Oxford Uni-compartmentalise knee problems

Researched to death, after speaking to 5 Consultants - chose Mr Dodd - apparently one of the UKs most highly regarded Consultant. Partial knee Op was 18 months ago - had 2 physio’s, followed instructions meticulously and extensive exercise. Knee sore / painful - good fllexion but weak and painful to walk / exercise. 

Has anyone else had problems with Oxford? / Manor Private hospital? It feels like problems are pushed under the carpet!

 

I had an Oxford medial 7 months ago. Like you researched everything. I excersised three times a day on my own and saw the physio once a week for six weeks. (All private at the spire) I still exercise at least once a day usually twice. It is much better than before the op however it is still painful walking after about an hour, I can now walk upstairs properly. At the end of the day it is usually a bit sore, almost as if it's been squashed. If that makes sense. I have excellent bend and hyper straight so no problem there.

in answer to your query I can only say that. I Don't think There is a problem with my Oxford. I just need more time to build up strength.  It did take far longer than I had anticipated, it was not the walk in the park inferred.

i have read that forty percent of knees are pain free after, thirty percent are the same as before or just less pain and an unfortunate ten percent experience new or more pain.

Hi I am not from the Uk, but also had a medial oxford 12 weeks ago.  I am also having issues with my surgery, I did all my pt and continue to exercise and do pt at home daily . My problem is extension , when my leg is in extension it feels as though all the tendons or ligaments are pulling very painful and it hurts to even  touch all around knee cap and where implant is.Its fine when not in extension . I can’t walk properly because if I relax leg and try the pain is so terrible. I am worse off now than before surgery . Mine was a cementless Oxford . The surgeon says he’s hoping it grows into the bone. I know something is not right in there so I hope my next appointment he investigates it further as he said things looked fine on X-ray . This is so depressing and I wish I never had this surgery . I hope you get some relief ,18 months is a long time to go in pain. sad

With respect 12 is not very long. My x-rays are excellent but I still have extreme symptoms. Every visit the expected date of improvement is extended. I have a daily record of exercises, knee measurements, quad measurements. I suspect the scale of problems is being disguised. VERY upset / frustrated / worried / annoyed & of course £20,000 lighter!!

I am at 5 weeks and have the exact symptoms your describing.  So I did a lot of research and found a lot of pain comes from shortened tendons, muscles, and scar tissue.  So I got myself a small massager and used it on both of my legs; reason being is walking different will affect both legs.  I massaged lightly around my knee and pushed more on my legs.  The outside of my TKR leg hurt when I massaged it but I kept it up and the next day, today actually, I was on my legs 3 1/2 hours with virtually no problem but medium swelling.  I am icing as I type and then I will use that massager again.  Also I have been getting the nerves waking up with those electrical shocks that run the leg making the eyes bulge out.  The massaging lessened those electrical shocks quite a bit today.  Make sure you stretch your leg every day...for the rest of your life.  The knee has very little blood circulation and a fake knee will make that circulation even less.  I stand and push my knee backwards and pull my knee under the chair with a strap.  Every morning out of bed I stand and reach towards the floor to give my tendons a good stretch.  If you let your leg tendons seize up then you will be riddled with pain forever more.  Make sure you build those muscles as well, weak muscles will give you pain.

Sadly, I am way ahead of you. I had a previous accident so I was well prepared for this op. I had 2 physio`s one solely to address/ massage scar tissue, the other to develop exercises. I have been VERY meticulous with exercises and gym work, I have pushed, eased, exercised, teased, varied the work, used a swing to push the knee extensions. More work than you can imagine and CAREFULLY gauged to ensure it was constructive rather than damaging. Physio`s have contradicted physios / Consultants have contrdicted physion`s. I can cycle / row but walking is painful / uncomfortable and I CANOT engage my quads which have lost 6 Cm since the op. There are no figures re completed ops v ops completed with good outcome. Depressed.

