Having an Orthopedic Evaluation

By Dr. Stefan Tarlow

How Will Total Knee Replacement Surgery Effect My Life?

Following your knee replacement surgery, you will see a big difference in your life in terms of reduction of pain and increase in mobility. However, before you decide to have knee surgery, it is important to understand that you cannot expect miracles from it. You can realistically expect to return to normal activities of daily living with reduced pain.

Reduced pain and increased mobility are reported by better than ninety percent of total knee replacement recipients. For this reason, this procedure is very popular. The key to being pleased with your total knee replacement surgery is to understand that it will greatly improve your life, but it will not make you capable of doing things you could not do before your knee was damaged. It will greatly reduce the pain you have been experiencing, and it will help you to return to your activities of daily living at a normal level.

In fact, there may be some activities you will need to give up. If you have been doing very strenuous, active, high-impact sports, you should not do them with your knee replacement. Also, you must not jog.

Understand that you can greatly increase the life of your total knee replacement with proper care. Overuse can cause the plastic cushion in your knee replacement to wear out. This will make your knee replacement loose and painful. This is why it is important to engage in moderate exercise and not accelerate the wear and tear of the components of your knee replacement.

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During your evaluation, your orthopedic surgeon will talk with you and do a few tests:

First, a medical history will be taken that covers your health in general and your knee symptoms in particular.

Second, you will have a physical examination to determine the general alignment of your leg as well as your ROM (range of motion) and the strength and stability of your knee.

The degree of damage and deformity present in the knee will be determined by x-ray.

A variety of tests, including MRI (magnetic resonance imaging), blood tests, and bone scan will be conducted to determine the condition of the soft tissues and bones of your knee as well as your general physical condition.

You will have a consultation with your orthopedic surgeon to discuss the pros and cons of total knee replacement surgery and the other options that may be available to you. These may include alternate surgery, medication, injections, and/or physical therapy. Armed with this knowledge, you will be able to make an informed decision about your course of treatment.

At this point, your orthopedic surgeon will also clarify any risks that may be involved in total knee replacement surgery, rehabilitation, and functioning in day-to-day life with a knee replacement.

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