Results Of The Review
Thirteen trials were included in the review. The study sample size ranged from 30 to 240 patients . The quality of the included trials was variable , with few trials adequately describing quality items.
Perioperative outcomes: Compared with standard surgery, minimally invasive surgery had a statistically significantly greater operative time and tourniquet time . There was no significant difference between standard surgery and minimally invasive surgery in terms of total blood loss , intraoperative blood loss , postoperative blood loss or length of stay in hospital .
Composite knee scores: Compared with standard surgery, minimally invasive surgery had a statistically significantly greater range of motion at six days , knee scoring at six weeks and knee scoring at 12 weeks . There was no significant difference between standard surgery and minimally invasive surgery in terms knee scores at six months or 12 months . There was also no significant difference between standard surgery and minimally invasive surgery in terms of knee functioning scores .
Postoperative radiographs and postoperative complications: There was no significant difference between standard surgery and minimally invasive surgery in terms of radiographic outcomes or postoperative complications .
There was some evidence of publication bias in the complications outcome.
Results of subgroup and sensitivity analyses were presented.
Knee Arthroscopy As Minimally Invasive Surgery
Knee arthroscopy is a surgical solution that provides minimally invasive benefits. Knee arthroscopy is best used for conditions, including a torn meniscus, and for repair of ligaments, such as in ACL surgery. Arthroscopic surgery can provide a temporary solution to the pain and stiffness of an arthritic joint.
At the Center for Reconstructive Joint Surgery, Dr. Harwin focuses on the treatment of arthritis by joint reconstruction and hip and knee replacement. To treat sports injuries, Dr. Harwin will refer the patient to his associate, a sports medicine and arthroscopy specialist to properly evaluate and treat the injury.
What Is The Usual Procedure For Total Knee Replacement
After the decision has been made to perform a total knee replacement on a patient the operation time will be scheduled, and the patient will be admitted to the hospital the morning of their surgery. Patients will undergo Pre-Admission Testing prior to admission to the hospital, and this is generally performed a few weeks before admission to the hospital. A very careful analysis is made of blood, urine, and electrocardiogram at the time of the Pre-Admission Testing and this permits a review of all laboratory tests prior to actually being admitted into the hospital. Should any test come back abnormal it can be looked into in plenty of time prior to the patientâs actual admission to the hospital.
An anesthesiologist will see you prior to surgery and explain the options you have with regards to the operation.
The operation itself takes about 1½ hours and you will be brought to the recovery room after surgery is completed.
An intravenous line will be maintained for 24 hours to allow administration of fluids and antibiotics after surgery.
Most patients are out of bed a few hours after surgery and begin to walk with a walker. The therapist will also begin increasing your exercises and bending during this period. As you continue to improve you will be advanced to a cane.
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Are You A Candidate For Knee Replacement
To determine the most appropriate knee replacement surgery for you, our knee surgeons consider a wide range of factors, including severity of symptoms, overall health and response to previous treatment.
If you are experiencing the following, surgery may be advised.
- Severe pain that prevents you from participating in everyday activities
- Have weakness in your knee and cannot move it fully
- If your symptoms dont improve with non-surgical treatments
For those who may have been diagnosed with advanced osteoarthritis, the condition of your knee joints will determine your surgical options. Surgery on the knee is common for severe osteoarthritis with a high success rate.
Minimal Access Spinal Technologies
With the introduction of minimal access spinal technologies , spine surgeons can make a smaller incision, while at the same time achieve the same results as in open spine surgery. Due to the accuracy provided by these tools, surgeons can access the vertebrae through the narrow probes with surgical cameras and tools.
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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 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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Latest Minimally Invasive Surgery Options In Orthopedics
Over the past few decades, minimally invasive surgery has become increasingly common across all medical specialties and the orthopedics field is no exception. New research and technologies have led to improved methods of joint replacement, arthroscopic repairs of sports injuries and microscopic treatment of complex musculoskeletal conditions, among other things.
While some orthopedic practices are known solely for their patient care and great patient outcomes, others are known for their innovation and research as well. By focusing on research, they ensure that patient care and outcomes continue to improve. Founded by , NY Orthopedics has been committed to research since its inception. The practice builds on a , starting with the first hospital-based facility in the country dedicated solely to the study of sports medicine and trauma. This facility, founded by Dr. Nicholass father in the 1970s, is now known as the Nicholas Institute of Sports Medicine and Athletic Trauma .
