Knee Replacement

The knee is a complex joint made up of three separate compartments. When wear-and-tear to the knee is confined to one or two compartments, a partial knee replacement may be option.

Dr. Lederman and Dr. Kwartowitz are leaders in partial joint replacement surgery. We were the first orthopedic surgeons in the Midwest to perform the ConforMIS iUni and iDuo patient-customized partial knee replacement implants.

Using 3D CT scan images, a patient’s own knee anatomy provides the template to create their customized knee implant. Because ConforMIS iUni and iDuo are customized to each patient’s own knee anatomy, no two are alike.

Benefits of a Customized Partial Knee Implant

These pioneering implants are combined with a resurfacing procedure and are much less invasive than a traditional knee replacement, since more of the healthy bone and tissue is preserved. The benefits are:

• Less tissue trauma during surgery
• Smaller incision area
• Less pain
• Faster recovery times
• A more natural fit, feel, and range of motion

Being the first in offering the latest innovations in total knee replacement has its advantages. Our providers use the latest and most advanced total knee replacement systems available. The type of total knee replacement used is based on your particular knee condition and lifestyle.

Total Knee Replacement Options:

Stryker

Stryker Triathlon Total Knee System is designed for the younger, more active patient. It is designed to provide patients greater natural range of motion and implant longevity. The design of the Triathlon Knee was developed to more closely reproduce natural knee motion and provide mobility with stability through 150+ degrees of joint flexion.

ConforMIS

ConforMIS iTotal is a new and revolutionary total knee replacement system customized to each patient’s knee anatomy. Dr. Lederman and Dr. Kwartowitz were the first orthopedic surgeons in Michigan to perform iTotal. This revolutionary knee replacement is customized to each patient’s unique knee anatomy.

Using 3D CT scan images, a patient’s own knee anatomy provides the template to create their customized knee implant. Because the ConforMIS iTotal knee implant is customized to precisely match each patient’s own knee anatomy, no two are alike. Since the iTotal implant comes ready to fit, it significantly reduces many of the bone cuts required in traditional surgery. This reduces the amount of surgical and recovery times.

Additional benefits of using iTotal include:

• Individualized fit. The implant is made to fit an individual patient precisely without the sizing compromises common with traditional systems that can lead to long-term painful outcomes.
• Bone-preserving solution. The personalized design of the implant allows the surgeon to preserve more bone than traditional total knee replacement.
• Natural feel. The implant gives the individual back their natural anatomic shape and preserves as much of their native ligaments as possible so the knee has the potential to feel more like their own knee.

At Lederman Kwartowitz Center for Orthopedics, our orthopedic surgeons provide the most advanced technology and implant systems for joint replacement. We are pleased to offer MAKOplasty® – robotic surgery for partial knee replacement – and have found that it greatly improves both surgical results and quality of life for our patients.

Robotic Partial Knee Replacement in West Bloomfield and Farmington Hills, Michigan

If you are living with early to mid-stage osteoarthritis (OA) in only one area of your knee, you may be a candidate for MAKOplasty partial knee replacement. Using a robotic arm and 3D imaging, the surgeon can perform surgery more precisely through a smaller incision as compared to traditional replacement surgery.

During MAKOplasty, only the damaged area of the knee joint is replaced. Because healthy bone and tissues are preserved, the procedure results in a more natural-feeling knee.

Advantages of MAKOPlasty include less pain, blood loss, and scarring; shorter hospital stays; and faster rehabilitation and recovery. In addition, patients who undergo MAKOplasty® may still be candidates for a  total knee replacement procedure later in life if necessary.

To find out if you are a candidate for MAKOplasty partial knee replacement surgery, call (248) 669-2000 for Oakland County's robotic surgery experts at Lederman Kwartowitz Center for Orthopedics. You may also request an appointment online.

It's Your Knee. Help Keep it That Way.

The Lederman Kwartowitz Center for Orthopedics & Sports Medicine is the first in Michigan to offer one-of-a-kind patient-customized partial and total knee replacements from ConforMIS. No one wants knee surgery. It’s important to know your options. The surgeons at Lederman Kwartowitz Center for Orthopedics & Sports Medicine are leaders in ConforMIS individualized knee replacement systems. We are the first in the Midwest to provide the ConforMIS iUni and iDuo patient customized partial knee replacement systems. We are also the first in Michigan to provide iTotal patient customized total knee replacement system. How We Use ConforMIS Knee Replacement Technology We provide a personalized approach through ConforMIS’s proprietary iFit technology (“i” stands for individualized) to optimize the fit and performance of your knee replacement system. Each ConforMIS knee replacement system is made specifically for each patient.

Using 3D CT scan images, your own knee anatomy provides the template to create your customized knee implant. Because ConforMIS iUni, iDuo or iTotal is customized to your knee, no two are alike. Benefits of a Customized Knee Implant These pioneering implants are combined with a resurfacing procedure. This makes the implants much less invasive than a traditional knee replacement since more of the healthy bone and tissue is preserved. The benefits are

• Less tissue trauma during surgery
• Smaller incision area
• Less blood loss
• Less pain
• Faster recovery times
• A more natural fit, feel, and range of motion

Watch Alice's story about life before and after her ConforMIS knee replacement. Sue is an actual patient of Lederman Kwartowitz Center for Orthopedics & Sports Medicine. Dr. Lederman explains how the ConforMIS knee replacement conforms to each patient’s personal anatomy and how a patient’s anxiety turns into excitement once they learn about the new possibilities of their knee replacement. Dr. Kwartowitz talks about how ConforMIS is the only true customizable knee replacement on the market today and its benefits over cookie cutter, off-the-shelf standard knee replacements.

Having strong muscles in the upper and lower legs are critical to support the knee joint. We want every patient to go into knee replacement surgery with strong leg muscles, which will help in the post-surgical recovery.

We encourage all patients to participate in pre-operative leg strengthening. This can be accomplished by using an at-home muscle stimulation device and/or through pre-operative physical therapy.

While every patient’s experience with knee replacement surgery is different, most can expect to bear weight and walk with an aid within a few hours of surgery. Most patients return to their normal daily activities within six weeks and more vigorous activities and sports about three months after surgery.

We will also prescribe post-surgical physical therapy and recommend MLS laser therapy to facilitate the healing process and reduce pain and swelling. Use of MLS laser therapy reduces pain and swelling and accelerates the healing process after surgery.