Total Vs Partial Knee Replacement: What’s The Difference

[@wsue1038]

I had my second TKR 1 month ago. My flexion is now 130°. That is thanks to great surgeon, hard work and many prayers. 💕💕💕

[@TalkingWithDocs]

Nice W! Thanks for watching and subscribing

[@ak203]

Had two total knee replacements in my early 70s and they came out wonderfully. Of course the post-op therapy hurts a lot for awhile but once its all done its a terrific outcome. Feel nothing, pain free, excellent movement, highly recommended.

[@TalkingWithDocs]

Awesome Alex. Thanks for watching and subscribing

[@BellaSC]

Could you do a video on total knee replacement revisions? Love that you guys advocate for both the patients and professionals perspective. Thanks for making such informative videos.

[@TalkingWithDocs]

Very welcome Bella. We can add that to the list for sure. Thanks for watching and subscribing

[@Sb23global]

@talkingwithdocs could you please comment on robotic partial kr vs “open partial” kr by a top surgeon? I am a strong candidate for a partial and my only debate is the approach. Thanks

[@Sb23global]

@@TalkingWithDocs please see my question above…not sure if the @ worked previously…

[@victoriahurlburt5987]

I got my partial in 2009 and did well about 8 years. I then needed a total knee in 2017. The dr said it was a harder surgery. I was 43 when I got my total. In 1999 I had to get a tibial tubercle osteotomy because my patellar tendon shrunk and my knee cap fell down. Several docs saw my X-rays and had never seen this happen. I got four screws put in but when I had my partial or total they took them out. I’ve had a total of 11 surgeries on my RT knee. Last one was in July. I keep tearing my medial retinaculum. Last three open surgeries for that. Thanks for your videos. 💝 Victoria from Ohio

[@TalkingWithDocs]

Wow Victoria that is a lot! Hope you are doing ok now. Thanks for watching and subscribing

[@darian5428]

I hope there will be non-invasive techniques that can repair knee damage in the future or sometime soon.

[@AD-ht3jl]

A meniscus replacement was invented in Israel over a decade ago. A trial has been done in the US with good outcomes. The Dr I visited about it was one that participated and indicated it might be approved soon in the US but that was almost 2 years ago. I was a candidate. Unfortunately you can't be bone on bone for too long. Because it's not yet available in the US yet and not approved I had to go with a TKR on one knee 6 weeks ago and the other will be done the end of this week. You can travel to Israel or Belgium and pay out of pocket at this point. Look up NuSurface for information. You Tube has a few Drs and patient interviews that have participated in the trial.

[@TalkingWithDocs]

Fingers crossed. Thanks for watching and subscribing

[@slomo1716]

You're so right, BOTH are very very handsome without that facial fuzz!!!! Thanks for helping me understand knee replacements. I have recently been experiencing severe knee/ankle and hip along with muscle pain to the point of tears. So this information is extremely helpful!!!! THANK YOU BOTH!!!

[@TalkingWithDocs]

You are so welcome. Thanks for watching and subscribing

[@jcopley8120]

You two are so funny. I'm having full knee replacement next week here in England and your videos have been so helpful to me. Many thanks.

[@wsue1038]

After about 5 days, puhleees do stretching of knee every waking hour. I was told to and it helped me a lot!

[@TalkingWithDocs]

Very welcome J. Best of luck next week! Thanks for watching and subscribing

[@TalkingWithDocs]

Nice W. thanks for watching and subscribing

[@jcopley8120]

@@wsue1038 thanks for that. Let's hope I can.

[@DeadMansPartyFilms]

​@jcopley8120 how did you fair after surgery? Hope all is good!

[@richardstyron5716]

I want to thank yall again for the the total knee video!!! I have total knee movement now. Thanks again & stay safe.

[@TalkingWithDocs]

Very welcome Richard. Thanks for watching and subscribing

[@DougCarnall-yd1xt]

A friend just referred me to Talking With Docs, and I'm hooked. I had both knees TKR'd by Brad the left in Feb of 2014 and the right three months later in May. The quality of my life improved immeasurably. Plus, he and Paul are hilarious. AND, Brad played the Rolling Stones' "You Can't Always Get What You Want" for me in the OR as the drugs kicked in. Zero anxiety about the whole process, from initial diagnosis to recovery to back to normal life. Well, OK, physio wasn't always a walk in the park, pun intended.

[@TalkingWithDocs]

Nice to have you aboard Doug! We started this channel a couple years after your TKRs. Glad to hear they are doing well

[@misseygallawan4662]

Had TKR this past April. Your videos have been so informative. Thank you for taking time to share your expertise here. Stay safe. Keep smiling.

