Bilateral TKR for valgus knees


I first met Angela in August 2017. She had a very severe valgus, or knocked kneed, appearance in both of her knees which had become progressive over the last decade or so. 

She had undergone stem cell therapy a few years back which helped a little, and after she consulted me we tried again with Lipogems just to help her pain, but really mechanically knee replacements were always on the cards and this is where we felt that we would be heading with her treatment.

X-rays and MRI scanning had confirmed grade IV bone-on-bone arthritis with well preserved medial and patellofemoral compartments, but she was just so valgus that I felt the right way to go was to a total knee replacement. We could, of course, have tried to realign the limbs with osteotomies as she is a very active lady, but in this situation I elected to go for bilateral total knee replacement as we certainly would get a better result overall with such severe valgus.

arthritis of knee
arthritis knee
knee arthritis
Arthritis knee

Bilateral total knee replacement

The knee replacements were technically challenging because of the severe valgus, but we did both simultaneously two weeks before this publication, and I am delighted to say that Angela - who was virtually pain free the day following surgery - could comfortably bend to 90 degrees.

Total knee replacement
total knee replacement from side
total knee replacement

Follow-up at two weeks

She very sensibly went off to rehab for a week after discharge and she was with us just for a day or two and at two weeks she has walked in today able to walk without crutches and again complaining of virtually no pain. I think it is a testament to this operation that in the right patients we can get excellent early function and patients can recover with minimal pain, although of course Angela is a very good example and is as good as we would really hope to expect with this type of surgery.

2 weeks post TKR

I am just delighted that she has had such a great result from this complex procedure. These videos show that recovery is pretty impressive at two weeks!

adrian wilson

Adrian Wilson

Angela tells her own story...

"I have had a problem with my knees for over 20 years after tripping on the stairs and injuring my right one.

"I had four arthroscopies plus stem cell surgery on both knees. The beneficial effect of the stem cell treatment lasted four years in the right knee and only two in the other.

"One day, I mentioned to my physiotherapist, at the time, that I had come to the conclusion that I needed to replace both knees since I had tried all of the other available options. She then recommended that I go to see Professor Wilson who was highly regarded in this field.

"During the initial consultation with Professor Wilson he suggested that both knees could be done at the same time, this had been my preferred option if it were possible, especially as it would enable him to correct my knock knees.

"I, however, had to delay the operation for four months as I had commitments abroad. Professor Wilson then suggested a new procedure, Lipogems, which would alleviate the pain in the knees pending my operation. He also recommended that I followed a course of physio therapy which would enhance the recovery after the replacement operation.

"The Lipogems procedure enabled me to delay the knee surgery and fulfil my commitments.

"On my return, I had the replacement surgery. I had expected that after the surgery, initially, I would have been in a lot of pain but to my surprise this was not the case. Furthermore, I was able to walk with crutches the next day and I no longer had knock knees!

"Two weeks after surgery, I visited Professor Wilson at his office and was able to demonstrate that I could walk without crutches for short distances.

"One month after surgery, I was able to walk freely without crutches around my home.

"My recovery has been remarkable and without any of the significant pain that I had expected and feared. Now, I even sometimes forget that I have had replacement surgery, I am walking pain free after many years of suffering debilitating pain in my knees.

"Thank you Professor Wilson!"

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