CNY Orthopedic Sports Medicine, PC: Treatment: Total Knee Replacement
 
Injuries and Conditions: Knee: Total Knee Replacement: Treatment Options
 
Overview
Knee replacement is very successful in reducing pain. Most artificial knee recipients are relieved of nearly all of their knee pain.
  • The surgical procedure to replace a knee is a major operation. The damaged contact points of the kneecap (patella), thigh bone (femur) and shin bone (tibia) are cut away. A metal cap is cemented to each of the leg bones and a plastic (polyethylene) implant is cemented to the underside of the kneecap. A plastic insert is also placed on top of the metal tibial component.
  • Some patients may have degenerative conditions in both knees. Surgery to replace each knee during the same operation may be an option under some circumstances. A simultaneous replacement however, will increase the strain on the body and require greater efforts during rehabilitation, but will eliminate the second knee replacement procedure. This type of surgery may not be suitable for all patients.
  • Knee replacement is an elective surgery and is considered one of the most effective and long-lasting options for the treatment of the degenerating knee.


     

  • Surgical Treatment: Total Knee Arthroplasty
    Osteoarthritis, or other degenerative joint diseases, may be treated non-surgically during the early stages of the condition. Knee replacement surgery is considered for advanced conditions which cause severe pain and greatly reduce a patient's ability to be active. The degenerated joint cannot rebuild itself; surgery will be required to replace the surfaces of the knee with metals and plastics. A knee replacement will last 10-15 years in 90%-95% of patients.


    Surgical Product Considerations

    NSAIDs
    NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
  • Pain resulting from inflammation or swelling.
  • Pain after injury.
  • Joint pain and arthritis.

  • Knee: Cold Therapy
    Cold therapy is used to reduce pain and swelling and is a convenient method to apply cold to an injured or rehabilitating extremity, such as a knee or shoulder. A cuff fits like a sleeve around the extremity and utilizes cold water supplied by a connected thermos or canister to chill the extremity. Water flow into the cuff can be controlled by different mechanisms. The simplest way is gravity; elevating the canister fills the cuff and controls the amount of pressure against the extremity. Water flow may also be controlled by a pump which will automatically circulate the cold water to and from the cuff. After surgery or immediately following an injury, the canister should be refilled with cold water every one to two hours to maintain a proper temperature. The cold therapy may also be used during rehabilitation, especially after physical activity, reducing the inflammatory heat from exercise.

    Cold therapy can be used to treat: Knee, Shoulder, Elbow, Wrist and Hand, Back, Hip, and Foot & Ankle Injuries.

    Knee Examples include:

  • Pre-operative ACL/PCL injuries.
  • Non-surgical ACL/PCL injuries.
  • General knee pain or swelling.
  • Soft tissue injuries.



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