Re: What Surgery? Confused.

February 21, 2010

There is some confusion about the term, MIS. Sometimes it just means a shorter

scar, or a sort of quad sparing but not total quad sparing. And most of these

TKRs of all types are now using computer navigation.

The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

It's a bit late for you if you've already had your TKR, but there is always the

other knee!

Hollie

LR Hip Resurf Dr. Gross 2006, 2007

LR TKRs Dr. Coon 2008, 2009

> I am beginning to wonder if I did enough homework before I had my TKR surgery.

Not that I am second guressing now, but I never heard of quad sparing until I

read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> Re: What Surgery? Confused.

>

> Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

>

> Anyone have any information on Dr. Su and TKR's?

>

> Thanks..

>

> Karla

>

February 21, 2010

Hollie,

Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

Jeff

________________________________

From: rosey9932000 <rosey9932000@...>

Joint Replacement

Sent: Sun, February 21, 2010 2:49:51 PM

Subject: Re: What Surgery? Confused.

There is some confusion about the term, MIS. Sometimes it just means a shorter

scar, or a sort of quad sparing but not total quad sparing. And most of these

TKRs of all types are now using computer navigation.

The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

It's a bit late for you if you've already had your TKR, but there is always the

other knee!

Hollie

LR Hip Resurf Dr. Gross 2006, 2007

LR TKRs Dr. Coon 2008, 2009

> I am beginning to wonder if I did enough homework before I had my TKR surgery.

Not that I am second guressing now, but I never heard of quad sparing until I

read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> Re: What Surgery? Confused.

>

> Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

>

> Anyone have any information on Dr. Su and TKR's?

>

> Thanks..

>

> Karla

>

February 21, 2010

Hi Jeff,

If you dont mind me asking, what is your OS name? Is he in Penna.?

Thanks

Karla

February 21, 2010

Hi Karla,

It's Star and yes, he's in Abington, PA

If you want his contact info I'll be glad to send it to you

Jeff

________________________________

From: karla wilson <sassiepa2222@...>

Joint Replacement

Sent: Sun, February 21, 2010 10:53:07 PM

Subject: Re: Re: What Surgery? Confused.

Hi Jeff,

If you dont mind me asking, what is your OS name? Is he in Penna.?

Thanks

Karla

February 21, 2010

I haven't heard of anyone having your experience with true quad sparing Jeff, on

any of the other joint sites I'm on or with the many people who have gone to my

OS. So this is news to me.

I was definitely told I did not need PT but should be walking a lot daily. I

was told I would be full weight bearing and a walker could be needed for just a

few days.

If your quad is exactly the same as when you went into surgery, why would you

need a cane afterward, especially after two weeks? And why would you lose any

strength in it and have to go to PT?

Your experience is opposite of mine, the patients I've learned about or know,

had my sort of recovery.

I guess this proves the importance of questioning a surgeon on these matters

before surgery, perhaps the term " quad sparing " is becoming a bit loose. Good

questions would be is PT necessary, how long of hospital stay, will a walker or

cane be needed and for how long, are any muscles, tendons, ligaments cut or

damaged.

I did have the benefit of having the surgeon who first developed quad sparing do

my TKRs.

LR Hip Resurfs 2006, 2007 Dr. Gross

LR TKRs 2008, 2009 Dr. Coon

>

> Hollie,

> Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

> Jeff

>

> ________________________________

> From: rosey9932000 <rosey9932000@...>

> Joint Replacement

> Sent: Sun, February 21, 2010 2:49:51 PM

> Subject: Re: What Surgery? Confused.

>

> There is some confusion about the term, MIS. Sometimes it just means a

shorter scar, or a sort of quad sparing but not total quad sparing. And most of

these TKRs of all types are now using computer navigation.

>

> The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

>

> It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

>

> It's a bit late for you if you've already had your TKR, but there is always

the other knee!

>

> Hollie

>

> LR Hip Resurf Dr. Gross 2006, 2007

> LR TKRs Dr. Coon 2008, 2009

>

> > I am beginning to wonder if I did enough homework before I had my TKR

surgery. Not that I am second guressing now, but I never heard of quad sparing

until I read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> > Re: What Surgery? Confused.

> >

> > Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

> >

> > Anyone have any information on Dr. Su and TKR's?

