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Knee Replacement Specialist near North Dakota

If you’re suffering from knee pain and believe you might be a candidate for total knee replacement, contact Dr. Todd Sekundiak at his office in Fargo, ND at (701) 417-6000 to schedule your appointment. 

When the knee is severely damaged by arthritis or injury, it may be hard for people to perform simple activities, such as walking or climbing stairs. Our patient in North and South Dakota may even begin to feel pain while they are sitting or lying down. When nonsurgical options like medications and using walking supports are no longer helpful, you may want to consider total knee replacement surgery with Todd Sekundiak. Knee replacement surgery is a safe, common, and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities.

Knee replacement surgery has been performed by Dr. Sekundiak for over 20 years. Since then, improvements in surgical technology and techniques have greatly increased its effectiveness. As one of the most common and successful procedures in all of medicine, knee replacements are routinely performed by Dr. Sekundiak for patients living in North Dakota, South Dakota and Western Minnesota.

What is Knee Replacement?

Total knee replacement is a very successful surgical treatment for knee arthritis. Over the years, minimally invasive knee replacement techniques have been developed to lessen tissue trauma and improve patient outcomes. Utilizing the latest in technology, Dr. Sekundiak's approach involves a rapid recovery with faster return to work and play and with minimal complications. This minimally invasive approach involves much smaller incisions than the usual 10-12 inch incisions used in the traditional knee replacement and spares the quadriceps muscle and tendon, which controls bending of the knee, from being cut to access the knee joint.

The smaller incisions with knee replacement surgery means less tissues are cut resulting in quicker healing and recovery. The potential advantages of a minimally invasive knee replacement surgery are:

  • Minimal surgical dissection
  • Shorter recovery period
  • Shorter hospital stay
  • Reduced complications
  • Reduced postoperative pain
  • Smaller incisions which are only 4 to 6 inches in length as compared to the 10-12-inch-long incision used in the traditional procedure.

Surgery is performed by Dr. Sekundiak under sterile conditions in the operating room under spinal or general anesthesia. With the patient lying on their back on the operating table, Dr. Sekundiak will then make an incision along the affected knee to expose the knee joint. Dr. Sekundiak will first focus on the femur (the thigh bone). The damaged portions of the femur are then cut at the appropriate angles using specialized tools. The femoral component is then attached to the end of the femur with or without bone cement. The next step involves removal of the damaged area of the tibia (the shinbone) and the cartilage. This allows for a smooth surface to which the implants can be attached. The tibial component of the new knee joint is then secured to the end of the bone using bone cement or screws. Dr. Sekundiak will place a plastic piece called an articular surface between these implants to ensure a smooth gliding movement. This plastic insert acts in a similar way as the original articular cartilage and helps by supporting the body weight as well as allowing the femur bone to move over the tibia. The femur and the tibia bone with their new components are then put together to form the new knee joint. To ensure that the patella (knee cap) glides smoothly over the new artificial knee, its rear surface is prepared to receive a plastic component. With all its new components in place, the knee joint is examined by Dr. Sekundiak throughout its range of motion. Towards the end of the knee replacemetn, all excess cement will be removed and the entire joint will be flushed or cleaned out with a sterile saline solution. The incision is then closed and drains are usually inserted. A surgical dressing or bandage is then placed by Dr. Sekundiak over the incision.

Less is More in Total Knee Replacement

When you receive a total knee replacement, multiple factors can affect your recovery. In addition to discussing the implant, it’s important to consider your surgeon’s method for bleeding control.

A tourniquet is a constricting band that places pressure on the thigh muscles, minimizing blood flow to the knee. It is often used in knee replacement surgery to reduce intra-operative bleeding and improve visibility. However, studies have shown that use of a tourniquet often results in patient complications, including thigh pain, swelling and bruising. In contrast, minimizing tourniquet time has been shown to reduce pain, swelling and bruising after surgery, and has been associated with greater range of motion.1-4 Minimizing tourniquet time has also been shown to reduce the risk of some post-operative complications.4,5 These include:

  • Wound infection
  • Nerve injury
  • Skin necrosis
  • Hematoma (internal pooling of blood)
  • Deep vein thrombosis (DVT)

Thanks to ongoing advances in surgical technology and techniques, surgeons can now manage blood loss with little or no use of a tourniquet. In some cases, the surgeon may use an alternative method for bleeding control and inflate the tourniquet only when cementing the implant. In other cases, the surgeon may completely depend on alternative methods for bleeding control and avoid the use of a tourniquet altogether. Ask us which method will be used during your procedure.

 

 

 

REFERENCES

  1. Ejaz A, Laursen AC, Kappel A, et al. Faster recovery without the use of a tourniquet in total knee arthroplasty: a randomized study of 70 patients. Acta Orthop. 2014;85(4):422-426.
  2. Kumar N, Yadav C, Singh S, et al. Evaluation of pain in bilateral total knee replacement with and without tourniquet; a prospective randomized control trial. Jrnl Clin Ortho & Trauma. 2015;6(2):85-88.
  3. Ledin H, Aspenberg P, Good L. Tourniquet use in total knee replacement does not improve fixation but appears to reduce final range of motion. Acta Orthop. 2012; 83(5):499-503.
  4. Zhang W, Li N, Chen S, et. al.: The effects of a tourniquet used in total knee anthroplasty: a meta analysis. J Orthop Surg Res. 2014;9:13.
  5. Rama K, Apsingi S, Poovali S, Jetti A. Timing of tourniquet release in knee arthroplasty. Meta-analysis of randomized, controlled trials. J Bone Joint Surg Am, 2007;89:699-705.

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Contact Knee Replacement Specialist Dr. Todd Sekundiak to schedule your surgery today. With a central office in Fargo, ND, we are an easy drive from Western Minnesota and all of North Dakota and South Dakota.