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Is Total Knee Replacement Your Only Option for Osteoarthritis?

By Daniel Hatz, MD February 17, 2025 Posted in: Orthopedics

As an orthopedic surgeon, I see many patients struggling with knee pain. A frequent cause is osteoarthritis, a degenerative joint disease affecting millions. Today, I want to discuss osteoarthritis and the treatment options available, focusing on a less-invasive alternative to total knee replacement.

Understanding Osteoarthritis

Osteoarthritis is characterized by the gradual breakdown of cartilage, which is the smooth, cushioning tissue at the ends of your bones. Imagine a thick sheet of ice slowly melting away. In osteoarthritis, this cartilage thins, eventually leading to "bone-on-bone" contact, causing significant pain and stiffness. In advanced cases, total knee replacement may be necessary.

Total Knee Replacement: When is it Necessary?

Your knee has three compartments: the inner (medial), outer (lateral), and patellofemoral (underneath the kneecap). If osteoarthritis affects all three, a total knee replacement—replacing all the damaged surfaces with metal and plastic—is often the best solution. Patients typically experience excellent results with this procedure.

A Less Invasive Approach: Partial Knee Replacement

However, what if osteoarthritis only affects one compartment of your knee? Replacing the entire knee is unnecessary and may not be the best option. In these cases, I offer a minimally invasive partial knee replacement.

This procedure focuses on resurfacing only the arthritic compartment, preserving the healthy cartilage and ligaments in the remaining parts of your knee. We're essentially repairing and replacing only the damaged section, leaving approximately 80% of your original knee intact.

The Benefits of Partial Knee Replacement

Patients often report a more natural feeling knee after a partial replacement. Because it's less invasive, recovery time is significantly shorter, and it's frequently performed as an outpatient procedure. This means a faster return to your normal activities and a better overall quality of life.

Is Partial Knee Replacement Right for You?

Partial knee replacement is a fantastic option for many patients with osteoarthritis affecting only one compartment of the knee. However, it's crucial to have a thorough evaluation to determine the best course of action for your individual situation. If you're experiencing knee pain, call us at (402) 717-0820 to schedule a consultation to discuss your options and find the right solution for you.

Daniel Hatz, MD
Daniel Hatz, MD

Daniel Hatz, MD, is an orthopedic surgeon with CHI Health.

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