Gonarthrosis - total knee replacement

Osteoarthritis of the knee is a degenerative joint disease with progressive degradation of articular cartilage and subchondral bone due to continuous  wear,  additional stress and overload . Symptoms depending on the stage of the desease may include joint pain, tenderness, stiffness, locking, and sometimes an effusion.

In an effort to delay major surgery patients with knee Osteoarthritis  are offered a variety of nonsurgical modalities, such as exercise, weight loss, physical therapy, bracing, orthoses, nonsteroidal anti-inflammatory drugs (NSAIDs), and intraarticular viscosupplementation or corticosteroid injections. In general, the goals of these therapeutic options are to decrease pain and improve function. If left untreated, knee joint disease always tends to progress to arthritis; this involves extensive cartilage and bone damage, making a total knee replacement necessary and sometimes the only option. More information

Surgery

As part of a total knee replacement, the severely damaged bone surfaces are removed and resurfaced using titanium replacement parts. If the knee ligaments have not deteriorated to a high degree, they can be left in place and will continue to work with the patient’s new joint. The artificial joint that is selected for each case depends on many factors, including bone quality and gender. This type of knee surgery helps to stop pain, increase mobility and improve the patient’s quality of life.

Approximately 10-12 days after surgery, the patient should start physiotherapy and walking exercises in a rehabilitation center for about three weeeks. After about six to twelve weeks, patients should be able to get back to work – this may be sooner for patients with sedentary jobs. Those with a hip replacement should avoid contact sports, but lightweight sports, such as jogging, cycling or swimming, can and should be undertaken.