> >

> > Thanks..

> >

> > Karla

> >

February 22, 2010

Hi Jeff and Joan,

One year ago, I had arthroscopic knee surgery to repair several torn

meniscus. Only recently, did I notice that the swelling was down from where it

was over the summer. Like Jeff, it never caused any discomfort but when

wearing shorts, I could see that the legs did not match. After the hip

surgery last month, I noticed that the knees were starting to be the same size.

It must take about a year or so for the swelling to go down from knee

surgery.

Reen

February 22, 2010

Funny, but I have the complete opposite experience. I haven't heard of anyone,

excpet for the patients of Dr Coon, who didn't have pt, or walk with a cane or

walker for the first few weeks. Whatever you choose to believe I had " true " quad

sparing surgery and so did the many other patients I met in pt, and have talked

with that used other surgeons.

The term quad sparing should not be taken loosely, it's a simple concept, either

the tendon is cut or not. Why my surgon prescribes pt and yours doesn't or

insists on full 3 day hospital stays or any of the other differences does not

mean that your surgon is the one performing " real " quad sparing surgery and

others don't. It only means that different surgeons follow different protocols.

________________________________

From: rosey9932000 <rosey9932000@...>

Joint Replacement

Sent: Mon, February 22, 2010 1:44:25 AM

Subject: Re: What Surgery? Confused.

I haven't heard of anyone having your experience with true quad sparing Jeff, on

any of the other joint sites I'm on or with the many people who have gone to my

OS. So this is news to me.

I was definitely told I did not need PT but should be walking a lot daily. I

was told I would be full weight bearing and a walker could be needed for just a

few days.

If your quad is exactly the same as when you went into surgery, why would you

need a cane afterward, especially after two weeks? And why would you lose any

strength in it and have to go to PT?

Your experience is opposite of mine, the patients I've learned about or know,

had my sort of recovery.

I guess this proves the importance of questioning a surgeon on these matters

before surgery, perhaps the term " quad sparing " is becoming a bit loose. Good

questions would be is PT necessary, how long of hospital stay, will a walker or

cane be needed and for how long, are any muscles, tendons, ligaments cut or

damaged.

I did have the benefit of having the surgeon who first developed quad sparing do

my TKRs.

LR Hip Resurfs 2006, 2007 Dr. Gross

LR TKRs 2008, 2009 Dr. Coon

>

> Hollie,

> Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

> Jeff

>

> ________________________________

> From: rosey9932000 <rosey9932000@...>

> Joint Replacement

> Sent: Sun, February 21, 2010 2:49:51 PM

> Subject: Re: What Surgery? Confused.

>

> There is some confusion about the term, MIS. Sometimes it just means a

shorter scar, or a sort of quad sparing but not total quad sparing. And most of

these TKRs of all types are now using computer navigation.

>

> The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

>

> It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

>

> It's a bit late for you if you've already had your TKR, but there is always

the other knee!

>

> Hollie

>

> LR Hip Resurf Dr. Gross 2006, 2007

> LR TKRs Dr. Coon 2008, 2009

>

> > I am beginning to wonder if I did enough homework before I had my TKR

surgery. Not that I am second guressing now, but I never heard of quad sparing

until I read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> > Re: What Surgery? Confused.

> >

> > Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

> >

> > Anyone have any information on Dr. Su and TKR's?

> >

> > Thanks..

> >

> > Karla

> >

February 22, 2010

,

That is great that you can kneel on a hard surface. You are right, to

have results like yours is priceless and I am glad it worked so well for you.

Reen

February 22, 2010

Jeff, my experience is the same as yours. After 11 weeks, my quad is fine and

quite strong. My problem is still the swelling in my knee and the stiffness.

Hopefully this too shall pass. Joan

________________________________

From: Scharff <zinsdad@...>

Joint Replacement

Sent: Sun, February 21, 2010 8:40:55 PM

Subject: Re: Re: What Surgery? Confused.

Hollie,

Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

Jeff

____________ _________ _________ __

From: rosey9932000 <rosey9932000>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 2:49:51 PM

Subject: [Total_Joint_ Replacement] Re: What Surgery? Confused.

There is some confusion about the term, MIS. Sometimes it just means a shorter

scar, or a sort of quad sparing but not total quad sparing. And most of these

TKRs of all types are now using computer navigation.

