膝盖置换并发症

马丁

我的妻子4年前由于关节炎而进行了膝盖替代。从那以后，她走路遇到了很大的困难，并且不断遭受腰痛。Covid并没有帮助游泳，而且体育馆是不可能的。她无法站立或走路很长时间。在那四年中，她已经有许多医生和生理学的约会，所有这些人基本上都告诉她吮吸它并继续生活。她出于明显的原因拒绝服用阿片类止痛药。

一年前，她回到医生寻求更多帮助，并最终得到了不同的生理支持。那里的生理表明她的腿比另一只腿长。确实，经过进一步检查，事实证明是1.5厘米。

这是髋关节置换术的已知并发症，我自己的研究表明，总膝盖置换量平均升长1.5厘米的可能性为86％，实际上比髋关节置换率高。

您的建议传单和当地的NHS传单都没有称呼这是一种并发症，当然我的妻子没有被告知这种并发症。

如果她在4年前就知道这一点，那么她可能会通过简单的鞋垫或堆积的鞋子的简单权宜之计获得了她的生活质量和免受痛苦的自由。

为什么与关节炎与关节炎没beplay体育怎么下载有突出显示？

Frogmorton

不知道@martin

但是您会想，如果您的妻子不需要膝盖替换，她的顾问不会做一个？

您是否打算与当地卫生管理局联系起来？

马丁

您错过了重点。她确实需要膝盖替换。关键是她没有被告知这种并发症，直到最近才发现问题： - 那是经过4年的腰痛和许多医生的任命，背痛诊所和生理支持。

如果注意到这种并发症，就像髋关节置换术一样，她可能不会持续4年的背部疼痛，并且很可能会伤害她的背部。

Anneb82

亲爱的@martin

感谢您加入在线社区。希望您能发现它对自己和妻子有利。

我是志愿者的主持人之一，因此无法完全回答您发表的评论，但我已经记下了这一评论，并且一名工作人员将尽快与您联系，希望在星期一能够在周一回复。

谢谢

安妮（主持人）

Frogmorton

@martin

我明白你的意思是，对不起，我确实误解了你。

我不知道膝盖手术可能会导致不同的腿长，这要么非常有用。与关节炎相beplay体育怎么下载对于关节炎是否建议腿部长度不同，因为髋关节手术可能是手术并发症吗？

您是否（可能已经）阅读此信息：https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2911931/

我倾向于阅读英国和理想情况下的NHS文章。

摩托车事故发生后，我自己的妈妈用不同的腿生活了40多年，并导致腿部的复合骨折。她得到了一双鞋子，一双鞋子盖了，但很少穿。她很幸运，但她的背部从未有任何问题，尽管我很抱歉你的妻子正在遭受她的痛苦。

经过20年的后期问题，我自己进行了背部手术，她对我真正的同情。

马丁

嗨，托尼

是的，我确实读过，非常感谢。在膝盖和髋关节手术上查看小册子。后者的文献不同，腿长是一种并发症，前者没有，NHS膝盖替换手册也没有。

在这里对该主题完全不同的观点与英国的专家：

https://www.manchesterhipandkneereplacement.co.uk/total-knee-replacement-tkr.html

https://yorkshirekneeclinic.com/could-having-a-knee-replacement-alter-leg-length/

两名专家，相距40英里。一个人一定是错的。

Frogmorton

好！那是矛盾的。

现在，您的妻子对她的鞋垫/固定鞋更舒服？

我当然可以理解为什么您不高兴，看到您喜欢挣扎的人真是太可怕了。

我对你妻子的祝福

马丁

嗨，托尼。鞋垫本周早些时候到达，但最初的结果看起来令人鼓舞。但是，OH习惯于佩戴它需要数周/几个月的时间，并开始重新获得更好的移动性期望。可能需要更多的生理学。

目前尚无响应。为什么我并不感到惊讶？

布林莫尔

你好@martin

很高兴听到戴鞋垫似乎有一些进展和帮助。

另外，感谢您指出我们信息的差距。我们缺乏有关髋关节手术后对腿长的影响的信息已传递给我们的健康信息团队，要求他们审查我们发布的材料。我将在我知道的立即从中知道结果。