Hi Catherine , thanks for replying. I do exercise faithfully. I start with a 20-30 min bike ride( stationary) then do lots of straightening exercises. It does feel like all the tendons or ligaments are pulling when in extension and can barely touch around the knee. I actually did massage my leg last night with a electric massager. My bend has been no problem from the beginning but the pain in extension is pretty much the same. After it’s warmed up it goes flat but with the pulling and pain.I see my surgeon tomorrow , I’m hoping things will just subside on there own and nothing is wrong. I’ve read so much on the internment about soft tissue imbalance . I am 48 and very active , I just need this pain to ease so I can get my gait proper. Thank- you for all your advice and I hope you recover well. 

I hope this helps...my mom had 2 TKR, 1 left, 1 right within a year of each other.  With both knees she took almost the 2 full years to recover to the point she walks everywhere now.  She does have bad days, maybe 1 or 2 per month, some more some less.  I have heard most end up with a few bad days.  I asked my mom if she would do it again, its been 3 yrs, and 4 yrs.  She said in a heart beat.  She was 70 and 71 when she had them done.  I heard the younger you are, the faster you heal so the pain may be more because you regenerate faster.

I wish you the best.  I bet your just healing faster in some areas than others and everything is great.  I am 56 so I will probably heal somewhat slower than you meaning less pain and things change.

I love hearing positive things! I felt I did well on the initial healing. I’m just trying to figure out why it’s only weight bearing full extension I’m having so much grief with wich is what you need to walk properly. I hope it’s just time, it has been a long 3 months and was told I’d be pain free by now with a partialsad . I know everyone is different and heal a different rates. I hope in the end I will be like your mom and be happy I chose this surgery.  It’s definatley an emotional and physical roller coaster!

Nerve damage healing time: 3 months

Muscle healing depending on a mild to sever strain 3 weeks to 6 months.

Bone is 1-3 months after a fracture.

You have 3 things your working on healing, some may heal faster some not.  With a knee it takes up to 2 years for recovery...you have a while to go.  I really would not stress or worry about it until you have more time under your belt.

Thank-you Catherine smile

biggrin

Hi Catherine, I saw my surgeon today and looks like my intuition was right that something was wrong. The plate is not tilted enough and is why I am getting so much pain on the extension. The surrounding tissues are very irritated and that’s why I’m experiencing the pulling. I am happy I got the answers but am not happy I need to have a revision surgerysad  He is hoping he can just fix the partial if not he will be doing a full knee replacement wich I do not want to happen. 

He also gave me a cortisone injection and I bought a brace to help in the meantime. 

Make damned sure he is named & shamed - carefully - don't want anything libelous BUT you will not find info re failed ops - long overdue.

Lesa,

Very sorry to here that!  I am hoping that I don't have something wrong with the way I can't walk normal.  I have my month and 1/2 appt next week and I will tell him what is going on.  

So fix the partial?  How will he know it is fixed?  Is he going in, sewing you up and then if the same thing happens give you a total?  So when you try to straighten it hurts a lot?

I am curious why the Dr. should be shamed and named?  There is not one person on the face of the earth that doesn't make mistakes.  And he might not have made a mistake, her body might have moved it, or a certain move, or rejection etc.  But I do not see why anyone would want to ruin someone's life because they tried.  If the Dr. said oh well to bad, work it out and see what happens, then I can see to bring him to light.

I hope you don’t either. Yes it’s impinging on the bone. He felt it was placed correctly at the time,it’s catching under my knee cap. It’s not off by much but enough to cause me pain and not be able to fully extend leg withought major pain. I am not very happy at all but he feels he can just do an adjustment on the partial, not having to replace it all, but you always have the chance once in things won’t go that way. I’ve shed my tears and have to prepare for this hell all over again. I have lots more questions to be answered . Should I continue getting this partial adjustment  or just get a full knee replacement . We have had a trip planned for over a year , that we leave on in 2 weeks for our 25th Anniversary . I will see him when I’m back and guess make the decision. Not how I wanted this to go but what can I do? I just want out of pain and be able to walk properly. He has started all the paper work so will happen quickly.  Please keep me posted on what your surgeon says. I knew something wasn’t right and am greatful he aknowledged it, and wants to fix it. Hoping the cortisone shot gives me a bit of relief while away.

Indeed. We know there are risks of things not going right when we agree to surgery. Horrible when it doesn't work out but never impossible. I worked as a dental nurse for ten years. Even with the very best surgeons things can not work out.