The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

It's a bit late for you if you've already had your TKR, but there is always the

other knee!

Hollie

LR Hip Resurf Dr. Gross 2006, 2007

LR TKRs Dr. Coon 2008, 2009

> I am beginning to wonder if I did enough homework before I had my TKR surgery.

Not that I am second guressing now, but I never heard of quad sparing until I

read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

>

> Anyone have any information on Dr. Su and TKR's?

>

> Thanks..

>

> Karla

>

February 22, 2010

Hi Joan,

The swelling can last a while, up to 6 months to a year. My knee was swollen for

about 4 months or so. It didn't affect me at all but the swelling was still

there.

Jeff

________________________________

From: Joan Kell <kell_joan@...>

Joint Replacement

Sent: Mon, February 22, 2010 8:40:05 AM

Subject: Re: Re: What Surgery? Confused.

Jeff, my experience is the same as yours. After 11 weeks, my quad is fine and

quite strong. My problem is still the swelling in my knee and the stiffness.

Hopefully this too shall pass. Joan

________________________________

From: Scharff <zinsdad@...>

Joint Replacement

Sent: Sun, February 21, 2010 8:40:55 PM

Subject: Re: Re: What Surgery? Confused.

Hollie,

Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

Jeff

____________ _________ _________ __

From: rosey9932000 <rosey9932000>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 2:49:51 PM

Subject: [Total_Joint_ Replacement] Re: What Surgery? Confused.

There is some confusion about the term, MIS. Sometimes it just means a shorter

scar, or a sort of quad sparing but not total quad sparing. And most of these

TKRs of all types are now using computer navigation.

The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

It's a bit late for you if you've already had your TKR, but there is always the

other knee!

Hollie

LR Hip Resurf Dr. Gross 2006, 2007

LR TKRs Dr. Coon 2008, 2009

> I am beginning to wonder if I did enough homework before I had my TKR surgery.

Not that I am second guressing now, but I never heard of quad sparing until I

read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

>

> Anyone have any information on Dr. Su and TKR's?

>

> Thanks..

>

> Karla

>

February 22, 2010

And the stiffness?

________________________________

From: Scharff <zinsdad@...>

Joint Replacement

Sent: Mon, February 22, 2010 8:46:53 AM

Subject: Re: Re: What Surgery? Confused.

Hi Joan,

The swelling can last a while, up to 6 months to a year. My knee was swollen for

about 4 months or so. It didn't affect me at all but the swelling was still

there.

Jeff

____________ _________ _________ __

From: Joan Kell <kell_joan (DOT) com>

Total_Joint_ Replacement

Sent: Mon, February 22, 2010 8:40:05 AM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

Jeff, my experience is the same as yours. After 11 weeks, my quad is fine and

quite strong. My problem is still the swelling in my knee and the stiffness.

Hopefully this too shall pass. Joan

____________ _________ _________ __

From: Scharff <zinsdad (DOT) com>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 8:40:55 PM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

Hollie,

Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

Jeff

____________ _________ _________ __

From: rosey9932000 <rosey9932000>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 2:49:51 PM

Subject: [Total_Joint_ Replacement] Re: What Surgery? Confused.

There is some confusion about the term, MIS. Sometimes it just means a shorter

scar, or a sort of quad sparing but not total quad sparing. And most of these

TKRs of all types are now using computer navigation.

The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

It's a bit late for you if you've already had your TKR, but there is always the

other knee!

Hollie

LR Hip Resurf Dr. Gross 2006, 2007

LR TKRs Dr. Coon 2008, 2009

> I am beginning to wonder if I did enough homework before I had my TKR surgery.

Not that I am second guressing now, but I never heard of quad sparing until I

read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

>

> Anyone have any information on Dr. Su and TKR's?

>

> Thanks..

>

> Karla

>

February 22, 2010

Joan,

I didn't have much stiffness after the first couple of weeks.

Jeff

________________________________

From: Joan Kell <kell_joan@...>

Joint Replacement

Sent: Mon, February 22, 2010 9:07:10 AM

Subject: Re: Re: What Surgery? Confused.

And the stiffness?

________________________________

From: Scharff <zinsdad@...>

Joint Replacement

Sent: Mon, February 22, 2010 8:46:53 AM

Subject: Re: Re: What Surgery? Confused.

