Thursday, November 5, 2009

What is Minimally Invasive Knee Surgery?

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.

Minimally invasive knee surgery reduces trauma by using smaller incisions that expose the joint less. In fact, the incision used in this type of surgery are 50% smaller than those used in traditional total knee replacement surgery. Because of this, the recipient of minimally invasive knee surgery can expect reduced pain, a brief hospital stay, and a speedy rehabilitation period.

Patients who are not overweight, are relatively active with a fair amount of ROM (range of motion), and have no strong deformity of the knee(s) do well with this technique. They can enjoy a brief stay in the hospital of no more than 3 days. Inpatient rehabilitation will be speedy or nonexistent.

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.

It is equally important to note that the risks associated with this type of surgery have not been specifically documented. There is, however, no reason to think that this type of surgery would hold any risks not associated with standard knee replacement surgery. Your orthopedic surgeon will be able to give you the latest information regarding this issue.

Click here for more on minimally invasive knee surgery .

The Hospital Stay

You will stay at the hospital for a short time after your surgery. During this time, you will be given medications to handle any pain you may be experiencing.

Be sure to discuss your medication regimen with your orthopedic surgeon in advance of your surgery. You do not want any surprises. This is a very important part of your recovery, so it should go smoothly. Also, be prepared to begin moving your knee right away after surgery. This is also quite important to your overall recovery.

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

After knee surgery, clotting in the leg veins may be a problem. This is typically treated with a variety of measures, including support hose, compression boots, elevating the legs, and using medications to thin the blood. Your orthopedic surgeon will prescribe the method or methods that will be most useful to you.

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.

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