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Knee replacement surgery was botched....I think!

My surgeon did not place a drain in my knee after replacement surgery and I developed a hematoma and infection, requiring a second surgery.  This seems inappropriate to me.  Isn't it commonly done?  I am 3 months out and can only bend my knee 70 degrees.  I can't help but feel that he mismanaged my surgery and contributed to it's failure by failing to place a drain.  Am I wrong? Fortunately my insurer has approved my request for a new MD, which has me wondering if I'm right!  Feeback would be appreciated!


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107 helpful answers

I believe that you are right. I have always heard of there needing to be a drain after most surgery, even if it is only in for a day. I think that the fact that your insurance did approve a new MD does also mean something. I'm sorry to hear that you are unhappy with your surgery and I hope that your knee gets better soon.

Posted 2009-04-27T08:35:42Z
 

WHO WAS THE SURGEON, AND WHERE ? More than likely your surgeon or another failed you.

Posted 2009-04-27T15:44:00Z
 

Michael Nielsen in Sacramento, CA.

 

Thanks Tony.  Down the road I may take legal action.  I woke up this morning and noticed a strange new protrusion on the side of my knee- it looks like my patella (knee cap) moved/slipped out of alignment.  What next???  This is getting ridiculous!  Now it's even MORE important to get in to see the new MD!  Again, thanks for your feedback and concern:-)

Posted 2009-04-27T16:43:09Z
 
296 helpful answers

Smile, it's contagious!

I've had two knee replacements. The procedure is very modern now and done through a small incision without a drain. What I had was not. The incision was about 8-10 long with a drain that came out in just a day or two. The infection you mentioned may be because germs got in through the incision and not because you didn't have a drain. As for the 70% range of motion. Working a lot with determination at PT will help you to reach 90 degrees. It does not happen over night. Perhaps water therapy will be of some assist. Even after you no longer have PT keep working to reach your goal as it will continue to bend if you keep working although slowly. I even ride a bike without a problem and I am in my 60's. In fact, it was the bike that helped me bend my knees. Your insurer gave you permission to change your doctor at YOUR REQUEST. Usually a request to change is granted as the patient is not satisified with current physician. It does not necessarily mean that the physician did not perform the surgery correctly. They listened to you and did as you asked. The physician is getting blame because you didn't like his method. However, you should have discussed this with him. Chances are he didn't do anything wrong. Not everyone responds the same way to any surgical procedure. I am not taking sides here. I just wanted you to see both sides of your issue without blaming anyone for it. Personally I call the procedure a miracle as I lived with knee problems and extreme pain with multiple injuries for over 50 years. The issue here should be: "Is your pain gone?" If it is you should be thanking the doctor not condemning him.

Posted 2009-04-27T20:24:42Z
 

Wow, you made a lot of assumptions that were dead wrong! I don't know anyone that's had a knee replacement with a small incision, for one. Mine is also about 10 inches long, and from my research the standard procedure is to place a drain. My knee has not moved because there is too much fibrotic tissue, a result primarily from having 2 consecutive surgeries, not a lack of effort on my part to move the knee. I've been in PT for months and used (as prescribed!) a dynasplint, which is quite painful. I saw the new MD yesterday- one who specializes in failed knees, and he says I need a complete revision, including the removal of the previous hardware, which he says is too large for me! I'm divorced and 55 and can't work with this knee- this is a major issue for me- I have a mortgage and I simply can't retire now for medical reasons. I found your response insulting, hurtful and WRONG!

Posted 2009-04-29T16:13:59Z
 
107 helpful answers

Hi kprn,


I read that you saw another MD yesterday. Did you ask him if there is anything that you do legally, regarding your previous doctor? Obviously if he told you that you need a complete revision, then he must know that your first two surgeries were not done right. I'm really sorry to hear that this has put you in a very difficult situation. Unfortunatly we can only move forward in life, so I hope that it wont be too much longer until you have everything under control with your knee. Sending you my best.

Tony

Posted 2009-04-30T11:40:18Z
 

Thanks Tony:-) I didn't come right out and ask him- primarily because I know that doctors tend to cover each other. Until I get a better feel for him I'm going to avoid harsh comments so as not to alienate HIM. As frustrated and angry as I was with the first MD I also avoided any major confrontation- you don't want to piss off the person holding the knife! I did ask a lot of questions, though, and he had to know that I was not happy with outcomes. He had quite an ego. Anyway, so far I'm very confident in the new surgeon and although I dread having to go through all of this again, I'm going to work as hard as I can to maximize the benefit and hopefully be able to resume some normalcy. Down the line I may consider some kind of legal action. Thanks again for your concern and kind words:-)

Posted 2009-04-30T16:22:33Z

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