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Re: mrsa in knee replacement
Reply #40 by Jane
Posted: May 23, 2009 at 22:33
Am having knee replace done on June 8. Just told I have MRSA. Taking Bactrin. What should I do?
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Re: mrsa in knee replacement
Reply #41 by linda mccafferty
Posted: May 23, 2009 at 23:00
Whereabouts do you have the mrsa ?
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Re: mrsa in knee replacement
Reply #42 by Deborah
Posted: June 12, 2009 at 08:34
Hi Jane. I had MRSA 4 days before my Total Knee Replacement. My doctors highly suggested not to go in with it active. The chances of having multiple knee surgeries and a possible amputation of the leg made me change my mind and I delayed the surgery for 1 month. I had to make sure it was completely gone. Hope this helps.
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Re: mrsa in knee replacement
Reply #43 by Steve R
Posted: June 21, 2009 at 05:48
I had total knee replacement in December '08. Infectious disease doctor diagnosed MRSA and the daily Vanco infusions started. After 6 or 8 weeks of Vanco the doctor said I was cleared. The pain in my knee was increasing to the point that I went to see another doctor. The new doctor suspected the infection still active...he was right. I'm going back in the hospital to have the knee removed (2 or 3 months) so they can fight the infection. In the mean time, I've been out of work for 6 months now, and looking at another 6 months before I might be able to return to the working public. My doctor tells me that I will not be able to do my current profession any longer because of knee limitations...that is if he can put the knee back in at all. He says the chances are not very good that he will be able to put a knee back in at all. I guess I don't really have any questions...I just needed to vent a little. I will probably loose my home because of this and I guess I'm just a little bitter. I have had 5 surgeries on the knee so far (since Dec. '08) from the first doctor (who by the way has been paid in full for all of his blunders) and now I'm starting all over again with another doctor. I'm beginning to get very frustrated, and I want to know if someone should be held accountable.
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Re: mrsa in knee replacement
Reply #44 by Dawna G
Posted: November 24, 2009 at 01:00
Don't know if this will help anyone but, in February 2008 my mother had a revision done on her knee replacement as it had loosened. Approximately 4 weeks post op it was determined she had MRSA in the new replacement. At that time she was hospitalized, had a spacer put in and was placed on vancomycin for 8 weeks. After that point, she had another surgery and had the knee replaced again. Around September 2008 she started having pain again in the knee and cultures of the knee fluid indicated that the infection had reoccurred. This time though rather than remove the knee, she opted to leave it in place. Additionally she also refused a pic line and vanco, opting for oral Zyvox instead. The Zyvox helped some, but it was not able to knock out the infection and the team of doctors was considering amputation.

Honestly, I don't know why but I happened to mention a study that I had seen where it stated that sometimes the older antibiotics work on MRSA after it has been treated with some of the newer meds that didn't work. Basically what happened is that the new meds work to some extent and the infection mutates again. Anyway (perhaps to humor me), they put her on doxycycline and within two weeks she was in no pain, swelling gone and normal sed rates. Things looked good until February 2009 when she started having significant pain. An x-ray revealed a fracture of the femur immediately adjacent to the knee implant. She had not suffered any fall what so ever. So it was attributed to damage done to the bone by the earlier infection.

The knee implant was removed and rush rods were used to stabilize the knee while a large antibiotic spacer was inserted, supposedly for several months to allow the bone time to mend. Even though blood work and cultures showed no evidence of infection, she was again placed on an 8 week vancomycin treatment. What we were not informed of at the time of the surgery was that no further knee replacement could be done and her leg was not a candidate for fusion. We found this out when in July we started asking a lot of pointed questions since the bone had now fully healed.

Second opinions, became third opinions, forth opinions and fifth opinions. The basic gist of what was being said was, live with what you have or amputate the leg. Neither was an acceptable option though as currently no weight could be born on the leg and there was no guarantee that she would ever be able to use a prosthesis to walk either.