请让我们所有人都知道任何进展。如果在线社区提供了一些也遇到这个问题的人，那将是很棒的。

一切顺利

布林莫尔

马丁

Hi @Martin<\/a> <\/p>

So glad to hear that there looks to be some progress and help available from wearing an insole.<\/p>

Also, thank you for pointing out the gap in our information. The lack of information that we have about the impact on leg length after hip surgery has been passed on to our health information team to ask them to review the materials we publish. I will let you know what the outcome is from this as soon as I know.<\/p>

Do let us all know of any progress. It would be great if there was some information available here on the Online Community for others who also come across this problem.<\/p>

All best wishes<\/p>

Brynmor<\/p>","bodyRaw":"[{\"insert\":\"Hi \"},{\"insert\":{\"mention\":{\"name\":\"Martin\",\"userID\":116835}}},{\"insert\":\" \\nSo glad to hear that there looks to be some progress and help available from wearing an insole.\\nAlso, thank you for pointing out the gap in our information. The lack of information that we have about the impact on leg length after hip surgery has been passed on to our health information team to ask them to review the materials we publish. I will let you know what the outcome is from this as soon as I know.\\nDo let us all know of any progress. It would be great if there was some information available here on the Online Community for others who also come across this problem.\\nAll best wishes\\nBrynmor\\n\\n\"}]","format":"rich","dateInserted":"2021-03-29T14:30:39+00:00","insertUser":{"userID":113160,"name":"Brynmor","url":"https:\/\/community.versusarthritis.org\/profile\/Brynmor","photoUrl":"https:\/\/us.v-cdn.net\/6031919\/uploads\/userpics\/6JM354NSKIPA\/nIZD97Q75HRIY.jpg","dateLastActive":"2022-01-31T23:23:57+00:00","banned":0,"punished":0,"private":false},"displayOptions":{"showUserLabel":false,"showCompactUserInfo":true,"showDiscussionLink":false,"showPostLink":false,"showCategoryLink":false,"renderFullContent":false,"expandByDefault":false},"url":"https:\/\/community.versusarthritis.org\/discussion\/comment\/678830#Comment_678830","embedType":"quote"}"> https://community.versusurthritis.org/discussion/comment/678830#comment_678830

你不是说膝盖手术吗？腿长差异已经是髋部手术的公认并发症。

布林莫尔

你好@martin

是的，我确实是指膝盖手术！不确定我在想什么...

在通常的NHS渠道中，似乎严重缺乏有关该问题的信息。如果我们在自己的网站上找不到材料，这是我们在线社区志愿者的标准信息点。例如，这里似乎根本没有提及：https://www.nhs.uk/conditions/knee-replacement/

我花了一些时间在这里讨论有关总膝盖替代品的讨论，但没有发现任何有类似经验的人：搜索结果：https://community.versusurthritis.org/search?page=&search=knee+replacement

我现在希望其他有此操作的成员能够为讨论做出贡献。

将军向所有成员大喊：与信息源或个人经验源的任何进一步链接都将不胜感激！

Frogmorton

Hi Toni. Insole arrived earlier this week, but initial result looks encouraging. However, it is going to take weeks\/months for OH to get used to wearing it, and to start to regain a better mobility expectation. Probably will need a lot more physio.<\/p>

No response at yet from Versus. Why am I not surprised?<\/p>","bodyRaw":"[{\"insert\":\"Hi Toni. Insole arrived earlier this week, but initial result looks encouraging. However, it is going to take weeks\\\/months for OH to get used to wearing it, and to start to regain a better mobility expectation. Probably will need a lot more physio.\\nNo response at yet from Versus. Why am I not surprised? \\n\"}]","format":"rich","dateInserted":"2021-03-25T13:12:13+00:00","insertUser":{"userID":116835,"name":"Martin","url":"https:\/\/community.versusarthritis.org\/profile\/Martin","photoUrl":"https:\/\/w2.vanillicon.com\/v2\/29406acf6b4966e1af95463f3110767c.svg","dateLastActive":"2021-03-20T17:33:32+00:00","banned":0,"punished":0,"private":false},"displayOptions":{"showUserLabel":false,"showCompactUserInfo":true,"showDiscussionLink":false,"showPostLink":false,"showCategoryLink":false,"renderFullContent":false,"expandByDefault":false},"url":"https:\/\/community.versusarthritis.org\/discussion\/comment\/678682#Comment_678682","embedType":"quote"}"> https://community.versusarthritis.org/discussion/comment/678682#comment_678682

