Total knee replacements, three years on.

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Orthopaedic surgeon, Ed Newman, examining an-X-Ray of my knees after two years.

A number of people have inquired as to how my new knees are working. Today it is three years ago since  I had the operation done and my old knees were replaced with Stryker Orthopaedics, Triathlon Knee System, pictured below. Photo: Bob McKerrow


 In 2008 after decades of marathon running, tramping (bush walking), climbing, skiing, triathlons, lugging heavy packs full of hut repair equipment up to tramping and alpine club huts, and later resupplying huts in the Mt. Cook National Park, my knees were on the verge of finally giving up. I had no cartilage, just bone on bone.The pain was excrutiating. I had to do something.

Orthopaedic Surgeon Ed Newman on the day of the operation, marking my legs to guide him during the operation. Photo: Ruia McKerrow

Six months down the track, I was walking 5 to 7km a day and feeling healthy, happy and delighted that I took the plunge and got the operation done. Now that I am able to exercise without pain, I have lost 13 kg in weight.



In St George's hospital, the day I left. Photo" Ruia McKerrow

So what information can I pass onto others planing to get this operation done.

1. Get yourself fit for the operation. Make sure the muscles in your legs are strong. I did a lot of stationery cycling and exercises prescribed by the surgeon.

2. Get yourself well set up at home or where ever you are going to recover, and ensure you have a raised toilet seat and a shower hose to wash yourself. I was fortunate as I stayed with my daughter Ruia, who is a nurse, and looked after me so well.

3. In the weeks folowing the operation, listen carefully to the physios as you need to get movement back in your knees as quickly as possible. They will push you and it will be painful, but you must concentrate on gradually getting a 90 degree bend in the knee, and slowly extend it in excess of 110 degrees.

4.See a top physiotherapist for as long as necessary. My last appointment with Leslie Kettle, was after 7 weeks. After one month, she put me on an Exercycle for 5 minutes and this was a wonderful exercise that helped me get maximum flexibility in my knees.

An X Ray of my knees after two years. Photo: Bob McKerrow

5. Don't overdo it. After being discharged from hospital after 9 days, I built up over the first two weeks, walking one km twice a day, After a month, I increased that a little plus extra short walks and all the prescribed flexibility/stretching exercises. After 6 weeks I was walking at least 2 km 2 to 3 times a day.

6.. Don't carry any heavy loads in the first three months.

7. From month 2 onwards, I mixed cycling with walking. Say 3km of walking, and 2 km of cycling.
The view from my balcony in Jakarta where I cycled a lot in the first 18 months. Photo: Ablai McKerrow

At one stage after about four and a half months, I increased my walking up to7 km a day , but then eased off as I realised that these new knees have limited life, so I eased back to a maximum of 5 km a day.

8. Massage your knees regularly to help circulation and perhaps it helps the nerves to grow and bring back feeling. Even after 3 years  I do not have full feeling in my knees, but the feeling is slowly coming back.

9.  It is a major operation. Develop a positive attitude. Set small targets and make sure you attain them. In the early and dark days when you are struggling to take ten steps, visualise yourself walking freely across grassy meadows without pain. Even now, I visualise climbing a high mountain soon..

10. And then there was the step counter I bought in late January 2009  in Singapore, almost 3 months after the operation.. I averaged a minimu of 10,000 steps a day. That has kept me competing against the counter and the weight continues to come off.

So after 6 months I was averaging 4 km a day,and leading a very normal life.

Three years later I am exercising every day either swimming, walking or a workout in the gym. I enjoy walking the most as I find gyms boring. Swimming is good as you can do stretching exercises without so much weight. A favourite exercise is kneeling at the shallow end of the pool and sittting back on your haunches. It increases the movement in both knees.

I have kept  away from jogging, but I lift heavy items and lead a perfectly normal life. I am planninmg to climb a high mountain next year and believe I can do it.

So if you are in doubt, go for double knee replacements. Don't go for s single replacement and then have to go through all the pain again. Get it done at one go. Contact me if you need advice.

Special thanks to Ed Newman, Surgeon, Leslie Kettle physiotherapist. Ruia and Gavin for putting me up in their home for two months, and Aroha for regular massage on my legs in the first six weeks.