[@TalkingWithDocs]

Glad we could help Missey! Thanks for watching and subscribing

[@MichaelSmith-ly6wx]

When I first met my surgeon, he suggested a TKR. After the visit, I looked at my x-rays which clearly show bone on bone on the medial compartment, the lateral looked fine to me. So I sent an email to my surgeon asking if a partial knee replacement would be a good option for me. He wrote back saying that the lateral compartment was also diseased which I couldn't tell so I'm not a candidate for a partial. Always good to have an open dialog with your surgeon to make sure you understand why he has prescribed a specific surgical procedure. Two months out from my surgery, still in PT and continuing to make progress. Having so much fun, I've scheduled a surgical date next year to have a TKR for my left knee which is also bone on bone. Cheers!

[@TalkingWithDocs]

Very nice Michael. Congrats. Thanks for watching and subscribing

[@minijms1]

I'm in the UK, it's a little different over here as you know. You get referred to a consultant and he will give you his recommendation. As a patient you tend to go with it. However, on the day of my partial knee surgery my consultant sat down with me and said, 'John, the plan is a partial, but with your permission if I believe a full is necessary are you happy with this'? Of course I agreed. I had the partial and now eight weeks in all I have is scar tissue pain which I can deal with and in time will pass. This may sound to others here a little hit and miss but not for me, I knew I was in good hands with a respected surgeon, who am I to question him?

[@TalkingWithDocs]

Yes sometimes it is a decision that is made at the time depending on the status of the cartilage in the other compartments. Best of luck. Thanks for watching and subscribing

[@yorkshiregal]

It was the same situation for me. I was down for a partial but surgeon said he would make a decision on the day and would do a full knee if needed. I only had the medial side replaced and that was in June 2021 at age 76. Not had any problems with the replacement but had IT band problems which has restricted me much to my disappointment 🙋‍♀️🇬🇧

[@minijms1]

@@yorkshiregal Had my left done in January, again a partial. Have to say the healing process on this one is slower than the right. I realise each procedure outcomes are different, I'm sure with time the pain will subside. It does make me smile when I see all the KZbin knee replacement warriors down the gym or jogging up and down dale after 5 weeks.

[@yorkshiregal]

@@minijms1 😂 agree with you there, one woman I spoke to said she was walking 4 miles a day after only 6 weeks. I thought where am I going wrong. Initially I was in a lot of pain for a few months, I had a lot of swelling and bruising but worked hard to get my range of motion. Was ok pottering around the house but as soon as I went out for walks on hard surface it was painful. I was so disappointed as expected to be able to walk at least a couple of miles a day once the knee was done after a decent recovery. I Had always been fit and was a dance teacher before I retired and walked 5-8 miles daily at one point. My consultant said I had been unlucky having the Iliotibial band syndrome, unfortunately an injection into the IT pocket didn’t work and I won’t take strong meds so just try and do what I can and take each day as it comes. Good luck with your second knee, no way would I have my other one done lol, now 78 will take my chances.

[@stephdaniels5587]

as always great information thank you both! Hoping there will be a year-end "laughing with docs" blooper video!

[@TalkingWithDocs]

That’s a great idea Steph. Thanks for watching and subscribing

[@richardroesch8752]

Great video! I had a partial medial knee replacement 20 months ago. The surgeon was great in explaining both the total and partial replacements. We both decided that a partial would be a good option for me. I still have some pain in the joint, but it's better than before surgery. Post surgery X-rays show no abnormalities in the prosthesis and I have full range of motion. The knee really feels weird when I kneel on it. I will see the surgeon in 3 weeks and see what's going on in the knee.

[@TalkingWithDocs]

Nice work. Thanks for sharing Richard. Thanks for watching and subscribing

[@rogerlewis1295]

Great video! I met Dr. Joe Miller (Miller/Galante) in the early 80’s and we soon began doing about a hundred partial knee replacements each year. Surprisingly, we had patients of all sizes, weights, activity levels that went on to very long-term good to excellent results with their partial unicondylar knee replacements. For the “right” selection of patient: age, activity, joint involvement, etc…… a partial knee is superior. Wishing you all Health and Happiness for the New Year.

[@TalkingWithDocs]

Thanks for sharing Roger that is super interesting. We would agree. Thanks for watching and subscribing

[@gimliman6]

Good video gentlemen. I just got put on the list for Dr. Naudie, and he explained to his resident that in many cases like mine, a partial is appropriate, but my knee is too far gone. So total it is. Can't wait for the date. At 58 my ego resists using a cane. Thanks for doing what you do.

[@TalkingWithDocs]

Very nice John. Best of luck. Thanks for watching and subscribing

[@lindamcclure3923]

Great video. I had a partial medial knee replacement about 4 years ago after trying the Coolief procedure. I should have done it sooner. Maybe a video about Coolief for your audience would be of interest.

[@TalkingWithDocs]

We can add it to the list Linda. Thanks for watching and subscribing

[@lindamcclure3923]

Hi again, could you give your opinion on... is it necessary to take antibiotics when you go to the dentist after knee replacements, thanks.

