When does an orthopedic surgeon come to a conclusion that a partial knee replacement is the only option?
Up to you ! Replacements are done for severe pain associated with knee arthritis. Arthritis is like losing the tread on your car tire. Many treatments short of replacement include medications, therapy, injections and arthroscopy. When these don't work, the next, and only option, is replacement. Partial replacement is only for specific arthritic conditions, and not the most common option. Ask your surgeon!
You decide. The knee has three compartments. The medial or inside, the lateral or outside, and the knee cap or patellofemoral joint. Partial replacements can replace 1 or occasionally two of these. Whether we replace 1, 2 or all three parts depends on the x-rays, the patients complaints, and physical examination. Surgery is reserved for patients in which all conservative treat has failed.
Failure of previous. Orthopaedic surgeons will try to presevre cartilage if possible. Cartilage grafting may be an option if there is a localized well defined defect in the cartilage. Age is also a consideration as our ability to regenerate cartilage is unfortunately age dependent!
Partial Knee . Partial knee replacement is performed only if one of the three knee compartments are severely affected by osteoarthritis or traumatic arthritis it can be medial , lateral or patellofemoral compartment of the knee. It is considered in young age patients with minimal varus , valgus or fixed flexion deformity. Partial knee can be later converted to a total knee replacement.
Usually after the- /workup, only certain patients R selected 4 these based on the surgeons familiarities with them. & the patient must fit the criteria 4 them.
After failing other . Only after failing conservative treatment with antiinflammatories, therapy, bracing and injections. Surgery should not be the first recommended treatment.
After full review. The answer to the question is an orthopaedic surgeon may come to a conclusion that a partial knee replacement is the only option after all other options have been discussed with, or tried on the patient, and both the doctor and the patient have decided together for a variety of reasons that this is the only option at that time in the patients life.
Partial arthritis. Replacements are performed after conservative options have failed including: meds, injections, therapy, and other surgeries such as arthroscopy. The knee is considered to have 3 compartments: front (patello-femoral), inside (medial) and outside (lateral). If there is severe arthritis in one compartment then a partial replacement or osteotomy for that compartment can be considered. Ask your doctor.
My 3 grandkids who live with me have staph sores. Ii had bilateral knee replacement 10 weeks ago. Could this be dangerous for me? Should I notify my orthopedic surgeon?
Yes. If your incisions are well-healed, then direct contact with a staph infection of the skin on another person would typically cause an infection of your skin or possibly the fatty tissues just below the skin. It is not likely that you would get a direct infection of the joint unless you first contaminated your own skin and fatty tissue and then it penetrated deeper; nonetheless, keep your distance. Read more...
Good Habits . It's unlikely, but make sure the whole family is using regular hand washing, avoid direct contact with the sores, don't share towels, etc etc . It's unlikely the staph could get into your bloodstream and then into your new knees, but good hygiene practices will help ensure that. If by some chance your knees be become more painfully, red, or swollen let your surgeon know immediately. Read more...
I have been having pain in my knee for one year and I haveundergone physiotherapy three times. I have an appointmentwith an orthopedic surgeon regarding this. Should I ask fora knee replacement?
How to talk to Doc. I would be prepared with a list of your history and the attempts you have made to improve the pain. Be prepared with questions. Then wait for this doctor's opinion. They very well may order an MRI or other testing before offering you treatment options. Remember you can talk to your doctor just like you talk to us here on health tap. Asking questions is vital! Read more...
Get a diagnosis! You are very young to consider a tkr. You need a complete work up including an mri. Chances are very good your problem is soluble without resorting to a tkr which is very much the last resort. How much do you weigh? Have you had prior surgery or an injury? From your avatar i see you are a weight lifter. You may have to modify your routine a little. Do not rush into a replacement! Read more...
Don't B pushy. If u r cing the same orthopedic surgeon right along, u ask him if a tka is an option. He may have some alternatives. Then u decide if it's worth the risk. A great result @ ur age group will need revision @ some time when u r about mid 40's. Revisions r not as successful as a virgin knee. Best result still my need revision. Worst result is ak amputation rare but the worst. Compare risks/benefit. Read more...