你好@martin

很高兴你的妻子有她的鞋垫。她现在好吗？她对她有任何改善吗？我希望她适应需要花费一段时间。

我希望我们从膝盖更换的任何人那里得到一些回应。我认为你的妻子知道她并不孤单。

@Brynmor

是否有可能在所有与关节炎培养基中大喊大叫？beplay体育怎么下载我知道有Twitter（我不使用它）和Facebook。

马丁

Hi @Martin<\/a> <\/p>

Yes, I did indeed mean knee surgery! Not sure what I was thinking there...<\/p>

There seems to be a severe lack of information on the issue across the usual NHS channels. This is our standard point of information for our volunteers at the Online Community if we cannot find materials on our own web site. For example, it does not seem to be mentioned at all here: https:\/\/www.nhs.uk\/conditions\/knee-replacement\/<\/a><\/p>

I have spent some time looking through past discussions here regarding Total Knee Replacement but have not found anyone who has had a similar experience: Search results: https:\/\/community.versusarthritis.org\/search?Page=&Search=knee+replacement<\/a><\/p>

I am now hoping other members who have had this operation will be able to contribute to the discussion.<\/p>

General shout out to all members<\/strong>: Any further links to sources of information or personal experience would be very much appreciated!<\/p>","bodyRaw":"[{\"insert\":\"Hi \"},{\"insert\":{\"mention\":{\"name\":\"Martin\",\"userID\":116835}}},{\"insert\":\" \\nYes, I did indeed mean knee surgery! Not sure what I was thinking there...\\nThere seems to be a severe lack of information on the issue across the usual NHS channels. This is our standard point of information for our volunteers at the Online Community if we cannot find materials on our own web site. For example, it does not seem to be mentioned at all here: \"},{\"attributes\":{\"link\":\"https:\\\/\\\/www.nhs.uk\\\/conditions\\\/knee-replacement\\\/\"},\"insert\":\"https:\\\/\\\/www.nhs.uk\\\/conditions\\\/knee-replacement\\\/\"},{\"insert\":\"\\nI have spent some time looking through past discussions here regarding Total Knee Replacement but have not found anyone who has had a similar experience: Search results: \"},{\"attributes\":{\"link\":\"https:\\\/\\\/community.versusarthritis.org\\\/search?Page=&Search=knee+replacement\"},\"insert\":\"https:\\\/\\\/community.versusarthritis.org\\\/search?Page=&Search=knee+replacement\"},{\"insert\":\"\\nI am now hoping other members who have had this operation will be able to contribute to the discussion.\\n\"},{\"attributes\":{\"bold\":true},\"insert\":\"General shout out to all members\"},{\"insert\":\": Any further links to sources of information or personal experience would be very much appreciated!\\n\\n\"}]","format":"rich","dateInserted":"2021-03-30T09:12:01+00:00","insertUser":{"userID":113160,"name":"Brynmor","url":"https:\/\/community.versusarthritis.org\/profile\/Brynmor","photoUrl":"https:\/\/us.v-cdn.net\/6031919\/uploads\/userpics\/6JM354NSKIPA\/nIZD97Q75HRIY.jpg","dateLastActive":"2022-01-31T23:23:57+00:00","banned":0,"punished":0,"private":false},"displayOptions":{"showUserLabel":false,"showCompactUserInfo":true,"showDiscussionLink":false,"showPostLink":false,"showCategoryLink":false,"renderFullContent":false,"expandByDefault":false},"url":"https:\/\/community.versusarthritis.org\/discussion\/comment\/678855#Comment_678855","embedType":"quote"}"> https://community.versusarthritis.org/discussion/comment/678855#comment_678855

