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Return to Function and Satisfaction After Total Knee Replacement? Fact vs. Fiction

POSTED ON IN Knee BY Chris Centeno

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Return to Function and Satisfaction After Total Knee Replacement? Fact vs. Fiction

At the Centeno-Schultz Clinic, we acknowledge the pain and limitation associated with knee osteoarthritis. It can make the simplest task, like walking upstairs or getting out of a chair, almost impossible at times. Symptomatic knee osteoarthritis occurs in 10% of men and 13% of women in the United States. The rate of osteoarthritis has more than doubled since 1940.

Recently, there has been an avalanche of knee replacement advertisements. The ads show a middle-aged couple post knee replacement sprinting down the beach, skiing past the trees, and biking up the mountains. Is this reality or Madison Avenue hype?

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New Study Detailing Activity and Satisfaction Following Total Knee Replacement

Researchers, Baker et al, followed 99 patients who underwent knee replacement from august 2015 to December 2015. The study was a prospective longitudinal cohort observational survey. Patients identified activities most important to return to after knee replacement. Patients were contacted at 3 weeks, 6 weeks, 3 months, 6 months, and 12 months post procedure.

Study Results

The percentage of patients who actually returned to kneeling was only 85%, to cycling was 40%, and to sports was only 60%. Ouch! There seems to be a disconnect between the hype and reality.

Patient satisfaction was no better. The percentage of patients who returned to a given activity but were NOT satisfied at 12 months is concerning.

  • Regarding kneeling, 59% of patients at 12 months post surgery were not satisfied.
  • Regarding cycling, 59% of patients at 12 months were not satisfied.
  • Regarding sports, 40% of patients at 12 months were not satisfied.

Alternative to Knee Replacement

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Don’t believe in the hype. Satisfaction and return to cycling and sports is low in patients post knee replacement at 12 months.

If you have ongoing knee pain that is limiting your potential to have a great powder day in blue sky basin or an afternoon with your grandson, please schedule a consultation at the Centeno-Schultz Clinic, where a board-certified, fellowship-trained physician will review you history, surgeries, medications, and MRI and perform a thorough evaluation. Thereafter, you will be provided a candidacy rating and treatment plan.  Anything less will compromise your potential.

    *DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.
    Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.

    comments

    Stacey Kaufman says

    I am a happy Dr. Schultz patient. Although I have a long road ahead with my ccj damage, I am seeing some positive changes that I never would have thought possible. I have a question on behalf of a friend of mine. She has knee osteoarthritis with bone on bone and is being told she will need a knee replacement. Can a Regenexx stem cell procedure help keep her from going through surgery, or is bone on bone too far gone for your stem cells procedure to heal her?

    replies

    Regenexx Team says

    Hi Stacey,
    Glad to hear you're doing so well! We treat bone on bone knee arthritis regularly, and we always trying all non-invasive procedures before any joint replacement. If she'd like to see if she would be a Candidate, please have her give us a call at 303 429 6448.

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    Marv Richardson says

    Is there anything you can do for knee replacement, only getting 90% Bend after knee revision

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    Regenexx Team says

    Hi Marv,
    This is very common result of knee replacement, and unfortunately, there is nothing we can do for the knee itself as there is no longer a biological joint. However, an important issue with knee replacement is if there is a low back problem, symptomatic or not, TKR results are not as good. https://www.regenexx.com/blog/knee-replacement-outcomes-back-pain/ and https://www.regenexx.com/blog/low-back-and-knee-pain/ and https://www.regenexx.com/blog/knee-replacement-questions/ We've helped tens of thousands of patients avoid joint replacement and hopefully we can help you avoid joint replacement in the future. For now, if you'd like us to take a look at your back, please let us know, here, or give us a call at 855 622 7838.

    replies

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    About the Author

    Chris Centeno

    Christopher J. Centeno, M.D. is an international expert and specialist in regenerative medicine and the clinical use of mesenchymal stem cells in orthopedics. He is board certified in physical medicine as well as rehabilitation and in pain management through The American Board of Physical Medicine and Rehabilitation.…

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