Eventually we ended up at a Orthopedic Research Hospital and found a doctor there who was willing to give her another chance at walking with her own leg. The procedure was an 8 hour surgery where they went in, removed the rods and spacer, then inserted a limb sparing implant (used for cancer victims) and several bone grafts. She is now two weeks post op and able to walk approximately 50 feet with a walker. But surprisingly to everyone, she has over 90 degree range of motion in that new knee.
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Re: mrsa in knee replacement
Reply #45 by linda mccafferty
Posted: November 25, 2009 at 21:58
Was this in the UK Dawna ? if not i think your post is a great one for the USA forum aswell here is the link http://www.mrsa-forum-usa.com/index.asp?action=start
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Re: mrsa in knee replacement
Reply #46 by Linda
Posted: March 31, 2010 at 14:55
i have mrsa in my knee, took knee replacement out and put in spacer with antibotic. Put knee back in and mrsa has came back again, dr. wants to fuse my leg together. Do I have any other choices with this knee, so the mrsa will go away.
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Re: mrsa in knee replacement
Reply #47 by linda mccafferty
Posted: March 31, 2010 at 18:05
I will give you the USA/Canada site link Linda , you will get information & a lot of help regarding your question here is the link .........http://www.mrsa-forum-usa.com/index.asp?action=start
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Re: mrsa in knee replacement
Reply #48 by Ruby Autry
Posted: May 18, 2010 at 20:31
I am planning total knee replacement in July 2010 and I would like to know what type of antibotics to take pre-op to help control the chance of mrsa. I was told that was needed to help your systems resist the chance of staf infection.
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Re: mrsa in knee replacement
Reply #49 by linda mccafferty
Posted: May 19, 2010
Ruby , here is the link to the USA/Canada forum as this is the UK forum .............http://www.mrsa-forum-usa.com/index.asp?action=start
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Re: mrsa in knee replacement
Reply #50 by Fern
Posted: January 3, 2011 at 17:35
Can a total knee replacement become infected with MRSA several years after the replacement? A family member has been fighting MRSA and I'm concerned that it might have gotten into my knee replacement. Is that possible?
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Re: mrsa in knee replacement
Reply #51 by terry
Posted: March 27, 2011 at 22:47
YES.
My wife is in the hospital with MRSA in a replacement knee from over 17 yrs ago. Sh started falling at home, dropping mostly straight down because the leg would not hold and the pain had become so bad. She had always had SOME pain in that knee after replacement but now it is an 8 or 9 on the 10 pt pain scale.
The process for her is just beginning so i am reading this and other web sites to understand what the options for treatment are. Her immune system had been weakened for years with meds for arthritis and this may have made her susceptible last Sep when she had open heart surgery.
Unfortunately, she is a poor surgical candidate due to the heart situation. I doubt that her cardiologist will suggest multiple resections and replacements...so she may have to live with antibiotics and hope it holds it at bay. I doubt that will work. The alternative is to try to follow the procedures on this site and HOPE and PRAY that she is able to tolerate them. Because of her cardiac situation, she has been given less than 5 yrs to live and she may opt not to do the surgeries...or as a fatalist and wanting some degree of normal life, take the chances.
She is 59 yr old. She just saw her first grandchild this last summer. This is going to be very, very hard. Pray for both of us.

And best and prayers to all other posters who have gone before me on this.
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Re: mrsa in knee replacement
Reply #52 by terry
Posted: March 27, 2011 at 22:51
rEPLY TO #50:
Fern:
YES, you can have a MRSA infection many years after a replacement. You can get it from other sources and it can infect the knee.

My wife is in the hospital right now with MRSA in a replacement knee from over 17 yrs ago. She started falling at home, dropping mostly straight down because the leg would not hold and the pain had become so bad. She had always had SOME pain in that knee after replacement but now it is an 8 or 9 on the 10 pt pain scale.

The process for her is just beginning so i am reading this and other web sites to understand what the options for treatment are. Her immune system had been weakened for years with meds for arthritis and this may have made her susceptible last Sep when she had open heart surgery.

Unfortunately, she is a poor surgical candidate due to the heart situation. I doubt that her cardiologist will suggest multiple resections and replacements...so she may have to live with antibiotics and hope it holds it at bay. I doubt that will work. The alternative is to try to follow the procedures on this site and HOPE and PRAY that she is able to tolerate them. Because of her cardiac situation, she has been given less than 5 yrs to live and she may opt not to do the surgeries...or as a fatalist and wanting some degree of normal life, take the chances.
She is 59 yr old. She just saw her first grandchild this last summer. This is going to be very, very hard. Pray for both of us.

