'm a little shaken. I need the
tibial component of my right knee prothesis replaced (TKR done 13 years
ago). There is some bone loss around the tibial component. It looks
like the tibial component is "sinking" into the bone. Surgeon said
this is the first time in his 30 years he has seen this. He extracted
a bolus of fluid from the knee which has been sent to serology for
testing. I had breast cancer 2 years ago, so he needs to rule out bone
cancer and/or infection (had a raging infection due to sponge left
behind during surgery).
Sorry this is so long. I would like to know if anyone out there in the
ASA family has had a similar experience with bone loss around the
prothesis. Test results will not be ready for another two weeks. I'm
trying not to panic.
Thanks.
Bonnie
Nann Bell - 17 Mar 2006 15:30 GMT
((((((((((((((Bonnie)))))))))))))) just hugs, I know nothing about this.
Keep us posted, please.

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Nann
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Sunny52 - 17 Mar 2006 18:28 GMT
Thanks, Nann. I will keep everyone posted.
Bonnie
Cindy - 17 Mar 2006 16:52 GMT
Bonnie, I know you must be terrified...Just sending hugs
and prayers...
Cindy
> After my visit with the ortho surgeon I'm a little shaken. I need the
> tibial component of my right knee prothesis replaced (TKR done 13 years
[quoted text clipped - 14 lines]
>
> Bonnie
Sunny52 - 17 Mar 2006 18:28 GMT
Navy1 - 17 Mar 2006 22:49 GMT
Will they have to re-open the knee? What about the new minimum
invasive procedures they have now? Do keep us posted and know that we
are praying for you. Don't panic - take a deep breath, hold it, now
release very slowlylllllllss. ((((((((((((((((Bonnie)))))))))))))
>After my visit with the ortho surgeon I'm a little shaken. I need the
>tibial component of my right knee prothesis replaced (TKR done 13 years
[quoted text clipped - 14 lines]
>
>Bonnie
Sunny52 - 17 Mar 2006 22:57 GMT
Thanks! I've been taking lots of deep breaths.
Yes, the knee will have to be re-opened. I think he will use the same
site as before.
Bonnie
Alix M. Hall - 18 Mar 2006 01:58 GMT
{{{{{{{Bonnie}}}}}}}

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Love,
Alix
Always remember, a cat looks down on man, a dog looks up to man,
but a pig will look man right in the eye and see his equal".
- Winston Churchill
> After my visit with the ortho surgeon I'm a little shaken. I need the
> tibial component of my right knee prothesis replaced (TKR done 13 years
[quoted text clipped - 14 lines]
>
> Bonnie
Sunny52 - 18 Mar 2006 14:23 GMT
Thanks for the cyber hugs, Alix!
Bonnie
Norman - 18 Mar 2006 04:44 GMT
Hi Bonnie, remember that there are a lot of GOOD PEOPLE here who care about you
and wish you well.
Sunny52 - 18 Mar 2006 14:24 GMT
I know the people here are good people, and I have come here many times
looking for help and support.
Thank you.
Bonnie
RoseB - 18 Mar 2006 05:54 GMT
>After my visit with the ortho surgeon I'm a little shaken. I need the
>tibial component of my right knee prothesis replaced (TKR done 13 years
>ago). There is some bone loss around the tibial component.
Hi Bonnie:
I understand your panic, and empathise. You have had some major health
challenges, and I empathise. Any one of your health problems would
have been too much for most people, but you have gone through breast
CA and RA like a real fighter.
I did some research to see what I could find out for you. From what I
have read, I don't think it is that unusual for the tibial component
to "sink into" the bone. The following paragraph is from:
http://health.enotes.com/surgery-encyclopedia/knee-revision-surgery
Knee prostheses can come loose for one of two reasons. One is
mechanical and is related to the fact that the knee joint bears a
great deal of weight when a person is walking or running. It is
unusual for the metal part of a knee prosthesis to simply break. This
part, however, is inserted into the upper part of the tibia, the
larger of the two bones in the lower leg, after the surgeon has
removed the upper surface of the tibia. The bone tissue that receives
the metal implant is softer than the bone that was removed, which
means that the metal implant may sink into the softer bone and
gradually loosen.
I don;t know how reassuring that will be for you. I myself have had a
revision. I had my first tkr in 1979 and that was revised in 1984. I
have had good success with the revision. I know that this was a long
time ago, and the procedure and prostheses have changed a great deal
in that time. I am not really sure why my first knee replacement
failed, but do know that there was a major improvement in the five
years between my first surgery and its revision. Incomparing the
revision surgery with the tkr in my other leg, there was little
difference in post op pain or recovery time.
The fact that you had post op complications means that you have not
had a typical recovery, and perhaps the infection and increased
inflammation as a result of the sponge being left in contributed in
some way to the loosening.
Revision is more complicated than the original simply because there is
less bone to work with, and sometimes grafting is necessary. Some
doctors specialize in revisions, but I don't know if it is easy to
find someone in your area that does that or if it is necessary.
Please let me know if there is anything I can do for you. I love doing
internet research, and will try find more info for you if you would
like.
I will be thinking of you and hoping that all is well with your test
results, and for your revision to go smoothly.
Rose @}>->--
Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Sunny52 - 18 Mar 2006 14:34 GMT
Thank you for doing this for me! I really appreciate the kindness
you've shown.
The sponge was not left behind during my TKR surgery, it was left
behind during the cancer surgery I had two years ago.
I will continue doing reading and research on the Internet, and you've
given me a head start.
Thanks, Rose.
Bonnie