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HomeExclusiveWhat Is Nano Knee Replacement

What Is Nano Knee Replacement

Pain Free To Do Anything And Everything


Slowly but surely the pain in your knees robs you of your quality of life. The doctor tells you, “your knees are bone on bone.” He answers your questions, then says “take your time and let me know when you are ready for surgery.” After surgery your response is, “oh, why didnt I have both knees replaced years ago!” Pain free to do anything and everything I want to do without limitations! Thank you Dr. Ferro for your exceptional medical skills and abilities in addition to the wonderful rapport you have with your patients. God bless you!

Sandra B.

Modern Joint Surgery For Active Patients Faster Recovery Better Outcomes

Replacement joints have improved dramatically in recent times. Whereas they once could be expected to last about ten years, today’s artificial joints like the Oxidized Zirconium Ceramic Surface can last twice as long. And, new knee resurfacing procedures preserve the cruciate ligaments and conserve almost half the bone.

Surgical techniques have also improved due to the pioneering efforts of orthopedic surgeons like Dr. Ferro. Not only does he perform hundreds of joint replacements each year, but he also uses 3D modeling to give his patients the most precise fit possible. With new, smooth-functioning knees fitting exactly where they belong, Dr. Ferro’s patients tend to recover quickly and enjoy more pain-free activities than they thought possible.

The Pros And Cons Of Minimally Invasive Knee Replacement Surgery

Both minimally invasive knee replacements and traditional knee replacements are performed to alleviate chronic knee pain due to arthritis, and both surgeries require the cutting of soft tissue and bone in order to implant prosthetic knee joint components. The difference is that a minimally invasive knee replacement uses a smaller skin incision and tends to require less cutting of other soft tissue, such as muscles, tendons and ligaments.

See Knee Pain and Arthritis

The expectation is that less invasive knee replacement techniques will allow for an easier post-surgical recovery in the short term and provide equal or better results in the long term. Whether this expectation is realistic is a matter of ongoing research. To date, experts have found minimally invasive knee replacement surgery has both advantages and disadvantages, and it is not appropriate for all knee replacement patients.

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Your Condition Could Get Worse As Your Joint Deteriorates

The leading cause of knee replacement is osteoarthritis. If you wait too long to have surgery, you put yourself at risk of experiencing an increasing deformity of the knee joint. As your condition worsens, your body may have to compensate by placing additional strain on other parts of the body . This could lead to stress or pain in the back, knee, or other parts of the body.

Benefits Of Minimally Invasive Knee Replacements


A standard knee replacement surgery is performed through an incision over the front of the knee that measures about 6 to 10 inches long. A minimally-invasive knee replacement attempts to perform the same surgery through a smaller incision. In order to be called a minimally invasive surgery, the incision is usually less than 5 inches long, and the dissection stays out of the quadriceps muscle above the knee.

Modern surgical techniques are often refined to develop new ways to accomplish the goals of surgery while minimizing the side effects. A knee replacement is performed to replace the worn-out cartilage from the knee joint with a metal and plastic implant. Minimally-invasive knee replacements use the same implants as a standard knee replacement, but these implants are put in through a smaller incision.

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Cruciate Retaining Vs Posterior Stabilized

There are two different variations of a TKR. Speak to your doctor about which approach is best for you.

Removal of the posterior cruciate ligament . The posterior cruciate ligament is a large ligament in the back of the knee that provides support when the knee bends. If this ligament cant support an artificial knee, a surgeon will remove it during the TKR procedure. In its place, special implant components are used to stabilize the knee and provide flexion.

Preservation of the posterior cruciate ligament . If the ligament can support an artificial knee, the surgeon may leave the posterior cruciate ligament in place when implanting the prosthesis. The artificial joint used is cruciate-retaining and generally has a groove in it that accommodates and protects the ligament, allowing it to continue providing knee stability. Preserving the cruciate ligament is thought to allow for more natural flexion.

Partial knee replacement , sometimes referred to as a uni-compartmental knee replacement, is an option for a small percentage of people. Far fewer PKRs are performed than TKRs in the United States.

During a PKR, a surgeon removes the arthritic portion of the knee including bone and cartilage and replaces that compartment with metal and plastic components.

Know All Of Your Treatment Options

Your doctor may give you additional or alternate information regarding knee pain and total knee replacement surgery. If you have questions about treatment options, schedule an appointment to discuss whats right for you. Contact us today to learn more about NUsurface as a knee pain treatment option.

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Nano Knee Procedure Vs Traditional Knee Replacement

With a Nano knee procedure, patients can expect a much lower risk of complications, thanks to Nano’s innovative, intuitive design. Using state-of-the-art 3D modeling and strategic implant alignment, recovery is accelerated exponentially so that mobility is instantly enhanced. You can quickly enjoy a wider range of motion and begin to thrive in your life once more.

