How Does The Pre
Every patients anatomy is different. The robotic-arm technology allows the surgeon to create a customized plan for each patient based on a 3D virtual model of their individual anatomy. This allows the surgeon to perform the procedure as accurately as possible.
First, a CT scan is taken of the diseased joint. This scan is then uploaded into the robotic system software, where a 3D model of your hip/knee will be created. The surgeon uses this 3D model to pre-plan your surgical procedure. In the operating room, the surgeon will know precisely where to prepare the bone for the implant, and the robotic-arm system guides the surgeon to stay within the pre-defined area. This helps to provide optimal placement and alignment of your implant.
What To Expect With Same
Performed at the state-of-the-art Pocono Ambulatory Surgery Center, robotic-assisted knee replacement with Dr. Componovo is available for patients with knee arthritis who meet certain criteria. Within hours after surgery, youll leave the surgery center and return to the comfort of your own home. But the benefits dont stop there.
With same-day robotic surgery, youll enjoy:
- The comfort of your own homerecover with family
- Reduced risk of COVIDless public exposure
- Faster recoveryminimally invasive approach
- A dedicated Transition Team to assist with your arrival at homeno need to worry
- Skilled physical therapists to ensure your progress
To see if youre a good candidate for same-day knee replacement with Dr. Componovo, call 421-7020 to schedule an appointment in East Stroudsburg, Tobyhanna, Brodheadsville, or Milford or request an appointment online.
Life After Total Knee Replacement
After the initial recovery from surgery, most people can resume normal routine activities within the first 3 to 6 weeks of their total knee replacement.1 When fully recovered, the majority of individuals who have joint replacement surgery experience a reduction in joint pain and an improvement in their ability to participate in daily activities.3
Its important to know that knee replacement surgery will not allow you to do more than you could before joint problems developed. Also, athletic activities that place excessive stress on the replaced joint, such as basketball, distance running, contact sports or frequent jumping, should be avoided. Your doctor will work with you to determine the most appropriate level of activity for you.
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Important information
Knee Replacements
Total knee replacement is intended for use in individuals with joint disease resulting from degenerative, rheumatoid and post-traumatic arthritis, and for moderate deformity of the knee.
GSNPS-PE-89_18021
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Are You A Candidate For Knee Replacement Surgery
Damage from osteoarthritis is the most common reason for knee replacement surgery. It may be time for a new knee if you have knee arthritis and conservative treatments, such as injections or pain medicines, haven’t helped enough. You and your physician will consider whether:
- You’re having trouble with daily activities, like walking or climbing stairs.
- Your knee pain is preventing you from sleeping through the night.
How Mako Robotic Technology Works
Using Mako robotic-arm assisted technology, the surgeon develops a unique surgical plan for the patients specific anatomy. It begins with a CT scan of the arthritic hip or knee joint which is uploaded into the Mako system software. Following this, a precise 3D model of the affected hip or knee is created on which the surgical procedure and the best implant position is planned preoperatively.
On the day, surgery is performed using this preoperative plan and the Mako robot. The Mako robotic-arm is guided by the surgeon within the pre-defined areas to prepare the bony surfaces, protect neurovascular and ligamentous structures and allow for implantation of the joint replacement according to the predetermined plan for the best possible results.
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When Can I Stop Using A Cane After Knee Replacement
Within two weeks of surgery, some patients may walk without any device in the morning, but become tired in the afternoon and need the device again. The same concept applies to changing surfaces , inclines, or steps. It may be easier to walk in the house on a firm and predictable surface without a cane or walker, but going outside on uneven and unpredictable ground would be safer with an assistive device.
On the other hand, walking without a limp while using a walker will be necessary before moving on to walking with a cane or no assistive device at all. Tossing the walker or cane to the closet too soon can cause delayed recovery and possibly not regain a normal gait pattern.
Almost every PT has had a strong-opinionated patient that chose to walk without a walker or cane before the therapist was in agreement and had less successful outcomes in terms of their walking abilities. It is highly recommended that an assistive device is used for as long as needed to achieve the required strength, flexibility, and gait pattern.
This process requires patience and understanding from the patient that every surgery and recovery is different. This means that even though someone they know was walking without a walker after surgery before they are that they are not necessarily behind.
Advances In Knee Surgery
Knees are the most commonly replaced joint in the human body, with an estimated 700,000+ replacement surgeries performed each year. This represents a drastic jump from 250,000 just 15 years ago. In addition, doctors are performing more knee replacements for younger patients than at any other time in read more »
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More Information Means Better Outcomes
Mako Robotic-Assisted Joint Replacement gives surgeons more information during the procedure, which means you get better results. For example, heres how a knee replacement works:
- Your surgeon makes a small cut in your knee to expose your knee joint.
- Using the Mako robotic software, theyre able to see how your joint moves.
- This allows the surgeon to align the joint precisely and balance the ligaments.
