Knee surgeon
Treatment

Joint Replacement

Description

There is a widespread concept that a knee prosthesis refers exclusively to total or complete replacement of the joint. That is, a total knee arthroplasty. However, in hands of Dr. Gelber, much more frequently a prosthesis can replace only part of the knee. It is good to keep in mind that the knee has 3 well-defined areas: the medial area, the lateral area, and the anterior or patellofemoral area.

That is, depending on the degree and extent of the lesion involvement, a partial prosthesis can be used, such as the so-called unicompartmental knee arthroplasty and patellofemoral joint arthroplasty.

You should remember that although you will be able to walk with crutches or a walker almost immediately after surgery, you will need help from others for some weeks with certain activities, such as cooking, shopping, bathing, and doing laundry.

Unicompartmental prostheses can be medial or lateral. They provided outstanding outcomes, and they are much better accepted than total knee prostheses. Recovery is also much faster than if the entire joint is replaced, and even both knees can be replaced in the same surgery, if necessary. With these partial prostheses, you can later carry out sports activities such as skiing, playing golf, tennis, mountaineering, cycling, etc. 

 

Unicompartmental prostheses can be medial or lateral. They provided outstanding outcomes, and they are much better accepted than total knee prostheses. Recovery is also much faster than if the entire joint is replaced, and even both knees can be replaced in the same surgery, if necessary. With these partial prostheses, you can later carry out sports activities such as skiing, playing golf, tennis, mountaineering, cycling, etc. 

 

When is a total knee replacement needed?

If the knee is severely damaged due to osteoarthritis and this prevents one from performing simple daily activities and if painkillers, changes in activity levels and the use of assistance to walk does not help, then surgery for total knee replacement should be considered. To restore damaged and worn surfaces of the knee, total knee replacement surgery can relieve pain, correct the deformity of the leg and help in the performance of daily activities. 

Importantly, over 90% of people experience a very significant reduction in pain and a significant improvement in the ability to perform common activities of daily life. However, total replacement will not make you into a super athlete or allow you to do more than what could be done before developing arthritis. 

Dr. Gelber uses a custom, state-of-the-art prosthesis. That is, through previous studies of each patient’s knee, a unique custom prosthesis is designed for that knee. This eliminates the usual discrepancy between the general sizes and designs with which standard prostheses are generated, with that particular knee.

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