Unlike traditional knee replacement, the Nano knee procedure relies on CT or MRI imaging to precisely and accurately detect your anatomical needs. After all, each knee is uniquely shaped, so a one-implant-fits-all approach simply does not work. Our Nano specialists create a mirror copy of your knee scaffolding to ensure the implant is fitted at the right size, shape, and angle.

If You Want A Full Return To Your Active Life You Need Nano Faster Recovery Better Outcomes

Nanoknee: Total Knee Replacement Surgery – KABC-7 Los Angeles

Thanks to our revolutionary approach, our patients routinely:

  • Are on their feet within 30 minutes of surgery
  • Return home just two hours after their knee replacement
  • Enjoy a fast, full, and pain-free return to sports and exercise

Our artificial joints are engineered to work as hard as you do. At Nano, well help you stay as active as you want without pain for as long as possible.

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What Is The Cost Of Total Knee Replacement

In the United States, total knee replacement surgery typically ranges from $45,000 to $70,000. The out-of-pocket fees for those who are insured will depend on the type of coverage obtained. During your private consultation with our team, we will sit down with you and provide a detailed, customized quote for services and help you plan ahead.

How Soon Can I Return To Regular Activities After A Hip Replacement

The goal of physical therapy is to get you back to your normal life, whether its going to work, playing with kids, or engaging in your favorite sport or hobby. Depending on the amount of physical activity a task requires, the amount of time it will take to be able to perform that task differs.

  • Driving. If you had surgery on your right hip, it may take up to a month to be able to drive safely again. If it was your left hip, then you might be back in the drivers seat in one or two weeks. Start in a parking lot and slowly move to rural roads, working your way up to the highway. Taking medications that may impair your coordination, such as opioids, might delay how soon you can go back to driving.
  • Work. If you have a desk job with minimal activity, you can return to work in about two weeks. If your job requires heavy lifting or is otherwise tough on the hips, it is recommended to take off about six weeks to recover.
  • Sports. For sports with minimal activity, such as golf, you can return when you feel comfortable. For high impact contact sports you should wait about six weeks to get back in the game. Before getting into a pool, you should also wait about six weeks until the incision completely heals.
  • Sexual Activity. You can return to sexual activity whenever you feel comfortable.

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Customized Knee Replacement Procedure

  • Prior to the surgery, several MRI scans are taken to understand the specific anatomy of the affected joint.
  • Along with the MRI images, a special tool called a jig is also used to provide a clear view of implantation.
  • The patient-specific jigs have built-in image guidance which simplifies the surgical procedure and improves the outcome. Based on the MRI images the surgeon plans the surgery and calculates the cutting measurements that help the surgeon to remove the necessary amount of bone, at specific angles.
  • This customized cut provides better implantation, more reliable alignment, and removal of less amount of bone.
  • Risks associated with Customized Knee Replacement
  • Customized Knee Replacement is a very safe procedure however, as with surgery there are certain risks involved that include infection, bleeding, delayed healing, and loosening of the implant.

Knee Replacement Alternatives To Consider

The Pros and Cons of Minimally Invasive Knee Replacement ...

Crunching sounds as you climb stairs, chronic aching and swelling: Knee osteoarthritis is a real pain. If youre suffering with it, you may be considering surgery.

Getting a knee replacement is one approach, but you may not need surgery, at least not right away. And some patients cannot undergo knee replacement surgery for various reasons. Other people with knee pain are too young for a knee replacement the artificial knee is only likely to last 15 or 20 years, after which the person may need revision surgery.

There are several things you can try first, on your own or with a professionals help, that can help with knee pain and even delay the need for replacement.

Arthritis doesnt go away, but there are things you can do to lessen the pain and stay more active.

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The Benefits Of The Zimmer Mis Quad

  • Less trauma to muscles and tendonsthe quadriceps tendon and muscles are avoided rather than cut through or manipulated
  • Smaller, less disruptive incisions3 to 5 inches versus 8 to 12 inches
  • Shorter total rehabilitation
  • Less pain
  • Shorter hospital stay

As with every surgery, the results of the mini total knee depend on the patients personal circumstances, including a variety of factors, such as weight, activity level, bone quality, and compliance with the physical therapy program.

What Is Minimally Invasive Knee Replacement

Several surgical approaches to knee replacement are considered “minimally invasive.” What characterizes a less invasive surgery is that the surgeon makes a smaller incision and works within a smaller surgical area than a traditional knee replacement surgery.

Below are four examples of how traditional and minimally invasive knee replacements are different from one another:

  • A traditional knee replacement surgery requires an 8 to 12 inch incision down the middle of the knee. Minimally invasive knee replacement surgery requires a skin incision of only 3 to 6 inches.
  • During traditional knee replacement surgery, the kneecap is turned over 180 degrees, giving the surgeon full access to the point where the femur and tibia meet. During minimally invasive surgery, the kneecap is often simply pushed aside.
  • A surgeon performing traditional surgery will dislocate the tibia from the femur before fitting both bones with prosthetics. During minimally invasive surgery the tibia may not be dislocated from the femur.
  • Less invasive knee replacements can differ in the exact location of the incision, the shape of the incision , and how the muscles and other soft tissue are cleared out of the way to make room for the surgical procedure. The type of minimally invasive approach used typically depends on the surgeon’s experience and preference. The patient’s anatomy may also be a factor.

