Advances in Knee Replacements

This new design allows surgeons to preserve the important central ligaments of the knee called the anterior and posterior cruciate ligaments. This design should allow a knee replacement to move, respond, and feel more like a normal knee.

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The Anterior Hip

Patients are being told by both surgeons and orthopedic implant companies that Anterior Hip Replacement approach offers something unique and different compared to other approaches. This is a flatly untrue, unscientifically supported myth...

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Outpatient Joint Replacement

With Outpatient Joint Replacement Surgery, patients are able to return home the same day as the procedure. Patients also begin physical therapy within hours of surgery.

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Knee Revision Surgery in Portland, Oregon

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Total knee replacement surgery consists of the complete removal and replacement of an arthritic or damaged knee joint with a prosthetic implant to restore the joint’s pain free movement and functionality. Several factors will influence how long prosthesis will last, including the patient’s age, weight, activity level, and bone strength.

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Occasionally, knee implants can become loose because of normal wear-and-tear over a long period of time or post-operative trauma. In either case, an additional surgery, known as knee revision surgery, may be required. Knee revision surgery is a more complex procedure than knee replacement surgery, requiring expertise in diagnostics, procedure planning, and rehabilitation.

Tests & Diagnosis for Knee Revision Surgery

If a knee implant fails, patients will notice a decrease in joint functionality and increasing pain symptoms. In order to determine if knee revision surgery is required to relieve pain symptoms, Dr. Ballard will complete several tests, including:

  • A physical examination of the affected knee joint
  • X-rays of the knee joint
  • Blood tests
  • Joint fluid tests

Based on the test results, Dr. Ballard will determine all or only one component of the prosthetic implant need to be replaced. In addition, x-ray results will assist in determining any structural changes to the joint since the original procedure.

Knee Revision Surgery

As knee revision surgery is a more complicated procedure, it is approached on an individualized case-by-case basis. Knee revision surgery is an in-patient procedure, and will require approximately a 2 to 3 day hospital stay post-op.

During knee revision surgery, Dr. Ballard will remove the damaged components of the existing implant. Whenever able, Dr. Ballard will preserve as many components of the original implant, in addition to conserving as much of the natural bone, as possible.

After removing the damaged components, the ends of the bones will be resurfaced with bone grafts to prepare for the addition of the new implant. After resurfacing, Dr. Ballard will secure the new prosthesis to the bone ends, matching the original implant placement as closely as possible.

Susan Wentzel - Patient Testimonial Video

Total Knee Replacement in Portland, Oregon

James C. Ballard, MD is a board-certified orthopedic surgeon who specializes in joint revision surgery. Dr. Ballard provides treatment to patients in the Portland, Oregon area. To learn more about joint revision and schedule an appointment with Dr. Ballard, call his Oregon City office at (503) 656-0836.