{"id":29461,"date":"2020-03-02T15:35:16","date_gmt":"2020-03-02T22:35:16","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=29461"},"modified":"2025-12-31T08:27:44","modified_gmt":"2025-12-31T15:27:44","slug":"orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\/","title":{"rendered":"Knee replacement has &#8216;with-it grandma&#8217; back to her normal active life"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_29464\" aria-describedby=\"caption-attachment-29464\" style=\"width: 796px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-29464\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155745\/tiny-Tess-knee-family.webp\" alt=\"grandparents, parents and grandkids all pose for a photo around a kitchen island.\" width=\"796\" height=\"508\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155745\/tiny-Tess-knee-family.webp 796w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155745\/tiny-Tess-knee-family-300x191.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155745\/tiny-Tess-knee-family-768x490.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155745\/tiny-Tess-knee-family-150x96.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155745\/tiny-Tess-knee-family-200x128.webp 200w\" sizes=\"auto, (max-width: 796px) 100vw, 796px\" \/><figcaption id=\"caption-attachment-29464\" class=\"wp-caption-text\">While arthritis pain was a serious factor in her decision to undergo knee-replacement surgery, a prime motivator for Tess McDowell, second from right, was restoring her ability to be active with her family. With her from left are granddaughter Tess, daughter Michaela, son-in-law Mike, and grandsons Michael and Donnie Landwehr; and husband Don of 52 years. (Photo courtesy of Tess McDowell)<\/figcaption><\/figure>\n<p>A knee replacement surgery is, technically speaking, elective. For the roughly 600,000 people who undergo one in the United States each year, it sure doesn\u2019t feel that way.<\/p>\n<p>In late 2019, Teresa \u201cTess\u201d McDowell counted herself among those suffering masses. She\u2019d been active all her life \u2013 playing sports as a kid, hiking and biking and generally being on her feet a lot as an adult \u2013 and there was wear-and-tear on her hinges.<\/p>\n<p>In 2004, she had had cartilage in both knees cleaned up arthroscopically. The left had long been a bit worse off: three decades back, a friend had suggested using toe clips on her bike for more powerful pedaling. It worked great until she stopped at one point and couldn\u2019t quite extract her foot before the bike toppled with her on it. Bam went her knee on the pavement.<\/p>\n<p>As the years ticked away, the pain in her left knee climbed the scale. Meanwhile, Tess and husband Don\u2019s three kids had kids of their own. A joint that had been an annoyance became a constant issue. Irritation blossomed into knifing pain. When she stood from a seated position, she had to take a moment to mentally account for both balance and pain level before setting off walking. A longtime climber of stairs, she became an elevator hunter. She could no longer hike with her daughter and grandkids. When she did take stairs, she took them one at a time. She did water aerobics in the deep end. She was feeling like, as she put it, \u201can old grandma.\u201d<\/p>\n<p>\u201cI don\u2019t want to be an old grandma. I want to go to kids\u2019 soccer games \u2013 we\u2019ve got nine grandchildren, five in the state,\u201d Tess said. \u201cI want to be involved in stuff.\u201d<\/p>\n<p>There was no last straw, but a Rockies game last September does stand out as a watershed moment. The family was there celebrating her grandson\u2019s 20<sup>th<\/sup> birthday. The family went down to the field to watch the postgame fireworks. She realized that, if she sat on the field, she wouldn\u2019t be able to get up again. Her grandson and others hoisted her after the smoke cleared.<\/p>\n<figure id=\"attachment_29466\" aria-describedby=\"caption-attachment-29466\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-29466\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155750\/tiny-Tess-Knee-Pink-e1583190195291.webp\" alt=\"five adults sit on a big inflatable pink couch at breast cancer event.\" width=\"400\" height=\"560\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155750\/tiny-Tess-Knee-Pink-e1583190195291.webp 400w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155750\/tiny-Tess-Knee-Pink-e1583190195291-214x300.webp 214w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155750\/tiny-Tess-Knee-Pink-e1583190195291-107x150.webp 107w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155750\/tiny-Tess-Knee-Pink-e1583190195291-200x280.webp 200w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-29466\" class=\"wp-caption-text\">At an American Cancer Society event eight days before her Nov. 4 knee-replacement surgery, Tess McDowell, second from left, made her strides in pain. With her are husband Don, left, granddaughter Josie Lynch, daughter Kathleen Lynch, and granddaughter Riley Lynch. (Photo courtesy of Tess McDowell)<\/figcaption><\/figure>\n<h2><strong>A referral: surgery for knee arthritis<\/strong><\/h2>\n<p>Tess\u2019s daughter, a former soccer player who had dealt with knee problems related to that avocation, told her, \u201cMom, you need a knee replacement.