And best and prayers to all other posters who have gone before me on this.
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Re: mrsa in knee replacement
Reply #53 by patricia mckemy
Posted: June 30, 2011 at 20:17
I had my rt knee replaced oct 09,sept.2010I got cellulitis in my right leg they tested the fluid and my knee was confermed to have mertsa.they opened it up rto clean it out and I took cubicin for 8 weeks.then they took the knee out and took vancomyicin for 8 weeks I tessted clean and they put a new knee in .8 weeks later i got cellulitis again and mersa now the knee is out and i am taking cubicin for up to 12 weeks . I would how i tested clean and just 8 weeks later back to the same thing I must say im getting discourageed and a little scared please let me knee what are my options
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Re: mrsa in knee replacement
Reply #54 by patricia mckemy
Posted: June 30, 2011 at 20:20
I had my rt knee replaced oct 09,sept.2010I got cellulitis in my right leg they tested the fluid and my knee was confermed to have mertsa.they opened it up rto clean it out and I took cubicin for 8 weeks.then they took the knee out and took vancomyicin for 8 weeks I tessted clean and they put a new knee in .8 weeks later i got cellulitis again and mersa now the knee is out and i am taking cubicin for up to 12 weeks . I would how i tested clean and just 8 weeks later back to the same thing I must say im getting discourageed and a little scared please let me knee what are my options
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Re: mrsa in knee replacement
Reply #55 by patricia mckemy
Posted: June 30, 2011 at 20:21
I had my rt knee replaced oct 09,sept.2010I got cellulitis in my right leg they tested the fluid and my knee was confermed to have mertsa.they opened it up rto clean it out and I took cubicin for 8 weeks.then they took the knee out and took vancomyicin for 8 weeks I tessted clean and they put a new knee in .8 weeks later i got cellulitis again and mersa now the knee is out and i am taking cubicin for up to 12 weeks . I would how i tested clean and just 8 weeks later back to the same thing I must say im getting discourageed and a little scared please let me knee what are my options
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Re: mrsa in knee replacement
Reply #56 by Caroline Franklin
Posted: July 1, 2011 at 10:21
I am posting this that in the off chance that 'reply no.44 by Dawna G' may see this post. My mother has very similar problems as your mother and after 3 years and numerous operations she is only left with the 'deal with it or amputate it' option. Amputation would have been considered if it could be taken off above the knee, but that is not an option as they also took a large flap of skin and tissue from the area above mums knee the bottom part was still attached, they turned this around and attached it to mums knee (17hrs op). The reason for this is as mum has had so many ops there was too much scar tissue and not enough flesh to close the wound from any futher operations, so now mum s leg looks hideous with a very large knee and a big indent in her thigh. The last week mum has been unable to walk and today is going to A&E I think the infection is back.
I would like to know which orthapedic research hospital your mum had this done, as an amputation at the groin isn't an option in our minds but neither is the pain and suffering that mum continues to go through.
We are in Sussex UK
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Re: mrsa in knee replacement
Reply #57 by Hayley
Posted: February 3, 2012 at 18:20
I am following an old strand so i am not sure if this will reach
anyone having googled MRSA following knee replacement surgery. However
i am just looking for some advice or information - my father had a
knee joint replacement in Nov 2011 and soon after developed an
infection in the knee. He returned to hospital where he had the joint
cleaned out and was sent home again with a course of antibiotics.
However it did not improve and he is now back in hospital and has had
the joint removed and cement spacers inserted into the knee and is
back on the intravenous antibiotics. Following blood tests the
infection does not appear to be going away. I just wondered where we
go from here? HOw long is it going to take to clear - or will it? Will
he be able to have a new knee joint put back in? My dad is 70 and so
this is obviously being extremely hard on him, having been through so
much surgery and now to be without a knee joint at all. Its all just
extremely frustrating and noone at the hospital seems to be saying
very much. Just hope its all going to be OK. Any advice or
information would be gratefully received.
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Re: mrsa in knee replacement
Reply #58 by Harry
Posted: February 19, 2012 at 02:58
The last week in March, 2011, I had repair surgery on my left knee. Two
weeks later I had full blown MRSA infection. After many complications
and about taking up residence on the underside of the grass (twice), I
finally came home the middle of August. I have not had any reoccurance
of the MRSA infection as of this date and if that continues they say I
may be able to have the knee joint replaced Dec. 11, 2012. Currently
there is a lot of discomfort and very difficult to get around. I am
counting down the days.
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Re: mrsa in knee replacement
Reply #59 by Janet
Posted: May 9, 2012 at 07:03
I contracted MRSA during one of ten abdominal hernia repairs. My left knee replacement had been done a year before all the abdominal surgeries. Recently, the knee replacement collapsed. It was nine years old. I was a candidate for replacement up until today when the triage nurse informed me that a tiny chronic wound, an ssms sinus infection and the dormant MRSA ruled me out for knee revision and/or replacement. After reading aboutthe many cases of MRSA infections, I have decided to opt out of future knee surgery(s) even though my left knee is completely dislocated with a spacer floating around in my leg somewhere and my right knee is bone on bone. I can still walk a little bit and I hope I can retain that bit of self mobility as long as possible. It was a very difficult decision to make but I know that it was the correct one for my case. I'm just offering my experience as an alternative to knee or hip replacement when one has MRSA. I'm just thankful for the mobility that I do have.
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