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Tuesday, September 15, 2009

Knee Replacement Surgery: The Minimally Invasive Option

By Dr. Stefan Tarlow

Minimally invasive knee replacement is a fairly recent development in knee surgery. It advances the performance of this type of surgery by greatly reducing trauma and recovery time. However, as a surgical procedure, it is much more challenging than traditional methods.

Because smaller incisions are used than in traditional knee replacement surgery, the joint is exposed far less. This translates into less pain and trauma. A patient who has a successful minimally invasive knee surgery procedure can expect to be hospitalized a very short time and have a quick and easy recovery period.

This surgery is recommended for the patient who is of an average weight and activity level. The patient should have fairly good ROM (range of motion) and be relatively free of knee deformity. A patient who meets all of these criteria and has a successful procedure will be hospitalized for 3 days or less and will have little or no inpatient rehabilitation process.

In general, these are the accepted findings. It is worth noting that these findings are not entirely consistent. Some studies show dramatic reduction of pain, hospital stay, and rehabilitation. Others show that these aspects of recovery are quite similar to those experienced with standard knee replacement surgery.

Another thing to consider is the fact that the risks of this surgery have not been formally studied or documented; however, they are surely quite similar to those of any other knee replacement surgery. For the most recent information on this, consult your orthopedic surgeon.

Click here for more on minimally invasive knee surgery .

Your Hospital Stay

After your surgery, you will probably have a brief stay in the hospital. You may be experiencing a bit of pain after surgery, but you will be given medications to manage it.

You should talk with your orthopedic surgeon about pain medications before your surgery. In this way, you will not experience any surprises in this important area of your recovery. Also, discuss movement and exercise. Be prepared to begin your rehabilitation almost immediately after surgery.

After any surgery, it is important to keep your lungs clear. Breathe deeply and cough from time to time to avoid lung congestion.

Your orthopedic surgeon will probably prescribe measures to prevent blood clotting in your leg veins. These measures might include compression boots, elevation, support stockings, and blood thinning medications.

A machine called CPM or continuous passive motion exercise machine may be used. This machine helps reduce the possibility of blood clots and improve flexibility of the knee by keeping it in continuous, gentle motion while keeping it elevated. - 17268

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