Artificial Joint Replacement of the Knee Somerville MA

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Brian J Awbrey MD
(617) 726-3808
151 Merrimac St
Boston, MA
Specialties
Orthopedics

Data Provided By:
Ronald Henry Geiger
(617) 491-6766
300 Mount Auburn St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
Brian John Jolley, MD
(781) 744-8997
1493 Cambridge St
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1989

Data Provided By:
Elliott L Thrasher, MD
(617) 491-6766
300 Mount Auburn St Ste 505
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1966

Data Provided By:
William Lipman
(617) 591-4600
1493 Cambridge St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
Lawrence Ira Karlin, MD
(617) 355-6021
300 Longwood Ave
Boston, MA
Business
Children's Hospital Boston Orthopaedic Surger
Specialties
Orthopedics

Data Provided By:
Anne Holland Johnson
(917) 538-4656
330 Mount Auburn St
Cambridge, MA
Specialty
Foot & Ankle Surgery

Data Provided By:
Debra Ann Mulley, MD
(617) 591-4600
1493 Cambridge St
Cambridge, MA
Specialties
Orthopedics, Hand Surgery
Gender
Female
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1996

Data Provided By:
Mercedes D Von Deck, MD
(617) 665-1566
1493 Cambridge St
Cambridge, MA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1992

Data Provided By:
Leo Joseph Troy Jr, MD
(617) 491-6766
300 Mount Auburn St Ste 505
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1979

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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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