Orthopaedics: The Charles J August Joint Replacement Center

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Joint Replacement Basics

THE BASICS OF KNEE REPLACEMENT SURGERY


What is Knee Replacement?
Who Should Have a Knee Replacement?
Is there an Alternative to Knee Replacement Surgery?
Should My Knee Replacement Be Cemented?
How Long is the Hospital Stay?
How Long is Recuperation?
Will I Need a Blood Transfusion?
What is the Success Rate?
Are There Complications?
What About Pain?


What is Knee Replacement?
It is a metal and plastic covering for raw, arthritic bone ends. It replaces cartilage that has worn away over the years. Knee replacement can eliminate pain and allow you to move easily with less discomfort. For those who have become bow-legged or knock-kneed over the years, it can also straighten your legs to a more natural position.

Who Should Have a Knee Replacement?
Total knee replacement is often reserved for patients who:
Have a painful, disabling joint disease of the knee resulting from a severe form of arthritis
Are not likely to achieve satisfactory results from less invasive procedures, such as arthrodesis (artificial stiffening or fixation of the joint)
Have bone stock that is of poor quality or inadequate for other reconstructive techniques

Is there an Alternative to Knee Replacement Surgery?
Knee replacement is only recommended after careful diagnosis of your joint problem. Arthroscopic or microscopic surgery is not helpful once arthritis is advanced. Also, it is not likely that anti-inflammatory drugs or cortisone injections will give you the same long-term relief that knee replacementwill.

Should My Knee Replacement Be Cemented?
Knee replacements are successfully performed with all cemented components as well as with a combination of uncemented and cemented components. Your surgeon will discuss which technique is best for you.

How Long is the Hospital Stay?
The majority of patients go home within 2 - 3 days. A small percentage of patients need to go to a rehab center in a nursing home after their hospital stay. This will depend on how you progress in the hospital, and keep in mind that healing and recovery times vary with each person.

How Long is Recuperation?
Recovery varies with each person. You will use a walker for approximately 4 weeks after the operation. You can drive a car in 2-4 weeks. Most people gradually increase their activities and may play golf, doubles tennis, shuffleboard, or bowl in 12 weeks. More active sports, such as singles tennis and jogging are not recommended.
Will I Need a Blood Transfusion?
The need for blood transfusions after knee replacement surgery depends greatly on very individualized factors. The majority of knee replacement patients do not require a transfusion after surgery, but those having both knees replaced at the same time are more likely to need one.

What is the Success Rate?
Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopaedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans back on their feet and allowed them to be more active and productive and enjoy their lives again.

Are There Complications?
As with any surgery, there is a risk of complications after knee replacement surgery. However, they are quite rare. Driving on an interstate highway is probably more dangerous. To reduce the risk of infection, we take special precautionary measures in the operating room, and use powerful antibiotics. Our personnel are limited to fully trained and experienced nurses and technicians.

What About Pain?
Thanks to advances in medication technology, we are able to keep you very comfortable after surgery. After surgery, any temporary discomfort does not compare to the pain of arthritis endured by most people in months and years before surgery.

And because knee replacement patients are not "sick," you will not be treated as such. You will wear casual clothing after surgery, not hospital gowns.
Our team earned The Joint commission's Gold Seal of Approval.
Unity Health The Charles J August Joint Replacement Center
1555 Long Pond Road   |   Rochester, NY 14626
(585) 368-4545