Because Mako technology gives your surgeon greater precision, you get a more natural-feeling joint. And, because your surgeon can see in advance how a particular cut will affect your joint and surrounding structures, they don’t have to make additional cuts to get that balance right. This means less trauma for you during surgery and a faster, more accurate procedure with a more predictable outcome.
Common Anterior Hip Replacement Recovery Questions
When Can I Use The Stairs
- As soon as you feel comfortable and stable
When Can I Drive Again
- Driving depends on which hip had surgery and your individual use of pain medications but often patients start driving after 1-2 weeks
When Can I Resume Sexual Activity
- Sexual activity can be resumed at your comfort so long as anterior hip precautions are abided by
When Can I Return To Work
- It all depends on what you do for work, patients with sedentary jobs can return as early as 1 week, others with high impact jobs may require 4-6 weeks.
When Can I Start Exercising
- Walking starts day 1
- Non-impact exercises like the exercise bike, swimming, and elliptical can be started within 1 week of surgery
- Heavy impact exercises like tennis and weight lifting can be resumed after 6 weeks
When Can I Travel On An Airplane?
- 2-4 weeks after a hip replacement with restrictions. Please speak to the office about air travel recommendations as it can vary from patient to patient
Will I require antibiotics for dental cleanings or dental work?
- Dental work poses a risk for infection close to surgery so it is recommended you wait 4 weeks after surgery prior to any dental work. Additionally, for 3 months from the date of surgery, Dr. Martin recommends an antibiotic for any dental work. After this time period, the dentists or treating specialist will decide.
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What To Expect During And After Your Joint Replacement
When you arrive on the day of your surgery, you’ll meet with an anesthesiologist to discuss your options. You’ll also meet with your surgeon to go over any last-minute questions and confirm the surgical site.
Once in the OR, your surgeon will use your pre-op CT scan to precisely guide the robotic arm and replace the joint.
After surgery, you will stay in the recovery room until you’re awake and comfortable. You may have therapy before you go to the nursing unit to settle in.
Walking After Knee Surgery
As previously mentioned, walking after knee surgery will likely begin the day of or day after surgery in the hospital with a walker or cane. The amount of weight put on the surgical leg is usually as much as tolerated, so using the walker and taking smaller steps can help offload a painful knee. The goal of walking early is to prevent muscles from weakening and to get the knee moving in a normal gait pattern again.
Patients that are hesitant to walk or use the walker as a crutch for too long can also delay the recovery process. This goes back to the as tolerated concept. If you can tolerate walking without a walker, then walking starts with short bouts until longer distances are comfortable.
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Preventing Or Avoiding Total Knee Replacement
If injections and Physical Therapy have failed to provide pain and function improvements, a scope surgery may help put off or avoid an otherwise inevitable total knee replacement.
Knee replacement surgery is a much more involved and drastic change of structures to the knee compared to a knee scope.
This makes knee replacement recovery much longer and more difficult.
Recovering From Hip Or Knee Surgery
Your hip or knee replacement recovery will take some time, but your care team will give you instructions on how to recover at home.
Before you leave the hospital, your doctor or nurse will review discharge instructions with you and give you a written copy. Often, patients are able to return to driving in two to four weeks, dance in four to six weeks, and golf in six to 12 weeks.
In general, heres what to do to continue a successful hip or knee surgery recovery:
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Guidelines To Protect Your New Knee Joint
It is very important to KEEP YOUR KNEE STRAIGHT WHILE RESTING, never place a pillow under the back of your knee. Place your heel on a rolled up towel, ottoman, or chair so air is under the knee, push the knee down in extension. This is the most important stretch or exercise after knee replacement, this will help you regain full extension.
We encourage you to walk, get outside, and work on your motion. We strongly encourage the use of ice for the first few weeks after surgery. You will receive a polar care or ice machine which cools the knee which is particularly helpful after therapy.
Lying in Bed: You may lie on either side. Remember never to put a pillow under your knee. Keep your knee out straight while lying down.
Sitting in a Chair: Use a firm, sturdy chair with arm rests.Allow your foot to rest on the floor if you can. Use a cushion or pillow to raise you up, if needed, to facilitate getting out of the chair.
Walking: YOU MAY PLACE ALL OF YOUR WEIGHT ON YOUR KNEE. The physical therapist will teach you to use a walker or crutches when you walk until your knee heals. Most people are walking normally after 3 weeks. Most only use crutches to provide balance and to ensure a normal gait in the first few weeks of recovery. Once a normal gait is established you may discontinue using your crutches, cane, or walker.
Your balance might be shaky for a while, we recommend that you:
What Activities Can I Enjoy Following Knee Replacement
Realistic physical activities following recovery from a total knee replacement with robotic-arm assisted technology include walking, swimming, golfing, driving, light hiking, biking, dancing, and other low-impact sports.