[@johnf9076]

I think we need to do a total TKA on the mustache.

[@m.m.m.c.a.k.e]

I’ll second that thought

[@jsstar76]

It’s called Movember.. supporting prostate cancer.

[@TalkingWithDocs]

Yes yes John. 14 more days. Thanks for watching and subscribing

[@barbaracrossley4388]

You guys need a good wash cloth! Hang in there Movember will be over soon enough.

[@JimAllen-Persona]

I thought it was “no nut November” 😂 I’m happy they’re supporting a cause regardless.

[@kathleencrow-dk5of]

I am a week out from a total. May I just say that I think it’s cruel to send folks home the same day. I truly believe we should be in the hospital at least 2 overnights if not more. My pain has not been well controlled. I’m miserable!!

[@janna257]

I’m undergoing a patellofemoral compartment procedure on Sept 26, 2023. I was surprised to hear you say this surgery is no where near as successful as a full or part replacement. I did not know that. I do have tremendous confidence in my doctor. I will trust his recommendation. If you like, I can report back on my progress. Thank you.

[@lisamullikin5931]

I got my patellofemoral done 5 weeks ago. I'm 63. No one here seems very familiar with it which made me nervous, but I've had pain under my patella for years and I just didn't want the TKR if it wasn't necessary (though I'm wondering if it's much harder than the patellofemoral - pretty challenging). So far so good - I'm walking a half mile at a time and ready to do more. Wondering how your surgery went.

[@iate1too]

Please give an update. I’m needing a knee cap replacement but I’m leery. I’m 53. I want to be active. Already had surgery on this knee. I did have a hip replacement at 48. Bad arthritus.

[@kiransharma7848]

My surgeon says I might need a partial KR . So I'm just at the mercy of the team of precious doctors like you both. God bless & Thank you. 😊 🙏

[@TalkingWithDocs]

Very welcome Kiran. Thanks for watching and subscribing

[@darlenericotta7550]

Great mustaches Docs! Thanks for your videos your two of my favorite Docs. Great information! Thanks

[@TalkingWithDocs]

Thank you so much Darlene. Thanks for watching and subscribing

[@alidavalentinagosgnach700]

Yes docs I’ve heard of a total knee replacement, but not a partial… very interesting!

[@TalkingWithDocs]

Now you know Alida! Thanks for watching and subscribing

[@nanascraftingcottage3620]

Hey guys! My total knee replacement is coming up on December 1. Because of the really bad arthritis throughout Dr is doing the total, which is fine with me!!! 😂 Thank you for this information!! ❤

[@TalkingWithDocs]

Very welcome Nana. Best of luck. Thanks for watching and subscribing

[@PapasDino]

What a great and timely discussion! Gave me some great questions to ask my ortho PA during my upcoming prep discussion for my first knee replacement in January as I'd wondered about partials; my X-rays only show bone on bone on the inner compartments. Guy who did my better half's hip and my hip will be doing this so I'm very comfortable with his work. Do you guys use the Mako robot doing your knee procedures?

[@TalkingWithDocs]

Hi Dino. We have been using Stryker’s computer navigation for all of our knee replacements since 2007. This is the technology that led to the robot. The only difference with the robot is that is helps make a few of the cuts. We have a video on the robot. Thanks for watching and subscribing

[@terryjones2012]

Love your videos, I am going in for a TKA end of year, and you guys are my go to for information.

[@leongasperment3343]

One thing I will say is these docs seem to be a lot happier then the docs here in the US. I wonder if their health care system is the cause

[@TalkingWithDocs]

Hi Leon. Not sure. Socialized medicine has many benefits especially for the patients. Our system right now is in crisis list pandemic as most health care workers are burnt out so staffing is a major issue. Plus we are just pretty happy guys! Thanks for watching and subscribing

[@georgeneckrock7575]

I have bad knee and one day I'll need it replaced so this was my first introduction to the surgery. Great information!!! Thank you .

[@TalkingWithDocs]

Welcome George. Thanks for watching and subscribing

[@TheVideogirl1952]

My favorite TKR was during Covid, where the only option I had was an out patient procedure. I really liked being able to get out of the hospital and sleep in my own bed uninterrupted. I think you guys looked awesome without stashes.

[@TalkingWithDocs]

Ha thanks. They will be gone in 12 days! Trying to raise money for Movember. Thanks for watching and subscribing

[@m.m.m.c.a.k.e]

Stay classy San Diego ha ha ha love it. Mustache Movember going strong. Same here. Thanks guys take care.

[@TalkingWithDocs]

Yes Mmm! Thanks for watching and subscribing

[@dianemanson7756]

Both look much better without facial hair. Much handsomer! Great video.

[@TalkingWithDocs]

Wow, thank you!

