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Doctor insights on: Could The Entire Femur Bone Be Replaced Along With A Total Knee Replacement

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Could the entire femur bone be replaced along with a total knee replacement?

Could the entire femur bone be replaced along with a total knee replacement?

Yes: Replacing the entire femur can be done, but it is rarely needed. Only patients with extensive cancer or many failed operations on the femur, might need it replaced completely. ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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Could the entire femur bone be replaced along with a total knee replacement?

Could  the entire femur bone be replaced along with a total knee replacement?

Femur bone: In a knee replacement only the most distal aspect of the femur is replaced along with the proximal tibia and underlying portion of the patella. In extreme situations such as bone/soft tissue cancer that involves the femur shaft or infection can the entire femur bone be replaced. Even then the hip region may be salvaged. Choices are metal implants or cadaveric bone. Evenutally we will have scaffol. ...Read more

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What is the partial hip replacement procedure that replaces just the acetabellum not the femur head?

What is the partial hip replacement procedure that replaces just the acetabellum not the femur head?

Acetabular osteotomy: There are acetabular osteotomies that reorient the acetabulum but do not actually replace the surface. ...Read more

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Is a patellofemoral replacement the same as a partial knee replacement?

Is a patellofemoral replacement the same as a partial knee replacement?

Hopefully good: Out come, 8-12 weeks after the surgery if every thing went fine you will up about with pain . Good luck. ...Read more

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What are the chances of the surgery changing from a partial knee replacement to a full knee replacement?

What are the chances of  the surgery changing from a partial knee replacement to a full knee replacement?

Uncommon, age: If the partial knee replacement is performed correctly, one should expect it to last for many years. At the age of 38, you still need to avoid running for excercise, just as for a full knee replacement. If indicated, much better option for you at your very young age. ...Read more

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In terms of recovery time and pain which is better -- a knee reconstruction or a knee replacement?

In terms of recovery time and pain which is better -- a knee reconstruction or a knee replacement?

Reconstruction: As a general, but never 'always' response. See prior answer for details on this. With knee replacement, intense pain may resolve in few days, full pain weeks-months; full recovery time generally 1-6 months. ...Read more

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Outer lateral cartilage of knee is reduced so pain in the lateral knee,what can be best treatment,what should be done?

Outer lateral cartilage of knee is reduced so pain in the lateral knee,what can be best treatment,what should be done?

Not clear : Not clear your question orthopedic injuries are usually help by rest for a couple of weeks and splinting. You can restate your question. Seen orthopedist for specific diagnosis and treatment ...Read more

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What is involved in a partial knee replacement?

What is involved in a partial knee replacement?

Partial Knee: With partial knee replacement, only one of the three knee compartments is replaced (or resurfaced). I have a good comparison of issues with partial versus total knee replacement on my website at the following link: http://www.andrewpearle.com/robotic/robotic-knee-resurfacing.html ...Read more

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Can a large tear in the elbow tendon need to be surgically repaired or casted. Arthritis has now set it and a bone spur has appeared on the epicondyle?

Can a large tear in the elbow tendon need to be surgically repaired or casted. Arthritis has now set it and a bone spur has appeared on the epicondyle?

Maybe.: It depends on which tendon is involved and if it is complete. Additionally, your level of function required at work and/or for avocational activities is an important consideration. However, the tendon repair will not change the arthritis. ...Read more

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Is it common when having a total knee replacement the upper part is not cemented in the femur but the part in the tibia was cemented.

Is it common when having a total knee replacement the upper part is not cemented in the femur but the part in the tibia was cemented.

Knee replacements: Total knee replacements have traditionally been cemented on the femoral and tibial sides, but non-cemented versions are becoming more attractive for surgeons. Solid fixation to bone is paramount with non-cemented components. Cement is necessary if this is not achieved. In your case, the femoral component was likely well fixed, but tibial component likely required cement to ensure good fixation ...Read more

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Where is the medial colleteral ligment in your knee? Is the instability in your knee cause for concern? Like possible a tear?

Where is the medial colleteral ligment in your knee? Is the instability in your knee cause for concern? Like possible a tear?

On the inside of the: Knee, see picture. Yes instability cause a lot of concern because it lead arthritis. The medial colleretral ligament on the medial side. ...Read more

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What bone leg is involved during a hip replacement?

What bone leg is involved during a hip replacement?

