Knee

If you have a stiff, painful knee that makes it difficult to perform even the simplest of activities and other treatments are no longer working, you may want to consider knee surgery. Knee surgery should only be recommended after careful diagnosis of your joint problem. Other treatment options include medications, injections, physical therapy or other types of surgery which may be discussed and considered. This surgery is generally reserved for people over the age of 50 with severe osteoarthritis.

We Offer Relief

The Anderson Family Orthopedic & Spine Center of Excellence is a leading provider of partial and total knee replacements. Our team of orthopedic surgeons brings their expertise combined with innovative techniques to provide cutting-edge orthopedic surgery. Advances in minimally invasive techniques and implants have revolutionized knee surgery. Knee replacement surgery can improve your quality of life and get you back to enjoying normal everyday activities.

Our comprehensive orthopedic rehabilitation program offers a wide range of services both pre- and postoperatively, including a preoperative educational class that helps prepare you for surgery and provides invaluable information for your recovery. Our team includes surgeons, pain management specialists, anesthesiologists, nurses and therapists. A dedicated orthopedic and spine patient navigator is available to all patients to guide you through the entire process, offering education and support.

• Knee Procedures:
• Partial Knee Resurfacing/Replacement
• Total Knee Replacement

MAKOplasty® Partial Knee Resurfacing and Replacement

MAKOplasty® is a treatment option for those living with early to mid-stage osteoarthritis in either the medial (inner), patellofemoral (top), or both compartments of the knee. If osteoarthritis (OA) is present in all three compartments of the knee, it is considered advanced, and you would not be a candidate for partial knee resurfacing.

MAKOplasty® is a robotic-assisted partial knee resurfacing procedure designed to relieve the pain caused by joint degeneration due to OA. By selectively targeting the part of your knee damaged by OA, your surgeon can resurface your knee while sparing the healthy bone and ligaments surrounding it.

• Benefits of MAKOplasty® Partial Knee Resurfacing:
• Preparing the bone: The damaged cartilage surfaces at the ends of the femur and tibia are removed, along with a small amount of underlying bone.
• Positioning metal implants: The cartilage and bone that is removed is replaced with metal components that recreate the surface of the joint. These metal parts may be cemented or "press-fit" into the bone.
• Resurfacing the patella: The undersurface of the patella (kneecap) is cut and resurfaced with a plastic button. Some surgeons do not resurface the patella, depending upon the case.
• Inserting a spacer: A medical-grade plastic spacer is inserted between the metal components, creating a smooth gliding surface.

A minimally invasive procedure, MAKOplasty® can often be performed through a 4- to 6-inch incision over the knee with small incisions in both the femur (thighbone) and tibia (shin). Since healthy bone is preserved, patients who undergo MAKOplasty® partial knee procedures may still be a candidate for a total knee replacement procedure later in life, if necessary.

The MAKOplasty® procedure is indicated for patients suffering from unicompartmental or bicompartmental knee disease. A total replacement is sometimes necessary if your surgeon discovers during surgery that your knee has more damage than originally shown in the preoperative X-rays and CT scan.

Total Knee Replacement

Sometimes called total knee arthroplasty, total knee replacement is a treatment option for those who have advanced osteoarthritis in all three compartments of the knee. A total knee replacement replaces the damaged surfaces in your knee that bear weight and are causing pain.

• A knee replacement procedure includes:
• Preparing the bone - The damaged cartilage surfaces at the ends of the femur and tibia are removed along with a small amount of underlying bone.
• Positioning metal implants - The cartilage and bone that is removed is replaced with metal components that recreate the surface of the joint. These metal parts may be cemented or "press-fit" into the bone.
• Resurfacing the patella - The undersurface of the patella (kneecap) is cut and resurfaced with a plastic button. Some surgeons do not resurface the patella, depending upon the case.
• Inserting a spacer - A medical-grade plastic spacer is inserted between the metal components, creating a smooth gliding surface.

• Surgery is recommended for many reasons including:
• Severe knee pain or stiffness that limits everyday activities, including, walking, climbing stairs, and getting in and out of chairs
• Walking more than a few blocks without significant pain and the need to use a cane or walker
• Moderate or severe knee pain while resting, either day or night
• Chronic knee inflammation and swelling that does not improve with rest or medications
• Knee deformity - a bowing in or out of the knee
• Failure to substantially improve with other treatments such as anti-inflammatory medications, cortisone injections, lubricating injections, physical therapy, or other surgery

There are no absolute age or weight restrictions for total knee replacement surgery. Recommendations for surgery are based on patients' pain and disability, not their age. The majority of total knee replacements are in patients' ages 50 to 80, but each patient is evaluated individually. Total knee replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.