Today, NY Orthopedics continues to lead the way in research, with continuous improvement in patient care and patient outcomes as its guiding principal. Minimally invasive surgical techniques are one form that this improvement in care has taken. In this blog, our will address some of the new minimally invasive orthopedic surgery options offered, what they entail and what conditions they treat.
Minimally Invasive Surgery V/s Traditional Open Surgery
- The size of the incision in minimally invasive surgery is around half of the size of incision made in an open surgery.
- For an open surgery, the tibia has to be dislocated from the femur before inserting the implant. However, for minimally invasive technique no such dislocation is required.
- During an open surgery the quadriceps muscles at the front of the thigh and some soft tissues are cut. Whereas in minimally invasive surgery, certain muscles are just shifted or pushed out of the way rather than cut. However, the incision may extend to some deeper soft tissues.
- In an open surgery, the kneecap is turned over 180 degrees so as to give surgeon an easy access to the bones that form the knee joint. For minimally invasive surgery, the knee cap is just pushed out the way.
- Bleeding during the surgery, for minimally invasive technique is lesser than for the traditional open surgery.
- Surgery time for minimally invasive technique is generally greater than the time taken for an open surgery.
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What Is Minimally Invasive Knee Replacement Surgery
Minimally invasive knee replacement surgery is a term used to describe several procedures and modifications of conventional knee replacement aimed to reduce tissue trauma. Unlike other procedures that involve a deep cut on your knee to expose the joint, the procedure’s main goal is to reduce or prevent postoperative pain, discomfort, and the need for physical therapy.
In this procedure, the surgeon uses shorter or small incisions and a totally different technique to expose your knee joint. Unlike the traditional knee replacement techniques, a minimally invasive technique may not be for all patients. Your doctor will always discuss with you the different procedures available for your knee treatment.
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Minimally Invasive Knee Replacement
Total knee replacement is a very successful surgical treatment for knee arthritis. Over the years, minimally invasive knee replacement surgical techniques have been developed to lessen tissue trauma and improve patient outcomes. This minimally invasive approach involves much smaller incisions than the usual 10-12 inch incisions used in the traditional knee replacement and spares the quadriceps muscle and tendon, which control bending of the knee, from being cut to access the knee joint.
The smaller incisions with minimally invasive surgery means less tissues are cut resulting in quicker healing and recovery. The potential advantages of minimally invasive joint replacement surgery are:
- Minimal surgical dissection
- Shorter hospital stay
- Reduced postoperative pain
Minimally invasive surgery for knee replacement involves the use of smaller incisions which are only 4 to 6 inches in length as compared to the 10-12-inch-long incision used in the traditional procedure.
As there is less tissue damage around the knee during the minimally invasive procedure surgery, you can expect a shorter hospital stay, faster recovery and also avoid unsightly smaller surgical scar.
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Minimally Invasive Arthroscopic Surgery
Minimally invasive surgical procedures are performed using a small camera and special lighting system that allows the surgeon to view the joint from within. The camera, known as an arthroscope, transmits detailed video to a monitor, which is used throughout the procedure. Special instruments are placed through other small incisions to repair the affected joint.
When surgery is necessary, minimally invasive surgery is the preferred approach however, not every patient is a candidate. Only an orthopedic surgeon can determine if it is appropriate for the procedure to be performed. Schedule an appointment with Dr. Kruse to determine if minimally invasive surgery is a treatment option for your joint pain.
What To Discuss With Your Surgeon
You should have a clear understanding of the goals of your joint replacement surgery before you proceed. A discussion of joint replacement surgery should include a review of the technique that your surgeon suggests. If your surgeon offers minimally invasive or small incision surgery, ask about potential short-and long-term risks and benefits of this type of surgery. Review his or her specific results for contemporary and minimally invasive surgery in relation to fracture, infection, blood clot, nerve injury and dislocation rates. Complications appear to be more common when the surgeon has less experience with this type of surgery. Inquire about his or her qualifications, competence and proficiency with the technique. Understanding the usual post-operative course, including hospitalization, blood loss, rehabilitation and return to work is important.
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Next Steps After Minimally Invasive Knee Replacement
A person who is contemplating knee replacement surgery should become informed. Ask friends who have had a similar procedure about their experience. This may help in choosing a hospital and a surgeon.
