TOTAL KNEE REPLACEMENT (TKR)

Total knee replacement, also called total knee arthroplasty, is a surgical procedure in which the worn out or damaged surfaces of the knee joint are removed and replaced with artificial parts.

Osteoarthritis is the most common form of knee arthritis in which the joint cartilage gradually wears away. It often affects older people.

In a normal joint, articular cartilage allows for smooth movement within the joint, whereas in an arthritic knee the cartilage itself becomes thinner or completely absent. In addition, the bones become thicker around the edges of the joint and may form bony “spurs”. All of these factors can cause pain and restricted range of motion in the joint.

Total Knee Replacement TKR Abu Dhabi

Indications

Total knee replacement surgery is commonly indicated for severe osteoarthritis of the knee. The general goal of total knee replacement surgery is to relieve pain and restore the alignment and function of your knee.

Your doctor may advise total knee replacement if you have:

  • Severe knee pain which limits your daily activities (such as walking, getting up from a chair or climbing stairs), occurs at rest, or disturbs sleep.
  • Failure to obtain pain relief from medications, injections, physical therapy, or other conservative treatments.
  • A severe knee deformity which prevents acceptable function.

Procedure

The surgery is performed under spinal or general anaesthesia. Your surgeon will make an incision at the front of the affected knee to expose the knee joint. The damaged portions of the femur and tibia are cut at appropriate angles using specialized jigs. The femoral and tibial components are attached to the bones with or without bone cement. Your surgeon will place a plastic piece between the metal implants to provide a smooth gliding surface for movement. A plastic patellar component is an optional part of the procedure. With all the new components in place, the knee joint is tested through its range of motion. The joint is then irrigated and cleaned with a sterile solution. The incision is carefully closed, and a local anaesthetic and painkillers are injected directly into all tissues that have been released and repaired. In this way pain control after knee arthroplasty has become very effective, and the need for intravenous opiates or long admissions in hospital is much reduced.


Post-operative Care

Rehabilitation begins immediately following the surgery. A physical therapist will teach you specific exercises to strengthen your leg and restore knee movement. You will be able to walk with crutches or a walker. Your physical therapist will provide you with a home exercise program and make regular appointments to guide you through the process.


Risks & Complications

As with any major surgery, there are potential risks associated with total knee replacement surgery and these include:

  • Infection 1-2%
  • Blood clots (deep vein thrombosis)
  • Nerve and blood vessel damage
  • Ligament injuries
  • Instability
  • Knee stiffness
  • Wear and loosening of the implant, requiring revision procedures. This risk is higher with knee arthroplasty at younger ages.

If you lose sleep or find difficulty in performing simple activities such as walking or climbing stairs because of your severe arthritic knee pain, then total knee replacement may be an option for you. It has become a safe and effective procedure to relieve pain and help you resume your normal activities of daily living.


OUR TEAM

Dr. Christopher Butcher

DR. CHRISTOPHER BUTCHER
Consultant Orthopaedic and Knee Surgeon

Dr Raul Barrios - Consultant Orthopaedic Surgeon

Dr. Raul Barrios Martinez
Consultant Orthopaedic Surgeon

Dr Les Cannon trauma surgeon

PROF. DR. LESLIE CANNON
Consultant Orthopaedic and Trauma Surgeon

daniela ludwig ludtke

DANIELA LUDWIG-LUDTKE
Senior Physiotherapist
Head of Physiotherapy Department

Neda Ali Physiotherapist

NEDA MOHAMMAD ALI

Physiotherapist, Musculoskeletal Specialist
shreya physiotherapist

SHREYA SINGH
Physiotherapist, Musculoskeletal Specialist

rathish physiotherapist

RATHISH MANICKAM
Musculoskeletal Physiotherapist and Specialist in Manual Therapy

Eddy Achkar Doctor of Physiotherapy

EDDY ACHKAR

Doctor of Physiotherapy, Musculoskeletal Specialist
Lubnah Darawsheh

LUBNAH DARAWSHEH
Physiotherapist

Ahmed Elhamedy

AHMED ALHAMEDY
Physiotherapist , Musculoskeletal Specialist and Sports Rehabilitation

Shahbaz Nawaz Ansari

SHAHBAZ ANSARI
Senior Physiotherapist, Specialist Musculoskeletal Disorders and Sports Injuries



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