你好@Brynmor

我一直在仔细研究一下，发现一家不使用似乎是标准NHS传单的医院，并且确实改变了腿部长度作为罕见的并发症：https://www.fhft.nhs.uk/media/4655/total-knee-replacement-surogery.pdf

具有讽刺意味的是，几年前，这曾经是我们当地的医院。我认为这总结了整个情况，坦率地说，这是一团糟，似乎没人会打扰。我当然会和我们当地的医院嘎嘎作响。

愚蠢的想法是，对复杂性的研究实际上相对简单。现有的少数研究似乎比较有一个膝盖手术并完成了两个膝盖。发现只有一条膝盖就会发现腿长的长度更常见，这不足为奇。其他研究仅着眼于一个外科医生的手术清单，但这包含一个明显的缺陷，这对于这位外科医生或他/她使用的植入物的类型可能是独一无二的。当然，一项简单的研究是，髋关节或膝盖手术后腿长差异显着的诊所的人数，并查看膝关节手术的比例。

StickyWicket

对不起，您的妻子有很多事情上的困难。我们在我们的Othopaedic Ops上投入了很大的希望，以及在痛苦的锻炼中推动的可怕，后期的时期。我的所有替代品（两个THR和三个TKR）感到非常幸运。我确实希望这种鞋垫现在正在生效，并使她能够走得更多，因为这本身将对她的总体健康带来极大的好处。

要处理您自己的问题 - 应该建议网站可能会出现腿部长度差异的潜力 - 我的Google很快，并且似乎在“可能有”之间的分布相当均匀地分布，并且“它是简单的，而不是实际的”或“最多”无论如何，人口中的人都有腿长差异。因此，尽管我能感到您的沮丧，但我怀疑追求此事是否有任何里程。我敢肯定，您不太可能找到有关关节炎与关节炎的任何类似结果beplay体育怎么下载，它们倾向于消失，而不会返回站点。

我承认，当我阅读您的帖子时，我的主要想法是“您的妻子想要什么？”这是因为，二十年前，当我患有乳腺癌时，我的乳房切除术被推迟了三个月，因为我一直遇到取消的诊所 - 隐喻地说话。之后，尽管他们知道我的淋巴腺受到影响，但由于我的肩膀上的关节炎，他们只能提取三个并且不能给我放射疗法。我的丈夫很沮丧，想抱怨，如果癌症仍在那里，可能会起诉。不过，我拒绝让他理由，理由是，如果我只有很短的生活时间，我就不想在愤怒和诉讼中浪费它。

当然，您妻子的处境并不是那么极端，我很容易理解并为使用自己的不幸来改善他人的生活而鼓掌，但是.....我只是觉得这可能会使您的生活和一生都占据一生就我个人而言，我只想为你们俩共同享受改进的状况。你妻子的感觉如何？

布林莫尔

你好@martin

成功！

您首先提出的有关缺乏信息的问题已经注意到！

我们的健康信息团队因讨论而做出了回应。我们提供的所有信息都将提供给具有医学知识的外部评论团队，以检查我们提供的建议。事实证明，该问题当时并未提出信息，无论是由作者还是查看该信息的审稿人。

我们现在知道我们的膝盖替换信息目前正在审查中因此，我们可以在不久的将来关注有关这种特殊并发症的信息。这将通过医疗面板提出，因此他们在审查进行时考虑。

我们经常能够突出关节炎网站上提供的支持信息中的差距。beplay体育怎么下载希望将来将填补这一差距，因此对于那些进行全部膝盖置换手术的人来说，信息更好。

最好的祝愿

布林莫尔

小型的

My wife had a knee replacement 4 years ago due to arthritis. Since then she has had considerable difficulty walking, and suffers constant backache. Covid has not helped as access to swimming and the gym has not been possible. She is unable to stand or walk for long. In those 4 years she has had numerous doctor and physio appointments all of whom have basically told her her to suck it up and get on with life. She refuses to take opiate painkillers for obvious reasons. <\/p>

A year ago she went back to the doctor for more help, and eventually got different physio support. There the physio suggested she had one leg longer than the other. Indeed on further examination this turned out to be 1.5cm.<\/p>

This is a known complication of hip replacements, and research by myself shows an 86% likelyhood of an average of 1.5cm leg lengthening in total knee replacements, indeed higher than in hip replacements. <\/p>

