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If you are battling knee pain, you could benefit from knee replacement surgery
There are two main types of knee replacement operations: partial knee replacement surgery (also called a unicompartmental knee replacement operation) and total knee replacement surgery.
During partial knee replacement surgery, only one side of your knee joint is removed and replaced with an artificial joint. During total knee replacement surgery, both the back and front of your knee joint are replaced with artificial parts.
Partial knee replacement surgery is often performed in middle-aged adults aged between 55 to 64. A total knee replacement operation is most commonly performed in adults over the age of 65.
The type of knee replacement recommended at The Park Hospital in Nottingham will depend on the condition of your knee. If you have arthritis, or damage on one side of your knee joint, you could be advised to have a partial or unicompartmental replacement operation (also called a half knee replacement).
However, if a diagnostic scan shows that you have arthritis behind your patella (kneecap), a partial knee replacement operation (known as a patellofemoral replacement) could be advised. This operation involves replacing the back of your patella with a plastic button and a groove at the end of your femur (thighbone) called your trochlea groove with a metal implant.
Alternatively, a total knee replacement surgery at The Park Hospital in Nottingham could be recommended if both sides of your knee joint are damaged.
A knee replacement is expected to last 20 years or more.
The exact cost of having knee replacement surgery at The Park Hospital in Nottingham will depend on various factors, including:
At The Park Hospital in Nottingham, the cost of your treatment can be paid using your private medical insurance or, if you’re paying for your own treatment, you can take advantage of our flexible payment plans.
If you are paying for yourself, you’ll be given a fixed-price package ahead of any treatment you have, so you’ll always know how much you are going to pay. The cost can be spread over one to five years and we have interest-free options for the first 12 months.
Your initial consultation and any scans or tests done during this appointment will be charged separately from the rest of your treatment. Again, you’ll be told exactly how much this will cost ahead of time, so you’re always making an informed choice.
* This is a guide price and only applies to people paying for their own treatment. Exact prices will be confirmed when you book your operation.
Knee replacement surgery is usually considered when less invasive forms of treatment (such as pain relief medication, steroid injections and physiotherapy) have not been able to alleviate your knee problems.
A specialist, known as an Orthopaedic Surgeon, could also recommend knee replacement surgery if you are experiencing significant pain or if your knee problems are affecting your mobility.
The common conditions that mean people need a knee replacement operation include:
Knee replacement surgery is usually only considered when less invasive treatment options have not helped reduce your knee pain.
However, in some instances a Consultant will find that the damage to your knee is too extensive to warrant trying less invasive methods. Or, perhaps your symptoms are so bad that non-surgical methods simply won’t work.
Although our specialists are trained surgeons, they won’t recommend surgery unless you really need it.
If a knee replacement is advised, your Orthopaedic Surgeon will explain what this will involve. You will be supported by your Surgeon throughout each step of your treatment journey at The Park Hospital. Our Physiotherapists will provide you with exercises to do before and after your knee replacement operation to ensure your smooth recovery.
At your initial consultation, your Orthopaedic Surgeon will discuss your symptoms and medical history. They will also perform a physical examination of your knee. They might send you to have a diagnostic scan such as an X-ray (an imaging technique that helps them look at your bones). This will be done onsite.
After the cause of your knee problems has been diagnosed, your Orthopaedic Surgeon will discuss the different treatment options with you.
If a joint replacement operation is advised, your Orthopaedic Consultant will provide more information about knee replacement surgery.
Prior to your surgery, you will need to undergo a preoperative assessment, which will be carried out by a Nurse. This will include a general health assessment where your blood pressure, weight, height and pulse rate will be measured. You might also be advised to have a blood test and an electrocardiogram (a scan that monitors your heart’s activity). A swab (cotton bud) will also be gently rubbed across your skin to check for the presence of MRSA (a type of bacteria) that could put you at risk of infection.
In addition to these health checks, your Physiotherapist at The Park Hospital will provide you with some exercises to perform ahead of your surgery. These will help strengthen your leg muscles and improve movement in your knee.
If you are advised to have total knee replacement surgery, your Orthopaedic Surgeon will begin by making an incision at the front of your knee to access your patella (kneecap). Your kneecap is moved aside, so that your Surgeon has access to your knee joint.
Your Orthopaedic Surgeon will then remove and reshape the damaged ends of your femur (thighbone) and tibia (shinbone) to allow your prosthesis to be fitted. The end of your femur will be replaced with a curved metal piece. A flat metal plate will replace the damaged end of your shinbone.
These parts might be fixed by your Orthopaedic Surgeon. Alternatively, they might be secured using bone cement (this is often made from a synthetic substance). After your operation, your Orthopaedic Consultant will add a plastic spacer between the two metal ends to minimise friction when moving your joint. Your wound will be closed with stitches or clips. A dressing will placed over this.
Your operation at The Park Hospital in Nottingham could take around two hours, but this will depend on the type of replacement surgery that you are advised to have.
In nearly all cases, a knee replacement prosthesis is formed of metal and high-density plastic.
Around 12-24 hours following your operation, your Nurse or Physiotherapist will help you get out of bed and stand up. Your Physiotherapist might provide you with a walking frame or crutches to assist you with walking. In most cases, you should be able to walk with your walking aid after around one week.
You could be required to stay at our hospital for around three days after surgery, but this will depend on your surgery and recovery. Research has found that people who spend less time in hospital make a faster recovery, so we will aim to get you back in your own home as soon as it’s safe.
During your recovery at The Park Hospital in Nottingham, your Physiotherapist will demonstrate some exercises that you can do to strengthen your knee. You can begin these exercises the day after your surgery and should continue doing them during your recovery.
Exercises after a knee replacement can include knee flexion (bending) or extension (straightening) exercises, as well as exercises for your quadriceps (thigh muscles) to strengthen these muscles.
Although you will not be required to sleep in a specific way following your surgery, you should avoid placing a pillow under your knee, as this can cause your muscles to tighten and your knee can become trapped in a bent position.
Your Orthopaedic Surgeon might advise you to avoid kneeling for eight to 12 weeks after your surgery at The Park Hospital.
You should be able to return to work around six to 12 weeks after your operation. However, this will depend on the type of work that you do and the surgery that you have had.
Driving after knee replacement surgery should be after around six to eight weeks.
After your surgery at The Park Hospital in Nottingham, your Orthopaedic Consultant will arrange a follow-up appointment to remove any stitches and monitor the progress of your recovery. This could be around two weeks after your operation.
If you would like to learn more about private knee replacement surgery at The Park Hospital in Nottingham, you can speak to a member of our team by calling us on 0115 9662000 or booking your appointment online today.
Knee replacement surgery is a very common and very successful operation that is considered low risk.