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Doctor insights on: Total Knee Replacement

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Dr. John Michalski
415 Doctors shared insights

Total Knee Replacement (Overview)

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 of the chin bone.


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How useful is a total knee replacement?

How useful is a total knee replacement?

VERY, if indicated: Total knee replacement (tkr) is a real success stories of modern medicine. When indicated, a tkr can be a overall health game changer. Tkr recipients usually regain levels of activity that became otherwise impossible or intolerable (walking, biking, stair climbing). Aerobic exercise in turn provides excellent support for overall cardiopulmonary health. Discuss tkr with your orthpaedic surgeon. ...Read more

Dr. John Michalski
415 Doctors shared insights

Total Knee Replacement (Overview)

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 of the chin bone.


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When is a total knee replacement needed?

When is a total knee replacement needed?

Total knee needed: The most concise answer is when arthritic knee pain is not relieved any longer by nsaids, therapy, cortisone injections, hylauronic acid injections, knee braces, ice, nutritional supplements or arthroscopy and x-rays show advanced arthritis and cartilage loss or spurs. When function is impaired and activity declines from pain. Or, when start subtracting things you enjoy from your life due to pain. ...Read more

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Managing Knee Pain (Checklist)

Try to determine the cause
Once
If swollen, ice the knee with a bag of ice, frozen peas, etc.
once
See a doctor
Once
Consider seeing a physical therapist
Once
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Why do people get total knee replacement?

Why do people get total knee replacement?

Total knee: The first reason is for pain relief. Other reasons are to increase mobility or to improve a deformity of the bone. ...Read more

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How difficult is a total knee replacement?

How difficult is a total knee replacement?

Depend: Difficulty of doing a knee replacement depends on the surgeon; anyone who does about a hundred replacements every year should have no problems doing a virgin replacement. ...Read more

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What to expect after total knee replacement?

What to expect after total knee replacement?

Post TKA: Surgical pain. Lots of physical therapy. Improved alignment. Use of motion machine. Start with walker and progress to cane and stairs. Lessening of pain. ...Read more

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Can knees lock up after total knee replacement?

Can knees lock up after total knee replacement?

Yes, but not often: Knee replacements can feel like "seizing" or "locking up" on rare occasions and they are usually not due to the device. The most likely phenomena you are experiencing is either "crepitus" or "clunk" which is when scar tissue surrounding the front of the knee gets trapped within the device creating a sensation of locking up. When severe enough, it can be alleviated by removing that scar tissue. ...Read more

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How can I exercise with a total knee replacement?

How can I exercise with a total knee replacement?

With advise: You can exercise after knee replacement, and it is a good idea. The best exercise is that which avoids stress across the knee. Although you want to strengthen the muscles around the knee, you do not want to place undue stresses across the replaced knee. Your orthopedist and your physical therapist can best advise you. ...Read more

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When does one qualify for total knee replacement?

When does one qualify for total knee replacement?

Pain/disability: When to have a knee replacement has to be an individualized decision. Moderate to severe pain and/or loss of the ability to function to one's satisfaction are reasons to have a knee replacement. Failure to get relief with nonsurgical measures is also a reason. Severity of arthritis on an x-ray should not be the primary factor, as many with severe x-ray changes have little pain and good function. ...Read more

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Am I to young for a total knee replacement at 42?

Knee Replacement: 42 is young but not unheard of. If all other measures have been tried and your knee pain is effecting your quality of life and function to a degree that is not tolerable then knee replacement may be you last best option. ...Read more

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When am I too young for a total knee replacement?

When am I too young for a total knee replacement?

Never too young: When all conservative options have been exhausted, and symptoms have become disabling, then it is time for knee replacement, regardless of age. Current knee replacement techniques result in 20-30 years of pain free function 95% of the time. If you are young, then you might anticipate that revision knee replacement might be necessary in your future. ...Read more

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When should someone get a total knee replacement?

When should someone get a total knee replacement?

See details: When there is advanced arthritis, major pain and conservative therapies have failed. ...Read more

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How do I exercise after a total knee replacement?

How do I exercise after a total knee replacement?

Exercise with total: The only major restriction on exercise for total knees is to avoid jogging or running as your aerobic exercise. Jumping and landing exercise are also not great because like jogging, you can cause loosening of the implant from the bone or cement fixation. This also can speed the wear down of the plastic bearings. Bicycles, tai chi, walking, swimming, dancing, golf, tennis, ellipticals are all good. ...Read more

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Why does my butt hurt after a total knee replacement?

Why does my butt hurt after a total knee replacement?

Butt attached to leg: You have likely been compensating for your knee prior to your surgery. This can throw your pelvis off but you don't notice it because it works. Now that your knee is fixed, you're likely walking more normally so you notice that your pelvis is off and your butt hurts. A good do can apply some omm to re-right your pelvis and help alleviate some of the pain. ...Read more

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How long does pain last after total knee replacement?