Total knee replacements - 18 months on

Eighteen months ago, on 18 November 2008, I had total knee replacements on both legs. In other words, I got both knees replaced at the same time. What a difference it has made to my life ! Simply amazing.

Last Saturday I was at the opening of the Indonesian Red Cross national water and sanitation complex near Bandung, and I was on the stage dancing. (see photo above) I can now dance all night, walk 10 km easily before work each day, climb stairs and clamber up volcanoes. I am even able to jog a little but I have been advised that is not recommended.

In the New Zealand bush near Kahanui, in the Bay of Plenty in July 2009, eight months after the operation. That day I walked 15 km up and down river valleys and small hills. Photo: Tania McKerrow


I can recommend total knee replacements for anyone who is suffering from accute pain in worn out knees. Before the operation I was in so much pain, I could not stand for more than 10 minutes before the pain became excruiating. My legs were badly bowed and I hobbled. Now I stride along with straight legs, dtright back, a twinkle in my eye. My whole attitude has changed.



I am grateful to Ed Newman, a leading orthopaedic surgeon from Christchurch, New Zealand pictured above, marking my legs to guide him and the computer assisted technology during the operation. Photo: Ruia McKerrow

My old knees were replaced with Stryker Orthopaedics, Triathlon Knee System, pictured above.

No knee opereation is perfect. With me the Stryker Orthopaedics, Triathlon Knee Systems are mechanically sound and my right knee is perfect. The left knee is a bit sticky on the inside of the knee and at times painful. as something is catching. When I was back in New Zealand late in February this year, I got X Rays taken and visited Ed Newman my surgeon. Ed was delighted with the progress I had made and felt I was walking as good as anyone he had seen. When I explained to him about something in the left knee not being right, he said it takes 3 or 4 years to fully recover from the operation. "Imagine, I cut through all that flesh, muscle, tendons, nerves, viens etc., and disturb everything, put in an artificial knee, so you must realise it takes time for everything to settle down and fully recover.

What advice do I have to anyone considering having the operation ?

1. Get yourself fit for the operation. Make sure the muscles in your legs are strong. I did a lot of stationery cycling and exercises prescribed by the surgeon.

2. Get yourself well set up at home or where ever you are going to recover, and ensure you have a raised toilet seat and a shower hose to wash yourself. I was fortunate as I stayed with my daughter Ruia, who is a nurse, and looked after me so well.

3. In the weeks following the operation, listen carefully to the physios as you need to get movement back in your knees as quickly as possible. They will push you from the first day and it will be painful, but you must concentrate on gradually getting a 90 degree bend in the knee, and slowly extend it in excess of 110 degrees.

4. See a top physiotherapist for as long as necessary. My last appointment with Leslie Kettle in Christchurch, was after 7 weeks. After one month, she put me on and Exercycle for 5 minutes and this was a wonderful exercise that helped me get maximum flexibility in my knees.

5. Don't overdo it. After being discharged from hospital after 9 days, I built up over the first two weeks, walking one km twice a day, After a month, I increased that a little plus extra short walks and all the prescribed flexibility/stretching exercises. After 6 weeks I was walking at least 2 km,  2 to 3 times a day.

6. Don't carry any heavy loads in the first three months.

7. From month 2 onwards, I mixed cycling with walking. Say 3km of walking, and 2 km of cycling.

At one stage after about four and a half months, I increased my walking up to 10 km for a week, but then eased off as I realised that these new knees have limited life, so I eased back to a maximum of 8 km a day. Now I average 8 to 10 km a day and if I need to do a strenuous walk in the hills, I will push it to 15 km.

8. Massage your knees regularly to help circulation and perhaps it helps the nerves to grow and bring back feeling. Even after 18 months I do not have full feeling in my knees, but the feeling is slowly coming back.


As soon as I was well enough, I had a small party for friends in Christchuch, and friends passing through.Front row l to r: Bob Headland, Robin Judkins and Bob McKerrow. Back row: Ed Cotter, Suzanne and Phil Ryder, Tara Kloss and Colin Monteath Photo: Robb Kloss. Enjoy your recovery and share it with friends and family.



9.  It is a major operation. Develop a positive attitude. Set small targets and make sure you attain them. In the early and dark days when you are struggling to take ten steps, visualise yourself walking freely across grassy meadows without pain. Even now, I visualise me climbing a mountain in a years time.

