Partial Knee Replacements: Dorothy’s Story
DOROTHY: My name is Dorothy Chaney. I’m 84 years old. I’m a patient of Dr. Shriwise at Dickson-Diveley Orthopaedics. I had been dealing with knee pain for perhaps five years or so before I actually had surgical procedures, but I got steroid shots in my knees. At first, they were very helpful, and I would go about every six months. However, after perhaps three and a half years or so, the steroid shots did not work any longer. I still had pain in my knees within perhaps two weeks. After much deliberation, when I found the shots were not working, I determined the only thing I could do was have knee surgery.
DR. SHRIWISE: Dorothy had the underlying diagnosis of osteoarthritis and medial compartment of both knees that were to be the inner compartment. But on the left side, she also had underlying hardware leftover from an old femur fracture that fractured just above the joint line of her knee. She actually developed more pain in the right knee, so we went ahead and did a partial oxford knee replacement on the right knee, and that was quite successful. So, then she wanted to consider having that done on her left knee.
DOROTHY: Dr. Shriwise was always very patient with me because, when I had the left knee done, I had had a previous femur break there so I had lots of equipment in that knee, both bars and screws. And he actually went into the X-ray room with me and held my knee in the position he wanted it so he could see the amount of opening in there for the equipment that he wanted to install.
DR. SHRIWISE: On Dorothy’s left knee, it was a little bit different because she had the underlying hardware. So, if we were to do a total knee replacement on that side, the chances were very high that we would need to remove the underlying hardware in order to do the total knee replacement, which would then lead to a more extensive type of total knee replacement, whereas on the partial knee, the hardware didn’t interfere. So, we were able to get by with a much less invasive operation.
DOROTHY: One the day of my surgery, I went in early that morning, had the surgical procedure later in the morning and spent the night there. The next day I had to stay there until I went through my first physical therapy session there at the hospital and probably went home around four to five o’clock that afternoon the day after surgery. I had home care for perhaps two weeks, and then I had physical therapy. I did that for probably four weeks after the home health nurse had stopped.
DOROTHY: I feel so much better. Now, whenever I rise from a chair, usually I can walk right away with no pain. And for the first time in several years, last year, I attended a Royals game. Before, it was not feasible that I could climb the steps to get to the seating at the stadium, and now I can.