Posted by: wockhardthospitals | November 21, 2009

Tissue Preserving Total Knee Replacement

The Tissue Preserving Total Knee Replacement surgery goes beyond the general scope of conventional TKR surgeries that involve cutting through the quadriceps muscle during the surgery. Conventional Total Knee Replacement surgery causes trauma to the surrounding tissues that result in painful, long, recuperation periods. The patient would typically need walking aids for three to six weeks for the tissues to heal. However, in the case of Tissue Preserving TKR, the procedure involves just flipping across the muscles to reach the bone. The specialised technique perfected by Dr Kaushal Malhan allows the advantage of satisfactory surgical exposure in all patients including the very obese with easy implantation of standard implants with standard instrumentation.  Lesser tissue damage means less pain and earlier recovery.

Tissue Preserving TKR surgery aims to reduce the collateral damage which has always been part of this operation. It combines a muscle sparing exposure (which does not damage the quadriceps muscle- the front main thigh muscle) with computer assisted alignment so as to reduce the need for ligament release and appropriate implants which sacrifice less normal bone. This technique offers, among others, the ability to bend the knee almost immediately after the operation, and walk without aids much faster than conventional TKR procedures. Above all, there is no danger of any complication because there is no blood loss.

Advantages of Tissue Preserving TKR Surgery

  • On the whole, there is less soft tissue damage and if combined with appropriate implants, one can reduce the amount of bone sacrificed during operation.
  • Less post surgery pain
  • Less bleeding and no need for blood transfusions
  • Faster return of knee function – muscle strength and control comes back more quickly – allows faster rehabilitation. Patients can walk on day 1 after surgery
  • Shorter hospital stay
  • Less soft tissue damage and a better result
  • Early return of knee motion
  • After surgery recovery time is less than one third of that with conventional TKR technique.

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