Blood transfusions are also rarely needed. This type of joint replacement often results in more natural movement in the knee and you may be able to be more active than after a total knee replacement. Talk to your surgeon about the type of surgery they intend to use and why they think it's the best choice for you. If only your kneecap is damaged, an operation called a patellofemoral replacement or patellofemoral joint arthroplasty can be performed. This is a simpler surgery with a faster recovery time.
However, the long-term results are still unclear and it's not suitable for most people with osteoarthritis. The surgeon makes a smaller cut than in standard knee replacement surgery. Specialised instruments are then used to manoeuvre around the tissue, rather than cutting through it.
This should lead to a quicker recovery. Read the NICE guidance on mini-incision surgery for total knee replacement. The surgeon performs this operation using computerised images, which are generated by attaching infrared beacons to parts of your leg and to the operating instruments.
These are tracked on infrared cameras in the operating theatre. Results so far suggest that this may enable the new knee joint to be positioned more accurately. Most hospitals don't yet have the equipment to do this and only around 1 in knee replacements are performed in this way. This is a more recent advance in knee replacement surgery. Making certain modifications to your home may help you during your recovery. These modifications include, but are not limited to, the following:.
Your doctor may give you additional or alternate instructions after the procedure, depending on your particular situation. Health Home Treatments, Tests and Therapies.
Anatomy of the knee Joints are the areas where 2 or more bones meet. The knee consists of the following: Tibia. This is the shin bone or larger bone of the lower leg. This is the thighbone or upper leg bone. This is the kneecap. Reasons for the procedure Knee replacement surgery is a treatment for pain and disability in the knee. Some medical treatments for degenerative joint disease may include, but are not limited to, the following: Anti-inflammatory medications Glucosamine and chondroitin sulfate Pain medications Limiting painful activities Assistive devices for walking such as a cane Physical therapy Cortisone injections into the knee joint Viscosupplementation injections to add lubrication into the joint to make joint movement less painful Weight loss for obese persons There may be other reasons for your doctor to recommend a knee replacement surgery.
Risks of the procedure As with any surgical procedure, complications can occur. Some possible complications may include, but are not limited to, the following: Bleeding Infection Blood clots in the legs or lungs Loosening or wearing out of the prosthesis Fracture Continued pain or stiffness The replacement knee joint may become loose, be dislodged, or may not work the way it was intended.
Before the procedure Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure. If you are pregnant or suspect that you are pregnant, you should notify your doctor. You may receive a sedative prior to the procedure to help you relax.
You may meet with a physical therapist prior to your surgery to discuss rehabilitation. Based on your medical condition, your doctor may request other specific preparation. Pre-Operative Education Johns Hopkins offers in-person educational sessions to help you prepare for knee replacement surgery.
Learn More and Register. During the procedure Knee replacement requires a stay in a hospital. Generally, knee replacement surgery follows this process: You will be asked to remove clothing and will be given a gown to wear. An intravenous IV line may be started in your arm or hand.
You will be positioned on the operating table. A urinary catheter may be inserted. If there is excessive hair at the surgical site, it may be clipped off. The skin over the surgical site will be cleansed with an antiseptic solution. The doctor will make an incision in the knee area. The incision will be closed with stitches or surgical staples.
A drain may be placed in the incision site to remove fluid. A sterile bandage or dressing will be applied. After the procedure In the hospital After the surgery you will be taken to the recovery room for observation. It is important to consider all options in consultation with a pain management specialist. For example, a recent study found that patients undergoing minimally invasive knee replacement left the hospital sooner and with less pain when given a combination of medications that act by different mechanisms to control pain, rather than relying on one type of pain medication.
Physician anesthesiologists work with your surgical team to evaluate, monitor, and supervise your care before, during, and after surgery—delivering anesthesia, leading the Anesthesia Care Team, and ensuring your optimal safety. Skip to content. Knee Surgery You may need surgery when your knee has structural damage.
What are some types of knee surgery? Arthroscopic surgery Arthroscopy is a type of keyhole surgery used to diagnose and treat a wide range of knee problems. The American Academy of Orthopaedic Surgeons describes the following as the most common arthroscopic procedures for the knee: Removal or repair of a torn meniscus — a type of cartilage in your knee that cushions and stabilizes the joint Reconstruction of a torn anterior cruciate ligament ACL , which is a ligament that helps stabilize the knee joint Removal of inflamed synovial connective tissue Trimming of damaged articular cartilage Removal of loose fragments of bone or cartilage Treatment of patella kneecap problems Treatment of knee sepsis infection Knee replacement In a knee replacement operation, the surgeon removes damaged parts of the knee joint and replaces them with new parts made of materials such as metal, ceramic, or plastic.
What type of anesthesia should I use? Always consult with your physician anesthesiologist on the best option for you. Regional anesthesia is a common option for arthroscopic surgery. It numbs only the area of the body that requires surgery. You remain awake and aware. Regional anesthesia includes spinal or epidural anesthesia and peripheral nerve blocks. Learn more about reliability data so you can avoid unnecessary risks. Knee Replacement. What is knee replacement surgery?
What are the different types of knee replacement? How is a total knee replacement performed? What are knee replacement implants made of? Can I avoid or postpone a knee replacement? How do I know if I need knee replacement surgery?
Can knee replacement be done as an outpatient? Recovery time and recuperation How long does it take to walk after a knee replacement? How long does a knee replacement last? What can I expect at HSS? How to prepare for knee replacement. To understand a total knee replacement, also known as total condylar knee arthroplasty, you must be familiar with the structure of the knee, a complex joint that consists of three bones: the femur thighbone the tibia shinbone the patella kneecap Strong ligaments connect the powerful muscles of the thigh and calf to the bones around the knee to control knee motion and function.
Knee replacement clinical trials. Saphenous Nerve Block vs. Back in the Game patient stories. References Ranawat A. In: Bonnin, M. Paris: Springer. McCormick, John. Curr Rev Musculoskelet Med. Surg Technol Int. Return to top. In-person and virtual physician appointments. Book online. Urgent Ortho Care.
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