[@debbieholderfield7326]

I have a lot of pain & stiffness in my knees after reclining or sitting with my feet on the floor. I also have popping & crepitus sounds upon standing. I can no longer kneel on the floor because it causes tremendous pain in my knees as does climbing stairs. My doctor & chiropractor both say it’s inflammation (maybe it’s time to seek another opinion 🤨). Thank you for this video…it was very informative & I really enjoyed the laughs!!!

[@TalkingWithDocs]

Hi Debbie. It may be worth talking to an Orthopedic surgeon. Arthritic knees often make noise and make it hard to get up off the ground. Best of luck. Thanks for watching and subscribing

[@thegratefulEd]

Enjoy listening to you guys, but it would be a lot easier to understand this conversation if you had some pictures!

[@TalkingWithDocs]

Agreed. We will work on that. We do all of our own editing and production so time is the big factor. Thanks for watching and subscribing

[@barbaracrossley4388]

Wait long enough and it will be a total, lol.. Just had my TKR in August and talk was originally we would do a partial but COVID added time to wait and my surgeon decided the lateral compartment was going and it was time for a full. You know I think it was better in the end. Not something I need to do again if I can avoid it. Both knees done, one 6 years ago. At 60 I hope I won't have to do them again! No regrets. Just hate recovery.

[@TalkingWithDocs]

Congrats Barbara and yes recovery is tough. All the best. Thanks for watching and subscribing

[@SD45-ET44AC]

I’m responsible for my own health Partial Left Knee; doing pretty good but that has more to do with other contributing factors & co-morbidities. I would have it again in a heartbeat!

[@TalkingWithDocs]

Glad to hear it Stephen

[@kathyclark3714]

I had mine done not even two weeks ago.

[@kubotajordan9502]

Good morning docs . I was told in my in my 40s I needed a knee replacement I Said no thanks. Now @ 61its getting worse . my left legs is turned out some . Always joke if I got a knee replacement and they put my foot straight I Would walk in a circle. I need ankle , knee & rotator cuff repair 2nd time . I guess its spin the limb to see witch to fix first. I thought the throw the baby out with the wash water was funny. Dr brad you look like you could be in a western movie with that mustache lol. Y'all have a wonderful Wednesday thanks for the video.

[@TalkingWithDocs]

Thanks Kubota. The chaps are on back order! Thanks for watching and subscribing

[@cindydicarlo5662]

I just had my left knee replacement on Tuesday. I’m in so much pain but i know it will be amazing .

[@TalkingWithDocs]

Yes it is brutal at first Cindy. Hang in there. Thanks for watching and subscribing

[@jd-gp3nf]

Hey guys, I don't need a knee replacement BUT I did grow a mustache, and like both of you, I am hoping to grow a full beard on my big bald head! And here's a suggestion - this should be called Rockin' with Docs! Y'all are awesome. Keep up the good work. Justin Trudeau sucks.

[@TalkingWithDocs]

Thanks j d. Nice work on the stache. Good luck with the beard! Thanks for watching and subscribing

[@Janetjones.]

Hi docs a very informative video thank you I unfortunately need two knee replacements in one of my legs I have champagne bottle appearance and lymphoedema !I have just had stockings made to measure to wear until my appointment with the lymphoedema clinic come through My sister had two partial knee replacements she is 10 years younger than me I'm a 62year old female I am worried about not getting the real bad leg done tho I need to keep my mobility kind regards Janet

[@TalkingWithDocs]

Best of luck to you Janet. Thanks for watching and subscribing

[@halfabee]

A very senior Orthopedic Consulting consultant and Orthopaedic consultant had this very conversation over my knee yesterday in Salisbury Hospital UK yesterday. It was further complicated because the Senior Consulting Orthopedic Consultant also did an operation where the leg was broken and then realigned to make the patent walk on the outside of the knee joint. (I am currently having to wear a off set knee brace to knee me use the outside of my knee joint on my right knee. ) Together the 3 of us decided I need A TKR due to my age and CPPD. Without a diagnosis I have been suffering from CPPD for at least 5 years. I had been taking Naproxen for neck whiplash injuries for many years. Been hospitalised twice each time for a week then suffering from chronic acid reflux. A GP phones me up in December 2020 tells me to stop taking Naproxen. Following day abdomen feels so relaxed next day my neck locks up. Three week later mid morning my knees lock up. I exercise to free neck and knees up. (Foolish me) I tear my medial meniscus in both knees. 10th March 2022 I have my left knee replaced. Recovery does not go as planned. I make progress then set back. In this time my feet one at a time swell up then goes down and I lose toenails. Physiotherapist refers me back to my GP who refers me to the Urgent treatment center in Poole Hospital. CRP 160 and admitted to hospital. Who think I have a knee infection. I have extract from my knee and microbiologist can not grow anything. Few days later I have my knee washed out microbiologist can not grow anything from the washings. Kept in hospital for 2 weeks. On IV antibiotics. Discharged from hospital on Oral antibiotics for 6 weeks. In this 8 week period my CRP goes up and down. The day my antibiotics finish I have an appointment to see orthopedics in hospital again. I express a view that the antibiotics are not working. I am given another blood test CRP 180. I am admitted again. 3 days later I am diagnosed with CPPD prescribed Colchicine. and discharged, Colchicine Tablets make me feel a lot better. Have been on them for 4 months now my left knee swelling has been much reduced and I have almost got full knee movement in the left knee which was replaced last March. Now I am waiting for an appointment to replace my right knee. It's been a long painful haul.

