Craig, ADVANCE® Medial-Pivot Knee through PROPHECY® Navigation Recipient
Craig was like any other infant and toddler. He loved playing with his brother, watching Sesame Street and avoided eating his vegetables. But what seemed like a normal childhood changed when he was five years old. His mother Regina, a nurse, noticed a rash on his knees, wrist and back. At first she didn't think it was anything serious, but then he began waking in the middle of the night crying with pain. Having just lost her mother to MS, the first thought that entered Regina's mind was that Craig was suffering from the same disease. She rushed him to a local emergency room where his condition baffled doctors for a week. Each day she was petrified Craig would receive a MS diagnosis. After running a series of tests, doctors diagnosed Craig with juvenile rheumatoid arthritis. All Regina could think was, "Thank God it isn't MS," but she didn't realize the challenges Craig's arthritis would present.
Juvenile rheumatoid arthritis is an auto-immune disease that damages and eventually destroys the joints of the body. It has no known cause. Joints, such as the knee, suffer from inflammation that causes pain, stiffness and swelling. Shortly after receiving Craig's diagnosis, Regina moved her family from Virginia to Memphis to be near LeBonheur Children's Hospital, an institution that was better equipped to deal with Craig's arthritis.
Treatment started immediately for Craig with steroid injections to try and relieve the swelling and inflammation. Over the years, he wore splints and braces, and participated in tough physical and water therapy sessions. However, the disease progressed and eventually Craig was confined to a wheelchair. His arthritis made him so fragile he couldn't play little league, wrestle with his brother or carry his school books. Each morning he woke with pain and stiffness in his knees, and needed help getting dressed. At school he couldn't participate in recess activities, after-school clubs or attend football games. Despite not being able to participate in traditional activities, Craig bonded with classmates who were also challenged by disabilities.
At age 18, Craig graduated from high school, and it was a very proud day for him and his family. However, graduating also meant the loss of his social network and support system. As a result, Craig became depressed. As he says, "Everyday I went to school and I was able to speak with my friends, and we could talk about our shared experiences. Once I graduated, I lost a connection with others. Although I didn't attend football games or other school sponsored events, I had my own team at school, and we were always supportive of one another."
Regina brought Craig to therapy to treat his depression, but he was still isolated. Both Regina and Craig knew he needed to feel part of a community again to overcome his depression, and the only way to do that was to have his knees replaced and become mobile once again.
During the summer of 2008, Craig and his mother met with orthopedic surgeon Dr. Timothy Krahn who suggested a Wright ADVANCE® Medial-Pivot for his knee replacement, a device designed to provide the patient with a range of motion (twisting, bending, rotating and stability) that is intended to replicate that of a natural knee. Knowing the benefits for Craig outweighed the risks of knee surgery, Craig and his mother scheduled his first surgery for September. Craig felt and saw the results of his knee replacement, immediately. He abandoned his wheelchair for the first time in recent memory and, with the help of physical therapy and walking stick, began walking again.
The results of his first knee surgery were so incredible that within six months he had his other knee replaced. For his second knee replacement, Dr. Krahn used a new pre-operative planning process called PROPHECY® Pre-Operative Navigation. The PROPHECY® planning process began when Dr. Krahn prescribed a pre-operative CT scan of Craig's knee joint. From there, engineers at Wright designed a PROPHECY® knee alignment guide to Craig's surgeon's specifications and approval. This process allowed Dr. Krahn to plan precise implant placement and alignment for Craig's ADVANCE® Medial-Pivot Knee replacement even before he entered the operating room.
Since having his double knee replacement, Craig's life has taken a 180 degree turn. Instead of listening to his brother and friends talk about their weekend plans, Craig is participating in an active social life. He is attending concerts, football games and church. He no longer needs help to get dressed, and he has assumed responsibility for walking the family dog. As he regained his independence, his family noticed his depression lift and the Craig they remembered gradually reemerged. As Craig says, "I am so happy with my knee replacements. Each day is filled with so much promise, and I have gained independence that so many people take for granted."
Wright's ADVANCE® Medial-Pivot knee replacement implant is designed to reproduce normal motion and more closely replicate the knee's natural anatomy and help provide more patient confidence and stability1 than other knee implants.
Wright's PROPHECY® Pre-Operative Navigation enables surgeons to utilize basic CT and MRI technology to plan precise implant placement and alignment before they even enter the operating room.
Before, surgeons relied on traditional instruments to shape the bone and align the implant during surgery. By utilizing PROPHECY® Pre-Operative Navigation prior to surgery, surgeons can enter the operating room with a well-defined plan, which eliminates the need for some of the decision-making required during a typical knee surgery.
PROPHECY® Pre-Operative Navigation Guides are less invasive than traditional instruments used during knee surgery and are designed to match each individual.
These results are specific to this individual only. Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level.
There are risks and recovery times associated with surgery and there are certain individuals who should not undergo surgery.
Only a physician can tell you if this product and associated procedure are right for you and your unique circumstances. Please consult with a physician for complete information regarding benefits, risks and possible outcomes.
- Pritchett, JW, Patient preferences in knee prostheses, Journal of Bone and Joint Surgery Vol. 86-B, No. 7, September 2004