I've had progressive osteoarthritis in my right knee since I injured it 34 years ago. A recent MRI of the knee concludes that it is a mess, yet I mountain bike 200 days a year on it and ski over 100 days a year on the same knee. As far as skiing goes I can't ski a day or even a run on this knee, but I have used the CADS ski system to continue skiing for 12 years now (around 1200 days and counting). I often don't wear the system skiing from the parking lot to the lift, and my knee instantly has that bone on bone arthritic ache on the way down. I get to the top of the lift, pop in the rods, sink into the system and away I go relatively pain free. Not only can I ski, but I can ski anything - bumps, powder, crud, hard pack, loose pack wet snow, and as hard as I want. I note that in all the responses you are getting they refer to long time skiers skiing on TKR's, but the common theme is there's a risk of premature loosening of the prosthetic TKR attachment to bone, or fracture of the bone at this attachment. If/when I go for a TKR (not in the cards for now) I will continue to wear the CADS system post op. It dramatically reduces the impact on a TKR by absorbing the shock that comes through the lower body when skiing. You CAN go back to skiing after a TKR, esp. if you are an advanced skier. The questions of how often, how hard, or how long in terms of years you can ski without jeopardizing the hardware need to be answered. I strongly recommend you look into CADS, possibly both before and after you opt for this TKR.
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- topicKnee Replacementtagged by marznc, 5/7/16
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Skiing with knee replacement surgery - Page 3
I've been skiing with CADS for many years now. The short answer is nope. CADS for me acts as a shock absorber and "softens" the affects of the little bumps and bangs that rattle your legs. CADS also takes just a bit of your weight and transfers it directly to your boots. That seems to help a lot too.
I had a lesson a few years ago where one CADS line broke. I finished that run and did one more without the CADS hooked up and my knee was burning at the end of the lesson. I some missing meniscus in my right knee resulting in bone on bone contact.
If you are ever out at Vail stop by Walter Dandy and he can set you up with a trial setup to test them out. CADS.COM
BTW I had a client this year skiing on two replacement knees and two replacement hips. He wanted a tune up for going out west to ski back country powder. AMAZING!
10 weeks following R TKR and am scheduled for L in 4 weeks.
First month was forgettable as I got off crutches at 2 weeks, then increased walking distances.
PT helped with getting Range of motion from 0 to 125.
Stopped after 1 month.
Have been walking 2 to 3 miles a day.
Using stationary bike ergometer 20 min a day and using pool for stationary running and general swimming 2x a day.
Now 3 x weekly squats with hand held kettlebells about 50#, 3 x 15.
Could do more but want to minimize reactive swelling. So far, so good.
Getting ready for #2 in 4 weeks.
Dr. Steve Howell, in Sacramento, a friend and colleague.
Already, R knee is better than L.
After a year both should be good to go.
Not getting younger, so want active life as much as possible.
Will update after next procedure.
Update: Had a partial replacement done 6 months ago in May (lateral and under the knee cap) and have been rehabbing ever since. The first week out was quite painful and I wondered whether I made the right decision. I am trying to get it back into skiing strength. Hope it holds up as I am already making plans for a couple of trips.
Why did your surgeon do the procedure that he did?
I suspect he found patellofemoral arthritis and had to bail out by doing a P-F replacement along with the medial hemi-arthroplasty.
Most folks I know would have opted for a total knee right off the bat with 2 of 3 compartments involved.
I wish you good luck with rehab. Squats, stationary cycle, Elliptical machine if you have gym available..
Get endurance built up before strength.
Have a great season this year as it promises to be snowy.
There are differing views out there. In fact, I was fly fishing a while ago in Silver Creek, Idaho and my guide said everyone he knew who had a partial didn't like them. My surgeon, who is highly experienced and a Harvard fellow, as well as another who is a great friend and just retired, believe in partials unless a total is warranted. In my case, the lateral was bone on bone and beneath the patella was nearly there. He had a total appliance ready in surgery in case the medial side looked worse than he thought. One advantage to partials is that he does them robotically assisted (I do not believe that robotic assist is available yet on TKR). Such surgeries are highly precise and less invasive resulting (hopefully) in less rehab and a more normal feeling knee. He is with the Kerlan Jobe group, orthos for the Lakers, Dodgers, Angels, Kings and Ducks. Dr. Jobe did the first Tommy John surgery on, well, Tommy John. I guess I did have a choice - accept the suggestion from a guy who fishes for living or from experienced orthopedic surgeons who are well trained in state of the art procedures and outcomes. :)
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