How long does pain last after total knee replacement?

May not be complete: Some are fortunate to have the surgery and shortly there after once the wounds healed, they have no pain at all. Many will have great improvement of pain, but never completely resolved after the replacement surgery. It is a big surgical procedure with significant risks/benefits, so do your research and discuss with doc thoroughly. Good luck to you. ...Read more

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What exercises could I do with total knee replacement?

What exercises could I do with total knee replacement?

Low impact exercises: Keep to low impact exercises like stationary bike, elliptical and swimming are good exercises. Focus on strengthening the quadriceps and avoid deep knee bends, lunges, and squatting. ...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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What do I do about pain after a total knee replacement?

What do I do about pain after a total knee replacement?

TKA pain: Usually less with spinal and femoral nerve blocks, ice, joint injection of pain cocktail intraop, postop narcotics. ...Read more

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What is the procedure like for a total knee replacement?

What is the procedure like for a total knee replacement?

Knee replacement: Although we call it a "total" knee replacement, this surgery is actually a "resurfacing" of the end of the femur, the top of the tibia and the undersurface of the patella (knee cap) with metal and plastic components. Although the acl and PCL ligaments are "replaced" in a total knee with a plastic post, the muscles (quads & collateral ligaments (mcl and lcl) are preserved intact with this procedure. ...Read more

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37 years old am I too young for a total knee replacement?

Not necessarily: While 37 is very young there are some circumstances where a total knee may be indicated. Before considering this however, there are a number of other options available that you should discuss with an orthopedic surgeon. These may include rehabilitation, bracing, medications or injection therapies, arthroscopic procedures, cartilage repair, osteotomies, and partial replacements. ...Read more

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How bad is the pain from a total knee replacement usually?

How bad is the pain from a total knee replacement usually?

Very: Let's be very honest, although there have been significant advances in how we manage the pain of a knee replacement postoperatively, the first few days to weeks involve a significant amount of pain. Utilizing pain catheters, injections around the knee during surgery, epidural catheters, and various medication combinations the pain is usually well controlled. ...Read more

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How long after total knee replacement before one can swim?

How long after total knee replacement before one can swim?

4-6 weeks: I will let patients enter a pool once the knee incision is healed. Walking in water can be helpful. Swimming can be started once the pain allows. This is usually around 6 weeks. ...Read more

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What makes the knee so stiff after total knee replacement?

What makes the knee so stiff after total knee replacement?

Scar tissue: After a knee replacement, achieving maximum knee motion is often a race against your bodies natural healing process. Though your pre-operative range of motion can ofter predict your maximum expected post-op range of motion, aggressive physical therapy is crucial to achieve the best result. ...Read more

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What can be expected after having a total knee replacement?

What can be expected after having a total knee replacement?

Pain...and work!: Assuming the knee was placed correctly, now it is up to you and the other health care providers to assure the best chance of you being satisfied with the results. You and your md are a team... As is your pt. You need to religiously perform your stretching exercises, attend your pt sessions and let your doc know of any issues quickly since the first few months are critical. ...Read more

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What can be expected after a total knee replacement for pt?

What can be expected after a total knee replacement for pt?

Physical therapy: Physical therapy is an integral part of the total knee replacement process. Many orthopaedic surgeons will start pt prior to surgery ("pre-hab"). Therapy is usually started immediately after surgery in the hospital. Upon discharge from the hospital, pt is usually done 3x/week for 4-12 weeks, depending on the rate of the patient's recovery. ...Read more

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How much time on two crutches after total knee replacement?

How much time on two crutches after total knee replacement?

Recovery: Typically is about 2-3 months. It is an inpatient surgery you are in the hospital 2-3 days and then either go home with PT or to Rehab. You are up walking either the day of or after surgery. Stitches out at two weeks. Typically off crutches in 3 weeks once you can stand walk with good quad strength. ...Read more

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Can you tell me about a revision of a total knee replacement?

Can you tell me about a revision of a total knee replacement?

More risk: It really depends on why the revision is done, but in general revision surgery does carry a higher risk of infection, pain, and complication than does primary knee replacement. But the data shows an improvement in pain after the surgery. It may involve removing and replacing some or all of the components. ...Read more

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What is the youngest age you can have a total knee replacement?

What is the youngest age you can have a total knee replacement?

HTO, UKR, TKR option: The younger the patient, the more we like to try and find an alternate procedure to a TKR (total knee replacement). High tibial osteotomy (, HTO), and even more so- Unicompartmental knee replacement (UKR) options are being utilized to improve function in the younger adults. When all else fails or becomes non-feasible, a TKR can be a option even in the mid 30's. Discuss ALL options with your surgeon ...Read more

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How common is it for someone to need a total knee replacement?

Quite common: Knee replacements are quite common, usually in the setting of advanced osteoarthritis of the knee. ...Read more

Dr. Frederick Buechel, jr. md
451 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 of ...Read more