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HomeSummaryReview of the conditionConsidering surgeryPreparing for surgeryPreparation Costs Surgical teamFinding an experienced surgeonFacilities About the procedureRecovering from surgeryRehabilitationConclusion

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Total Knee Replacement: A Patient's Guide.

Edited By: Seth S. Leopold, M.D.
Last updated Tuesday, April 15, 2008

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Preparing for surgery

What type of preparation needs to take place before total knee replacement surgery for severe arthritis of the knee?

Patients undergoing total knee replacement surgery usually will undergo a pre-operative surgical risk assessment. When necessary, further evaluation will be performed by an internal medicine physician who specializes in pre-operative evaluation and risk-factor modification. Some patients will also be evaluated by an anesthesiologist in advance of the surgery.

Routine blood tests are performed on all pre-operative patients; chest X-rays and electrocardiograms are obtained in patients who meet certain age and health criteria, as well.

Surgeons will often spend time with the patient in advance of the surgery, making certain that all the patient's questions and concerns, as well as those of the family, are answered.

How can the costs of total knee replacement surgery for severe arthritis of the knee be anticipated?

The surgeon's office should provide a reasonable estimate of:

  • the surgeon's fee,
  • the hospital fee, and
  • the degree to which these should be covered by the patient's insurance.

Who should perform total knee replacement surgery for severe arthritis of the knee and where?

The total knee requires an experienced orthopaedic surgeon and the resources of a large medical center. Some patients have complex medical needs and around surgery often require immediate access to multiple medical and surgical specialties and in-house medical, physical therapy, and social support services.

How can surgeons experienced in total knee replacement surgery for severe arthritis of the knee be found?

There is good evidence that the experience of the surgeon performing partial knee replacement affects the outcome. It is important that the surgeon be experienced--and preferably fellowship-trained--knee replacement surgeon.

Some questions to consider asking your knee surgeon:

  • Are you board certified in orthopaedic surgery?
  • Have you done a fellowship (a year of additional training, beyond the five years required to become an orthopaedic surgeon) in joint replacement surgery?
  • How many knee replacements do you do each year?

In what type of facility is total knee replacement surgery for severe arthritis of the knee usually done?

A large hospital, usually with academic affiliation and equipped with state-of-the-art radiologic imaging equipment and medical intensive care unit is clearly preferable in the care of patients with knee arthritis.

Surgery for Severe arthritis of the knee at the University of Washington

If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call the Bone & Joint Surgery Center at 206-598-3354 or Eastside Specialty Clinic at 425-646-7777 to make an appointment.


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