Exploring the internet may also provide additional information. Keep in mind that the Internet is largely unregulated in terms of quality of information. A wealth of information concerning minimally invasive knee replacement surgery is available on the Internet. Some of this information may amount to self-promotion by surgeons, implant companies, hospitals, and other parties. Intelligent health-care consumers must decide the quality of the information. See the Web Links for some trusted sources of information.
After researching on the Internet, discuss the procedure with your primary care physician and your orthopedic surgeon. They will know who in the community offers the newer minimally invasive techniques. Every community is also served by teaching hospitals, where surgeons often enjoy exchanging opinions and perspectives. Procedures such as minimally invasive joint replacement surgery are often first developed and tested at academic medical institutions. There are also excellent private practice groups whose surgeons are fully versed in new methods of surgery and testing their effectiveness.
- Blood clots after surgery
- Infection after surgery
Who Is A Suitable Patient For Total Knee Replacement
Patients who have disabling pain in the knees as the result of arthritic involvement are, as a rule, candidates for replacement of the knee joint. Many measures will generally be tried before the decision is made to perform the knee replacement. The use of exercises, anti-inflammatory medication and injections into the knee may be tried prior to surgery. In the patient who has advanced arthritic changes in the knee, the function of the knee is inadequate, and pain will be felt when walking, and many times while at rest. Deformity of the knee will also frequently result, and the patient may notice that the knee is becoming bowed or knock-kneed. Stiffness and swelling may also be present in the patient with the arthritic knee.
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Orthopaedic Surgeon Located In Denver Wheatridge & Westminster Co
Minimally invasive surgery involves special surgical methods that reduce pain and recovery time. Experienced orthopaedic surgeon Ian C. Weber, MD, even offers same-day discharge for minimally invasive hip and knee surgery. Dr. Weber can help you get back to a vibrant and active life. Call either office in Wheatridge or Westminster, Colorado, or request a consultation online to learn more now.
- Book Online
Am I A Good Candidate For Minimally
Thanks to advances in minimally-invasive techniques and technology. Doctors use this special approach on joint replacement surgery. However, there are instances where a traditional surgical approach is warranted. This includes some complex surgeries or surgeries with extensive damage to tissues surrounding the joint. Because traditional surgical techniques use a larger incision, they provide greater access and visibility that may be necessary for more extensive surgical procedures.
Before surgery, a surgeon will evaluate the patient first using an array of assessments including diagnostic imaging. This process will determine whether a minimally-invasive approach is the better option, or whether a traditional approach is more likely to provide the best possible results.
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How Can Knee Replacement Surgery Be Minimally
Knee replacement surgery is an orthopedic procedure used to replace the damaged parts of the knee joint with artificial parts, usually recommended to patients with advanced-stage arthritis. It may be done the traditional way, which is also called open surgery, or it may be done using a minimally-invasive method. Over 600,000 minimally-invasive surgeries are performed each year in the country. With a successful recovery, patients with knees damaged by arthritis can experience relief from pain and increase their mobility. If youre wondering how knee replacement surgery can be minimally-invasive, heres how it works.
Do You Need Minimally Invasive Knee Surgery
To treat some knee injuries, the RICE method rest, ice, compression and elevation along with bracing and anti-inflammatory medication, may be enough to relieve the pain, but surgery might be recommended if symptoms persist. Surgery doesnt have to be scary, and many knee injuries can be treated with minimally invasive techniques.
For example, knee arthroscopy is a type of minimally invasive surgery that allows surgeons to perform an operation through a smaller incision than traditional surgery. During this procedure, a small camera is inserted and gives the surgeon a detailed view of the inside of the knee. The surgeon can then navigate small surgical instruments to mend the damaged joint. Minimally invasive surgery has several benefits, including less pain, less damage to tissue around the incision and often a shorter recovery time.
Most ideal candidates are at a healthy weight, committed to participating in rehabilitation after surgery and have lower risk of complications from surgery.
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Can Any Orthopedic Perform Minimally
No, the use of minimally-invasive techniques requires specific training. And choosing a surgeon who is experienced in these techniques is critical for achieving the best possible outcomes. Dr. Karkare is a top-ranked orthopedic surgeon in New York City and Long Island with extensive experience in minimally-invasive joint replacement techniques. He uses the most advanced technology and highest-quality implants for optimal results in each patient.
To learn more about minimally-invasive joint replacement surgery, call the office today at 516-735-4032. You can also use our online form to schedule an appointment with our locations in Manhattan, Bayside, Lindenhurst, Centereach, Patchogue.
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