Treatment / Knee / Total Knee Arthroplasty

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KNEE | LAS VEGAS

Total Knee Arthroplasty

Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada

Understanding the Knee Joint

The knee is the largest joint in the body, formed by the distal femur, the proximal tibia, and the patella. The articulating surfaces are covered with articular cartilage, and two C-shaped menisci provide additional cushioning and load distribution. The knee is stabilized by the cruciate and collateral ligaments and powered by the quadriceps and hamstring muscle groups.

 

When the articular cartilage wears away, the resulting bone-on-bone contact causes significant pain and limits mobility. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas evaluates each patient comprehensively before recommending knee replacement.

Common Knee Conditions Treated

  • Osteoarthritis: Progressive wear of knee cartilage across one or more compartments causing pain, swelling, and loss of function. The most common reason for knee replacement.
  • Rheumatoid Arthritis: Inflammatory arthritis destroying knee cartilage and causing deformity requiring surgical reconstruction.
  • Post-Traumatic Arthritis: Knee arthritis developing after prior fracture, ligament injury, or meniscal loss.
  • Avascular Necrosis: Loss of blood supply to the femoral condyle causes bone death and collapse.

Conservative Non-Surgical Care

Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas evaluates all knee patients for non-surgical options before recommending replacement. Physical therapy focused on quadriceps strengthening, anti-inflammatory medications, activity modification, bracing, and corticosteroid or hyaluronic acid injections are all considered.

Total knee arthroplasty is recommended when knee symptoms significantly limit daily function and quality of life despite adequate conservative management.

Total Knee Arthroplasty

Total knee arthroplasty replaces all three knee compartments with metal and plastic components that resurface the damaged joint surfaces. Dr. Andrew Lee performs total knee replacement in Las Vegas at Southern Hills Hospital for patients with end-stage knee arthritis.

The arthritic surfaces of the distal femur, proximal tibia, and patella are precisely resurfaced with metal femoral and tibial components and a polyethylene tibial insert and patellar button. Component positioning is carefully planned and executed to restore normal knee alignment and ligament balance.

Modern total knee replacements are highly durable implants with excellent long-term outcomes. Most patients experience significant improvement in pain and function that is maintained for fifteen to twenty years or longer.

The primary goals of this procedure are to:
  • Eliminate knee pain caused by end-stage arthritis
  • Restore normal knee alignment and motion
  • Allow return to full daily activities
  • Provide durable long-term joint function

Potential Risks

  • Blood clots: Deep vein thrombosis and pulmonary embolism are risks following knee replacement. Anticoagulation is prescribed.
  • Infection: Deep knee infection is a serious complication requiring surgical treatment. Preventive antibiotics are given.
  • Stiffness: Some patients develop post-operative knee stiffness requiring prolonged therapy or manipulation.
  • Instability: Inadequate ligament balance can cause knee instability.
  • Periprosthetic fracture: Fracture around the implant requires surgical treatment.
  • Implant loosening: Long-term loosening may require revision.

Postoperative Recovery and Rehabilitation

Walking with assistance begins on the day of surgery. Most patients are discharged within one to two days and transition to outpatient physical therapy.

Most patients achieve functional range of motion and independent ambulation by six weeks. Return to low-impact recreational activities typically occurs at three months.

What to Expect After Surgery

Knee pain relief following total knee arthroplasty is typically significant, with most patients experiencing meaningful improvement within the first few weeks.

Some post-operative swelling and warmth around the knee is normal and may persist for several months. Physical therapy is essential for achieving the best range of motion and functional outcome.

Do not soak your wound.

No bathtub, swimming, or hot tub until cleared by Dr. Lee.

Wound Care and Medication Management

The knee incision is evaluated at your first post-operative visit. Avoid soaking the wound in water until cleared by Dr. Lee.

Blood clot prevention medication is prescribed following knee replacement and should be taken as directed. Pain medication refills require advance notice from your pharmacy.

Activity Guidelines After Surgery

Use the walker or cane as prescribed during early recovery. Avoid high-impact activities until Dr. Lee clears progressive return to function.

Contact Nevada Spine Clinic or go to the emergency room for sudden severe knee pain, calf swelling, shortness of breath, fever, or wound changes.

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No bathtub, swimming, or hot tub until cleared by Dr. Lee.

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Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas

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