Regarding recovery after knee replacement, Dr. Harlan Selesnick, Orthopedic Surgeon at Miami Orthopedics & Sports Medicine Institute, says the recovery starts from literally when you come out of surgery, most patients will be placed in continuous passive motion or CPM machine to start moving the knee from day one. He explains this will hopefully motivate the patient with wound healing and perhaps less scar tissue. He also says most people are walking well within four weeks.
There are some arthroscopic procedures for the knee. The most common ones are reconstruction of ACL, repair torn meniscus, removal of inflamed tissue, trimming of damaged cartilage, removal of loose fragments of bone or cartilage and treatment of kneecap problems. "The meniscus, if it tears, you have the option of taking the piece out or sewing it back and that has to do with the orientation of the tear, the age of the patient and how close to the area blood supply there is," explains Dr. Harlan Selesnick, Orthopedic Surgeon at Miami Orthopedics & Sports Medicine Institute.
Anti-inflammatory medicines, pain medicines, assistive devices for walking, physical therapy, cortisone injections, weight loss and exercise and conditioning are other treatments for knee pain. "When you're dealing with inflammatory and arthritic conditions of the knee you really want to try all non-surgical options that you can and the longer you delay it, the better the chance that technology improves," says Dr. Harlan Selesnick, Orthopedic Surgeon at Miami Orthopedics & Sports Medicine Institute. He recommends preventing addiction to pain killers if the pain is too bad.
"When the ACL tears, it doesn't tear clean, it shreds like a mop and you can't really sew that back," says Dr. Harlan Selesnick, Orthopedic Surgeon at Miami Orthopedics & Sports Medicine Institute. Concerning the treatment for a torn ACL, he explains people with this injury have a 75% chance that they also are going to have damage in the meniscal cartilage, which in younger patients can lead to arthritic changes. So, for the first four to six weeks doctors try to get the swelling down, patients go to physical therapy to restore a range of motion and then they can do the ACL surgery.
There are 3 components of the prosthesis: tibial component, femoral component and patellar component. Dr. Harlan Selesnick, Orthopedic Surgeon at Miami Orthopedics & Sports Medicine Institute, explains all of them have to be fashioned by measurements to give the patient of a knee replacement a better lifestyle with no more pain. The idea is to use what doctors call cement bone to allow full-motion as possible, as well as good stability for many years.