Advancements in knee surgery

Considering knee surgery? While it can seem daunting, new advancements in technology have transformed the way knee replacement surgeries are performed, with improved outcomes and faster recovery.

Nothing I see on an X-ray is going to automatically indicate that knee replacement surgery is right for a patient. Instead, the decision to undergo surgery is a collaborative one, with careful consideration for the patient’s level of pain, its impact on their function, and whether they’ve tried other remedies such as weight loss, medications, injections, and physical therapy.

Better get MAKO

Many patients think a knee replacement means cutting out the whole area and filling the space with a prosthetic. They’re often surprised to learn it’s more of a resurfacing procedure, where the arthritic portion is precisely shaved off and replaced with a metal cap, preserving healthy tissue and ligaments.

A particular game-changer is MAKO Robotic-Arm Assisted Surgery, which allows for improved precision both preoperatively and in real time. Modern implants are integrated into the bone rather than cemented in, allowing the bone to grow into the implant and form a durable, long-lasting bond.

Minimizing meds

We’ve also made great advances in managing pain. Robotic-assisted surgery minimizes blood loss, while our pain management protocol combines various medications and techniques to target different pain pathways. This synergistic approach often allows us to control pain with lower doses, and in some cases eliminate narcotics altogether, leading to a faster recovery.

Our tailored regimen typically gives patients the confidence to walk within hours of surgery. Since patients are up and moving so quickly, strong blood thinners aren’t usually needed, as a baby aspirin can be sufficient. Most patients go home the same day and return to typical activity in four to six weeks, depending on their therapy adherence.

If you are having significant knee pain, see an orthopedic specialist to explore your options.

Dr. Isaac Livshetz is a fellowship-trained orthopedic surgeon at White Plains Hospital Physician Associates. To schedule an appointment, visit wphpa.org or call 914-849-7897.