Knee Replacement and Reconstructive Surgery

How Your Knee Joint Works

To move the knee, the lower end of the thighbone (femur) rotates on the upper end of the shinbone (tibia) inside your kneecap (patella).

Your knee is surrounded by cartilage and synovial membrane, which can wear as we age.

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Why the Procedure Is Performed

The most common reason patients at Scott & White have knee replacement surgery is to provide relief from arthritis, either from years of wear and tear or from joint destruction as a result of disease or muscular or skeletal trauma.

As we age, arthritis sometimes sets in and the cartilage surrounding the knee gets worn away, often causing chronic knee pain. Knee joint replacement surgery may become necessary.

Knee joint replacement may be recommended for the following conditions:

  • Knee pain that interrupts sleep
  • Knee pain that has not improved with other treatments
  • Knee pain that limits or keeps you from being able to do your normal activities, such as bathing, preparing meals and household chores
  • Some tumors that affect the knee

Surgical Options

Scott & White Roney Bone and Joint Institute offers procedures for total knee replacement in addition to a preserving procedure to avoid or delay total knee replacement. All of our primary knee surgeries are minimally invasive, using smaller incisions with care taken to preserve the muscles and soft tissues below the skin, quickening recovery and returning you sooner to dancing, golfing and the activities you enjoy.

Knee replacement surgery is a highly successful surgery, with more than 95 percent of Scott & White patients reporting a considerable increase in mobility and a dramatic reduction in pain. Most prosthetic knee implants last about 20 years.

Early-intervention and restructuring:

  • Osteotomy - Reshaping the alignment of the leg to provide structure and pain relief

Total knee replacement:

  • Total Knee Replacement- Replacing the entire knee joint with a prosthetic knee

We primarily use the Triathlon knee from Stryker, designed by Kirby Hitt, MD, Orthopedic Surgeon and Director of the Division of Adult Reconstructive Surgery. This particular prosthetic knee incorporates innovative technologies and design features to provide a gender-specific, high-functioning, long-lasting knee that appropriately fits all patients. It’s specifically designed to maximize mobility and fit.

  • Revision - Reworking or repairing an existing knee replacement if it’s too old, painful, loose or dislocated
  • Patellofemoral Arthroplasty - Replacing only a damaged kneecap
  • Unicompartmental Knee Replacement - A half-knee replacement; for people whose arthritis doesn’t wear the knee out evenly

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