[@TalkingWithDocs]

Wow thanks for sharing. Glad to hear you are doing better! Best of luck. Thanks for watching and subscribing

[@puttothetest]

Lol out loud at “Stay classy, San Diego!” 😂

[@TalkingWithDocs]

Ha yes Ron Burgundy is the best. Thanks for watching and subscribing

[@Ivorymoana]

OMG u 2 are cracking yourselves up!

[@TalkingWithDocs]

Yeah we do that 🤣

[@jsstar76]

Another great video! Do you mostly use staples to close up and have you tried ‘glueing?’ I’m guessing here in Ontario it’s about $$ cheaper to use staples. Thanks!

[@TalkingWithDocs]

We are all staples. Yes we suspect the same about $$. Thanks for watching and subscribing

[@lindaking9222]

Good to know the replacement options in more detail…Are the “replacement parts” made of different materials for the various options & circumstances?by the way..my eldest granddaughter has a degree in Biomedical Engineering from Case Western….she isn’t working in that field unfortunately…

[@TalkingWithDocs]

Hi Linda. No the materials are the same. So neat abkur your granddaughter. Thanks for watching and subscribing

[@TheNewsJenorator]

My boyfriend refuses to get surgery done on his knee and yet it goes out of joints several times a year and he’s in excruciating pain. Finally the other day he told me he might consider it only if the doctors would let me in the surgery room so I could be watching and praying.. Do hospitals ever allow this? He’s such a baby. By the way Brad Paul what’s that under your nose? I’m just not used to seeing you guys with mustaches. I give this five 👍👍👍👍👍💃🤗

[@TalkingWithDocs]

Hi Jennifer. So most hospitals would not allow that. And our moustaches are for Movember - mens health awareness month. Thanks for watching and subscribing

[@vitoshaword2270]

Looking good, guys!! (Although I really dislike moustaches of any sort, especially those that look like in 70's German adult movies) Yes, I also don't support partial knee replacement, although many people think that's easier option. Its not. A friend of mine is going for partial soon, she is 65, lest see how it goes... Best of luck with Movember and THANK YOU for the lovely videos, as always!

[@TalkingWithDocs]

Thanks vitoshaword! They will be gone in 13 days 😀. Thanks for watching and subscribing

[@Rosie-wj1le]

Love your San Diego joke😂

[@kimberlyknudsen2099]

Get some sleep guys, very helpful and funny

[@TalkingWithDocs]

Yes we need sleep Kimberly! Thanks for watching and subscribing

[@kathyclark3714]

Had a partial on my left knee 10 days ago. The pain is horrible but I'm looking forward to being pain free hopefully soon

[@TalkingWithDocs]

Hang in there Kathy

[@kathyclark3714]

@@TalkingWithDocs ,thanks. Im trying but it can be hard. I was able to sleep some last night though, so that's a plus.

[@susanherley8450]

Thank goodness November is half way done 😂😂😂

[@TalkingWithDocs]

Coke on susan we make these look good! Thanks for watching and subscribing

[@grandmagigia5802]

Great Info and great Doctors plus funny ones, I guess you two are in Growing Mustache competition 😊

[@TalkingWithDocs]

Yes Grandma. Growing them for Movember for mens health awareness. Thanks for watching and subscribing

[@deannadahl1106]

I am classy in San Diego! Both TKR 20 years ago. Done by one of the best surgeons in San Diego at SRS! Why the reference to San Diego?

[@TalkingWithDocs]

Hi Deanna. Congrats! So it is a line from a silly movie called “Anchorman” where Will Farrell plays a newscaster in San Diego with a great moustache and that was always his sign off line. Thanks for watching and subscribing

[@user-lq9ei9cq7z]

I'm trying to find a local Phoenix, AZ orthopedic surgeon who specializes in partial knee replacement. It's been very difficult, everyone I talk to only does full knee replacement. Can you provide any contact info for a surgeon in my area that specializes in partial. Thanks in advance, Regards Tony G

[@opaulamorgan4265]

Hi Docs, I liked your clean shaven look! What would be a reason/reasons why someone wouldn't be able to have a partial knee replacement!

[@TalkingWithDocs]

Arthritis in more than one compartment

[@toryberch]

If someone is becoming bowlegged, is there a specific degree of outward bend like let's say 5-10 deg that would indicate surgery needed?

