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Psoriasis Club › HealthHealth Boards › Psoriasis And Psoriatic Arthritis Topics v
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PsA and Knee Replacement Surgery

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PsA and Knee Replacement Surgery
Waine Offline
Member


Posts: 16
Threads: 4
Joined: Jan 2026
Gender: Male
Location: Cape Town, South Africa
Psoriasis Score: 14
Psoriatic Arthritis Score: 23
PQOLS: 27
Treatment: Humira
#1
9 hours ago
Apologies if this has been covered before but I wasn't able to find anything recent.

Following recent knee pain my Rheumy refereed me to an Orthopedic Surgeon. X-rays etc later it shows my left knee joint is totally messed up. I had a previous surgery on it in 2007 but now the PsA has done a number on the ACL tendon where it joins the bone, which is almost completely pulled loose and is ripping my meniscus. So I have a total knee replacement scheduled for a couple of weeks from now.

Does anyone have a real world experience that they can share? Especially on how the recovery period went.
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Fred Offline
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 69,167
Threads: 4,000
Joined: Aug 2011
Gender: Male
Location: France
Psoriasis Score: Zero
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#2
8 hours ago
No need to apologise, even if it has been said it's your thread and your question.

Not something I can help with, but there is this thread Knee pain and psoriatic arthritis

Hopefully another member may be able to help, good luck with the surgery and please do report back.
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Waine Offline Author
Member


Posts: 16
Threads: 4
Joined: Jan 2026
Gender: Male
Location: Cape Town, South Africa
Psoriasis Score: 14
Psoriatic Arthritis Score: 23
PQOLS: 27
Treatment: Humira
#3
8 hours ago
Interesting.

The Cartilage on one side of the joint is completely worn away and it's bone on bone there, which causes a horrible crackling affect and instability when I walk. And pain. OP said it won't be long, or any sudden movement, and the ACL will tear off the bone. 

His enthusiasm for it "not seen anything like that, it will be a fun operation" is a little disturbing.
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Fred Offline
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 69,167
Threads: 4,000
Joined: Aug 2011
Gender: Male
Location: France
Psoriasis Score: Zero
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#4
8 hours ago
Not the same but Mrs Fred recently had a hip replacement and it wasn't as bad as she thought it was going to be, so keep positive. Thumb
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Waine Offline Author
Member


Posts: 16
Threads: 4
Joined: Jan 2026
Gender: Male
Location: Cape Town, South Africa
Psoriasis Score: 14
Psoriatic Arthritis Score: 23
PQOLS: 27
Treatment: Humira
#5
5 hours ago
Great to hear. Luckily I get angry not negative. Another Dr who has said if I'd moved moved faster to a better treatment rather than just being pushed MTX then it wouldn't have gotten to this point so quickly. This is my 4th joint surgery in 18 months. My left hip also needs doing, but not urgently.
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Caroline Offline
You must hurry if you ever want to catch a chicken...
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Forum Helper
Posts: 27,577
Threads: 114
Joined: Nov 2011
Gender: Female
Location: In between the tulips
Psoriasis Score: 3
Psoriatic Arthritis Score: 3
PQOLS: 4
Treatment: Got back to DMF slow release
#6
2 hours ago
(5 hours ago)Waine Wrote: Great to hear. Luckily I get angry not negative. Another Dr who has said if I'd moved moved faster to a better treatment rather than just being pushed MTX then it wouldn't have gotten to this point so quickly. This is my 4th joint surgery in 18 months. My left hip also needs doing, but not urgently.

I am not surprised by the negative effect of the MTX. Prescribing MTX for Psoriatic Arthritis is senseless. Recent investigation over here in the Netherlands shows that it only works for 19% of the population of people with PsA.
If it was a gun, you would not even start shooting with it as you mostly miss it.
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