Total Knee Replacement

A total knee replacement is a surgery to replace diseased or damaged knee joint with an artificial knee joint made of materials, such as metal or plastics. Dr. Bostian provides diagnosis and individualized non-operative and operative treatment plans in greater Hickory and the Foothills regions.

Understanding A Total Knee Replacement

A total knee replacement is a surgical procedure designed to relieve pain and restore function in severely diseased knee joints. The operation involves removing damaged cartilage and bone from the knee joint and replacing them with artificial components, typically composed of metal and plastic. The primary goal is to alleviate pain, improve mobility, and enhance the quality of life for individuals suffering from conditions like osteoarthritis, rheumatoid arthritis, or knee injuries.

Typically, the procedure takes one to two hours and is conducted under general or spinal anesthesia. Dr. Bostian will make an incision along the front of the knee to access the joint. Damaged portions of the femur (thigh bone), tibia (shin bone), and patella (kneecap) are removed. The remaining bone is shaped to fit the artificial components. The new joint is then tested for stability and range of motion before the incision is closed.

Advantages Of A Total Knee Replacement

A successful knee replacement surgery can provide:

  • Pain relief
  • Improved mobility
  • Restoration of knee function
  • Enhanced quality of life

Damaged cartilage can lead to joint stiffness and reduced range of motion over time. Total knee replacement not only replaces the damaged joint surfaces with durable artificial components but also helps realign the knee structure. This restoration improves stability, enhances movement, and allows for a more natural gait, contributing to overall better knee function.

Reduced pain and improved knee function allow patients to reclaim their independence in daily tasks, such as walking, bending, and standing. Many individuals find they can return to hobbies, sports and social activities they had previously set aside due to discomfort. This newfound freedom often leads to increased physical activity, further improving overall health and well-being.

When Is A Total Knee Replacement Recommended?

A total knee replacement is recommended for individuals suffering from severe knee pain and dysfunction that significantly impacts daily activities. Indications for surgery primarily include persistent pain not alleviated by conservative treatments like physical therapy, medications, or lifestyle modifications. When non-surgical interventions fail to provide relief, total knee replacement may be considered to restore function and improve quality of life.

Common conditions leading to knee replacement include osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. Osteoarthritis, a degenerative joint disease, is the most prevalent reason for a total knee replacement, resulting in cartilage wear that causes bone-on-bone contact, leading to debilitating pain and limited movement. Rheumatoid arthritis, an autoimmune condition, can also damage the knee joint over time, necessitating surgical intervention. Additionally, knee injuries or fractures that do not heal properly may result in chronic pain and instability, making replacement surgery a viable option.

Before proceeding with total knee replacement, an extensive patient evaluation is performed, involving a thorough medical history, physical examination, and imaging tests like X-rays or MRIs to assess the knee joint condition. Dr. Bostian will evaluate the severity of joint damage, the patient’s overall health, and their ability to undergo surgery and rehabilitation.

Weight Limit Considerations in Knee Replacement

Maintaining a healthy weight is crucial for the longevity and success of a total knee replacement. Excess weight can increase stress on the knee joint, potentially leading to complications or early wear of the artificial components. Patients are often advised to achieve a healthy weight before undergoing surgery to optimize outcomes and reduce the risk of post-operative complications. Dr. Bostian takes the time to educate each patient thoroughly. If you are considering knee replacement and have weight to lose, the decision is made together—through open discussion of risks, benefits, and your individual goals. Mutual decision-making is central to his approach.

Post-surgery, a balanced diet and regular exercise are recommended to maintain a healthy weight, which helps preserve the function of the new knee joint and enhances the overall success of the procedure.

Choosing The Right Orthopedic Team

Selecting an experienced and trusted orthopedic team is crucial for achieving the best outcomes in total knee replacement. Skilled surgeons, like Dr. Bostian, with a track record of successful knee replacement surgeries can significantly impact your recovery and overall satisfaction. Dr. Bostian is board certified and has specialized training in the area of joint replacement. He prioritizes education and training to ensure he is up-to-date on the newest advancements and most effective surgical techniques.

If you would like to have additional information on knee treatments or would like to learn more about total knee replacement, please contact Dr. Bostian, serving the communities of greater Hickory and the Foothills regions.

 

Request A Second Opinion

Dr. Bostian and his team are committed to delivering compassionate care, personalized attention, and expert treatment. For complex or challenging medical conditions, seeking a second opinion can provide valuable insights into your diagnosis and treatment options. Consulting with multiple specialists can help you make a more informed decision about your care.

A Second Opinion for Hip or Knee Replacement

As a specialist in hip and knee replacement, Dr. Bostian offers expert evaluations to help you navigate your treatment choices with confidence.

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