Pelvis and femur: The hip socket is part of the pelvis and is fitted with a metal shell during a hip replacement. Usually a plastic liner goes inside the shell as the artificial cartilage replacement. The ball portion of the hip joint is the uppermost end of the femur. It is replaced with a metal ball during the procedure, which is attached to a metal implant that is secured a few inches into the femur. ...Read more

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Had a hip surgery at 2 damaging the ball n shortening left leg by 1 inch, is ball n socket repair possible or only partial replacement is the answer?

Had a hip surgery at 2 damaging the ball n shortening left leg by 1 inch, is ball n socket repair possible or only partial replacement is the answer?

Ball replacement: If the acetabulum is concentric & not damaged at all, a femoral replacement is the only way 2 gain length. @ age 2 the socket may not b concentric & then a ball & socket replacement will b needed. ...Read more

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Quad stretch with extreme pain on the medial side of the knee. Is this normal just had torn cartilage removed from the knee 7 days ago. In extreme pai?

Quad stretch with extreme pain on the medial side of the knee. Is this normal just had torn cartilage removed from the knee 7 days ago. In extreme pai?

Varies: Everyone's recovery is different, it could be simply related to postoperative swelling; but if the pain is extreme, I would just make sure your surgeon is aware just to make sure you are not having some type of peri operative complication. ...Read more

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Is there an option to repairing a knee that has worn out cartilage, other than total knee replacement?

Is there an option to repairing a knee that has worn out cartilage, other than total knee replacement?

MAKOplasty: I have performed over 560 makoplasty procedures and it is very very safe . It is superior to all other techniques for precise installation of partial knee replacements. When performed by an experienced makoplasty surgeon, it allows us to balance the tension of your ligaments within a millimeter and make the implants track centrally so they last decades. Mine all go home the same day, little pain. ...Read more

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Could the entire femur bone be replaced along with a total knee replacement?

Yes: Replacing the entire femur can be done, but it is rarely needed. Only patients with extensive cancer or many failed operations on the femur, might need it replaced completely. ...Read more

See 2 more doctor answers
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Could the entire femur bone be replaced along with a total knee replacement?

Femur bone: In a knee replacement only the most distal aspect of the femur is replaced along with the proximal tibia and underlying portion of the patella. In extreme situations such as bone/soft tissue cancer that involves the femur shaft or infection can the entire femur bone be replaced. Even then the hip region may be salvaged. Choices are metal implants or cadaveric bone. Evenutally we will have scaffol. ...Read more

See 1 more doctor answer
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Is it common when having a total knee replacement the upper part is not cemented in the femur but the part in the tibia was cemented.

Knee replacements: Total knee replacements have traditionally been cemented on the femoral and tibial sides, but non-cemented versions are becoming more attractive for surgeons. Solid fixation to bone is paramount with non-cemented components. Cement is necessary if this is not achieved. In your case, the femoral component was likely well fixed, but tibial component likely required cement to ensure good fixation ...Read more

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I Have bone on bone knee arthritis. I feel September 18th 4 days prior to total knee replacement. I fractured my femur neck. How longbefore I'm walkin?

I Have bone on bone knee arthritis. I feel September 18th 4 days prior to total knee replacement. I fractured my femur neck. How longbefore I'm walkin?

Varies: It varies based upon the type of femoral neck fracture you had and type of surgery used to fix it. For example, in a displaced femoral neck fracture we often do a cemented hemi arthriplastyband you can begin walking on it that day. In a fracture fixed with screws, weight bearing is based in part on the quality of bone purchase noted intra operatively. Discuss with your surgeon. ...Read more

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What to do if I have damage in m bone,neck injury,and have had a total knee replacement.i take percset10,will pain c?

Comprehensiveness: Employing a multi-modal approach, most fellowship trained pain specialists offer the most effective management of painful conditions. To accurately diagnose and treat patients, we will utilize imaging studies, electro-diagnostic evaluations, history ; physical examinations, targeted physical therapy, appropriate and responsible medication management and cutting-edge interventional procedures. ...Read more

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My orthopedic Dr said the cartilage is gone in my knee. Also have bone spurs. Will PT help? He said eventually I'll need a total knee replacement.

My orthopedic Dr said the cartilage is gone in my knee. Also have bone spurs. Will PT help? He said eventually I'll  need a total knee replacement.