Hi Joan,

The swelling can last a while, up to 6 months to a year. My knee was swollen for

about 4 months or so. It didn't affect me at all but the swelling was still

there.

Jeff

____________ _________ _________ __

From: Joan Kell <kell_joan (DOT) com>

Total_Joint_ Replacement

Sent: Mon, February 22, 2010 8:40:05 AM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

Jeff, my experience is the same as yours. After 11 weeks, my quad is fine and

quite strong. My problem is still the swelling in my knee and the stiffness.

Hopefully this too shall pass. Joan

____________ _________ _________ __

From: Scharff <zinsdad (DOT) com>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 8:40:55 PM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

Hollie,

Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

Jeff

____________ _________ _________ __

From: rosey9932000 <rosey9932000>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 2:49:51 PM

Subject: [Total_Joint_ Replacement] Re: What Surgery? Confused.

There is some confusion about the term, MIS. Sometimes it just means a shorter

scar, or a sort of quad sparing but not total quad sparing. And most of these

TKRs of all types are now using computer navigation.

The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

It's a bit late for you if you've already had your TKR, but there is always the

other knee!

Hollie

LR Hip Resurf Dr. Gross 2006, 2007

LR TKRs Dr. Coon 2008, 2009

> I am beginning to wonder if I did enough homework before I had my TKR surgery.

Not that I am second guressing now, but I never heard of quad sparing until I

read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

>

> Anyone have any information on Dr. Su and TKR's?

>

> Thanks..

>

> Karla

>

February 22, 2010

Luck you. I can't seem to get past it. J

________________________________

From: Scharff <zinsdad@...>

Joint Replacement

Sent: Mon, February 22, 2010 9:21:16 AM

Subject: Re: Re: What Surgery? Confused.

Joan,

I didn't have much stiffness after the first couple of weeks.

Jeff

____________ _________ _________ __

From: Joan Kell <kell_joan (DOT) com>

Total_Joint_ Replacement

Sent: Mon, February 22, 2010 9:07:10 AM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

And the stiffness?

____________ _________ _________ __

From: Scharff <zinsdad (DOT) com>

Total_Joint_ Replacement

Sent: Mon, February 22, 2010 8:46:53 AM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

Hi Joan,

The swelling can last a while, up to 6 months to a year. My knee was swollen for

about 4 months or so. It didn't affect me at all but the swelling was still

there.

Jeff

____________ _________ _________ __

From: Joan Kell <kell_joan (DOT) com>

Total_Joint_ Replacement

Sent: Mon, February 22, 2010 8:40:05 AM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

Jeff, my experience is the same as yours. After 11 weeks, my quad is fine and

quite strong. My problem is still the swelling in my knee and the stiffness.

Hopefully this too shall pass. Joan

____________ _________ _________ __

From: Scharff <zinsdad (DOT) com>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 8:40:55 PM

Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

Hollie,

Sorry but I must disagree with you here. I had " real " quad sparing surgery and

spent 3 days in the hospital, used a walker for 2 weeks, then a cane, and

certainly needed pt. That your os doesn't require those things doesn't mean that

the protocol he uses is not the only one for " real " quad sparing surgery. My

surgeon has done thousands of these surgeries, in fact was the first one in my

state to do them, and in my experience more people go though the same protocols

then what your os suggests.

Jeff

____________ _________ _________ __

From: rosey9932000 <rosey9932000>

Total_Joint_ Replacement

Sent: Sun, February 21, 2010 2:49:51 PM

Subject: [Total_Joint_ Replacement] Re: What Surgery? Confused.

There is some confusion about the term, MIS. Sometimes it just means a shorter

scar, or a sort of quad sparing but not total quad sparing. And most of these

TKRs of all types are now using computer navigation.

The real quad sparing means minimal time in hospital (less than 24 hours for

me), you can walk immediately usually without crutches or walker, no need for

PT. It makes it easier because you don't spend much time laying around, going

to painful PT, depending on others. I think my scar is 4-5 inches, that varies

depending on the individual.

It was developed around 2002 and many docs don't know how to do it yet, so one

needs to search around to find a surgeon that has done many of them. It is more

intricate and difficult surgery than traditional TKRs, and would be best to get

a surgeon who has done a lot of them.

