PAINFUL TKA – TKA REPLACEMENT
There are many reasons for a painful total knee: they range from an aseptic or infection-induced loosening of the prosthesis, to wear due to prolonged permanent strain, to an overpressure syndrome or chronic instability as a result of incorrect loading due to surgery. The typical symptoms are pain and instability, especially during exertion.
The first step is always a detailed clinical and radiological diagnosis. The procedure can only be planned once the cause has been clearly identified.
If only the polyethylene between the two titanium components has worn out, this can be changed relatively easily. However, if the bone components are loosened or if there is a clear instability or malposition, the entire prosthesis must be replaced. In the case of infections, it is also possible that the prosthesis is removed in an initial procedure and another must be replaced after the bone has healed.
Thanks to Prof. Schoettle’s extensive experience in knee prosthesis replacement at the knee and his knowledge of the various requirements of patients, we are not only able to compensate for any bone defects that may occur and place the new knee joint at the correct height, but also to restore knee joint stability if it has been lost due to loosening or initial implantation.
The operation itself is somewhat more complex than a first knee prosthesis operation. Through our precise preparation we can insert the joint replacement according to the muscle and ligament structure and by loosening scarring we can significantly reduce the pain after the operation and enable mobilization the following day.
In most cases the follow-up treatment is the same as after a first knee prosthesis operation:
The procedure takes place as an in-patient for secure wound healing, intensive physiotherapy and good pain therapy. After just under a week, you can be discharged to an inpatient post-operative treatment / rehabilitation facility according to your wishes and consultation with us.
While the crutches can be taken off after approx. 4 weeks, a normal gait pattern should be regained after a period of approx. 3 months. You can drive your own car from that point on, but you can walk painlessly without crutches.