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Complications with TKR after Fulkerson Osteotomy

I had a Fulkerson osteotomy  in August of last year. I am just now 50 years old and the surgeon did the procedure to try to postpone or avoid a total knee replacement. It was relatively active as far as walking, gardening, and other low to non impact type activities.   However climbing stairs has always been very difficult. I have a long history of knee problems since the time I was eight years old. They dislocated frequently and I've had other injuries. Of course now I have the arthritis. I was told by one position that I could not have a knee replacement unless they did a Fulkerson because my knee was not tracking properly. I now assume he was referring to a partial knee replacement. As I've been referred to a position for total knee replacement because the Fulkerson did not completely resolve my pain and improve my mobility.  I'm confused and frustrated because the surgeon I've been referred to is supposedly one of the top joint replacement specialists in Central New York. He's telling me that although it's not impossible, the Fulkerson
is going to make the knee replacement more complicated.   He has referred me to one of his partners for a second opinion as to how to go about doing the procedure. My biggest question is has anyone else ever dealt with this and what can I expect? I am scared and confused and frustrated because I've been out of work and unable to do the things I want to do since I had the other procedure.   I am also wondering if I am being told the entire truth. I really like the first doctor that did the Fulkerson he's an excellent doctor but I'm not sure that he is even aware of the difficulties that await me.   And being bounced around from one doctor to the next although these guys have a great reputation in the area second to none .  
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