It's a bit late for you if you've already had your TKR, but there is always the

other knee!

Hollie

LR Hip Resurf Dr. Gross 2006, 2007

LR TKRs Dr. Coon 2008, 2009

> I am beginning to wonder if I did enough homework before I had my TKR surgery.

Not that I am second guressing now, but I never heard of quad sparing until I

read this forum. I was told my surgery was computer assisted, minimally

invasive, but I have a pretty long scar. How minimal is minimal? Did any of you

have the same?

> [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania , was

scheduled to have BLTKR Feb. 1st, but had to delay it as I broke my elbow..My OS

is regarded as the best in his field in this area, he does MIS, but when I asked

if it is quad sparing, he said no , the tendons are not cut but separated during

the surgery.but the surgery is minimally invasive.

>

> Anyone have any information on Dr. Su and TKR's?

>

> Thanks..

>

> Karla

>

February 22, 2010

Joan,

I stil have some stiffness and pain at over 5 months. It's worse if I

sit at the computer for long periods or stand playing my ngoma for a

few hours or sit playing the bata on my knees for a few hours.

The more active I am on a regular basis the less I feel that -- and it

has lessened over time. My doc said it Could be a year. My sister,

who had bilateral tkr 4 years ago, said 18 months.

As long as I'm making progress and recover quicky from setbacks I'm

not worried.

Peace

Jackie

Jackie on

Borntodrum.org

Girights.net

AMIE Oakland, CA

510-332-5998

Sent from my iPhone with one finger typing; so apologies if I sound

abrupt ...not to mention typos!!

On Feb 22, 2010, at 6:24 AM, Joan Kell <kell_joan@...> wrote:

> Luck you. I can't seem to get past it. J

>

> ________________________________

> From: Scharff <zinsdad@...>

> Joint Replacement

> Sent: Mon, February 22, 2010 9:21:16 AM

> Subject: Re: Re: What Surgery? Confused.

>

> Joan,

> I didn't have much stiffness after the first couple of weeks.

> Jeff

>

> ____________ _________ _________ __

> From: Joan Kell <kell_joan (DOT) com>

> Total_Joint_ Replacement

> Sent: Mon, February 22, 2010 9:07:10 AM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> And the stiffness?

>

> ____________ _________ _________ __

> From: Scharff <zinsdad (DOT) com>

> Total_Joint_ Replacement

> Sent: Mon, February 22, 2010 8:46:53 AM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Hi Joan,

> The swelling can last a while, up to 6 months to a year. My knee was

> swollen for about 4 months or so. It didn't affect me at all but the

> swelling was still there.

> Jeff

>

> ____________ _________ _________ __

> From: Joan Kell <kell_joan (DOT) com>

> Total_Joint_ Replacement

> Sent: Mon, February 22, 2010 8:40:05 AM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Jeff, my experience is the same as yours. After 11 weeks, my quad is

> fine and quite strong. My problem is still the swelling in my knee

> and the stiffness. Hopefully this too shall pass. Joan

>

> ____________ _________ _________ __

> From: Scharff <zinsdad (DOT) com>

> Total_Joint_ Replacement

> Sent: Sun, February 21, 2010 8:40:55 PM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Hollie,

> Sorry but I must disagree with you here. I had " real " quad sparing

> surgery and spent 3 days in the hospital, used a walker for 2 weeks,

> then a cane, and certainly needed pt. That your os doesn't require

> those things doesn't mean that the protocol he uses is not the only

> one for " real " quad sparing surgery. My surgeon has done thousands

> of these surgeries, in fact was the first one in my state to do

> them, and in my experience more people go though the same protocols

> then what your os suggests.

> Jeff

>

> ____________ _________ _________ __

> From: rosey9932000 <rosey9932000>

> Total_Joint_ Replacement

> Sent: Sun, February 21, 2010 2:49:51 PM

> Subject: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> There is some confusion about the term, MIS. Sometimes it just means

> a shorter scar, or a sort of quad sparing but not total quad

> sparing. And most of these TKRs of all types are now using computer

> navigation.

>

> The real quad sparing means minimal time in hospital (less than 24

> hours for me), you can walk immediately usually without crutches or

> walker, no need for PT. It makes it easier because you don't spend

> much time laying around, going to painful PT, depending on others. I

> think my scar is 4-5 inches, that varies depending on the individual.