Yes: yes physical therapy is important. The better your muscle tone is the better your knee will be. If eventually you need to have a total knee replacement you will have a much better outcome with good muscle tone. Do not avoid physical therapy. Please have your physician send you to physical therapy. ...Read more

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My rheumatologist told me my knee is bone on bone. Is that a reason for total knee replacement?

My rheumatologist told me my knee is bone on bone. Is that a reason for total knee replacement?

Yes: bone on bone means that the cartilage has worn away and the internal hydrolics that allow separation of bones that form the knee are gone. an off loading brace will control the symptoms by not allowing the bone on bone to occur, but if you are that symptomatic and have no serious medical problems that would threaten your health, replacement is the best technology at that stage. ...Read more

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No cartilage in knees, bone on bone, and knee caps are misaligned. Do i need total knee replacement surgery?

No cartilage in knees, bone on bone, and knee caps are misaligned. Do i need total knee replacement surgery?

Total knee surgery: Possibly, however the decision to perform a total knee replacement doesn't just depend on xray findings of "bone on bone" arthritis. Many non-surgical options are available to improve symptoms of knee arthritis in an effort to delay surgery such as: medications, injections, braces, activity modification, and physical therapy. ...Read more

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What would cause a thickness/swelling/pain above the knee cap 5 yrs. After total knee replacement along with meds for RLS are not working now?

Not from RLS: Your symptoms are complex and need interview and exam but seems not related to rls. The nature of RLS is progressive so discuss with treating physician to consider optimizing your treatment plan. ...Read more

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Is Windsor Pilates along with Shwinn Airdyne Biking daily okay for total knee replacement patients?

Is Windsor Pilates along with Shwinn Airdyne Biking daily okay for total knee replacement patients?

Depends: Depends on when it was done, and the clinical circumstances surrounding the operation. While the activity you describes sounds ok, check with your surgeon to be sure. Hope this helps! ...Read more

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What could cause sudden onset of swelling & stiffness months after a total knee replacement? Tkr was mid-nov 2012. Had full rom, etc until today.

What could cause sudden onset of swelling & stiffness months after a total knee replacement? Tkr was mid-nov 2012. Had full rom, etc until today.

Infection: Any sudden change in a joint replacement represented by new onset of swelling, pain or stiffness could indicate an infection until proven otherwise. You are still very early out from surgery so this could be just muscle but if the joint looks swollen and you've lost motion i would advise a prompt f/u with your surgeon. ...Read more

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How soon after a total knee replacement could someone use a continuous passive motion (cpm) exercise machine?

How soon after a total knee replacement could someone use a continuous passive motion (cpm) exercise machine?

1 hours: Ideally you should be placed on it in the recovery room whole still sedated. Once you are able to move the knee on your own, the benefit of continuous passive motion is less apparent. ...Read more

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How long does it take a total knee replacement to heal?

How long does it take a total knee replacement to heal?

TKA healing: You can typically put full weght on it immediately postop. The rehab however continues for several months, and continuing with home exercise program to re-train the sort tissues and muscles. Tisuue is made of collagen which takes 6 weeks to heal, then 6 weeks or so to recalibrate to the realignment. ...Read more

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How soon after having a total knee replacement can you have your other knee done?

Surgeon preference: It is possible to do both knees at the same time in some patients. Your surgeon may or may not do this. Staged procedures can be done several days or weeks later in some cases, while most people will wait 6 weeks or more to have the other knee done. You should discuss this with your surgeon. ...Read more

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Just had a total knee replacement. Why am i feeling no pain 8 days out? Is this normal?

Can be: I am pleased that you are doing well. I suspect that you are still taking pain medications, which is ok this soon after surgery. Continue to work on flexibility and muscle strengthening. You may develop pain later, which is also normal. Don't hesitate to take pain medications if you need them. ...Read more

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After a total knee replacement is it normal to have grinding noise when the knee is moved.

After a total knee replacement is it normal to have grinding noise when the knee is moved.

Yes it can: It depends what type of total knee. It could sound like grinding if parts are rubbing. It is best to ask your physicians or your orthopedic surgeon. ...Read more

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Dr. John Michalski
415 doctors shared insights

Total Knee Replacement (Definition)

Total knee replacement: a surgical procedure in which damaged parts of the knee joint are replaced with artificial parts. They cap the end of the thigh bone , under surface of the knee cap and the top surface ...Read more


Dr. Frederick Buechel, jr. md
448 doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone(femur), the upper end of the shin bone(tibia) and the undersurface ...Read more