Thank you for the information. You confirmed what my surgeon has told me. I had a TKA on my left knee about 6 years ago and now scheduled for the right in about a month. The first was manual, no complications, very successful. I am going to the same surgeon for the right and he does both the Stryker-MAKO and manual. He said he has not noticed a difference in patient satisfaction between the two. His suggestion was keep with the manual if it worked the first time so that’s the route we’re going.
This video has excellent material. I learned so much and understand robotic assisted TKR better. Your knowledge is awesome! You would make a wonderful instructor! Thank you for sharing your expertise. I need to have my other knee done and knowing all the options is key. Take care Dr. Risen and have a wonderful weekend! 😊
This was incredibly informative. I had my right knee replaced in 2020 and had a great result. Based on the research that I had done prior to that, I sought out a doctor that was doing kinematic alignment. I had read that rather that there was a higher likelihood of a better result. I was on the tennis court about 6 months following the surgery. In the ensuing 4 years, my other knee has gradually deteriorated. About 2 years ago, I returned to the surgeon and he said that I needed it to be replaced. Against his (and your) advice, I went ahead and got an injection of Synvisc-One. The doctor that did this (not my surgeon) also gave me a cortisone injection at the same time. While that makes it impossible to tell which one had the effect, the reality is that it bought me a year of being pain-free in that knee. After that year, the pain had returned, and I once again returned to try the injections again. This time they had no effect, I have since switched to a more intensive strength training program, not just including my legs, but overall body strength. And while this has bought me some more time, I have finally reached the point where the pain is affecting my life. I have not been able to play tennis for the last 6 months. I am scheduled for a visit to the surgeon that did my 1st knee in early November. I have no idea if he has since transitioned to robotic surgery (though since he has been doing this for a long time, I doubt that he has). Your questions will be very helpful for that visit. I am wanting the surgeon to do the surgery just as he did for my 1st knee. That said, what is interesting is that in my first knee (my right), my arthritis was worse on the medial side. On my left knee, the pain is more toward the lateral side. Perhaps that is a result of the asymmetry of the sport of tennis. On a separate note, I would love to hear your thoughts on the use of a tourniquet during TKA. I recall having significant soreness in my thight after my knee replacement. I was wondering why until I read the operative report that said that there was a tourniquet on my right thigh for nearly an hour. I have also read that this can damage the muscle, particularly in older adults. I just turned 69. Thank you again for all of the info you provide. I have read your knee book and passed it along to another older tennis playing friend.
We call what you had a wind-swept deformity. Glad you liked the video and the book. I'll add the tourniquet topic to the to do list. I've done it both ways and their are pro's and con's to both.
Although I had a most satisfactory left TKR two years ago, I did sustain muscle damage from the tourniquet. Right knee replacement coming up early next year, having watched this video, I’ll be better equipped to ask the right questions.
Wow thank you. Have those 10 questions in mind. TKR coming up in few months. Arthritis plus knock knee. I want whichever surgery is best for fixing this darn knock knee. Your videos are my go to for info.
Your explanations are excellent. Although I've had bilateral TKR, and have excellent outcome, flexion and extension, I learned quite a bit from your information. Thank you
![Lp. Сердце Вселенной #60 РОЖДЕНИЕ ЛОЛОЛОШКИ [Финал] • Майнкрафт](http://i.ytimg.com/vi/YoR0pAV9FVQ/mqdefault.jpg)
Thank you for the information. You confirmed what my surgeon has told me. I had a TKA on my left knee about 6 years ago and now scheduled for the right in about a month. The first was manual, no complications, very successful. I am going to the same surgeon for the right and he does both the Stryker-MAKO and manual. He said he has not noticed a difference in patient satisfaction between the two. His suggestion was keep with the manual if it worked the first time so that’s the route we’re going.
Sounds like a good plan
This video has excellent material. I learned so much and understand robotic assisted TKR better. Your knowledge is awesome! You would make a wonderful instructor! Thank you for sharing your expertise. I need to have my other knee done and knowing all the options is key. Take care Dr. Risen and have a wonderful weekend! 😊
Glad it was helpful!
Thank you for the depth of this analytic presentation. Highly helpful--and involved the 10 questions at the end. Great job.
Glad you enjoyed it!
Thank you! I have had two robotic total knee replacements and they are doing well.
Great to hear!
This was incredibly informative. I had my right knee replaced in 2020 and had a great result. Based on the research that I had done prior to that, I sought out a doctor that was doing kinematic alignment. I had read that rather that there was a higher likelihood of a better result. I was on the tennis court about 6 months following the surgery. In the ensuing 4 years, my other knee has gradually deteriorated. About 2 years ago, I returned to the surgeon and he said that I needed it to be replaced. Against his (and your) advice, I went ahead and got an injection of Synvisc-One. The doctor that did this (not my surgeon) also gave me a cortisone injection at the same time. While that makes it impossible to tell which one had the effect, the reality is that it bought me a year of being pain-free in that knee. After that year, the pain had returned, and I once again returned to try the injections again. This time they had no effect, I have since switched to a more intensive strength training program, not just including my legs, but overall body strength. And while this has bought me some more time, I have finally reached the point where the pain is affecting my life. I have not been able to play tennis for the last 6 months. I am scheduled for a visit to the surgeon that did my 1st knee in early November. I have no idea if he has since transitioned to robotic surgery (though since he has been doing this for a long time, I doubt that he has). Your questions will be very helpful for that visit. I am wanting the surgeon to do the surgery just as he did for my 1st knee. That said, what is interesting is that in my first knee (my right), my arthritis was worse on the medial side. On my left knee, the pain is more toward the lateral side. Perhaps that is a result of the asymmetry of the sport of tennis.
On a separate note, I would love to hear your thoughts on the use of a tourniquet during TKA. I recall having significant soreness in my thight after my knee replacement. I was wondering why until I read the operative report that said that there was a tourniquet on my right thigh for nearly an hour. I have also read that this can damage the muscle, particularly in older adults. I just turned 69.
Thank you again for all of the info you provide. I have read your knee book and passed it along to another older tennis playing friend.
We call what you had a wind-swept deformity. Glad you liked the video and the book. I'll add the tourniquet topic to the to do list. I've done it both ways and their are pro's and con's to both.
Although I had a most satisfactory left TKR two years ago, I did sustain muscle damage from the tourniquet. Right knee replacement coming up early next year, having watched this video, I’ll be better equipped to ask the right questions.
Wow thank you. Have those 10 questions in mind. TKR coming up in few months. Arthritis plus knock knee. I want whichever surgery is best for fixing this darn knock knee. Your videos are my go to for info.
Glad to help
Thank you very much for this awesome presentation and information. Where is your office/offices located in case I need second opinion?
You can find me in San Diego
Your explanations are excellent. Although I've had bilateral TKR, and have excellent outcome, flexion and extension, I learned quite a bit from your information. Thank you
Glad it was helpful!
Very informative, thank you.
Very welcome