Hi everyone and thanks for reading. I was wondering if anyone has had major knee surgery so soon after weight loss surgery. I had a TKR two years ago and I am in the process of getting a revision. I will need one of two possible revision surgeries. Hopefully I will only need a minor revision of replacing the plastic inserts with larger ones, but my surgeon is worried that the bottom half of my TKR has loosened from the bone. I wont know the revision that I need until I have a bone scan in 2 weeks, but I know it will be one of the two (both options mean opening the original scar, so they are not arthroscopic). I remember when I had my TKR, they wanted patients on a 2000 calorie diet for a short time after surgery to help with healing. I obviously can't do this anymore, so I was wondering if reduced calories can really cause an issue. Has anyone had major surgery a few months after WLS?

I know you'll do this, but talk with your bariatric surgeon and RD about this and let them help you find the solution. Then get your orthopedist involved with them. I'd think that you might need to get in 80-100g of protein (maybe) and you'll be good to go. You have probably 14-20lbs of fat that can fuel you on those 2000 calorie needs if you're at least getting lots of protein and healthy fats for healing.

Having said that, you can do a lot of "calorie damage" by adding in 2tbsp of peanut or almond butter per day + 1 avocado + lean protein. Just sayin...

Hope you don't have to have the biggest of the surgeries!!!

I guess my questions to the bariatric surgeon would be - is it advisable to have this type of surgery 6 months out from vsg? How do I cope with recovering and meet all my nutritional needs for it? Can you test me for any deficiencies prior to knee surgery to make sure I can sustain another surgery so soon? You know how TKR recovery goes, physical therapy, etc. I found the bone healing pain to be excruciating from TKR.

I guess my questions to the bariatric surgeon would be - is it advisable to have this type of surgery 6 months out from vsg? How do I cope with recovering and meet all my nutritional needs for it? Can you test me for any deficiencies prior to knee surgery to make sure I can sustain another surgery so soon? You know how TKR recovery goes, physical therapy, etc. I found the bone healing pain to be excruciating from TKR.

The recovery was rough, especially since I was 36 and had a 2 year old to care for. Hopefully this surgery will not include any work to the bone. If it is the minor of the two surgeries, they are just replacing the plastic. My doc said it's pretty easy to pop in and out.

What brand knee is it?

Stryker triathlon, if I remember right.