Total Knee Replacement

Total Knee Replacement -A patient’s guide
-James E. Bakeman, MD -Orthopaedic Associates of Grand Rapids

Total Knee Replacement
What is really inside my ‘knee’? What is arthritis? What treatmentoptions exist for me at my stage of the game? What is a Total Knee Replacement?
What does a TKA entail? When should a person have one done? What can I expect if I decide to have a TKA?

-JamesBakeman, MD

Knee Anatomy, Function, and Arthritis
What's in there? How does it work? Bones, tendons, ligaments, etc?

-James Bakeman, MD

Knee Anatomy
Largest joint in the bodyFemur-Tibia-Fibula-Patella Modified hinge
Flexion and Rotation

-James Bakeman, MD

Knee Anatomy
Ligaments, Cartilage, Tendons, Bone

-James Bakeman, MD

Knee Arthritis
What is Arthritis?
Inflammationof the joint A loss of “smoothness”

-James Bakeman, MD

Knee Arthritis
What is Arthritis?
Rheumatoid Arthritis Osteoarthritis- Most Common
Progressive Degenerative Cartilage Damage 30-40years old 70 years old

-James Bakeman, MD

Knee Arthritis
What causes Arthritis?
Unknown Prior injuries

-James Bakeman, MD

Knee Arthritis
Symptoms
Pain Swelling Grinding Stiffening-James Bakeman, MD

Knee Arthritis
Symptoms
Cartilage wears away
Bones of the joint rub together Pain may become severe and constant and may interfere with normal activities and/or sleep

-JamesBakeman, MD

Knee Arthritis
XR

-James Bakeman, MD

Knee Arthritis

-James Bakeman, MD

Knee Arthritis

-James Bakeman, MD

Total Knee Replacement
Bilateral involvement

-JamesBakeman, MD

Knee Arthritis
What Treatments are available?
Non-Operative Treatment
Modifying activities Lose weight NSAID “Pain Medications” Glucosamine/ Chondroiten Sulfate Physical TherapyHyaluronic Acid
Synvisc Supartz Hyalgen -James Bakeman, MD

Knee Arthritis
Operative Treatment
Arthroscopy Osteotomy

-James Bakeman, MD

Knee Replacement
Partial Knee Replacement

Total...