Patients who have a partial knee replacement with robotic-arm assisted technology can expect even greater results, with many being able to return to a more active lifestyle. The recovery process will vary for each patient, and it will be important to follow your individual post-operative care instructions for optimal recovery.
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Advantages Of Navio System
The NAVIO system provides two most advantages for people undergoing a knee replacement surgery. These include:
- It helps your surgeon in creating a highly individualized model that is specific to the unique shape and motion of your knee. While other robotic-assisted platforms require CT scans, the NAVIO system does not have any need for them, meaning you will not be harmed by potentially harmful radiation with this type of imaging.
- The second important advantage is robotic assistance. This advanced technology is designed to improve the accuracy of the surgery and it gives you better long-term outcomes.
How Long Does The Implant Last
All joint implants have a limited life expectancy, and many factors play a role in the longevity of the implant. These include the patients age, weight, activity level, quality of bone stock, and compliance with doctors orders.
Proper alignment and positioning of the implants is also crucial to the life expectancy of the implant. With our Robotic-Arm Assisted Surgery System, our surgeons can achieve superior results in the alignment and positioning of the knee and hip joint implants, which results in overall better outcomes for our patients.
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What To Expect Before Hip Or Knee Surgery
Before you are scheduled for surgery, your hip or knee specialist will conduct a thorough physical exam. During this appointment, they may:
- Ask questions about your pain
- Examine your range of motion and strength in the affected joint
- Review your medical history
- Take x-rays to see inside your knee or hip
Prior to your surgery, you will be matched with a patient care coordinator who will help you prepare for your surgical rehabilitation. Working closely with your physician and care team, the patient care coordinators goal is to help you return to your highest level of function, so you can live your life to the fullest.
Once your doctor recommends surgery, you can prepare by doing the following:
Refrain from using any nicotine products at least 10 days prior to your surgery.
Total Knee Replacement Surgery: What To Know And What To Expect
What is knee replacement?
Knee replacement surgery is a technique first used in 1968 in which the doctors replace the knee joint with pieces of metal alloy, polymer, and synthetic plastic. Since, 1968 the improvements in surgical techniques and materials greatly increase the effectiveness of knee replacement surgery. Total knee replacement is one of the most successful surgical procedures in the history of medicine. Whether you are just exploring the treatment options or already deciding to have total knee replacement surgery. It is important to understand a lot of things before getting this procedure done. If your knee is suffering from severe damage due to an injury or arthritis, then it may be hard for you to perform daily activities such as climbing stairs or even walking.
If non-surgical treatment such as walking supports and medications are no longer beneficial then you might want to consider total knee replacement surgery. Total knee replacement surgery also known as knee arthroplasty is an effective and safe procedure to help in correcting leg deformity to relief pain and helping you to resume daily activities. In the procedure of total knee replacement surgery a surgeon resurfaces the damaged knee by either plastic or metal parts to cap the bony ends forming the knee joint. The option of total knee replacement surgery is only for those who have severe knee injury or severe arthritis.
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Risks Of Delaying Knee Surgery
If you have a damaged knee joint and are still holding off on surgery, you are not alone. A lot of people try to avoid surgery for as long as possible. While surgery is a last-resort option and should be considered only when conservative treatments no longer work, it’s also not a good idea to avoid read more »
What Is Rosa Robotic Total Knee Replacement
ROSA is short for ‘Robotic Surgical Assistant’. It supports your orthopedic surgeon when they perform a total knee replacement. ROSA assists with bone resections and assesses the soft tissues, so the implant is successful.
ROSA robotic knee replacement is ideal for patients with early to mid-stage osteoarthritis. Osteoarthritis is a degenerative joint disease that causes cartilage breakdown in the knee. Common symptoms of the condition include knee pain, stiffness, and swelling that has not shown improvement with conservative treatments.
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Faqs For Knee Replacement
What happens after I schedule surgery?
Dr. Hickman’s medical assistant will schedule your surgery with the facility you and Dr. Hickman have selected. The M.A. will then authorize this procedure with your health insurance company. Please understand that authorization is not a guarantee of payment and it is always a good idea to check with your insurance company also regarding deductibles, copays, and coinsurance responsibilities. You also should have selected a preoperative appointment in our office. This usually takes place 1-2 weeks prior to your surgery date.
How do I prepare for surgery?
Have nothing to eat or drink after midnight the night before your surgery. You should also wash your surgical site with an antibiotic soap . You do not need to shave over your surgical site, this will be taken care of in the operating room.
What time will my surgery be?
Your surgery time will be set by the hospital or surgical center. They will contact you on the last working day before the surgery. They usually call after 1 pm. Questions or concerns regarding the time of your surgery should be addressed to the hospital.
Should I stop my medications prior to surgery?
How do I care for my wound?
Do I need a motion machine after Knee Replacement surgery?
Studies show a motion machine does not improve motion or function after surgery. We currently do not recommend using one at home.
How will my wound look after surgery?
Do I need TED hose ?
Do I need an ice machine after Surgery?