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    knee repair or replacement
    newyork10 posted:
    I had TKR rt. knee back in 2006 with Pulmonary embolism (PE) 2 days later with months of heparin. Fell on it in 2008, now have grinding and clicking but no pain. OS says xray shows everything okay. Now lft knee has broken down with MRI showing total destruction of joint at end stage. I know OS will want to replace it but I am more interested in cleaning out the garbage v.s. replacement. I am 77 and large female. Should I risk possible PE again? Barb
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    atlantic69 responded:
    I too had a TKR and developed a PE, knee went great no pain meds since leaving the hospital, can walk anywhere with no pain, still swells a little bt but no bad but the PE was another matter, I have 2 one in each lung, the coumadin is a difficult medication keeps changing your blood, hoping to get a c-scan in April and they are gone so I can stop taking the coumadin, good luck hope you feel better but I really wouldn,t have anothe TKR if I were you.
    Bal M Rajagopalan, MD responded:
    Hello newyork10,

    You are at risk for a PE again. But, lets be optimistic, we now know that you are, and your doctors can do things to prevent or mitigate your chances of getting a DVT or PE. For example, a greenfield filter can prevent clots from going to your lungs. Please let your OS surgeon know, and ask him the steps they will undertake that will prevent a PE.

    - Dr. Raj

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