Total knee replacement surgery is a surgical procedure for people whose knee joints are severely affected by osteoarthritis or another degenerative disease, or who have suffered a traumatic knee injury. If the damage to the knee is serious enough that repairing the joint isn't a viable option, then total knee replacement is an alternative that can vastly improve quality of life. Most people who have total knee replacement surgery have a dramatic improvement in their mobility and level of pain once they're fully recovered from the procedure.
If the bone and cartilage of the knee joint sustains severe damage, it's not always possible to repair the joint with surgery. This kind of severe damage can cause a considerable amount of pain and make it difficult to do everyday things like climb stairs, or walk. Some people even have pain when they're sitting down or lying down. The pain and reduced mobility can greatly reduce quality of life, but total knee replacement surgery can correct the problem to eliminate pain and restore knee function.
When someone has knee damage that can't be repaired, and experiences significant pain that can't be managed effectively with medication, then total knee replacement surgery can be a good solution.
However, if you're thinking of having this procedure it's important to realise that having the surgery doesn't always mean that the problem is solved forever. Even modern artificial joints have a limited lifespan of 15 to 20 years, so it's possible that some time in the future you may need revision surgery to replace the artificial joint.
In the total knee replacement procedure, the patient's natural knee joint is replaced with an artificial joint. This is usually performed while the patient is under a general anaesthetic. Sometimes, however, a patient can't tolerate a general anaesthetic for medical reasons. In these cases they have a local anaesthetic combined with sedation to help them relax.
In a total knee replacement procedure, the surgeon first prepares the bones of the knee by removing damaged cartilage and bone from the ends of the leg bones—the tibia and femur—that connect to the knee joint. Next, they position the metal implants that will replace the cartilage and bone that was removed. The surgeon might also “resurface” the kneecap to improve the stability and flexibility of the joint. The final step is to place a spacer between the metal implants. This spacer is made of plastic and helps the joint move smoothly.
All surgical procedures have associated risks, and this procedure is no different. The risks of this surgery include excessive bleeding during surgery, and infection, deep vein thrombosis, pulmonary embolism during the recovery period. If you have a total knee replacement, following your surgeon's instructions for preoperative preparation and postoperative care will reduce your risk of complications.
Before a patient has the surgery, they'll have a preoperative evaluation to make sure their general health is good, and that they have no unresolved health problems that could potentially cause complications. The medications they take will also be reviewed, to make sure they're not using medications that might increase the risks of surgery.
After the procedure patients usually stay in hospital for several days. Most people find they can start to move their knee the same day, or the day after their surgery. They'll work with a physical therapist as they start to walk again, and may use a cane or other device to provide support and stability. Within 3 to 6 weeks, people usually find they can resume most of their normal daily activities.
I am writing to thanks you & your staff fro the wonderful work you did on my hip repllacement. It is so nice not to be in constant pain and it's enjoy able to go for a walk now & not dread it as before. I can't thank you + the staff at the cavell hospital enough.
After years of arthritic pain, steroid injections, physiotherapy and arthroscopy (which actually made things far worse)... I now feel like a new woman thanks to the knee surgery you performed last month - I have no doubt this is due in no small part to your skill as a surgeon. The wound healed quickly, recovery has been rapid, without any complications and the scar is neat and beautifully stitched!!
Having recently undergone a full left knee replacement I am 100% satisfied with everything Mr Saksena and his team at The Cavell provided. I was given plenty of advice both before and after my surgery, which was very reassuring. My recovery has been rapid with minimal pain and within 8 weeks I had full extension and 130 degree flexion back in the knee. I wouldn't hesitate to recommend Mr Saksena as an orthopaedic surgeon.
I had a total knee replacement with Valgus Deformity 7 weeks ago, and this gave the surgeon extra work to do, I only have good things to say about this surgery and after care with all staff involved at Chase Farm Hospital, as in my experience I have heard a lot of good and bad things about this type of surgery, Well I can only say that if anyone has concerns about this please try not to worry it is worth while as it has given me a new lease of life to what I had before, and yes the first 2 weeks are the worse, but please do try your exercises, because as they say you only get the real benefit if you are prepared to do your bit. Thanks very much for my new lease of life yet again.
I was very fortunate to be referred to Mr Saksena as an NHS patient and was very impressed with the treatment and care provided by Mr Saksena and the whole team at Cavell Hospital. Once discharged, someone was always available to talk to you and an appointment was made immediately if you needed to see a nurse (which I did several times, due to a normal discharge from my wound). The entire staff were all friendly, cheerful and efficient. The scar is very neat and after 7 weeks I am walking well and just using a stick outdoors.
I would like to just sincerely thank you for the job you did on my knees, both of them. Before I had my knees replaced I was in constant pain, which had been the case for nearly 5 years. It was so bad that I often wondered what the use was in living! Now, nearly 2 years later, I feel I have my life back. I can now walk without pain and every single day, and I mean every single day, I walk the roads that I walked pre-operations and I remember the pain that I was in for every small distance I had to walk. Now, I walk with a smile on my face and a thrill in my heart, so very grateful for having the freedom to enjoy walking once again. I also have great fun going with the grandchildren to the park and playing with them, which before the operation was impossible as all I could do was basically sit and supervise them. So there too there is a huge change.
You did a total knee replacement on my right leg on 22nd March in the Kings Oak Hospital and it has been very successful. I am now almost pain free with the knee getting stronger each day. I would like to thank you and your excellent medical team for doing such a neat job. I would also like to thank the wonderful nurses at the hospital who were always cheerful and efficient.
In September 2014 I underwent a knee replacement operation. Mr Saksensa was an amiable professional with a calming influence and caring nature. His team were friendly and supportive. My knee replacement was a complete success and I am still enjoying my favourite sport of skiing.
You performed a partial meniscectomy at Highgate Hospital in late april. I would like to thank you for your hardwork; the problem has been entirely resolved and I am pretty sure that is down to the procedure rather than the passage of time as the condition persisted during the prior two months. Some part of that is surely down to your skill.