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Knee Joint Replacement

Alternate Names

  • total knee replacement
  • TKR
  • total knee arthroplasty
  • total knee joint replacement

Definition

Knee joint replacement is surgery to replace a damaged or diseased knee joint with an artificial joint, or prosthesis. The goal is to improve the mobility and function of the knee joint and reduce pain.

Who is a candidate for the procedure?

Knee joint replacement may be used for long-standing knee pain or arthritis that has not responded to treatment with medication. It may also be used when arthritis causes the knee to function poorly, or for some knee fractures.
The procedure is generally reserved for a person who has knee pain severe enough to stop him or her from working, sleeping well, or walking more than 3 blocks. Most people who have a knee joint replacement are over the age of 55, but it can be performed at any age if it is needed.

How is the procedure performed?

Knee joint replacement is performed under general anesthesia or regional anesthesia. General anesthesia means the person is put to sleep with medications. Regional anesthesia means the person will be awake, but numb below the waist. A drug may be given to make the person drowsy.
The ends of the thighbone (femur), and the shinbone (tibia) are removed. The underside of the kneecap (patella) may also be removed. The new knee consists of a metal shell on the end of the femur and a metal and plastic piece on the tibia. If needed, there is also a plastic button in the kneecap.
The surgery itself takes about 2 hours. In many cases people donate 2 units of their own blood in the weeks before surgery to be used during or shortly after the operation.

Sources

Total Knee Replacement: A Patient Guide, 1999, University of Iowa. [hyperLink url="http://www.vh.org/Patients/IHB/Ortho/KneeReplace/KneeReplacement.html" linkTitle="www.vh.org/Patients/IHB/Ortho/KneeReplace/KneeReplacement.html"]www.vh.org/Patients/IHB/Ortho/KneeReplace/KneeReplacement.html[/hyperLink]

Total Knee Replacement, 1999, Johns Hopkins Bayview Orthopaedics. [hyperLink url="http://www.bayviewortho.com/patients/education/Knee/total.htm" linkTitle="www.bayviewortho.com/patients/education/Knee/total.htm"]www.bayviewortho.com/patients/education/Knee/total.htm[/hyperLink]

Total Knee Replacement, 1997, Duke University Medical Center. [hyperLink url="http://msrbsgi1.mc.duke.edu/vail/totalknee.html" linkTitle="msrbsgi1.mc.duke.edu/vail/totalknee.html"]msrbsgi1.mc.duke.edu/vail/totalknee.html[/hyperLink]

Knee Joint Replacement, 1999, Los Angeles Orthopaedic Hospital Joint Replacement Institute. [hyperLink url="http://www.jri-oh.com/Knee.htm" linkTitle="www.jri-oh.com/Knee.htm"]www.jri-oh.com/Knee.htm[/hyperLink]

Orthopedic Nursing. 1994, Maher.

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