Partial Knee Replacement

What to Expect

Dr. Berger follows the same procedure as total knee replacement, with one major difference during partial knee replacement. Dr. Berger carefully replaces the arthritic compartment of the knee while leaving the healthy side untouched.

Once all prosthesis pieces are in place, range of motion is tested by manually straightening and bending the patient’s knee. Surgery is finished by cleansing the inside of the knee with an antibiotic wash to prevent infection before closing the incision. On average, the whole process takes just over an hour.

After surgery, the patient is sent to a recovery room, where they are cared for by one of Dr. Berger’s nurses.  A physical therapist will assist the patient in walking and climbing stairs and provide the appropriate assistive device, such as a cane. Once the patient has been thoroughly examined, they are discharged from the hospital the same day of surgery.

What Is a Partial Knee Replacement?

Partial knee replacement, also known as unicompartmental knee replacement, is a minimally invasive procedure that addresses damage in one specific area of the knee while preserving healthy bone, cartilage, and ligaments. This approach results in a more natural-feeling knee and quicker recovery compared to total knee replacement.

Dr. Richard Berger, a world-renowned orthopedic surgeon, specializes in minimally invasive partial knee replacement procedures, helping patients return to their favorite activities with less pain and downtime.

Who Qualifies for a Partial Knee Replacement?

A partial knee replacement is an excellent option for patients experiencing localized knee pain due to arthritis or injury. You may qualify if:

  • Arthritis Is Limited: Damage is confined to one of the three compartments of the knee (medial, lateral, or patellofemoral).
  • Ligaments Are Intact: The knee’s supporting ligaments, such as the ACL and PCL, are healthy and functional.
  • Mobility Is Retained: The knee still has a good range of motion despite the pain.
  • Non-Surgical Options Have Failed: Conservative treatments like physical therapy, medications, or injections have not provided lasting relief.

Dr. Berger evaluates each patient carefully to determine whether a partial knee replacement is the best option for their needs.

Benefits of Partial Knee Replacement

Dr. Berger’s minimally invasive partial knee replacement technique offers numerous advantages:

  • Preserves Healthy Tissue: Only the damaged portion of the knee is replaced, leaving healthy areas intact.
  • Faster Recovery: Smaller incisions and reduced trauma to surrounding tissue allow patients to return to activities sooner.
  • Less Pain: Advanced surgical techniques minimize post-operative discomfort.
  • More Natural Feel: Retaining your natural ligaments and bone structure results in a knee that feels and functions more like your original joint.
  • Same-Day Discharge: Many patients go home just hours after surgery, avoiding lengthy hospital stays.

Dr. Berger’s Minimally Invasive Technique

Dr. Berger uses cutting-edge, muscle-sparing techniques to minimize disruption to surrounding tissues during surgery. This innovative approach leads to:

  • Shorter incisions.
  • Reduced swelling and scarring.
  • Quicker return to activities like walking, biking, and even sports.

 

Cancel any dental appointments that fall between 3 weeks prior to surgery and three months after surgery.

Avoid any injections into your surgical joint for 3 months prior to surgery.

In-home physical therapy

  • Dr. Berger’s patient services coordinator will contact you prior to surgery to arrange your discharge plan. This includes services at your hotel as well as at your home, if applicable.
  • Home Health Services will be set up for three times a week for two weeks or until you are ready to progress into outpatient physical therapy.

Outpatient physical therapy

  • You are responsible for scheduling your outpatient physical therapy appointments.  Select an outpatient facility that is convenient for you and takes your insurance.
  • You will be given an outpatient physical therapy prescription from our office; a copy is also included in your spiral-bound book.
  • You will attend outpatient physical therapy three times a week for six weeks.

Goals to Achieve by 3 Weeks

  1. Bend your knee at least 110 degrees (flexion)
  2. Straighten the knee to 0 degrees (extension)
  3. Ambulate at least 2 blocks without an assistive device
  4. Independent with activities of daily living (i.e., showering, dressing, etc.)

Dr. Berger will prescribe post-operative medications for each patient after surgery. A multi-modal approach is utilized to adequately control pain and minimize risk factors after surgery for a desirable recovery and ideal outcome.

When you are ready for prescription refills, contact one of the nurses in the office during normal business hours (Monday through Friday, 7 am – 5 pm). Refills can be authorized to your local pharmacy. You will need to provide us with your local pharmacy’s phone number, the name of the medication you need to refill, and your birthdate.

WEEK 1:

RICE

R = Rest 
We want you to be up and moving, but do this in moderation. We recommend you rest for the first 5-7 days after surgery. DO NOT OVERDO IT. Increased activity means increased swelling. By decreasing swelling early, you will recover more quickly. We recommend small bouts of activity throughout the day. Get up and walk around the house every hour or so that you are awake.

I = Ice
Ice as much as possible for the first week to two weeks. Ice is a great anti-inflammatory and helps minimize swelling. You may apply an ice massage over the knee, the quadriceps muscle (located on the front of the thigh), the hamstring muscle (located on the back of the thigh), and the calf.

We will provide you with an ice machine on the day of your surgery.

C = Compress
The TED hose compression stockings provide compression and help minimize swelling. Keep the stockings on during the day and remove them at night for the first three weeks after your surgery. The stockings go on both legs.

E = Elevate
Elevating your leg will help reduce swelling. To reduce significant amounts of swelling, elevate your leg 4-5 times a day for 15-30 minutes each time. Lie flat with your ankle above your knee and your knee above your heart.

WEEK 2:

  • You may start using heat to help decrease bruising. Place a hot pack/heating pad over the front and back of the thigh (quadricep and hamstring muscles) and on the calf muscle. Try heat 3 times a day for 20 minutes each time. Using heat will increase your flexibility and make exercising easier. Alternate the heat and ice. Heat before you stretch/exercise, and use ice after activity.
  • Start outpatient physical therapy.
  • Focus on range of motion, exercises, and initiate strengthening to increase walking distance.
  • Return to driving.

WEEKS 3-6:

  • Ease into physical activity.
  • Continue outpatient physical therapy.
  • Return to work.
  • Significant reduction in swelling.

Real Patient Results