The Path I Took to Total Knee Replacement – TKR

Total knee replacement involves the cutting or grinding away of the degenerative bone and cartilage from the bottom end of one’s thigh bone, knee cap, and the top end of the shin bone. The damaged bone is replaced by artificial joint made up of metal alloys, high grade plastics and polymers. The surgical team makes a pretty good sized widow in the front of the leg to remove the diseased knee and install the replacement. It is no trivial task, and it’s not for sissies. But then, anyone living with a knee so damaged by arthritis that they are a candidate for total knee replacement is not a sissy. Boorah.

Last winter, January 2012, I came to grips with the reality that I needed a knee replacement. It was no longer too early to seek surgical repair of my knee. Just the one, my left one. For forty years, I’ve nursed and nurtured my damaged left knee. On Halloween night a long time past, my legs were pinned between the bumpers of cars when, as a pedestrian, I was hit by a drunk driver. My left leg took the burden of the blow. The injury was, in part, the reason I was sent home from the Marine Corps.

I arrived home just before Christmas, 1970, with a very sore and inflexible leg. Before my discharge, I’d been shown a slate of exercises that would constitute my rehab, and I did them gingerly at first, and more aggressively as I gained strength and flexibility. It was like learning to walk again while shedding the habits of compensating for pain by putting more of the work load on other muscles in my left leg and my more healthy right leg. It took months, but I was young and resilient. I was soon walking distances, and then graduating to jog short runs. Long term disability was not a consideration. I fully expected to return to a ‘good as new’ state, and I worked hard to achieve it. Within a year, I regularly ran distances, three to eight miles three to five times a week.  For fun, I conditioned on the stadium steps at the University of Colorado in the shadows of the Flatirons. I worked at it, and I recovered.

Over the years, I maintained conditioning, sometimes more fervently, and sometimes less. I was conscious of well-being, and I had motivations to urge me on.

Basil, my first dog, was an upland bird dog that needed to run; I kept him happy with regular multi-mile runs through woods and hills, along railroad tracks, and down long country roads. He needed it, and so did I. I now run our fifth dog — although I do the walking, Chauncy does the running.

My young wife, Catherine, was a willing and enthusiastic partner in exploring the woods and canoeing the Boundary Waters in Minnesota, or the Brule and inland lakes in Wisconsin. We had much to do and a game leg had no place in our plans for living fully.
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I’m an avid hiker. Walking around the block leaves me indifferent, but hikes that immerse me in nature are an irresistible draw. I’ve trekked through the Chequamegon in Northern Wisconsin, and the Santa Ritas south of Tucson. I’ve chased Coues deer and elk across Arizona and whitetail all over Wisconsin. I’ve hiked to the bottom of the Grand Canyon, and climbed back out with the three complete sets of backpacks and bedrolls when Cath and her sister Colleen needed to ride mules up the hairpins climbing Bright Angel trail due leg injuries. As I emerged from the trail, I was greeted by a cluster of Japanese tourists, all armed with cameras, as they unloaded from their tour bus to gaze out over the Canyon. I am what they saw emerging from the depth, and I must have been a sight. The snap of the shutters on their Nikons clicked like tap dancing skeletons. Someplace in Japan, there are dozens of photo memories lodged in the snap-shot vacation albums of our visitors that feature me with three sets of backpacks stacked feet above my shoulders as I staggered the last length of the trail past their bus. I’m sure my expression was weary, but it also expressed satisfaction; I could climb out the Bright Angel with my rehabbed leg. Life was good. I gave our Japanese friends a smile.

I stayed active. I played in hardball leagues past my 35th birthday, and in an over-the-hill men’s basketball league when our Noah’s Ark team won the championship in Baraboo, Wisconsin. I was in my forty’s by then.

Maybe I slowed with age, I suppose, but I didn’t let the Halloween night injury to my leg limit me any more than possible. I’ve dealt with the soreness and arthritis lodged in and creeping throughout my vulnerable joint. And as time passed, the limp that I so ardently tried to eliminate as a young man found its way back into my mid-life stride. It was there, a reminder of the past and a harbinger of things to come. But until recently, I beat the challenge of the assault on my leg.

During January this year, I remodeled an office area in the basement of our house. I stood on a ladder for extended periods of time as I framed in the room and strung wiring for new outlets. Time on that ladder was the straw that broke through any residual cartilage shields keeping bone from grinding deeper into bone at the junction of my knee.

I’d crossed the threshold. It was no longer too early to consider total replacement of my knee as the fix for my forty year old injury.

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