10. And then there was the step counter I bought in late January 2009 in Singapore. I average a minimu of 10,000 steps a day. That has kept me competing against the counter and the weight continues to come off.

11. Try and develop an improved walking style. Before the operation I was bow legged, and a little stooped. The new knees straighten your legs and give you good lower body posture. Improve your posture by straightening your back, pull your shoulders back and regain the walking style of your youth.

So pluck up the courage, and go and see a good orthopaedic surgeon, and get your knees checked. The operation will change your life positively for the rest of your life. As Ed Hillar said, "Nothing ventured, nothing gained."

Back in the bush, back in New Zealand

Back in the bush again. Kahanui stream in the Urewera. Photo: Tania McKerrow.

Misty mountains, sunlit solitudes, beaches curving to infinity, meandering rivers, towering podocarp forests, Maori on horses and living in isolated communities, a small gas station at the entrance to the valley where the owner sells fuel, repairs cars, sells food, cooks fish and chips and repairs shoes, seemingly at the same time. The red-tipped dawns, the frosty mornings, singing streams, river crossings and scrambling up hills are just some of the meories I am taking away from the Waiotahi valley, river and beach where I have been exploring for the last six days. What made it so warm and was having my daughter and seven week old daughter Aliyah with me most of the time.

Early morning on the Waiotahi River. Photo: Bob McKerrow

Just over 8 months ago I had total knee replacements in both legs and since then I have been building up to walking 7 km and later 10 km a day. My trip in the Urewera region was an opportunity to see if my new knees would be able to take me up hills, along bush tracks and cross rivers again. I should have never doubted Ed Newman's skills. They carried me where ever I wished to go.

The Waiotahi valley is a remote Maori region inhabited by Tuhoe and Whakatoea, On Saturday afternoon when I was cycling from the road end down to where I am staying I saw at least ten children walking between farms. All were Maori. Two of guys who work at the centre, Barlow, Whakatoea and Richie, Tuhoe, run the farm and are storehouses of Maoritanga. Their main marae is at the entrance to the Waiotaha valley.

Tania told me how she stopped at a gas station near Opotiki a week ago and watched 10 Maori teenagers ride up on horses. Horse riding is in the blood here and most oi the hunting is done from horses as the dogs flush the pigs and deer from the ridges down in to the vallies where they are shot.
On Sunday I watched Ritchie and his relatives catching a runaway horse. Horses are their main form of transportation in the eastern foothills of the Urerewa.

During my six days in the hills and forests we went down tro Waiotahi Beach and neighbouring beaches and bays.

Ohiwa Harbour. Photo: Bob McKerrow




Bread, parcels or mail. Take your pick. Photo: Bob McKerrow


Ohiwa Harbour. Photo: Bob McKerrow

Whale island from Waiotahi beach. Photo: Bob McKerrow


That broad arc of the Bay of Plenty. Photo: Bob McKerrow


Tania pushing 7 week old Aliyah along Waiotahi beach



Monday 27 July


It is right in front of you, raw elemental landscapes. Welcome home.

I am leaving today for Christchurch via Whakatane and Auckland. We drove down the Waiotahi valley to the sea shore then past Ohiwa harbour, Ohope Beach, Ohope and to Whakatane for breakfast. Scrambled eggs and ham in a croissant. That coastline is superb. Flew from Whakatane, saw White Island, near Tauranga and saw Waiheke Island as we prepared for a landing in Auckland. “This is my land and I am firmly rooted in it,” wrote Albert Wendt. Today as we flew down the North Island, I felt I owned this country. Sprawling Auckland, Port Waikato and the Waikato river, Ruapehu, Tongariro and Ngarahoe were plastered white and stood out proudly. Over a teal coloured Taranaki Bight, and then beneath Mount Taranaki.

All the ranges and ridges of the lower north island were covered with fresh snow. the Tararua. Ruahine, Orongaronga. The islands of Kapiti and Mana were visible.

Then it was home across the Cook Strait to Malborough and Canterbury. The Southern Alps were gleaming white.



From Godley Head looking across to Christchurch. Photo: Bob McKerrow

As soon as I unpacked my bags, my daughter Ruia took me to the hills and we walked down tg Godley Head.

