Knee replacement complications
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.
一年前，她回到医生那里寻求更多帮助，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，这是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，总膝关节置换量的平均腿长为1.5厘米，实际上高于髋关节替换。
您的建议传单和当地的NHS传单都不称这是一种并发症，当然我的妻子没有被告知这种并发症。
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.
Why haven't Versus Arthritis highlighted this?
Comments
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Frogmorton 成员文章：28,4100 -
马丁 成员文章：7You've missed the point. She did need the knee replacement. The point is she was not told about this complication, and only recently has the problem been found: - That's after 4 years of constant back pain and numerous doctors' appointments, back pain clinics and physio support.
如果注意到这种并发症，就像髋关节替代品一样，她可能不会持续4年的背部疼痛，并且很可能会对她的背部造成伤害。
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Frogmorton 成员文章：28,410
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，是否建议通过髋关节手术的手术并发症有所不同？
您（您可能已经）阅读了以下内容：https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2911931/
I tend only to read UK and ideally NHS articles.
My own Mum lived with different length legs for 40+ years after a motorbike accident and resulting compound fracture of her leg. She was given one pair of shoes one shoe built up, but rarely wore them. She was fortunate and never had any issues with her back though I am so sorry your wife is suffering with hers.
经过20年的后期问题，我自己进行了背部手术，她对我的真诚同情。
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马丁 成员文章：7
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与小册子。后者的文献不同，腿长的长度是并发症，前者没有，NHS膝盖替换手册也没有。
Two completely differing views on the subject here from specialists in the UK:
两位专家，相距40英里。一个人一定是错的。
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Frogmorton 成员文章：28,410
好吧！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
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马丁 成员文章：7
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将需要数周/几个月的时间才能习惯佩戴它，并开始重新获得更高的移动性期望。可能需要更多的生理学。
尚无响应。为什么我并不感到惊讶？
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布林莫尔 成员文章：1,794你好@martin
很高兴听到戴鞋垫似乎有一些进展和帮助。
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.
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.
All best wishes
布林莫尔
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马丁 成员文章：7
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。
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布林莫尔 成员文章：1,794
你好@martin
Yes, I did indeed mean knee surgery! Not sure what I was thinking there...
在通常的NHS频道中，似乎严重缺乏有关该问题的信息。如果我们找不到自己的网站上的材料，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.versususarthritis.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: Any further links to sources of information or personal experience would be very much appreciated!
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Frogmorton 成员文章：28,410
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？我希望她适应需要一段时间。
I hope we get some responses from anyone who has had their knee replaced. I think your wife would feel better knowing she isn't alone.
Is it possible to shout out across all Versus Arthritis media? There is twitter (I don't use it) and facebook I know.
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马丁 成员文章：7
你好@Brynmor
I have been looking carefully at this and have found one hospital that does not use what seems to be the standard NHS leaflet, and does state altered leg length as a rare complication:https://www.fhft.nhs.uk/media/4655/total-knee-replacement-surgery.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。
愚蠢的认为，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为常见就不足为奇了。其他研究仅着眼于一个外科医生的操作清单，但这包含一个明显的缺陷，这对于该外科医生或他/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。
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stickywicket 成员文章：27,358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恐怖的，后期推动的时期。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有很大的好处。
To deal with your own problem - should sites advise of the potential for leg length discrepancy - I've had a quick google and it seems fairly evenly distributed between 'there might be' and either 'it's simply perceived rather than actual' or 'most people in the population have leg length discrepancies anyway'. Because of this, although I can feel your frustration, I'd doubt there'd be any mileage in pursuing the matter. I'm sure you'd be unlikely to find any similar outcomes on Versus Arthritis as, in years on here, I can't remember any and, in any case, once people are 'fixed' or learn to deal with their new situations, they tend to disappear and not return to the site.
当我阅读您的帖子时，我承认我的主要想法是“您的妻子想要什么？”这是因为，二十年前，当我患有乳腺癌时，我的乳房切除术延迟了三个月，因为我一直遇到取消的诊所 - 隐喻地说话．后来,尽管他们知道我淋巴腺were affected, they could only extract three and couldn't give me radiotherapy due to the arthritis in my shoulder. My husband was very upset and wanted to complain and possibly sue if the cancer was still there. I refused to let him, though, on the grounds that, if I only had a short time to live, I didn't want to waste it in anger and litigation.
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？
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布林莫尔 成员文章：1,794
你好@martin
成功！
The issue you first raised about the lack of information has been noted!
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.
我们现在知道our knee replacement information is currently under reviewand 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.
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，信息会更好。
最好的祝愿
布林莫尔
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小型的 成员文章：33晚上好马丁我冷杉有同样的问题t had my left knee replaced was longer in one leg I have osteoarthritis then was diagnosed with fibromyalgia then 2 years later had to have my hip replaced in 2018 I was limping really badly but still same now then I started getting electric shocks in my legs spasms and in my arms they hurt so much unbelievable only thing I have found to relieve the shocks is to do the plank 2 times a day holding for 1 minute each time then if shocks in arms hold a broom handle or stretch band behind back in hands and slowly rotate to the right hold 15 secs then to the left 15 secs do 2 times each way stops the shocks I was then diagnosed with spinal stenosis I have narrowing of the spine , then had surgery on my right knee total knee replacement in 2019 .
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.
I have also cut out all wheat from my diet and have gluten free products and only eat that bread now I eat gluten free porridge to for breakfast my personal trainer at gym told me to go on a wheat free diet as cuts inflammation down and I must admit it has helped I have full fat natural Greek youghurt and fruit or nuts for breakfast with cinnamon on or gluten free cereals
我做的一件事是第一次膝盖更换后，我正在lim绳，所以我去了一名足病医生，他让我插入了4鞋，这使我无法弯腰，直到我更换了其他膝盖，但老实说，我现在总是会lim脚走路’m 51 but feel like I’m 97 hope this helps 2 u both
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Frogmorton 成员文章：28,410
你妻子可能为时已晚@martinbut you should be proud of yourself that you have probably helped change something and helped future people make informed decisions.
I hope you are proud of yourself and that your wife is doing better.
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Jenwren 成员文章：9我发现这是我的膝盖替换，右腿更长，有人告诉我，但是我正在等待我的左膝盖更换，所以希望它们的长度相同。我的问题是弯曲。我的生理学说我有力量，但我不能弯曲得太远，我敢当我尝试移动它时坚持下去。有人有任何关于我如何弯曲的建议。我的OP是在11月底，现在是2月。
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Suelema 成员文章：14是的，穿鞋子和袜子时，请使用底部的楼梯，一旦可以做到这一点，然后使用下一个楼梯。我用撕裂的弯面术在几周内逐渐伸展膝盖是必不可少的。我不知道您何时拥有OP，但是在早期进行锻炼是必不可少的，但是疼痛，否则垂直切割的愈合太紧了，然后膝盖无法比愈合的皮肤更弯曲。
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