[@TalkingWithDocs]

No Tory. We have replaced knees with 35 degrees of bend. The indication for surgery is pain that can’t be controlled by other means. Hope that helps. Thanks for watching and subscribing

[@bigred6220]

I’ve had a nasty tibial plateau fracture 1.5 yrs ago.. meniscus and cartilage is toast on one side and towards the center. My Dr is now suggesting a total knee and another Dr thinks I should do a partial.. I’m honestly at a loss here🤦🏼‍♂️ really don’t know who I should believe or what to do🤷🏼‍♂️🤦🏼‍♂️

[@davidmiller1114]

I had some severe trauma to my left knee in a car accident when I was 20. I had surgery to repair the knee, then an arthroscopy about a year later. Last year at 50, I experienced a tear, and had another arthroscopic surgery. I feel like I still have a tear, and now my right knee is giving me problems, in particular when sitting. Wondering how many arthroscopic surgeries my knee can tolerate?

[@amymeier1239]

Hahahaha!! Love your staches!!

[@TalkingWithDocs]

Thanks Amy. Thanks for watching and subscribing

[@mannydossantos9603]

Thanks, Docs. Highly informative video. My joints are ok so far, but maybe one day they'll pack up. I appreciate the reassurances. By the way, great Mexican moustaches!

[@TalkingWithDocs]

Thanks Manny. It’s Movember! Thanks for watching and subscribing

[@RichRich1955]

I did some squats going somewhat low and the knees started hurting next day but I hadn't stretched the quads but when I did the knees were fine.

[@TalkingWithDocs]

Yes just go slowly. Thanks for watching and subscribing

[@mikestephenson6713]

Looking for a video on straightening the bow legs. Knee replacement on one side. You straighten the bow. What about the other leg. Can you straighten it at the same time? Etc etc. thanks. Love your channel.

[@TalkingWithDocs]

Hi Mike. There are two ways to straighten your leg. A knee replacement or a high tibial osteotomy. Hope that helps.

[@Flysfloss9146]

I have patellar osteoarthritis in both legs. What are the treatment options for this - before TKR, when it has messed up the actual knee joint

[@TalkingWithDocs]

Hi Phyllis. Like mentioned in our other videos meds injections physio and bracing. And occasionally a patellar realignment procedure. Hope that helps. Thanks for watching and subscribing

[@dominickdibella8830]

Great subject matter today. Can you sometimes talk about the stem cell process, and would there be a time when that would be better. (better being a relative term) Thanks

[@TalkingWithDocs]

Hi Dominick. We do have videos on this topic but the evidence for its use in arthritis is less than convincing. Thanks for watching and subscribing

[@dominickdibella8830]

@@TalkingWithDocs Thanks for responding to my question. Cheers!

[@lindacoffin5110]

Never underestimate the need for knees!

[@TalkingWithDocs]

Agreed Linda! Thanks for watching and subscribing

[@GreggBB]

Great information! Which camp are the two of you in?

[@TalkingWithDocs]

Hi Gregg. We are more advocates of the total knee replacement and osteotomy for more isolated disease in younger patients. Thanks for watching and subscribing

[@RichRich1955]

Oh i thought this was about out-of-pocket costs being in the U.S.

[@TalkingWithDocs]

No sorry Richard. It’s all free here thankfully. Thanks for watching and subscribing

[@medic2834]

Nothing in life is free....@@TalkingWithDocs

[@eileenmetzkow7748]

PLEASE GO INTO MORE DETAIL ON PARTS OF PARTIAL KNEE REPLACEMENTS WHAT PARTS OF THE KNEE THAT ARE DAMAGED REQUIRE PARTIAL AND WHAT PARTS OF THE KNEE ARE DAMAGED REQUIRING A TOTAL KNEE REPLACEMENT. ??

[@TalkingWithDocs]

Sorry Eileen we did. A partial knee replacement is appropriate when only one compartment is damaged. Usually the medial or inside one so the inner part of the shin bone and thigh bone are replaced with metal separated by a hard piece of plastic. Hope that helps. Thanks for watching and subscribing

[@charlesblecha1472]

How long will a total knee replacement last ??

[@TalkingWithDocs]

We have a video about this! Likely 15-20 years but every case is different. Thanks for watching and subscribing

[@robinjones6999]

I thought it was the Marx brothers at first. We were doing a few Uni,s on younger patients then they stopped - no idea why. That was some 8 years ago. Can you do a video on lateral release please.

[@TalkingWithDocs]

We will add it to the list ROBIN. Thanks for watching and subscribing

[@ASMRPeople]

Are doctors more likely to be willing to perform a partial knee replacement on higher bmi patients compared to total knee replacement?

[@TalkingWithDocs]

Nope. Exactly opposite

[@Barronhair6]

Hi, I had my PNR 3 weeks ago. I thought I was progressing well with good movement but it now has become stiffer and more painful at night. Could I have over exercised it by walking about too much seeing that it’s just 3 weeks since surgary?

