Learn the best alternative for knee replacement (total knee replacement) or TKR. Leading knee surgeons recommend knee replacement when you have exhausted your on-surgical options. Knee replacement is suitable when non-surgical treatments of a severely degenerated and arthritic knee fail. A severely deteriorated knee is a condition where the bones in your knee joints rub against each other. In other words, you have a bone-on-bone issue. And even then, conservative care can help.
Knee Replacement Surgery
Knee replacement surgeries are provided to patients when severe arthritis and degenerative changes of the knee joint is not responding to a well planned non-surgical treatment program. In knee replacement surgical procedure, the knee is either partially or fully reconstructed. It involves the capping of all or parts of the knee joint with plastic or metal implants. There are two types of knee replacement surgeries:
- Partial Knee Replacement Surgery
- Total Knee Replacement surgery or TKR
Partial Arthroplasty of the Knee
Total knee replacement surgery is for patients that have severely damage all parts of the knee. However, when damage is only on one side, partial knee surgery is recommended. Because the reconstruction and reshaping of bones in partial knee surgical procedures are not as intensive as the TKR, recovery time is shorter. The downside is that it is not as lasting! As such, the majority of patients with partial knee reconstruction will undergo a full replacement later.
TKR Knee Replacement Surgery: What Is It & When Should You Get it?
Knee replacement surgery, TKR, or knee arthroplasty is an open knee surgery where they replace the articular surface of the knee. Total knee replacement surgery, known as TKR, is an option for a patient who has severe knee osteoarthritis. Surgery is an option for a severe knee injury that doesn’t respond to non-surgical treatments. Do not do the TKR, unless the articular surface is worn out entirely (100%). Researchers throughout the world agree that TKR should be the last option. In other words, you must exhaust all your conservative approaches before opting for a TKR.
The Journal of Arthritis and Rheumatism published a study which reported a third of the total knee replacement (TKR) was inappropriate. The number one reason for the “inappropriate” designation was the fact that the majority of patients who obtained a TKR did on a knee with mild or moderate osteoarthritis. The researchers related that knee replacement surgery should only be considered for patients with severe osteoarthritis.
How Long Should You Wait Before Getting A Knee Replacement Surgery?
The decision to perform a total knee replacement surgery is not clear-cut, according to Dr. Jeffrey Katz. Dr. Katz is a professor of medicine and orthopedic surgery at Harvard Medical School in Boston. According to him, a clinician must look at several parameters, before opting for a total knee replacement surgery. The two most critical according to him are:
1). Patient must be in good preoperative health and function.
2). Delay replacement surgery as the implant will eventually wear out.
He related that although advancements have improved the outcomes of a replaced knee, surgery should be the last option. Dr. Katz related that the eventual wearing out of the implant is a concern. And as such, the earlier one has a knee replaced, the greater the risk of implant failures in a recipient’s lifetime.
Knee Replacement Or Conservative Non-Surgical Treatment?
According to the lead researcher of a study published in November 2014 issue of The Bone and Joint Journal (Dr. Allen Riis), “a knee replacement surgery patient must have a gain or benefit from the expected replacement. The title of this study published on November 4, 2014, in The Bone and Joint Journal was “Low grading of the severity of knee osteoarthritis pre-operatively is associated with a lower functional level after total knee replacement.” Dr. Allen Riis’s research was a prospective cohort study with 12 months follow-up. He related that patients might be better off to seek non-surgical means of treatments that improve knee pain and function. On the other hand, Dr. Katz describes that knee pain patients with severe arthritis must weigh their options, as knee replacement surgery is better done when one is in a good state of health.
The point of both these highly acclaimed surgeons is to opt for non-surgical methods first. In their opinion, you should seek targeted non-surgical treatments. And if the non-surgical means fail, you opt for the surgery.
What Are The Essential Components To Recovering From Knee Pain Without Surgery?
