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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 90-95% of patients experiencing good to excellent results. The goals or surgery are to decrease pain and increase function. To complete this, surgery entails removing 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 and new gliding surfaces, accommodated by the plastic or poly. 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 a spinal or epidural) with lighter sedation. The surgery is performed through a single incision at the front of the knee, with some technique variations like minimally invasive or curved incisions, with the understanding that these variations have no increased benefit compared to a standard approach. If you have previous scars over the knee, these will often be incorporated into your incision. . Patients are encouraged, barring complications, to walk on their new knee the same day as surgery and are typically discharged from the hospital the same day or one day later.

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