Knee
Replacement

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What is a partial & total knee replacement?

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Knee replacements are surgical treatments for pain or loss of function due to knee arthritis or cartilage loss. More accurately called resurfacing, the procedure involves removing a thin layer of damaged bone and replacing it with a metal implant. There are two types: partial and total knee replacements.

The knee has three compartments: medial, lateral, and patella femoral. A total knee replacement is performed when all three compartments have arthritis or cartilage loss, while a partial replacement targets only one damaged compartment. Partial knee replacements are less invasive and offer faster recovery, but they may require conversion to a total knee replacement later if arthritis develops in the untouched compartments.

Only 5-10% of patients are suitable for partial knee replacement. Surgeons assess eligibility using imaging techniques, but the most reliable method is direct examination during surgery. If there is no significant wear in the other two compartments, a partial knee replacement is performed; otherwise, a total knee replacement is conducted.

Recovering from a knee replacement can be challenging due to the need to regain range of motion before scar tissue matures. The knee often becomes swollen and painful, requiring patients to push through the pain to bend and straighten the knee to restore range of motion.

The recovery process typically takes about two months. The first two weeks involve light range of motion exercises at home. The more intensive work occurs between weeks two and eight, during a formal physical therapy program. This focuses on straightening and bending the knee, strengthening the quadriceps and hamstrings, and alleviating surgical pain.

Knee replacement recovery is difficult because patients must push through pain to regain range of motion. It is crucial to be prepared for this challenge and to commit to the rehabilitation process to achieve the best results.

Recovering From A Knee Replacement

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Frequently asked questions

Knee replacement surgery, also known as knee arthroplasty, is a procedure in which a damaged or worn-out knee joint is replaced with an artificial implant. The primary goals of this surgery are to alleviate pain, improve mobility and restore the normal function of the knee joint. The artificial joint, or prosthesis, is typically made of metal and plastic materials designed to mimic the natural movement of a healthy knee joint.

Ideal candidates for knee replacement surgery are individuals who experience chronic knee pain, reduced mobility and a decreased quality of life due to knee joint damage or degeneration. Common causes of knee joint damage include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis and certain congenital conditions. A thorough evaluation by an orthopedic surgeon is necessary to determine if a patient is a suitable candidate for the procedure.

Recovery from knee replacement surgery varies depending on the individual and the specific surgical approach. Patients typically start walking with the assistance of a walker or crutches after waking up from the surgery. Physical therapy begins soon after the procedure and continues for several weeks or months. Most patients can resume normal daily activities within 6 to 8 weeks, but full recovery may take up to 6 months or longer.