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knees and skis


bkk
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I'm totally back after ACL/MCL reconstruction. Several years ago, there was a guy at INT Nationals who was in his 50s or 60s who had both knees replaced and he was a wakeboarder doing inverts. A guy in my ski club had partial knee replacement last fall and never missed a single set. He was ready to go 100% this spring.
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  • Baller
I am wondering, do the knee replacement guys wear a lot of bracing? I can just imagine twisting a knee or something crazy. My wife had both replaced this Spring. Feels great now and happy she did it, but the first couple months were killer. (on me too).
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  • Baller

i would like to offer an alternate view point. to replace your natural knee with a mechanical one requires what amounts to amputation of the bones at the knee itself and that bone can never grow back. not every single knee replacement goes well and if yours does not go well you are in a world of trouble. so you need to decide what percentage of failure vs success you are willing to gamble with. i am not a particularly ' lucky ' guy and i would rather work on my muscle strength and ski technique to get me by with bad or arthritic knees than risk the remainder of my life in a wheel chair or worse.

 

on behalf of a client i researched knee replacement. statistically 1 in 400 do not survive 30 days after surgery -99 % survive 1 year -90 % survive just 5 years -and 84 % survive 10 years after surgery. the numbers for survival but with prosthetic failure are not any more encouraging. i realize that 1 in 400 is only 0.25 % but if its you in that 0.25 % it represents 100 % of the patients you really care about.

 

every one is different but i intend to never have a knee replacement and i would encourage any one i care about to look long and hard at physical therapy , behavior modification , and ergonomic solutions before putting their fate in the hands of a knee replacement specialist. just my semi educated opinion.

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  • Baller

As a PT I have rehabed hundreds of total knees. If you are relatively fit and healthy you should have no problems.

 

With respect to mwetskier. Of course anytime you go under general anesthesia there is a risk. When looking at those statistics you should consider that many patients who have total knees have them done when they are in their 70's and even their 80's. With other general medical issues and simple age, of course the 5 and 10 year survival rate is not going to be what it is for a patient population receiving ACL's (Likely 16-40 yoa)

 

As a PT of course I believe in conservative care, but there is a time when it doesn't work anymore. I had back pain for 15 years before surgery because the signs and symptoms made me believe I could rehab my way through it. Then there came a time when those same signs and symptoms said "it's time".

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