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Joint Replacement Surgery

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Evolution of Joint Replacement Surgery

Joint replacement surgery is one of the most commonly performed procedures in all of orthopaedics and has been shown to be one of the most successful with greater than 90% of patient experiencing satisfactory results. The key to the surgery is to remove the native joint surfaces at the distal femur, proximal tibia, and patella and to replace these surfaces with metal and plastic components which act as the new weightbearing surfaces of the joint. Typically, the procedure is performed over the course of one to two hours and is performed under either general anesthesia or a spinal anesthetic (such as an epidural) with lighter sedation. The surgery is performed through a single incision at the front of the knee, although there are some surgeons who prefer hybrid or minimally invasive approaches, none of these have been shown to be superior to standard approach. Patients are most commonly allowed to walk on their new knee the same day as surgery and are typically discharged from the hospital same day or one day later.

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