\u201d She recommended <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-orthopedics-steadman-hawkins-clinic-denver\/\">UCHealth Steadman Hawkins Clinic \u2013 Denver<\/a>, renowned for its sports medicine and knee-problem expertise. There she met with Dr. Martin Boublik, a Steadman Hawkins Clinic \u2013 Denver cofounder, orthopedic surgeon, and sports medicine specialist who is also the Denver Broncos\u2019 head team physician.<\/p>\n<p>Boublik ordered X-rays, considered the arthritis evident in that left knee, and told Tess, \u201cYou\u2019re going to need a knee replacement.\u201d<\/p>\n<p>\u201cI started to cry,\u201d Tess said. She knew people who had had bad experiences. \u201cIt\u2019s scary \u2013 just the fear that I wasn\u2019t going to be able to walk again.\u201d<\/p>\n<p>Tess is not generally a crier. The last time she had done so? Two years earlier, with the news of her breast cancer diagnosis. That would lead to a most nonelective surgery: her February 2018 double mastectomy.<\/p>\n<p>Boublik reassured her that the success rates were high, and that, while it\u2019s a serious surgery, experienced surgeons have made them routine. He added, though, that he wasn\u2019t such a surgeon.<\/p>\n<p>Boublik and colleagues at UCHealth Steadman Hawkins Clinic \u2013 Denver are sports-medicine specialists who, when it comes to knees, focus largely on repairing and rehabbing ligaments and cartilage damage. Joint replacement is a specialty unto itself. The UCHealth system, though, had a deep reservoir of joint-replacement expertise, and one orthopedic surgeon in particular, <a href=\"https:\/\/www.uchealth.org\/provider\/ryan-koonce-md\/\">Dr. Ryan Koonce<\/a>, had established himself as a go-to UCHealth Steadman Hawkins Clinic \u2013 Denver partner for cases such as Tess\u2019s. She made an appointment with him.<\/p>\n<div class=\"su-youtube su-u-responsive-media-yes\"><iframe loading=\"lazy\" width=\"400\" height=\"200\" src=\"https:\/\/www.youtube.com\/embed\/9j_4TEEA5DQ?mute=1\" frameborder=\"0\" allowfullscreen allow=\"autoplay; encrypted-media; picture-in-picture\" title=\"Brave Heart | Tess&#039; double-knee replacement | Harry Mack x UCHealth | Ep. 030\"><\/iframe><\/div>\n<h2><strong>With it again after double-knee replacement<\/strong><\/h2>\n<p>Koonce operates at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-highlands-ranch-hospital\/\">UCHealth Highlands Ranch Hospital<\/a>. When Koonce introduced himself in the exam room in October 2019, Tess said something along the lines of, \u201cI\u2019m just a 71-year-old grandma and not sure I\u2019m worth your time.\u201d<\/p>\n<p>Koonce believed otherwise and told her as much. They got to talking about prior surgeries. Her breast cancer procedure came up. He told her that breast cancer patients have a special place in his heart: two of his close family members were also survivors. That Tess\u2019s son Brian is a triathlete, as Koonce also is, provided more common ground.<\/p>\n<p>\u201cThere are some patients you have a really quick bond with, and we kind of had that,\u201d Koonce said.<\/p>\n<figure id=\"attachment_29465\" aria-describedby=\"caption-attachment-29465\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-29465\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155747\/tiny-Tess-Knee-Maui-boat.webp\" alt=\"husband and wife on a boat in Hawaii after surgery for knee arthritis.\" width=\"800\" height=\"571\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155747\/tiny-Tess-Knee-Maui-boat.webp 800w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155747\/tiny-Tess-Knee-Maui-boat-300x214.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155747\/tiny-Tess-Knee-Maui-boat-768x548.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155747\/tiny-Tess-Knee-Maui-boat-150x107.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155747\/tiny-Tess-Knee-Maui-boat-200x143.webp 200w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-29465\" class=\"wp-caption-text\">Tess and Don McDowell on a whale-watch boat in Maui three months after her surgery for her knee arthritis. (Photo courtesy of Tess McDowell)<\/figcaption><\/figure>\n<p>He gave her a book he told her would bring her up to speed on the procedure: <em>Your Knee Replacement<\/em><em>: A patient\u2019s guide to understanding knee arthritis, preparing for surgery, maximizing your outcome<\/em>. Don read it first, then Tess did. It was a huge help, she said. Plus, she knew the author personally: Ryan C. Koonce.<\/p>\n<p>The surgeon didn\u2019t just rely on his book conveying the key information relating to her surgery. He took the time to answer Tess\u2019s and Don\u2019s questions.<\/p>\n<p>\u201cHe listens to you,\u201d Tess said. \u201cYou never feel like he\u2019s a hand-on-the-door doc who can\u2019t wait to move on to the next patient.\u201d<\/p>\n<p>That\u2019s deliberate, Koonce says.<\/p>\n<p>\u201cWe pride ourselves on \u2013 and really focus on \u2013 patient education,\u201d he said.<\/p>\n<figure id=\"attachment_29463\" aria-describedby=\"caption-attachment-29463\" style=\"width: 240px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-29463 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155743\/tiny-Ryan-Koonce-headshot-e1583190274483.webp\" alt=\"profile photo of orthopedic surgeon who performs surgery for knee arthritis.