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    What To Expect During Surgery

    The surgery itself will be performed in the hospital, under spinal, epidural, or general anesthesia. It will take one to two hours to complete, and you’ll spend an additional hour or two in recovery.

    With inpatient total knee replacement, most patients stay in the hospital for about three days. If you qualify for outpatient surgery, youll return home the same day to begin the healing process.

    It Will Slow Down Your Recovery Process

    Could patients avoid knee replacement surgery with new implant?

    If your activity levels drop due to chronic pain or you find yourself wheelchair-bound as a result of osteoarthritis, the muscles in your legs may begin to deteriorate. Muscle mass already declines with age, so by further reducing your activity levels, you may experience compound effects that slow down your physical recovery. It could also make post-operative recovery procedures, like physical therapy, all the more challenging.

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    Nerve And Other Tissue Damage

    There’s a small risk that the ligaments, arteries or nerves will be damaged during surgery.

    • Fewer than 1 in 100 patients have nerve damage and this usually improves gradually in time.
    • About 1 in 100 have some ligament damage this is either repaired during the operation or protected by a brace while it heals.
    • About 1 in 1,000 suffer damage to arteries that usually needs further surgery to repair.
    • In about 1 in 5,000 cases blood flow in the muscles around the new joint is reduced . This usually also needs surgery to correct the problem.

    Is Total Knee Replacement Safe

    Absolutely. When performed by an experienced, board-certified orthopedic surgeon, total knee replacement is a very safe procedure. Approximately 700,000 knee replacement surgeries are performed every year, and 90 percent of those patients are satisfied with the results. Most of these individuals can make a full return to their normal daily activities, and serious complications from surgery are extremely rare.

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    Minimally Invasive Knee Replacement Requires Advanced Surgical Training

    The primary challenge of minimally invasive knee replacement surgery is that the surgeon has limited access to the knee joint, and that can affect the surgeon’s ability to create an ideal prosthetic fit and joint alignment.1,2

    For example, because the patella is pushed aside rather than flipped over, the surgeon has a limited view and restricted entryway to the tibia and femur. Advanced surgical training and specially designed surgical tools are required for surgery.

    Radiofrequency Ablation For Knee Pain

    Miotech Orthopedic Group

    If all of these methods fail to control your knee pain from osteoarthritis, there are still options. Radiofrequency ablation controls pain in the knees by destroying the sensory nerves that carry the pain signal from the knee to the brain.

    RFA is likely a temporary fix, as nerves will grow back in six months to two years, and the pain may return.

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    Our Founder Dr Thomas Ferro

    Board-certified, fellowship-trained orthopedic surgeon and founder of Nanoknee, Dr. Thomas Ferro is widely regarded as one of the leading innovators in the field of advanced joint replacement, and he’s excited to learn more about how he can fully restore your quality of life. Dr. Ferro performs an impressively high volume of joint replacements each year, giving him the experience and the expertise needed to create the results you deserve.

    What Happens After Total Knee Replacement

    Talk with your healthcare provider about what you can expect after your surgery. You may have significant pain around your incision after your procedure, but pain medicines may help to relieve your pain. You should be able to get back to a normal diet fairly quickly.

    You may get imaging, like an X-ray, to see the results of the surgery. You might be able to go home within a day or two.

    Your provider will let you know when you can put weight on your leg. You may have specific instructions about limiting your movements. You might need to use a cane, walker, or crutches for a few days or weeks. A physical therapist can help you maintain your range of motion and strength. You should be able to go back to most light activities within a few weeks. During this time, you may find it helpful to have some extra help at home.

    You might have some fluid draining at the incision site. This is normal. Let your provider know right away if you have an increase in redness, swelling, or draining at the incision site. You should also let your provider know if you have a high fever, chills, or severe pain that does not improve.

    Make sure to keep all of your follow-up appointments with your surgeon. You may need to have your stitches or staples removed a week or so after your surgery.

    Most people note a significant decrease in their pain following a total knee replacement. You may have some remaining stiffness in the joint, as well as more limited range of motion.

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    Im Able To Work All Day Long And Come Home And Still Be Active

    I was completely bone-on-bone, I had osteoarthritis in my left knee. I wasnt able to do hiking, I wasnt able to walk my dogs. Other surgeons told me I could not have a knee replacement because of my ageI was too young. After meeting with Dr. Ferro and the Nano® Knee staff my quality as far as my knee replacement after the knee replacement Nano® surgery is 100% better. Im completely happy with it. I have no pain. No pain whatsoever. Im able to wear heels, which I wasnt able to do for years. Im able to walk my dog. Im able to work all day long at work and come home and still be active and not be off my feet because of the pain. Im completely 100% happy with this procedure.

    Lisa F.


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