[@meenadeem]

Doctors I had quite a difficulties in my left knee TKR, even after 18 months I have tightness around my knee. I have sciatic nerve problem. L-4 and L5 was infused, but after the TKR, left heel is numb and when Electromyography test was done showed that L-5 is pinched. A bit shocking as it was infused. I am suffering pain in my feet, heel and leg. I am so afraid for going for my 2nd right TKR soon. Seeing my Orthopedic surgeon in two months. Since my right knee has only pain in the inner side of my knee. Ask for a MRI and check with other options with him. I am almost 79 now!. Please advice so as from your video I feel that partial is not so successful. I watch your videos often after my TKR.Thank you 🙏

[@TalkingWithDocs]

So it may be worth dealing with the issue than is likely coming from your back and causing the numbness before getting the second knee done. Partial knee replacement can be very successful in the right patient. Best of luck.

[@meenadeem]

@@TalkingWithDocs thank you so much.

[@melbow41309]

Hi Dr's. I was diagnosed with twisted arteries in my heart. Can you please make a video about this ?

[@TalkingWithDocs]

We can add it to the list

[@brianwalker9185]

shoe xrays to show the difference

[@TalkingWithDocs]

Yes Brian that would be good. Working on it. Thanks for watching and subscribing

[@mariagriffin1216]

Hi Docs loved this info and I hate to say it but not crazy about the mustache your both to handsome without it and hope you can shave it off soon. I'm seeing my knee surgeon Monday for my yearly check on my knee surgeries I had done yes both are done and I have to tell him I tripped and fell on both of them and they are ok but sore so pray i didnt mess them up. I can still bend them and walking is ok so I'm thinking thet are good. Love you both and hope your going to have great holidays with your families . Maria 🇺🇸

[@TalkingWithDocs]

Hi Maria. Sorry to hear that you fell. Often it just makes the knee cap sore and usually the implants are ok. May need an X-ray. Be careful. Happy Thanksgiving to you! Thanks for watching and subscribing

[@riverbender9898]

I'm catching-on to this surgery stuff. Do you need an apprentice? I'm great with O-J-T. Thanks Gents.

[@TalkingWithDocs]

You’re hired riverbender! Thanks for watching and subscribing

[@damodaranp7605]

Will consecutive muscle cramps associate with vmo wasting after tkr?

[@willardbuchanan9122]

Do you use a nerve blocker in the back or do you just knock them out and do surgery

[@TalkingWithDocs]

Usually spinal and adductor block plus sedation

[@Rafastro]

Hey guys, So I’ve had 3 ACLs R knee 20+ yrs Bilateral TKRs last 6 years 1 revision R knee 6 months ago Just found out it I have aseptic loosening tibial component . Looking at a second revision. I’m 56 Throw me a bone here! Dr Stolarzcik Sarasota

[@TalkingWithDocs]

Yeah that’s tough Rafa

[@Rafastro]

@@TalkingWithDocs let me beg you guys for another question please, when I went to the office, saw the PA and the x-ray showed loosening. I had the CT scan done, and it came back clean, as per the radiologist. I am yet to see the surgeon, is there a possibility that my knee is OK? Mind you, I’m in a lot of weight, bearing pain and off weight, bearing pain and swelling. Infection has been discarded. I just need to know if the x-ray shows loosening, and a CT scan doesn’t, where does that leave me ? I wish it was a way I could show you the picture, which I have.

[@lori9021]

Good evening I've been watching your videos and I appreciate all the information and your advice, my surgery is November 22. I'm kind of nervous about the pain I may have after I know everyone's pain tolerance is different. I'm trying not to stress out , I guess I have a hard time wrapping my mind around being up and walking right after surgery and dealing with pain I've shared with my surgeon I don't have a plan for care after and requested going to a rehab, he told me he'd see how I was after surgery, can I ask you both why he wouldn't agree to sending me there I have stairs in my home and steps going into my home I appreciate the video and if you have time to respond I'd appreciate it. Have a blessed Thanksgiving 🍂🦃

[@TalkingWithDocs]

Hi Lori. Good luck Tuesday. Most patients are independent on day 1 with a walker. You will likely do some stairs with physio before you leave. You are slow but it is manageable. Many hospitals have very limited rehab capacity. Some patients do go to respite care. Slow and steady wins the race. Best of luck on Tuesday. Thanks for watching and subscribing

[@lori9021]

@@TalkingWithDocs Good morning I also wanted to know what will I be given for blood clots instead of aspirin I've had a gastric bypass years ago

[@indrayanivyas6450]

Hello doctor I am 24 year old and suffering from rheumatoid arthritis and underwent bilateral knee replacement surgery 2 years back and also underwent hamstring release surgery 6 months back but again my knees are having deformity and now again they are on 15 to 20 degree from surface. I am continuously doing physiotherapy now. Please suggest me what to do ??