Neither your advice leaflet nor the local NHS leaflet mention this as a complication, and certainly my wife was not informed of this complication. <\/p>

Had she known about this 4 years ago, she might well have got a considerable improvement in her quality of life and freedom from pain by the simple expedient of either insoles or built up shoes. <\/p>

Why haven't Versus Arthritis highlighted this? <\/strong><\/p>","bodyRaw":"[{\"insert\":\"My wife had a knee replacement 4 years ago due to arthritis. Since then she has had considerable difficulty walking, and suffers constant backache. Covid has not helped as access to swimming and the gym has not been possible. She is unable to stand or walk for long. In those 4 years she has had numerous doctor and physio appointments all of whom have basically told her her to suck it up and get on with life. She refuses to take opiate painkillers for obvious reasons. \\nA year ago she went back to the doctor for more help, and eventually got different physio support. There the physio suggested she had one leg longer than the other. Indeed on further examination this turned out to be 1.5cm.\\nThis is a known complication of hip replacements, and research by myself shows an 86% likelyhood of an average of 1.5cm leg lengthening in total knee replacements, indeed higher than in hip replacements. \\nNeither your advice leaflet nor the local NHS leaflet mention this as a complication, and certainly my wife was not informed of this complication. \\nHad she known about this 4 years ago, she might well have got a considerable improvement in her quality of life and freedom from pain by the simple expedient of either insoles or built up shoes. \\n\"},{\"attributes\":{\"bold\":true},\"insert\":\"Why haven't Versus Arthritis highlighted this? \"},{\"insert\":\"\\n\"}]","format":"rich","dateInserted":"2021-03-20T17:12:16+00:00","insertUser":{"userID":116835,"name":"Martin","url":"https:\/\/community.versusarthritis.org\/profile\/Martin","photoUrl":"https:\/\/w2.vanillicon.com\/v2\/29406acf6b4966e1af95463f3110767c.svg","dateLastActive":"2021-03-20T17:33:32+00:00","banned":0,"punished":0,"private":false},"displayOptions":{"showUserLabel":false,"showCompactUserInfo":true,"showDiscussionLink":true,"showPostLink":true,"showCategoryLink":false,"renderFullContent":false,"expandByDefault":false},"url":"https:\/\/community.versusarthritis.org\/discussion\/53892\/knee-replacement-complications","embedType":"quote","name":"Knee replacement complications"}"> https://community.versusurthritis.org/discussion/53892/knee-replacement-complemations

晚上好，马丁晚上我遇到了同样的问题，当我第一次更换左膝盖时，我的腿部骨关节炎很长，然后被诊断出患有纤维肌痛，然后两年后，我在2018年不得不更换我的臀部我开始在腿部痉挛中遇到电击，在我的手臂上，我发现唯一难以置信的唯一的伤害是减轻震动是每天每天2次举行2次木板，然后如果震动握在手臂上，则手柄或伸展带的背后伸向手，慢慢向右旋转15秒钟，然后向左15秒钟，每种方式2次停止我被诊断为脊柱狭窄的冲击，我对脊柱的缩小，然后在我的手术上进行手术2019年右膝盖总膝盖置换。

I have just had another knee camera op 2 weeks ago awaiting results as I have already had my left knee replaced twice and now has corrosion and won’t bend and my bone is crumbling around it so awaiting results get on the 26th April when they fitted my right knee replacement I have total different knee replacement to left one and get no burning from it but my hip and left knee are so painful on fire burns so much really painful

I went to hospital yesterday to see my spinal surgeon and he has put me 4 ward for spinal infusion operation I was really not expecting that yesterday even thou my pain is so so bad just at rock bottom at the moment and I can’t take prescription drugs they try to give me as side affects are terrible I get wild thoughts and low mood black cloud comes over me keep 4 getting things to even hit a van driving once so gave them up been on just Ibrobufen and paracetamol even the ibrofen thou if I have 3 a day 500mg can affect my mood so have just 2 and I’m fine but my pain is sky high with my spinal stenosis .

my gym 2 has closed in lockdown find walking the pool really helps and light weight exercise like your wife doe’s I have been following Lucy Wyndham-Read on Instagram she does mobility exercises which are really good I make a coconut oil to rub in essential oil black pepper 10 to 15 drops with about 3 to 4 tablespoons of coconut oil looks like lard and mix together also on my repeat prescriptions I have capsaicin cream it’s a hot cream but make sure you wash hands after as if u get in your eyes burns a lot.

