Knee replacement, also known as arthroplasty, is a surgical procedure used to resurface a knee that has been damaged by arthritis. The goal is to relieve pain in the knee, and repair damage, that other treatments cannot provide. Metal and plastic implants are used to cap the ends of the bones which make up the knee joint and the kneecap. Knee replacement surgery is usually reserved for someone who has severe arthritis or a severe knee injury, and has already attempted conservative treatment..
Robotic knee replacement surgery is used for those who are suffering from unicompartmental arthritis or deformity of only one side of the knee. The focus is only on the area of the knee which is diseased, as opposed to having work done on the full knee, therefore limiting the risk associated with the surgery. Global Orthopedics offers MAKOplasty partial knee resurfacing. It is an outpatient procedure and the surgery is performed with the RIO Robotic Arm Interactive Orthopedic Systems. The robotic arm involved in MAKOplasty assures that the minimal amount of bone and cartilage necessary are removed, and the results are more accurate and precise regarding implant placement.
Prior to having a knee replacement there are several necessary steps that Dr. Furie requires of all patients. First, a visit to the patient’s primary care physician is scheduled. This is to ensure that the patient’s heart and lungs are in the best shape possible to tolerate the surgery, and proceed with postoperative physical therapy. Second, depending on the type of implants desired, a CT scan or MRI is scheduled to allow pre-operative planning to be performed. In essence, this allows Dr. Furie to perform the surgery on the computer, before he enters the operating room, allowing estimations of the size and rotational placement of the components. During the procedure, Dr. Furie fine tunes the positioning of the knee for optimal function. Third, a pre-operative meeting is scheduled with the anesthesiologist, in order to discuss pain control, which may be performed using a regional anesthetic block, or local infiltration with long-acting anesthetics. Additionally, Dr. Furie orders a series of labs in order to assure that the patient isn’t suffering from anemia, hyperglycemia or other illnesses that may be unrecognized and usually can be treated with little delay in surgery. Other tests and pre-operative interventions are ordered on a patient specific basis. For example, this may include a referral to a dentist or an echocardiogram of the heart.
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