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Partial knee replacement surgery is a surgical procedure in which the damaged portion of the knee joint is replaced with an artificial prosthesis.
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ApartialkneereplacementsurgeryisasurgicalprocedureinwhichthedamagedApartialkneereplacementsurgeryisasurgicalprocedureinwhichthedamaged portionofthekneejoint(usuallytheinnerside)isreplacedwithanartificialprosthesis. The particular part of the knee that needs replacement is restored using metal and plasticunits. Tableofcontents Feelfreetoskipaheadifonetopiccatchesyoureye: WhatisPartialKneeReplacement? LatestAdvancementinKneeReplacementSurgery TypesofPartialKneeReplacementapproaches WhattoexpectFromPartialKneeReplacementSurgery? PrecautionsAfter Knee Replacement surgery Takeaway • Whatispartialkneereplacement? • Partial knee replacement surgery is a good alternative to a full knee replacement procedurewherethespecificcomponentsofthedamagedkneejointarereplacedwith prosthetics. • Whoneedsit? • Peoplewithosteoarthritisoftheknee • Thekneedamageislimitedtoonlyonecompartmentoftheknee • Ifthepaininyourkneehasnotrespondedtomedicines • Kneepainpersistsinspiteofahealthylifestyleandanoptimumweight • Theanteriorcruciateligamentofthekneeisunscathed.
Theradiologyfindingscorrespondwiththesymptoms • LatestAdvancementinKneeReplacementSurgery • Today,advancementsinkneearthroplastyorkneesurgeryhaveprogressedtodevelop the technique of the surgery as well as offer the best possible experience to the patient. Also known asuni Compartmentalknee replacement, thefactors thataffect the outcomeare important • Someoftheminclude: • Enhancingpatientselection • Optimizingpreoperativecare • EnhancingefficiencywithAIandrobotics • Takingimplantdesigntothenextlevelwith3Dprinting • Enhancingpatientselection • Thepresenceofanestablishedkneeimpairment affectingkneefunction • Presenceofanabnormalkneepathologythatcanbeascribedtothesymptoms suchas pain, impairedmobility, etc • Boththeabovefactorsjustifythereasonsforsurgeryanditsrisksascompared tothe benefits • Thefailureofnon-surgicalmeasurestotreatthesymptomssuchasdrugs, moderateexercise, weight loss • Afterconfirmingtheaboveguidelines,therearefactorspertainingtothepatientand influencingthe selectionof thepatient forpartial kneesurgery : • Age–Patientsbetween30tillanyageareattherightagefortheprocedure • Thementalhealthstatusofthepatientincludinganxiety,depression,pain behavior,etc.
Theseverityofthedisease-Thosewithdamageconfinedtoaparticular componentof the knee • Ajointcondition affectingthequalityoflifeincludingdailyactivitiessuchas mobility,walking, etc • Thekneeoperationcostwilldependonthetypeofreplacement. • Optimizepreoperativecare: • Optimizing pre-operative care is an integral part of improving and maintaining and maximizingpost-operativerecovery.Preoperativeapproachesthatpositivelyinfluence theoutcomes include: • Exerciseandfitness • Physiotherapistsupervisedexerciseintervention • Acupuncture • Medicaloptimizationthatincludes: • Diabetesmanagement-MonitoringHbA1Candkeepingitlowerthan6 • BMIlessthan45topreventwoundhealingcomplications,cardiovascular complications,renal failure,and infection • Cardiovascularmanagement-Stoppinganticoagulantdrugsafter consultationwith acardiologist • Bloodtransfusiontiming • Ahistoryofrenaldiseaseanddrugintakeforthesame • Preventinginfectionwithmethicillin-resistantStaphylococcusaureus (MRSA) • Avoiddrug,alcohol,andtobaccoabuse • Preventionofthromboembolism-Byusingcompressiondeviceaswellas agentssuchaswarfarin, enoxaparin,aspirin,dabigatran etc • PainmanagementusingNSAIDsandoralopiateagents • Counseling-Toencouragerealisticexpectationsfromthepatient • Socialsupport-Buildingasocialsupportsystemthatwillreduceanxiety,panic, depression,andfear therebyimproving postoperativeresults. • EnhancingefficiencywithAIandrobotics:
TheuseofartificialintelligenceandroboticsinkneearthroplastyhasthefollowingTheuseofartificialintelligenceandroboticsinkneearthroplastyhasthefollowing • benefits: • Hassmallerincisions • Thesurroundingtissuesofthejointareleftundisturbed • Helpsthesurgeontoplanfor3Dbonereconstruction • Enableligamentevaluationduringsurgery • Improvethealignmentandpositioningoftheprosthesis • TakingImplantDesigntotheNextLevelwith3DPrinting. • Kneearthroplastyhasbeentakentoawholeanotherlevelwith3Dprinting.The incorporationof 3D printingenables: • Thebestqualityhigh-resolutionimagingoftheknee • Generatingacomputermodelofthepatient’sexistingjoint • Creatinga3Dimageoftheprospectivejoint • Joint placement using a surgical approach wherein the positioning, tilting, and fixingoftheprosthesisisgreatlyenhancedinqualitywith3Dguidedtechnology • TypesofPartialKneeReplacementApproaches • Dependinguponthecompartmentofthekneeinvolved, different typesofpartialknee replacementsurgery may be necessary. • Unicondylarkneereplacement • Whenonlyonecompartmentofthekneeneedsreplacement,aunicondylarknee replacementis the procedureof choice. • Itisalessinvasiveprocedureandagreatalternativetototalkneearthroplasty
TheprocedureismostlyperformedinolderpatientswithalowBMI(lessthan60 years) • Theimplantiskeptinplaceafterpreparingandshapingthekneeboneandthe tibia • Ifyoudonothaverheumatoidarthritis,haveintactligaments,thentheprocedure isright for you. • Righttotalkneearthroplastyoraoneontheleftsidemaybeperformed • Patellofemoralkneereplacement • Forpeoplewithkneedamagethatislocalizedtotheanterioraspectoftheknee, patellofemoralknee replacementis theright procedure. • Thisprocedurereplacesthekneecapontheanteriorpartoftheknee • Aprosthetickneecapisfixedalongwiththecorrespondingjointsurfaceto ensuresmooth movement • Ifyouhaveproblemswithclimbingstairs,walkingonraisedsurfaces,bending theknee, etc,then this isthe right typefor you. • Thedurationofhospitalstayislesserthanthatofatotalkneereplacement • Bicompartmentalkneereplacement • Alsoknownasbicompartmentalkneesurfacing,thisprocedureoffersabetter rangeofmotionand islessinvasive thanatotal kneereplacement • Thisprocedureissuitedforpeoplewhere2ofthe3compartmentsoftheknee needreplacement • Whenthearthritisofthekneeisinoneortwoofthecompartmentsismoderat • Whattoexpectfromapartialkneereplacementsurgery? • Afteranassessment,theprocedureisperformed • Expecttofeelminimalortolerablepainforafewdaysfollowingthesurgery • Theprocedureislessinvasivethanacompletekneereplacement • Youmayneedtostayinthehospitalforabouttwotofourdays • Therecoveryperiodfortheprocedureisaboutsixtoeightweeks
MedialkneepainexercisesandotheractivitiestoimprovejointmobilityMedialkneepainexercisesandotheractivitiestoimprovejointmobility • Swellingwillsubsideafterafewweeks • Physiotherapyandmotionexerciseswillbeapartofyourrehabilitationto strengthenknee muscles • Continuepainmedicationsandotherprescriptionsasinstructedbythedoctor • Thekneeoperationcostwilldependonyourjointconditionandthetypeof surgeryrequired • Precautions to take after partial knee replacement surgery • Avoidactivitiessuchasrunningandjumping • Stayawayfromhighimpactactivitiesandaerobics • Takeaway • Aashlok hospitalhas been synonymous with the best patient care for quite some time now. Our specialists value patient health and the standard of care as their priority. Our support staff is also fully equipped to help you throughout the time you consult with us. Yourhealthandsafetyisourpriorityandwestrivetoalwaysprovidethemostadvanced andsafe treatmentspossible to improveyour quality oflife.