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A Comprehensive Look at Knee Replacement
A Comprehensive Look at Knee Replacement
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Pathway Surgery
Guest
Dec 21, 2025
8:24 PM
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Knee replacement surgery, medically known as total knee arthroplasty, is a highly successful procedure designed to repair a joint damaged by severe arthritis or injury. For those who find that simple daily movements—like walking the dog or getting out of a chair—have become painful chores, this surgery offers a path toward a significantly improved quality of life.
Why is Knee Replacement Performed?
The goal of the surgery is to alleviate chronic pain that has not responded to conservative treatments like physical therapy, weight loss, or anti-inflammatory medications. The most common conditions leading to surgery include:
Osteoarthritis: Often called "wear-and-tear" arthritis, it involves the gradual thinning of the cartilage that cushions the knee.
Rheumatoid Arthritis: A chronic inflammatory condition that causes the joint's lining to swell, eventually destroying the cartilage.
Post-Traumatic Arthritis: Damage that follows a serious knee injury, such as a bone fracture or a major ligament tear.
The Surgical Approach: Resurfacing the Joint
It is a common misconception that the entire knee is "removed." In reality, the procedure is a specialized resurfacing of the bone ends.
Preparation: The surgeon removes the damaged cartilage and a very small amount of underlying bone at the ends of the femur (thigh bone) and tibia (shin bone).
Implant Fitting: Durable metal components are secured to the bone ends, creating a new, smooth surface.
The Spacer: A medical-grade plastic (polyethylene) spacer is inserted between the metal parts. This acts as artificial cartilage, allowing the new joint to glide without friction.
Recovery and Success Rates
The success of a knee replacement depends largely on rehabilitation. While most patients are walking with assistance within 24 hours of surgery, long-term mobility relies on dedicated physical therapy. These exercises strengthen the quadriceps and hamstrings, ensuring the prosthetic joint is well-supported.
With modern materials and surgical precision, over 90% of knee replacements are still functioning well 15 years later. This longevity allows patients to return to low-impact activities like swimming, cycling, and walking with confidence and, most importantly, without pain.
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