TOTAL KNEE ARTHROPLASTY
ABOUT TOTAL KNEE REPLACEMENT
Indications: Knee replacement surgery is typically considered when conservative treatments such as medications, physical therapy, and lifestyle modifications no longer provide sufficient relief for the following conditions:
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- Osteoarthritis: Degenerative wear and tear of the knee joint.
- Rheumatoid arthritis: An autoimmune condition affecting the knee joint.
- Post-traumatic arthritis: Resulting from a severe knee injury.
- Other conditions like avascular necrosis or severe deformities.
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Types of Knee Replacement:
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- Total Knee Replacement (TKR): This is the most common type, involving the replacement of the entire knee joint with artificial components.
- Partial Knee Replacement (PKR): In this procedure, only the damaged part of the knee joint is replaced, preserving healthy tissue.
Surgical Procedure: Knee replacement surgery is typically performed under general or regional anesthesia. The procedure involves several steps:
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- Incision: An incision is made over the knee to access the joint.
- Reshaping the Bone: The damaged portions of the knee joint, including the ends of the femur (thigh bone) and tibia (shin bone), are carefully removed.
- Implants: Artificial components made of metal and plastic are secured to the reshaped bones. These components act as the new joint surfaces.
- Stabilization: The surgeon ensures proper alignment and stability of the artificial joint components.
- Closure: The incision is closed with sutures or staples.
Modern Advancements: Modern knee replacement surgery has benefited from several advancements:
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- Minimally Invasive Techniques: Smaller incisions and specialized instruments have reduced scarring, pain, and recovery time.
- Patient-Specific Implants: Some surgeries use customized implants created based on a patient’s specific anatomy, improving fit and function.
- Computer Navigation: Surgeons may use computer-assisted navigation systems to enhance precision during surgery.
- Improved Implant Materials: Advances in materials science have led to more durable and long-lasting implant components.
- Rapid Recovery Protocols: Enhanced rehabilitation programs and post-operative pain management techniques enable faster recovery and shorter hospital stays.
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Recovery and Rehabilitation:
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- After surgery, patients undergo physical therapy to regain strength, flexibility, and mobility.
- Most patients can bear weight on the operated leg within 24 hours, with a gradual return to normal activities over several weeks.
- Full recovery may take several months, with improvements continuing for up to a year.
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Benefits of Knee Replacement Surgery: Knee replacement surgery offers numerous benefits, including:
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- Relief from chronic knee pain.
- Improved joint function and mobility.
- Enhanced quality of life, allowing individuals to resume activities they enjoy.
- Long-lasting results, with many knee replacements lasting 15 years or more.
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Knee replacement surgery is a highly effective and common procedure used to alleviate chronic knee pain and restore function in individuals with severe knee joint problems. Modern advancements, including minimally invasive techniques and patient-specific implants, have improved outcomes and reduced recovery times. With proper rehabilitation and care, knee replacement surgery can provide long-lasting relief and significantly improve the quality of life for individuals with debilitating knee conditions.