\" width=\"240\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155743\/tiny-Ryan-Koonce-headshot-e1583190274483.webp 240w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155743\/tiny-Ryan-Koonce-headshot-e1583190274483-120x150.webp 120w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155743\/tiny-Ryan-Koonce-headshot-e1583190274483-200x250.webp 200w\" sizes=\"auto, (max-width: 240px) 100vw, 240px\" \/><figcaption id=\"caption-attachment-29463\" class=\"wp-caption-text\">Dr. Ryan Koonce, a UCHealth and CU Denver School of Medicine orthopedic surgeon and joint-replacement specialist who performs surgery at UCHealth Highlands Ranch Hospital, works with UCHealth Steadman Hawkins \u2013 Denver physicians to channel patients to the proper care depending on the nature of joint issues.<\/figcaption><\/figure>\n<p>That manifests in three ways, he adds: they \u201ctry to spend a little extra time with patients in clinic to make sure they understand the procedure; they hand out the books (Koonce wrote a similar tome on hip-replacement surgery, of which he performs more than 200 a year); and they have patients attend a class with Lori Gross, a nurse navigator.<\/p>\n<p>\u201cMy philosophy is that patients who are educated are happier with their care and have better outcomes,\u201d he said. \u201cIt\u2019s just a win all the way.\u201d<\/p>\n<p>Koonce described Tess\u2019s procedure of Nov. 4, 2019 as \u201ca routine total knee replacement.\u201d That\u2019s something of an oxymoron for a major surgery, but when you do 200 of them a year, which Koonce does, a major surgery can become routine. Tess\u2019s outcome reflected that.<\/p>\n<p>She was walking unaided at 13 days and was off all forms of pain pills by then, too. She took her rehabilitation seriously \u2013 a must to ensure long-term improvement of the joint \u2013 and was, by the time she and Don left for a trip to Maui in early February, \u201cat full function \u2013 I barely know it happened,\u201d as she put it.<\/p>\n<p>The trip itself was a success, too \u2013 one that involved walks along the beach, a whale watch on a small boat from which, before the knee surgery, she would have had a hard time getting in and out of; and some serious snorkeling.<\/p>\n<p>\u201cI can\u2019t say enough about Dr. Koonce,\u201d Tess said. \u201cI\u2019m a with-it grandma now.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A knee replacement surgery is, technically speaking, elective. For the roughly 600,000 people who undergo one in the United States each year, it sure doesn\u2019t feel that way. In late 2019, Teresa \u201cTess\u201d McDowell counted herself among those suffering masses. She\u2019d been active all her life \u2013 playing sports as a kid, hiking and biking [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":29464,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[3063,2918,3681],"class_list":["post-29461","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-orthopedic-joint-replacement-preservation","tag-uchealth-highlands-ranch-hospital","tag-uchealth-steadman-hawkins-clinic-denver"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Surgery for knee arthritis returns grandma to active self - UCHealth Today<\/title>\n<meta name=\"description\" content=\"A bad fall on a bicycle had brought pain. But her surgery for knee arthritis has her back to her old self and the joys of being a grandma.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Knee replacement has &#039;with-it grandma&#039; back to her normal active life\" \/>\n<meta property=\"og:description\" content=\"A bad fall on a bicycle had brought pain. But her surgery for knee arthritis has her back to her old self and the joys of being a grandma.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-03-02T22:35:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-12-31T15:27:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/03\/02155745\/tiny-Tess-knee-family.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Todd Neff, for UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Todd Neff, for UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/\"},\"author\":{\"name\":\"Todd Neff, for UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/da7733ff5562e48e55c027d111ee5911\"},\"headline\":\"Knee replacement has &#8216;with-it grandma&#8217; back to her normal active life\",\"datePublished\":\"2020-03-02T22:35:16+00:00\",\"dateModified\":\"2025-12-31T15:27:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/\"},\"wordCount\":1383,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2020\\\/03\\\/02155745\\\/tiny-Tess-knee-family.webp\",\"keywords\":[\"Orthopedic joint replacement &amp; preservation\",\"UCHealth Highlands Ranch Hospital\",\"UCHealth Steadman Hawkins Clinic-Denver\"],\"articleSection\":[\"Stories\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/\",\"url\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/\",\"name\":\"Surgery for knee arthritis returns grandma to active self - UCHealth Today\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/orthopedic-surgery-for-knee-arthritis-returns-grandma-to-active-self\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2020\\\/03\\\/02155745\\\/tiny-Tess-knee-family.webp\",\"datePublished\":\"2020-03-02T22:35:16+00:00\",\"dateModified\":\"2025-12-31T15:27:44+00:00\",\"description\":\"A bad fall on a bicycle had brought pain. 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