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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Partial vs. Total Knee Replacement in Portland, Oregon

For patients suffering from advanced arthritis of the knee (i.e. Osteoarthritis or Rheumatoid Arthritis) or are unable to complete even simple tasks, such as walking, due to severe knee pain, knee replacement surgery is often recommended. While traditional total knee replacement procedures have been performed since the 1960’s, recent advancements in surgical techniques and prosthetic implants now offer more solutions relieving knee pain through joint replacement.

Total Knee Replacement

Total knee replacement is recommended for patients who have a vast amount of arthritis damage to the bones of the affected knee, have lost the majority of joint mobility, are unable to complete required work-related tasks, or complete necessary daily activities.

During total knee replacement surgery, Dr. Ballard will often use a minimally invasive approach to remove the entire diseased knee joint: the femoral, tibia, and patellar. After the damaged knee joint has been removed, the surfaces will be prepared for the attachment of the metal and plastic prosthetic implant. The artificial joint that will replace the affected knee is designed to restore the pain-free movement of the knee joint.

Total knee replacement is an in-patient procedure, requiring patients to stay at the hospital for 1-3 days, to ensure proper recovery. To decrease the amount of post-op pain and ensure a safe recovery, Dr. Ballard will use a multi-faceted approach to pain management before, during, and after surgery. The day after surgery patients will often begin working one-on-one with a physical therapist to learn how to safely use their knee joint during recovery. The majority of knee replacement patients are able to return to their favorite activities approximately 6-to-10 weeks after surgery, but should avoid high intensity activities until cleared by Dr. Ballard.

Partial Knee Replacement

Partial knee replacement, also known as partial knee resurfacing, is most often recommended for younger and/or healthier patients or patients who have damage to only one compartment of the knee joint. To determine if partial knee replacement is the best treatment option, Dr. Ballard will complete a variety of tests to confirm bone strength and stability, as well as the location and severity of bone damage.

Similar to total knee replacement, Dr. Ballard will often use a minimally invasive surgical approach during partial knee replacement. To repair the affected knee joint, Dr. Ballard will use MAKOplasty robotic assisted surgery to remove the damaged compartment, shave down and secure the ends of the femur and tibia with metal coverings, and insert a plastic component in between to allow for smooth joint movement.

By using this approach, Dr. Ballard is able to preserve a large portion of the existing joint and customize the placement of the prosthetic implant. Additional benefits of MAKOplasty include a more natural feeling joint movement, due to the customized placement, slightly shorter hospital stay, and a faster recovery.

Partial vs. Total Knee Replacement in Portland, Oregon

James C. Ballard, MD, is a board-certified orthopedic surgeon who specializes in the use of minimally invasive techniques during both total and partial knee replacement. Dr. Ballard provides treatment to patients in the Portland, Oregon area. To learn more about total knee replacement and schedule an appointment with Dr. Ballard, call his Oregon City office at (503) 656-0836.