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Doctor insights on: Total Knee Replacment

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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


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What would cause knee locking up after total knee replacement?

What would cause knee locking up after total knee replacement?

Knee locking: You should have this discussion with your surgeon. If he does not give you a satisfactory answer and solution, it is okay to get a second opinion. ...Read more

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Total hip replacement failure rate?

Total hip replacement failure rate?

Low: Patient factors, implant factors, and surgeon factors all contribute to the longevity of hip replacements. Based on european registry data, greater that 85% of hip replacements will still be functioning well 15 years after implantation. ...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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Why knee is warm after total knee replasment.

Why knee is warm after total knee replasment.

Incresed blood flow: After an injury or surgery, there is increased blood flow to the injured area. Due to small blood vessel damage, there is also some swelling in the area. This leads to increased warmth in the knee. This can last for several months as the soft tissues continue to heal around the knee. ...Read more

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What is involved in knee manipulation after total knee replacement surgery?

What is involved in  knee manipulation after total knee replacement surgery?

Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read more

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Question for total knee replacement-is inpatient rehab necessary?

Question for total knee replacement-is inpatient rehab necessary?

Not necessarily: After a total knee replacement, you will definitely need physical therapy. The setting will depend on your general health and other medical co-morbidities. The different settings could include home with outpatient therapy, home with home health therapy, at a skilled nursing facility, or at an inpatient rehabilitation facility. Your doctors will help determine the most appropriate rehab setting. ...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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Tell me about total knee replacement surgery?

Great deal: Your question is somewhat vague. Personally, I do minimally invasive surgery using custom, uncemented tka implants which is very important for the younger patients. This includes over 250 knee replacements per year. At your age, make sure you see a surgeon with a great deal of experience. Good luck. ...Read more

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Would total knee replacement , elimminate my grade 3 chondromacia?

Yes: A total knee resurfaces the parts of the knee that rub together. Instead of having worn out cartilage (chondromalacia) or bone rubbing together, you would have artificial surfaces of metal and polyethylene rubbing together. As these materials have no nerve endings, there is no pain created where they are in contact. The worn areas of cartilage are replaced. ...Read more

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What are the exercises after total knee replacement surgery?

Strength and motion: Patients lose 30-50% of muscle strength after tka and have to exercise to regain that strength. Leg raising, walking, and progressive exercises to improve the quadriceps function will help. Motion exercises include bending the knee to regain flexion and full extension (straightening). These should be done 3-4 times/day. Bending, biking, and pulling on the leg in flexion will help. ...Read more

Dr. Allen Lu Dr. Lu
3 doctors agreed:
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What about a total hip replacement?

Dr. Allen Lu Dr. Lu
3 doctors agreed:
What about a total hip replacement?

Wonderful: The hip replacement is one of the best procedures we can perform. It takes patients with daily pain and inability to live a quality life, and within weeks allows the patient to start a new life. It does have risks, and those need to be weighed against the benefits. Knee replacements and shoulder replacements are similar. ...Read more

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What is the typical physical therapy protocol for total hip and total knee replacement?

What is the typical physical therapy protocol for total hip and total knee replacement?

Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...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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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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Strengthening muscles after total knee replacement revision, what to do?

Strengthening muscles after total knee replacement revision, what to do?

Your PT should be --: Able to help you, as he/she'll be able to determine which (or all )muscles need to be strengthened in your thigh (both quads ; hamstrings). They'll be gauging your response to the pt and giving you a home exercise program, all in an effort to rehabilitate you, to attain the best function you can achieve after rev surgery. Do them religiously ; you'll enjoy the results of the surgery. Good luck. ...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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What is the cost of total knee replacement surgery?

What is the cost of total knee replacement surgery?

KNEE REPLACEMENT $$$: Us has the highest cost of knee replacement surgery, from 45000$to70000$ the insurance will cover most, but there are some deductibles and out of pocket expences as well. ...Read more

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What causes extreme crunching under the patella nine months after total knee replacement?

What causes extreme crunching under the patella nine months after total knee replacement?

Not sure what....: ..."extreme crunching" is, but if that knee was operated on nine months ago, you need to see your surgeon for an evaluation. ...Read more

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Dr. Frederick Buechel, jr. md
455 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