Reflections: Farewell to Christchurch

I will be heading to the airport in an hour. You can see it in the top of the photo above if you look hard enough. Christchurch-Singapore-Jakarta is my route. I now have new knees and look forward to getting back to my family and work in Indonesia. I am in charge of a massive International Red Cross Tsunami operation plus other humanitarian work.

What an amazing two months in New Zealand following a process of recovery after major surgery. (Total Knee Replacement in both knees)So many images are stuck in my brain. Kind and caring nurses, highly professional surgeons, and a very capable physiotherapist, Leslie kettle. With such supportive friends and family around me, I was determined to utilise the goodwill and support to ensure I achieved the best possible recovery. This morning I walked briskly for over an hour and the knees are so strong and responsive. I still have some way to go but I am feeling so satisfied with the results. Thanks Ed Newman for a wonderful operation in replacing my two knees. Here are a few images of my recovery in Christchurch. It simply was another journey where I had to explore the process of post surgical recovery.


18 November 2008. A few hours before the operation, surgeon Ed Newman marks the lines on my legs to guide he and his computer, in giving me Total Knee Replacements in both legs.


The night before the operation, meeting up with old school friend and fellow rugby player and athlete, Nev Cleveland. Nev flew down from Auckland for the night. Photo: Ruia McKerrow


A half-drugged me, shortly after the operation, with Aroha, my daughter. Aroha and her sister Ruia cared for me as I am sure Florence Nightingale would have, if she were alive. Photo: Ruia McKerrow



The path to recovery. After the operation it was standing and walking the next day, physiotherapy and an exercise machine to keep the knee moving. Photo: Ruia McKerrow


Leaving the hospital after nine days is a sweet memory. It was a sunny day and I could see all the way to the Southern Alps. I felt fragile and was paranoid about tripping or someone banging into my knees.


Catching up with my family was a highlight for me. Last Saturday I had a farewell breakfast with my daughters. Photo: Bob McKerrow

Colin Monteath dropped round to see me a number of times. A world-famous photographer and Polar traveller, our friendship goes back to 1969. It was friends like Colin, and family coming to see me, which lifted my spirits considerably, in those days when there was a lot of pain.


A few days ago I went swimming with three of my daughters at Brighton. Afterwards we walked out on the pier. What a wonderful piece of architecture. The community raised 2 million dollars to help pay for this and it takes you out on the wild sea. Photo: Bob McKerrow


Looking from the end of New Brighton Pier across the sea to Sumner and the hills. Photo: Bob McKerrow


At the end of New Brighton Pier with two of my daughters, both pregnant. Tania left, and Kira right.



Researching, writing and interviewing mountaineers was another memorable part of my recovery. I spend quality time with Peter and Elizabeth McCormack for the posting on Ralph Warburton. Photo: Bob McKerrow


As soon as I was well enough, I had a small party for friends in Christchuch, and friends passing through.Front row l to r: Bob Headland, Robin Judkins and Bob McKerrow. Back row: Ed Cotter, Suzanne and Phil Ryder, Tara Kloss and Colin Monteath Photo: Robb Kloss


For me the party was an important milestone as it celebrated my friendship with people like Colin Monteath, who I have known for 40 years, plus new friends I have meet through blogging such as Robb and Tara Kloss (Tara 2nd from the right at the rear), and Jamie Stewart.



A few days before I left, I travelled to Arthur's Pass with Robin Judkins. It was a chance to meet old friends, both human and mountains. Looking up to the Bealey Face of Mt.Rolleston. Photo: Bob McKerrow


It was a joy to meet again with my former athletics coach, Brian Taylor, who lives in Christchurch and coaches some of New Zealand's leading athletes. Brian coached me from the age of 14 to 20, and as a group, we did some revoluntionary training, an expanded version of Arthur Lydiard's methods. In those days we ran more than 130 miles a week with often a 26 mile run over the hills of Dunedin on a Sunday. Unknowingly at the time, this endurance conditioning prepared me for exploration in later life and I owe a lot to Brian.



Brian Taylor with some of the athletes he coaches. Photo: Bob McKerrow



Forty-seven years after he started coaching, Brian Taylor is still putting in hundred of voluntary hours a month coaching young people. It is role models like this that produce great sportspeople in New Zealand. They are New Zealand's unsung heroes. Photo: Bob McKerrow

I am still very attached to the mountains, rivers, lakes and sea and I get very emotional when soneone is lost, or dies. When Irina Yun went missing, I was hoping and praying for her to be found alive. She comes from the same country as Naila, my wife, Kazakhstan so I felt helpless. If only I had a helicopter and could help in the rescue. She leave a four year old daughter behind. I struggle to keep back my tears. ( I just heard the search was called off last night, 11 January 2009) One Japanese climber and one Australian died on Mt. Cook, trampers, hunters died as did many on our lakes and rivers.