我还从饮食中剪掉了所有小麦，并拥有不含麸质的产品，并且只吃面包，现在我吃了无麸质粥来吃早餐，我在体育馆的私人教练告诉我，请减轻炎症，我必须饮食不足，我必须承认这有助于我有全脂肪天然的希腊Youghurt和果实或坚果在早餐上搭配肉桂或无麸质谷物

我做的一件事是第一次膝盖替换后，我正在lim绳，所以我去了一名足病医生，他让我插入了4鞋，这使我无法屈服，直到我更换了其他膝盖，但老实说，我现在总是会li行，现在我总是走路’m 51 but feel like I’m 97 hope this helps 2 u both

Frogmorton

Hi @Martin<\/a> <\/p>

Success!<\/strong><\/p>

The issue you first raised about the lack of information has been noted!<\/p>

Our Health Information Team have responded as a result of this discussion. All information we provide goes to an external review team who have the medical knowledge for checking the advice we make available. It turns out that the issue wasn’t raised at the time that the information was first produced – either by the author or the reviewers who looked at it.<\/p>

We now know that our knee replacement information is currently under review<\/strong> and that we can therefore look at including information on this particular complication in the very near future. This will be raised with the medical panel so they consider it when the review takes place.<\/p>

It's not often that we are able to highlight a gap in the support information offered on the Versus Arthritis website. Hopefully this gap will be filled for the future so the information is better for those who are having total knee replacement surgery.<\/p>

Best wishes<\/p>

Brynmor<\/p>","bodyRaw":"[{\"insert\":\"Hi \"},{\"insert\":{\"mention\":{\"name\":\"Martin\",\"userID\":116835}}},{\"insert\":\" \\n\"},{\"attributes\":{\"bold\":true},\"insert\":\"Success!\"},{\"insert\":\"\\nThe issue you first raised about the lack of information has been noted!\\nOur Health Information Team have responded as a result of this discussion. All information we provide goes to an external review team who have the medical knowledge for checking the advice we make available. It turns out that the issue wasn’t raised at the time that the information was first produced – either by the author or the reviewers who looked at it.\\nWe now know that\"},{\"attributes\":{\"bold\":true},\"insert\":\" our knee replacement information is currently under review\"},{\"insert\":\" and that we can therefore look at including information on this particular complication in the very near future. This will be raised with the medical panel so they consider it when the review takes place.\\nIt's not often that we are able to highlight a gap in the support information offered on the Versus Arthritis website. Hopefully this gap will be filled for the future so the information is better for those who are having total knee replacement surgery.\\nBest wishes\\nBrynmor\\n\"}]","format":"rich","dateInserted":"2021-04-01T15:04:44+00:00","insertUser":{"userID":113160,"name":"Brynmor","url":"https:\/\/community.versusarthritis.org\/profile\/Brynmor","photoUrl":"https:\/\/us.v-cdn.net\/6031919\/uploads\/userpics\/6JM354NSKIPA\/nIZD97Q75HRIY.jpg","dateLastActive":"2022-01-31T23:23:57+00:00","banned":0,"punished":0,"private":false},"displayOptions":{"showUserLabel":false,"showCompactUserInfo":true,"showDiscussionLink":false,"showPostLink":false,"showCategoryLink":false,"renderFullContent":false,"expandByDefault":false},"url":"https:\/\/community.versusarthritis.org\/discussion\/comment\/678934#Comment_678934","embedType":"quote"}"> https://community.versusurthritis.org/discussion/comment/678934#Comment_678934

对你的妻子来说可能为时已晚@martin但是，您应该为自己感到自豪，您可能已经帮助改变了一些事情，并帮助未来的人们做出明智的决定。

希望您为自己感到骄傲，并且您的妻子做得更好。