Knee Joint Arthroplasty

Dr. George Jacob

MBBS, MS Ortho, FAOA

Arthritis

Arthritis is a degenerative joint disorder characterized by the breakdown of cartilage within the joints, leading to pain, stiffness, and reduced mobility. It is a common form of arthritis and often affects weight-bearing joints such as the knees and hips.

 

Osteoarthritis

Osteoarthritis typically develops over time due to wear and tear on the joint, aging, genetics, obesity, or previous joint injuries. Another form of arthritis common in our community is rheumatoid arthritis which also causes severe damage to articular surfaces of joints. Both forms of arthritis can significantly impact a person’s quality of life and daily activities.

 

Total knee replacement (TKR)

Total knee replacement (TKR) is a surgical procedure aimed at relieving severe pain and improving function in individuals with advanced arthritis of the knee. During the surgery, the damaged joint surfaces are replaced with artificial components made of metal and plastic, allowing for smoother movement and reduced pain. TKR is recommended when conservative treatments like medications, physical therapy, and lifestyle changes no longer provide adequate relief. An element of pre surgery rehabilitation is also recommended prior to the actual TKR surgery.

TKRS are designed as partial knee replacements where only one affected compartment of the knee is replaced or a total joint replacement, where all three compartments of the knee are replaced.  This depends on the clinical situation. Rehabilitation plays a crucial role in achieving successful outcomes after total knee replacement, as patients undergo physical therapy to regain strength, flexibility, and mobility in the replaced knee. You will be made to walk the same day of your surgery or next morning depending on the anesthesia protocol chosen. While total knee replacement can significantly alleviate pain and enhance the patient’s quality of life, it is final solution for treating osteoarthritis and must be carefully electively planned by your orthopedic surgeon and you. Dr. Jacob believes in a systematic treatment of osteoarthritis and is happy to discuss what treatment plan is best for your knee.

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