Our Summary

This research paper looks at the effects of two different surgical techniques used in knee replacement surgeries. Specifically, it investigates whether closing the knee while it is bent (flexion) or straight (extension) during surgery affects a patient’s ability to move their knee, their recovery, and any complications after the operation. The researchers reviewed multiple studies and found no significant difference in movement range, recovery scores, or complications between the two techniques. The quality of the studies they reviewed was generally good. Therefore, the researchers conclude that the choice between bending or straightening the knee during closure in knee replacement surgery should be based on the surgeon’s preference, as there’s no clear benefit to one method over the other.

FAQs

  1. Does the position of the knee during closure in knee replacement surgery affect a patient’s recovery and ability to move their knee post-surgery?
  2. Did the researchers find any difference in complications post-surgery between the two different surgical techniques?
  3. Should the choice of closing the knee in flexion or extension during knee replacement surgery be based on medical benefits or the surgeon’s preference?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about knee replacement is to follow the post-operative rehabilitation plan diligently. This includes doing prescribed exercises, attending physical therapy sessions, and gradually increasing activity levels as advised by the healthcare team. Consistent and dedicated rehabilitation can help improve strength, flexibility, and overall function of the knee joint after surgery.

Suitable For

Patients who are typically recommended for knee replacement surgery are those who have severe knee pain that limits their daily activities, have significant joint damage or deformity from conditions such as osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis, have not experienced relief from other treatments such as medications or physical therapy, and have a realistic expectation of the benefits and risks of surgery. Additionally, patients who are generally in good health and are willing to commit to post-operative rehabilitation and follow-up care are also good candidates for knee replacement surgery.

Timeline

Before knee replacement surgery:

  1. Patient consults with orthopedic surgeon to determine if knee replacement is necessary
  2. Pre-operative assessments and tests such as X-rays, blood work, and physical examination
  3. Patient may undergo physical therapy to strengthen muscles and improve range of motion
  4. Patient receives education on the surgery, recovery process, and potential risks
  5. Patient may need to make lifestyle changes such as losing weight or quitting smoking to improve surgical outcomes

After knee replacement surgery:

  1. Patient is monitored closely in the hospital for a few days post-surgery
  2. Physical therapy begins to help regain strength, range of motion, and mobility in the knee
  3. Pain management and medication to prevent infection are provided
  4. Patient is discharged from the hospital and continues physical therapy at home or in a rehabilitation facility
  5. Follow-up appointments with the surgeon to monitor progress and address any concerns
  6. Patient gradually resumes activities and normal daily routine, with full recovery typically taking several months to a year.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with knee replacement surgery?
  2. How long is the recovery process expected to take, and what can I do to help speed up my recovery?
  3. What type of implant will be used in the surgery, and what are the potential long-term effects of this type of implant?
  4. Will I need physical therapy after the surgery, and if so, for how long?
  5. What restrictions or limitations should I expect to have after the surgery, and for how long?
  6. Are there any alternative treatments or therapies that may be beneficial for my knee pain before considering surgery?
  7. How long can I expect the knee replacement to last, and what factors may affect the longevity of the implant?
  8. What are the potential complications or risks associated with anesthesia during the surgery?
  9. How many knee replacement surgeries have you performed, and what is your success rate with this procedure?
  10. Can you provide me with any patient testimonials or references from previous knee replacement surgeries you have performed?

Reference

Authors: Cerciello S, Morris BJ, Lustig S, Corona K, Visonà E, Maccauro G, Neyret P. Journal: Knee Surg Sports Traumatol Arthrosc. 2016 Oct;24(10):3306-3312. doi: 10.1007/s00167-016-4088-z. Epub 2016 Mar 29. PMID: 27026031