>

> It was developed around 2002 and many docs don't know how to do it

> yet, so one needs to search around to find a surgeon that has done

> many of them. It is more intricate and difficult surgery than

> traditional TKRs, and would be best to get a surgeon who has done a

> lot of them.

>

> It's a bit late for you if you've already had your TKR, but there is

> always the other knee!

>

> Hollie

>

> LR Hip Resurf Dr. Gross 2006, 2007

> LR TKRs Dr. Coon 2008, 2009

>

> > I am beginning to wonder if I did enough homework before I had my

> TKR surgery. Not that I am second guressing now, but I never heard

> of quad sparing until I read this forum. I was told my surgery was

> computer assisted, minimally invasive, but I have a pretty long

> scar. How minimal is minimal? Did any of you have the same?

> > [Total_Joint_ Replacement] Re: What Surgery? Confused.

> >

> > Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania ,

> was scheduled to have BLTKR Feb. 1st, but had to delay it as I broke

> my elbow..My OS is regarded as the best in his field in this area,

> he does MIS, but when I asked if it is quad sparing, he said no ,

> the tendons are not cut but separated during the surgery.but the

> surgery is minimally invasive.

> >

> > Anyone have any information on Dr. Su and TKR's?

> >

> > Thanks..

> >

> > Karla

> >

February 22, 2010

Thanks Jackie. I was starting to get worried. I am constantly stretching and

flexing my knee to get rid of this. It is most frustrating.

OK, what are a ngoma and a bata. So sort of Asian musical instruments?

________________________________

From: Jackie At AT & T <jackiett@...>

" Joint Replacement "

Sent: Mon, February 22, 2010 9:48:04 AM

Subject: Re: Re: What Surgery? Confused.

Joan,

I stil have some stiffness and pain at over 5 months. It's worse if I

sit at the computer for long periods or stand playing my ngoma for a

few hours or sit playing the bata on my knees for a few hours.

The more active I am on a regular basis the less I feel that -- and it

has lessened over time. My doc said it Could be a year. My sister,

who had bilateral tkr 4 years ago, said 18 months.

As long as I'm making progress and recover quicky from setbacks I'm

not worried.

Peace

Jackie

Jackie on

Borntodrum.org

Girights.net

AMIE Oakland, CA

510-332-5998

Sent from my iPhone with one finger typing; so apologies if I sound

abrupt ...not to mention typos!!

On Feb 22, 2010, at 6:24 AM, Joan Kell <kell_joan (DOT) com> wrote:

> Luck you. I can't seem to get past it. J

>

> ____________ _________ _________ __

> From: Scharff <zinsdad (DOT) com>

> Total_Joint_ Replacement

> Sent: Mon, February 22, 2010 9:21:16 AM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Joan,

> I didn't have much stiffness after the first couple of weeks.

> Jeff

>

> ____________ _________ _________ __

> From: Joan Kell <kell_joan (DOT) com>

> Total_Joint_ Replacement

> Sent: Mon, February 22, 2010 9:07:10 AM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> And the stiffness?

>

> ____________ _________ _________ __

> From: Scharff <zinsdad (DOT) com>

> Total_Joint_ Replacement

> Sent: Mon, February 22, 2010 8:46:53 AM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Hi Joan,

> The swelling can last a while, up to 6 months to a year. My knee was

> swollen for about 4 months or so. It didn't affect me at all but the

> swelling was still there.

> Jeff

>

> ____________ _________ _________ __

> From: Joan Kell <kell_joan (DOT) com>

> Total_Joint_ Replacement

> Sent: Mon, February 22, 2010 8:40:05 AM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Jeff, my experience is the same as yours. After 11 weeks, my quad is

> fine and quite strong. My problem is still the swelling in my knee

> and the stiffness. Hopefully this too shall pass. Joan

>

> ____________ _________ _________ __

> From: Scharff <zinsdad (DOT) com>

> Total_Joint_ Replacement

> Sent: Sun, February 21, 2010 8:40:55 PM

> Subject: Re: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> Hollie,

> Sorry but I must disagree with you here. I had " real " quad sparing

> surgery and spent 3 days in the hospital, used a walker for 2 weeks,

> then a cane, and certainly needed pt. That your os doesn't require

> those things doesn't mean that the protocol he uses is not the only

> one for " real " quad sparing surgery. My surgeon has done thousands

> of these surgeries, in fact was the first one in my state to do

> them, and in my experience more people go though the same protocols

> then what your os suggests.

