Artificial Joint Replacement of the Knee Chapel Hill NC

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Donald K Bynum Jr, MD
(919) 962-6637
101 Manning Dr
Chapel Hill, NC
Gender
Male
Education
Medical School: U Of Tx Med Sch At Houston, Houston Tx 77225
Graduation Year: 1976
Hospital
Hospital: University Of North Carolina H, Chapel Hill, Nc
Group Practice: Unc Med Ctr-Orthopedics

Data Provided By:
Robert D Schrock, MD FACS
81004 Alexander
Chapel Hill, NC
Gender
Male
Education
Medical School: Cornell
Graduation Year: 1964

Data Provided By:
Trevor W Wilkes, MD
(919) 493-4441
3144 Bioinformatics Bldg Campus Box 7055,
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Edmund Ronan Campion, MD
(919) 966-9066
Bioinformatics Bldg,
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1981

Data Provided By:
David Gregory Brooks, DDS
(910) 892-1054
1802 W Cumberland St
Chapel Hill, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Andrew R Jones
(919) 968-6008
101 Conner Dr
Chapel Hill, NC
Specialty
Orthopedic Surgery

Data Provided By:
Mark R McGinnis, MD
(828) 322-5172
30078 Britt
Chapel Hill, NC
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1984

Data Provided By:
Donald K Bynum, MD
(919) 962-6637
Cb South,
Chapel Hill, NC
Gender
Male
Education
Medical School: U Of Tx Med Sch At Houston, Houston Tx 77225
Graduation Year: 1976

Data Provided By:
John Rankin Frick, DDS
(919) 929-7010
102 S Estes Dr
Chapel Hill, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David B Gilbert, DDS
(919) 403-0790
3518 Westgate Dr Ste 405
Chapel Hill, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
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Artificial Joint Replacement of the Knee

A Patient's Guide to Artificial Joint Replacement of the Knee

Introduction

A painful knee can severely affect your ability to lead a full, active life. Over the last 25 years, major advancements in artificial knee replacement have improved the outcome of the surgery greatly. Artificial knee replacement surgery (also called knee arthroplasty) is becoming increasingly common as the population of the world begins to age.

This guide will help you understand

  • what your surgeon hopes to achieve with knee replacement surgery
  • what happens during the procedure
  • what to expect after your operation

Anatomy

What is the normal anatomy of the knee?

The knee joint is formed where the thighbone (femur) meets the shinbone (tibia). A smooth cushion of articular cartilage covers the end surfaces of both of these bones so that they slide against one another smoothly. The articular cartilage is kept slippery by joint fluid made by the joint lining (synovial membrane). The fluid is contained in a soft tissue enclosure around the knee joint called the joint capsule.

The patella, or kneecap, is the moveable bone on the front of the knee. It is wrapped inside a tendon that connects the large muscles on the front of the thigh, the quadriceps muscles, to the lower leg bone. The surface on the back of the patella is covered with articular cartilage. It glides within a groove on the front of the femur.

Related Document: A Patient's Guide to Knee Anatomy

Rationale

What does the surgeon hope to achieve?

The main reason for replacing any arthritic joint with an artificial joint is to stop the bones from rubbing against each other. This rubbing causes pain. Replacing the painful and arthritic joint with an artificial joint gives the joint a new surface, which moves smoothly and without causing pain. The goal is to help people return to many of their activities with less pain and with greater freedom of movement.

Preparation

How should I prepare for surgery?

The decision to proceed with surgery should be made jointly by you and your surgeon. The decision should only be made after you feel that you understand as much about the procedure as possible.

Once you decide to proceed with surgery, several things may need to be done. Your orthopedic surgeon may suggest a complete physical examination by your regular doctor. This is to ensure that you are in the best possible condition to undergo the operation. You may also need to spend time with the physical therapist who will be managing your rehabilitation after the surgery. The therapist will begin the teaching process before surgery to ensure that you are ready for rehabilitation afterwards.

One purpose of the preoperative visit is to record a baseline of information. This includes measurements of your current pain levels, functional abilities, the presence of swelling, and the available movement and strength of each knee.

A second purpose of the preopera...

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