[@TalkingWithDocs]

Flexion contractures can be very complicated. Physio and bracing are usually the answer. Some people are using Botox these days. Worth a discussion with your surgeon. Best of luck. Thanks for watching and subscribing

[@amandagough3602]

Yeh yeh I’m in hospital right now had knee done week ago and still hard to walk I cnt leave till pycico say and the pain is really bad right nowwwww

[@TalkingWithDocs]

Yes it’s rough sometimes. Hang in there

[@aashishnakarmi1690]

Iam 25 years old, i got into an accident 6 months ago and suffered a tibial plateau fracture. My medial side is destroyed. ORIF wasn't great. The lateral side is fine. Should i go for a partial replacement or directly do a TKR considering my age?

[@TalkingWithDocs]

It would depend on the severity of the damage and if a partial is even possible. Best of luck

[@willardbuchanan9122]

What about a partial replacement with type two diabetes is it more difficult

[@TalkingWithDocs]

No not more difficult but slightly higher risk of a complication like an infection

[@mohamedbenskander1101]

Can finger infection affects TKR ?

[@TalkingWithDocs]

If bad enough yes

[@marciaborg77]

Thanks I had to get a second doctor's opinion for a tkr because of my age which I was 40 year's old. They said in 10 year's. With so much pain I'm in plus bone on bone even from my previous surgeries I had on my knee they don't want to replace it to soon. Plus I'm to young for it also they said. I'm counting down the year's on when I can get it done. 😂

[@TalkingWithDocs]

Hi Marcia. That’s tough. Do your best to keep moving. Thanks for watching and subscribing

[@jaytibbles2223]

When they do a partial replacement it is because they had to quit to make the tee time!

[@TalkingWithDocs]

Very funny Dr Jay. Thanks for watching and subscribing

[@lydiarando7010]

Great info. Lose the moustaches.😁

[@TalkingWithDocs]

Ha Lydia. Movember is over. They are gone. Thanks for watching and subscribing

[@741662027]

The patella compartment is a "knee-sh" case! :-) :-) :-)

[@TalkingWithDocs]

See what we did there! Thanks for watching and subscribing

[@monicaoleksy]

🤣🤣🤣🤣

[@TalkingWithDocs]

Thanks for watching and subscribing Monica

[@eileenmetzkow7748]

SORRY. BIT YOU GUYS SPOKE SO FAST, IT WAS ALL TOO HARD TO UNDERSTAND. 😟💕🙏🏼

[@TalkingWithDocs]

Sorry about that Eileen. Thanks for watching and subscribing

[@KTen-cm6wx]

Oh Paul, lose that mustache 😝

[@TalkingWithDocs]

It was Movember!

[@davidduncan6889]

Trying to be a comedy double act doesn’t work, had to discontinue after 3 minutes to find a serious video!

[@KJSvitko]

Good information but a bit distracting. Do you sleep in those shirts or just take them out of the laundry hamper ? Sometimes casual is too casual.

[@fluffdumpling8515]

The '70's porn 'staches need to go 😒

[@TalkingWithDocs]

Hi Kenz. They come out of a machine at the hospital. We are not in control of that. Sorry. Thanks for watching and subscribing

[@ftswarbill]

*I got a very painful full knee replacement surgery last February '22 that I'm still struggling with pain and limited movement. Last week I realized that I most likely didn't even need it replaced. I got a bad hip replacement on the same leg in 2020 at the same hospital by a different Doctor and while I was going to see other doctors for my knee I mentioned that I had a painful hip from that replacement. Not one time did any of them say that my knee pain could have been related to my hip. They just said that since I had AVN in my hip that it must have moved to my knee.* *I had my hip revision at another hospital and the new surgeon pulled the old Stryker stem out of my leg with just his fingers. He said it looked like it had been that loose since the replacement 2 years prior. Needless to say, my knee hurt since then and I never connected the dots, I'm a dopey guy, not a Doctor.* *I am so mad right now.* 😕

[@TalkingWithDocs]

We are so sorry to hear that Bill. Obviously hard to say but hip problems can cause knee pain. Hope it gets better for you. Thanks for watching and subscribing

[@ramullen1]

Please get to the point than waste everyone’s time and patience with meaningless talk. Very confusing.

[@TalkingWithDocs]

If you are looking for a 30 second answer our channel probably isn't for you. Over the last 7 years our viewers have come to enjoy and expect the lighter side and this casual approach. Maybe check out Harvard or Mayo Clinic. All the best

[@tistrue6541]

Not funny at all.

[@TalkingWithDocs]

No it isn’t.

[@willardbuchanan9122]

Do you use a nerve blocker in the back or do you just knock them out and do surgery

[@TalkingWithDocs]

See our other comment