> Jeff

>

> ____________ _________ _________ __

> From: rosey9932000 <rosey9932000>

> Total_Joint_ Replacement

> Sent: Sun, February 21, 2010 2:49:51 PM

> Subject: [Total_Joint_ Replacement] Re: What Surgery? Confused.

>

> There is some confusion about the term, MIS. Sometimes it just means

> a shorter scar, or a sort of quad sparing but not total quad

> sparing. And most of these TKRs of all types are now using computer

> navigation.

>

> The real quad sparing means minimal time in hospital (less than 24

> hours for me), you can walk immediately usually without crutches or

> walker, no need for PT. It makes it easier because you don't spend

> much time laying around, going to painful PT, depending on others. I

> think my scar is 4-5 inches, that varies depending on the individual.

>

> It was developed around 2002 and many docs don't know how to do it

> yet, so one needs to search around to find a surgeon that has done

> many of them. It is more intricate and difficult surgery than

> traditional TKRs, and would be best to get a surgeon who has done a

> lot of them.

>

> It's a bit late for you if you've already had your TKR, but there is

> always the other knee!

>

> Hollie

>

> LR Hip Resurf Dr. Gross 2006, 2007

> LR TKRs Dr. Coon 2008, 2009

>

> > I am beginning to wonder if I did enough homework before I had my

> TKR surgery. Not that I am second guressing now, but I never heard

> of quad sparing until I read this forum. I was told my surgery was

> computer assisted, minimally invasive, but I have a pretty long

> scar. How minimal is minimal? Did any of you have the same?

> > [Total_Joint_ Replacement] Re: What Surgery? Confused.

> >

> > Does Dr. Su do TKR as well as THR? I am in Scranton Pennsylvania ,

> was scheduled to have BLTKR Feb. 1st, but had to delay it as I broke

> my elbow..My OS is regarded as the best in his field in this area,

> he does MIS, but when I asked if it is quad sparing, he said no ,

> the tendons are not cut but separated during the surgery.but the

> surgery is minimally invasive.

> >

> > Anyone have any information on Dr. Su and TKR's?

> >

> > Thanks..

> >

> > Karla

> >

February 22, 2010

I feel so fortunate that I seem to have (mostly) breezed through my knee

replacement with so little trouble. I walked with a walker to the car (for the

2-hour drive home following surgery the following day - which turned into SIX

hours due to a traffic accident) and used the walker only the first time I

walked outside to get my mail and the first walk to the end of the block. It

was actually more of a hindrance due to the uneven ground. I probably walked a

total of two hours each day (in short increments of 15-20 minutes each)

beginning at Day 2. I went back to work full time after four weeks. The

swelling was totally gone after about 2-1/2 months. I still feel a little stiff

when getting up if I sit (at my desk) for a long period of time, but after 10-15

steps that disappears. I can kneel - even on hard surfaces - and get back up

with no trouble and NO PAIN. The only down side of the process was that my

insurance did NOT cover this procedure (it DID cover the hospital, thank

goodness) so the surgeon, assistant surgeon and anesthesiologist fees came out

of my pocket. But it was worth every penny. The relief - and being able to

throw away my cane! - is priceless.

RTKR - 9/16/09

OS: Coon, Red Bluff, CA

Re: Re: What Surgery? Confused.

Hi Jeff and Joan,

One year ago, I had arthroscopic knee surgery to repair several torn

meniscus. Only recently, did I notice that the swelling was down from where

it

was over the summer. Like Jeff, it never caused any discomfort but when

wearing shorts, I could see that the legs did not match. After the hip

surgery last month, I noticed that the knees were starting to be the same

size.

It must take about a year or so for the swelling to go down from knee

surgery.

Reen

February 22, 2010

Hi . Your recovery is fantastic. I wish mine were as good. That is

really terrible about the coverage, though. Joan

________________________________

From: Bentley <sbentley@...>

Joint Replacement

Sent: Mon, February 22, 2010 10:21:34 AM