The key to recovery is targeted care based on an accurate diagnosis. Focused therapies of all root causes are essential, and as such, you need the top non-surgical expert to assess your knee thoroughly. An accurate diagnosis is the vital first step to recovery. For best results, finalize your diagnosis from a non-surgical expert. Surgeons rarely look into biomechanics or co-conditions. A non-surgical expert who specializes in biomechanics is better at diagnosing the root causes of knee pain.
Chiropractic Specialty Center® has the best biomechanics experts in Malaysia. Our clinical teams of corrective chiropractors and clinical physiotherapists are teams you need for accurate diagnosis and treatments that zeros-in on the actual cause of your knee pain. As such, we get better results compared to competing centers.
The key to recovery is timely care. Time is the most critical. The longer you wait, the greater the chances of progression. So., avoid treatment from the unlearned or poorly skilled therapies. Avoid treatment from the unlearned or poorly skilled therapies. Don’t wait too long.
What Is The Best Age For The Knee Reconstruction Surgery (TKR)?
There is no perfect age for knee replacement. But, it is better if you have it done after the age of 60. However, there are situations where a need for replacement may arise sooner than later. Waiting too long may not be a good option if you are in your 60s or older. So, seek out clinical non-surgical treatment such as chiropractic and physiotherapy that target the knees holistically. Targeted methods of knee treatments through chiropractic, physiotherapy, rehabilitation, and customized knee exercises can help the vast majority of patients who contemplate a surgical procedure to replace the knees.
Who Are The Best candidates For Replacement Surgery Of The Knees?
This is a tough question, but one needing an answer. The answer is in a research article in the Arthritis and Rheumatism Journal in 2013. According to this published research, here are the best factors that bring about better outcomes in those that opt for total knee surgery or total knee replacement (TKR):
- Patients who suffer from severe to excruciating levels of pre-surgical pain.
- Knee Pain sufferers with ONLY one knee involvement.
- Patients with good overall health (meaning they don’t have other health conditions).
- Those with severe Osteoarthritis and no inflammatory disorders such as rheumatism
Can Knee Degeneration Lead To Knee Surgery?
Degenerative changes in knees are the result of normal wear and tear with advancing age. But, for most, it is the product of excessive body weight, repeated injuries, and neglect. The human knee is an active joint encapsulated with ligaments for support and function. With an injury, the meniscus, ligaments, tendons, and muscles that control the function of the knee may get damaged. Knee degeneration can progress rapidly to the point-of-no-return with the continued neglect of mild or moderate knee pain and injury. In other words, a slight injury in time can become severe enough where a knee replacement may be warranted. However, knee degeneration is not enough of a criterion for a total knee replacement. Most degenerative knee conditions do respond favorably to customized conservative treatments.
According to published research, a patient shall meet several criteria before knee replacement surgery. A patient must have severe knee degeneration, severe osteoarthritis, severe pain, and severe limitation in mobility and function before getting a knee replacement. Also, pain should be in an overall good state of health. If one or more of these criteria is missing, you may be better with conservative treatment to aid complications after surgery.
Conservative Treatment Versus Knee Replacement Surgery
A randomized controlled trial conducted among 100 moderate-severe knee osteoarthritis patients over 12 months. The researchers divided the group into two; patients who underwent the knee replacement surgery with 12 weeks of rehabilitation and another group who were treated conservatively with chiropractic, physiotherapy, nutritionists and dietetic care. The study found that the patients who underwent surgery felt a great reduction in their pain. However, in the long run, the TKR (knee replacement surgery) patients were suffered from more adverse effects as compared to the group who chose the conservative method.
People must understand that replacement knee surgeries are not a “go-to” option, but rather “I have no other choice” option. It lasts for 10-20 years, so; wait until you are 65 or older. Undergoing a knee replacement at a young age can be very disabling towards your activities of daily living and can eventually be crippling. Opt for it if and only if you have to get it, and even then, get multiple medical opinions. Our centers offer the best knee pain treatment, visit us today and compare non-operative options to knee replacement surgery before you opt for knee replacement surgery.