Knee replacement is surgical repair of knee joint,” and it involves the surgical reconstruction and replacement of degenerated joints, using artificial prosthesis.It is also called As Knee arthroplasty.
When the articular cartilage of the knee becomes damaged or worn, it becomes painful and the knee is hard to move. Instead of sliding over each other, the bones rub and crush together.With a prosthesis, you will feel less pain, and the knee will move properly.
There are three common reasons
This type of arthritis is age related, caused by the normal wear and tear of the knee joint. It mostly affects patients aged over 50 years, but younger people may have it.
Osteoarthritis is caused by inflammation, breakdown, and the gradual and eventual loss of cartilage in the joints. Over time, the cartilage wears down and the bones rub together. To compensate, the bones often grow thicker, but this results in more friction and more pain.
Rheumatoid arthritis also called inflammatory arthritis, the membrane around the knee joint to become thick and inflamed. Chronic inflammation damages the cartilage, causespain and stiffness.
Post-traumatic arthritis is due to a severe knee injury. When the fractures have happend around the knee or the ligaments tear, which did not heal well,this will affect the knee cartilage and causes arthritis.
Knee surgery may be suitable for patients who experience:
There are no absolute age or weight restrictions for total knee replacement surgery.
Recommendations for surgery are based on a patient's pain and disability, not age. Most patients who undergo total knee replacement are age 50 to 80, but orthopaedic surgeons evaluate patients individually. Total knee replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.
Once you decided to have total knee replacement surgery, we schedule a complete physical examinationseveral days or weeks before the operation. This is needed to make sure you are healthy enough to have the surgery and complete the recovery process. Many patients with chronic medical conditions, like heart disease, will be evaluated by a cardiologist, before the surgery.
Several tests, such as blood and urine samples, and an ECG,2D ECHOare must before your surgery.
This surgery is done under anesthesia, The surgical procedure usually takes from 1 to 2 hours. We will remove the damaged cartilage and bone, and then position the new metal and plastic implants to restore the alignment and function of your knee.
We follow American standards for all our surgical procedure hence import our implants from United states of America which are USFDA approved and widely used all over the world with best results.
Total knee replacements have low complication rates.
Possible complications include:
As this is a major surgery and looking at your age We recommend a stay of at least 48hours after the Total knee replacement.
Talk with your surgeon about any precautions you may have after surgery.
Make sure you have a follow-up appointment scheduled with your surgeon 10 to 14 days after your surgery.
Your surgeon and physical therapist will talk with you about your home exercise program. Follow any instructions he or she gives you. This will have a big impact on your recovery.
Swelling after surgery is common. You may experience the most swelling 7 to 10 days after surgery. Raise (elevate) your leg above the level of your heart by placing a pillow under your calf or ankle, not your knee. Apply ice for 20 minutes, 3 to 4 times a day to help reduce swelling. Call your surgeon right away if you have an increase in calf pain.
You will likely have a decrease in energy after surgery. Make sure to balance your activity with rest and continue with your home exercise program.
You will have some pain, discomfort and stiffness after surgery. It is important to create a pain plan to follow at home. Follow your surgeon’s instructions for pain medicine.
You may not feel like eating for the first few weeks after surgery. However, good nutrition is essential for your recovery. Try to resume eating healthful meals and snacks as soon as you are able. Make sure to drink six to eight 8-ounce glasses of liquids each day and include protein (meat, poultry, fish, beans, nuts and seeds) in your meals and snacks to help your body heal.
You may have constipation. This can be caused by taking pain medicine. Talk with your surgeon about ways to manage constipation.
You may feel some numbness in the skin around your incision. This should get better over time.
Continue with your home exercise program. This will have a big impact on your recovery.
You may continue to have pain, discomfort, stiffness and swelling. This is common and should get better over time. Continue treating with elevation, ice and other non-medicine ways to treat pain. (Most people are off pain medicine unless they were already taking pain medicine before surgery.) If you feel new pain or your pain gets worse, call your surgeon right away.
You should be able to resume most of your regular activities if your surgeon says it is OK. Some activities such as jogging, jumping and aerobics put a lot of strain or pressure on your new joint and should be avoided. Check with your surgeon before starting any new activities.
Ask your surgeon when it is OK to resume having routine dental appointments or any dental work done.
Your surgeon may want you to schedule an appointment 6 months after surgery to talk about your recovery and do an X-ray if needed.
Most of your pain should be gone 1 year after surgery. However, you may still have some swelling in your lower leg and foot, and discomfort going up and down stairs or sitting in one position for too long. It is important to be physically active and maintain a healthy weight for the best recovery.
You may resume playing low-intensity activities such as volleyball or softball. Do not do high-intensity activities such as soccer, tennis or basketball.
Many studies have shown that knee replacements have been lasted for 20 Years.
It takes 4 to 6 weeks to resume to your daily activities
Most patients can expect to be able to almost fully straighten the replaced knee and to bend the knee sufficiently to climb stairs and get in and out of a car
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Fellowship in Knee & Shoulder Surgery (Aus, NZ, Japan)
Specialist in Joint Replacement & Arthroscopy, Senior Consultant Ortho Surgeon.
Fellowship in Joint Replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Senior consultant Ortho surgeon
Fellowship in Joint replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Specialist in complex trauma surgery
Senior consultant Ortho surgeon
Fellowship in Arthroscopy, Joint replacement, Trauma & Ilizarov Limb Reconstruction
Fellowship in spine surgery
Senior consultant Ortho Surgeon
Total knee replacement surgery, also known as total knee arthroplasty, is a procedure in which a damaged or diseased knee joint is replaced with a prosthetic joint.
Individuals with severe knee pain, limited mobility, and arthritis are typically good candidates for total knee replacement surgery.
The procedure involves making an incision in the knee, removing the damaged joint surfaces, and replacing them with a prosthetic joint. The prosthesis can be made of metal, plastic, or a combination of both materials.
Recovery time after total knee replacement surgery varies depending on the individual and the extent of the injury. Physical therapy is typically recommended to help with the rehabilitation process, and most people can return to light activities within a few months.
Some discomfort and pain are expected after the surgery but can be managed with medication prescribed by your doctor.
Like any surgical procedure, total knee replacement surgery carries a risk of complications such as infection, bleeding, and nerve damage. However, these risks are generally low with joint replacement surgery.