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Old 05-29-2013, 11:06 AM
 
8 posts, read 9,543 times
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Anyone have knee replacement done on an elderly person through the more modern minimally invasive approach? Dad is 91, has BAD knees & is a fall risk. He does not want to be in a wheel chair, so I have done basic research on the quadriceps sparing procedure, which is much easier to recover from.

Dad's cardiologist has confirmed he's healthy enough & he recovered beautifully from recent carotid surgery. The cardiologist recommended a particular surgeon very highly & he specializes in the minimally invasive approach.

We'd like to see our very independent Dad regain his enjoyment of life, but he's only heard horror stories & most weren't even the minimally invasive approach.

I'd love to find someone who has actually experienced this to speak with me honestly about pro's & con's.


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Old 05-29-2013, 07:51 PM
 
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I don't want to be negative, but I would be as worried about the recovery as about the surgery, and any knee surgery recovery is tough because you have to use the knee so it doesn't stiffen up. Is your 91 dad up for that? No matter how minimally invasive, while it's healing it's going to hurt more than it hurts now, right? Knee surgery recovery might put him in a wheelchair for good. My mother had knee surgery at 62 when she was very healthy and active and motivated to work through the pain of rehab, and it still took her a good 2 yrs to get completely back to normal. My mom didn't have minimally invasive surgery so YMMV and I hope people can tell you about their good experiences. I would meet w/ the surgeon but ask him to be honest about the recovery time, pain and effort, and what remaining quality of life a 91 man could expect. In my experience w/ my 70+ parents, once Medicare kicks in surgeons and docs are happy and eager to do anything that can be done, but just because the docs CAN do it doesn't always mean the patient should, yk? Make him be clear with you about the pain vs gain aspect.

Good luck in whatever you and he decide. Worrying about your parents' health and care is tough.
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Old 06-03-2013, 12:58 PM
 
Location: East Dallas
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He will be a bigger fall risk while recovering from this surgery.
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Old 06-03-2013, 11:57 PM
 
Location: Dallas
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Minimally invasive and knee replacement sounds like a contradiction of terms.
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Old 06-04-2013, 12:10 AM
 
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My 89-year-old mother-in-law had a knee replacement 18 months ago. She's thriving, it can happen, what is your specific question?
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Old 06-05-2013, 05:28 AM
 
Location: Bella Vista, Ark
64,423 posts, read 71,664,478 times
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Living in an area with a lot of retired people we see and hear of knee replacements all the time. We have had 3 people in our church (none as old as you father) who have gone through the surgery in the past few months. I have had friends who have had both knees done. Though I would think anyone, who 2 years later is still not completely ok must have had some serious complications or more than basic surgery, it still isn't the easiest surgery and at 91, I would be very hesitant. I know the options aren't pleasant but the possibility of problems are much greater. In fact, at 91, I would not have any surgery that was not necessary. My mother in law, had simple ankle surgery at about 93. She never walked again.

We had one of our church members, in her 70s have both knees done: the first one, she was up and back in church in about 3 weeks. The second one, she had more problems and it took closer to 6 months for her to heal. Another gal, was fine in about 2 months. She is in her mid 80s. I am in my mid 70s and am facing this, probably next spring. I am doing shots, exercises, whatever I can to put it off.
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Old 06-05-2013, 07:40 AM
 
Location: Warren County and loving it!
5,074 posts, read 6,729,235 times
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Quote:
Originally Posted by nmnita View Post
Living in an area with a lot of retired people we see and hear of knee replacements all the time. We have had 3 people in our church (none as old as you father) who have gone through the surgery in the past few months. I have had friends who have had both knees done. Though I would think anyone, who 2 years later is still not completely ok must have had some serious complications or more than basic surgery, it still isn't the easiest surgery and at 91, I would be very hesitant. I know the options aren't pleasant but the possibility of problems are much greater. In fact, at 91, I would not have any surgery that was not necessary. My mother in law, had simple ankle surgery at about 93. She never walked again.

We had one of our church members, in her 70s have both knees done: the first one, she was up and back in church in about 3 weeks. The second one, she had more problems and it took closer to 6 months for her to heal. Another gal, was fine in about 2 months. She is in her mid 80s. I am in my mid 70s and am facing this, probably next spring. I am doing shots, exercises, whatever I can to put it off.
Do it. You're young and this will give you a pain free life.

I wouldn't do it in my 90s. Just too afraid for the recovery.
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Old 10-10-2013, 05:58 PM
 
Location: Port St Lucie Florida
1,258 posts, read 2,656,959 times
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What happens in knee replacement surgery, I have heard that some Dr cut the ligaments, can this be? I am 68 and need a new knee after trying everything. How do you know if the Dr. is good?
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Old 10-11-2013, 05:36 AM
 
Location: Bella Vista, Ark
64,423 posts, read 71,664,478 times
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Quote:
Originally Posted by Jerseyt719 View Post
Do it. You're young and this will give you a pain free life.

I wouldn't do it in my 90s. Just too afraid for the recovery.
I want people to tell me not to do it, then I would have to blame myself for being such a baby.. Actually I did see my doctor Monday, had another shot, it is working wonderfully right now and should last for about 6 months (the last one did) I know I am going on a spring cruise so will have to put off surgery until after that. I think, by then, I will have decided one way or the other. I want to enjoy activities I love for as long as God will let me, but I also, have a huge problem with elective surgery, at any age, especially when one gets to be a very senior age (notice I never use the word OLD)
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Old 10-11-2013, 06:05 AM
 
Location: Port St Lucie Florida
1,258 posts, read 2,656,959 times
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I am on the verge of having my left knee replaced and have tried injections and had it " scoped twice". On Vicodin now and still have pain and loss of flexibility. I heard from a person locally who said his Dr. cut the ligaments !!
When I asked my ortho he said they never cut anything like that and the concept of minimally invasive surgery is all marketing bunk and they never cut ligaments.
Also a friend has just had his second knee replaced and both times they sent him home with a machine to bend his knee and and a cooling machine that uses a pump to circulate coolant around the knee while on the machine. On the other hand another friend did not have this and also had a one year recovery and still not perfect- he is young, lean and physical. I would appreciate any insights or tips to help me heal faster because I am the primary care give for my wife who has a brittle form of Type 1 diabetes and has frequent issues with low sugar. I will feel very guilty if something happens to her when I am in the hospital- we have no one in the new city where we moved that can help and are pretty much on our own plus she does not drive. For now the plan is for her to stay with my son and his family 100 miles south while I am in the hospital but I and uncomfortable with that because I can not count how many times I awoke by the grace of God to find her in trouble.
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