I got to know every blade of grass on Edgar MacIntosh Park, at the rear of my house in Bryndwyr. I recall the first time I gingerly walked 100 m. The next day I went another tree further, 20m. Slowly, slowly I was able to walk around its 500 m circumference with Diva, my daughter's dog. I spent days in this park smalling the grass, watching the branches on the trees reach for the sky, children splashing in the paddling pool, and people playing cricket on this charming village green. Now I walk for an hour in the park. Photo: Bob McKerrow

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Each weekend my park was transformed into a village cricket green when the Merrivale-Papanui cricket club battled against other Canterbury sides. Photo: Bob McKerrow


For five days I looked after Robin Judkins house, his Mercedes Benz, BMW, 2 dogs, a cat, a tribe of rabbits and various birds. The views from his house over Sumner beach were superb. Photo: Bob McKerrow


The view from Robin Judkin's house towards Sumner Beach and the Pacific Ocean. Photo: Bob McKerrow


Reflecting on my two months in New Zealand, there were so many highlights. Meeting family and friends were tops. Robb and Tara Kloss stayed with Ruia and I for a few days and I thoroughly enjoyed their company. Here, is Robb in the centre with Himalayan mountain climber, Ed Cotter (right). Ed climbed with Sir Edmund Hillary on the 1952 NZ Alpine Club Gawhal expedition and is a close family friend.



On many mornings when out walking the ever-reddening sky would display signs of changing weather through the appearance of the nor'west arch. Photo: Bob McKerrow


At a Christmas barbecue at my daughter's farmlet in Otipua, near Timaru. Photo: Bob McKerrow

The only people I haven't acknowledged are the Taxi drivers in Christchurch. When family were at work, I had to use Taxis to get to physio appointments.
Christchurch Taxi drivers are a warm, friendly and helpful mixed bunch. The majority were Chinese students studying in New Zealand, one from Cambodia, and others from other parts of Asia. During the early days of December, an Afghan Taxi driver was murdered on night service which stunned the whole of Christchurch. Abdhurahman Ikhtiari was a 39 year old father of five young children. The people of Christchurch very generously donated to a special fund for his family. In over 40 years travelling and working round the world, I have always found Bus, Taxi, Truck and Rickshaw drivers helpful as they have their ears to the ground. Usually they warn you of any impending security risk, and keep you abreast of sport, religion, politics, good bargains and many other subjects.

Farewell Christchurch. As I fly over the Southern Alps I will have a long look, which may be my last for a long time, at your exquisite beauty and form.

Ka kite ano.

Bob

Look at those old knees !

I came home from hospital today after 10 days and nights. I think I could have coped with publicity about my new knees, but how I was I to know that the cover photo of this month's NZ Wilderness magazine, ( Nov 08) has a photo of me and my old knees taken in the Kelley Range, Arthur's Pass. in 1993, by Colin Monteath. Yes that's me on the cover taken 15 years ago. Compare it with my new knees below taken this morning just before I left St. George's Hospital in Christchurch.

It is surgeon's like Ed Newman from Christchurch who has perfected these operations and dedicated nurses like Vic, above, who provide excellent after care, that makes it possible for broken-down mountaineers to regain quality of life.

Under those 11 inch strips of tape which hide the scars and my new triathlon knees, is my hope for the future. Stryker Orthopaedics, the maker of the Triathlon Knee System, the industry's fastest-growing total knee replacement system worldwide. is now able to produce the highest possible quality knees, but you need the surgeons who can do the job and are able to select the right knee to meet your individual vision. Mine is to play football with the boys, walk freely in the hills again, and climb a small peak or two, or three. I want the quality of life back again.

Thanks Ed Newman and team at St. Goerge's in Christchurch.

I am working hard on the rigorous recovery programme that requires 5 training sessions a day.

As I do this programme I am enjoying reading Steve Gurney's new book. Lucky Legs.

Perhaps my next book will be Lucky Knees.