Options Available with Total Knee Replacement

By Jitender Sharma - December 22, 2017


When suggesting the patient with total knee replacement surgical procedure, it becomes crucial to take into consideration his/her lifestyle, age and damage caused to the knee joint. Besides this, the decision taken by the surgeon to make use of one surgical procedure over the other or an implant type over the other, it will depend mainly upon the clinical situation and the surgeon’s training. As a matter of fact, every implant design comes with its own advantages and disadvantages. Irrespective of the type of implant the surgeon decides to use, it will be better to know total knee replacement treatment offers greater success rates among all orthopedic operations. Hence, all the available options are to be carefully evaluated and discussed with the qualified surgeon to make sure that the best treatment approach is taken.
Knee replacement surgery – What happens?
Arthritis of the knee modern treatments is taken care of by the experienced surgeons. The knee’s damaged bearing surfaces are replaced by the total knee replacement, which could be the cause of extreme pain. The femur’s (thigh bone) lower end, the bone gets trimmed towards accepting special shaped metal component. On the other hand, the tibia (shin bone) upper end is trimmed towards accepting the metal tray, in which is fitted plastic bearing.
Metal components are then secured for cutting the bone surface using choice of bone non-cement or cement type known as ‘bone ingrowth’. Most knee replacements are cemented into place. Besides asking the question ‘Whatis the best total knee replacement’, the patient should also discus with the surgeon on what fixation type will be used for holding the knee in its place.
The femoral component’s outer surface has been designed to allow patella (knee cap) to slide down and up in its groove. The natural kneecap can be either retained or resurfaced as deemed fit by the surgeon. It is also a question that is to be discussed with the surgeon.
What are Cruciate Ligaments?
They are considered to be major ligaments present within the knee. It offers support as well as stabilizes the knee movement. In case, of total knee replacement treatment, Cruciate Ligaments could be removed or kept. The choice again depends upon their condition, the knee implant type or the surgery type to be conducted by the surgeon.
At times, the knee joint deterioration could be such that it becomes possible to avoid total knee replacement. The surgeon could suggest partially replacing the arthritic knee components or to resurface them. it is important to preserve healthy bone stock to make sure that the patient stays active and younger.
Types of implants

The new knee joint’s plastic bearing can either be mobile bearing or fixed one. It means the polyethylene that is inserted is mobile (can move on rotating metal base) or fixed (clicked onto stationary platform). The latter is preferred by majority of the patients as it helps to reduce significantly knee pain and is also found to be durable.

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