Total Knee Replacement

Procedure

Prior to your knee replacement, you will get X-rays of your knee.  These X-rays will be used for preoperative Templating. This will provide your surgeon with a detailed view of your knee so a precise surgical plan with exact implant sizes can be determined.

Your surgery will most likely be performed with a Minimally Invasive approach. The main tendon in the knee is preserved. The damaged bone ends are then removed from both the tibia (shin) and femur (thigh) to prepare for the artificial replacement. The replacement is then inserted and cemented into the bone. The patella plastic (knee cap) is also cemented to the bone. The soft tissue in the knee is then repaired with absorbable suture.

Recovery

With the Rapid Recovery Program, surgery typically only requires one night in the hospital.

Use of an assistive device, such as a walker, cane or crutches, may be required for several weeks post-surgery.

Most patients can resume driving approximately three weeks after the procedure if they feel safe and are off narcotics. Your doctor will discuss all of the restrictions of higher-impact activities that you will need to follow and for how long.

After surgery, most patients experience significant pain relief from their arthritis. You will be given pain medication to take as needed.

Physical therapy starts the day of surgery with the goal of strengthening the muscles and preventing scarring (contracture). Therapy begins with the patient sitting in a chair and progresses to stepping, walking and climbing stairs, first with crutches or walkers and then without supportive devices. Patients are encouraged to stand up and walk around as soon as they feel comfortable.

Total knee replacement is a very successful procedure. On average, replacement knee last 15-20 years. Some patients enjoy full use of the prosthesis after 25 years or longer and can participate in a wide range of activities that they were previously unable to enjoy while suffering from arthritis.

Risks

Risks associated with knee replacement are considered rare but can be serious. The risks and benefits of knee arthroplasty include, but are not limited to, infections (including severe sequelae), potential component failure, fracture, numbness, deep vein thrombosis, pulmonary embolus, nerve palsy, poor range of motion, the possibility of bone grafting, persistent pain, wound healing complications, progessive arthritis (if partial knee replacement), blood transfusions and death. These risks can be further reduced by choosing an experienced surgeon to perform your procedure, and by adhering to your surgeon's instructions before and after surgery.

These risks, along with any concerns you may have, will be discussed during a pre-surgical consultation to ensure that patients understand all aspects of their procedure and maintain realistic results for their total hip replacement.

Your surgeon can inform you as to whether you might be a good candidate for this type of surgery, as well as provide you with more information on its benefits and risks and answer any questions that may arise.


Contact our office to learn more about Knee Replacement or to make an appointment.

back to top