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 an 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 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.

Using 3D CT scan images, your own knee anatomy provides the template to create your 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.

Makoplasty Total Knee Replacement

 Makoplasty total knee replacement surgery is the latest technology for knee replacement surgery. Mako® robotic-assisted surgery overcomes limitations in instrumentation design and human imprecision in implementing the pre-operative plan.

It is important to note that the Mako robotic arm does not actually perform the surgery. Instead, our orthopedic surgeons perform the surgery using the Mako system software to pre-plan your procedure, giving you a more personalized surgical experience based on your specific diagnosis and anatomy.

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 Mako® robotic-assisted surgery for knee replacement and have found that it greatly improves both surgical results and quality of life for our patients.

Robotic-Assisted Total and Partial Knee Replacement in West Bloomfield, Michigan

Using a robotic arm and 3D imaging, our orthopedic surgeons can perform surgery more precisely through a smaller incision as compared to traditional replacement surgery.

During Makoplasty partial knee replacement, 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.

The advantages of Makoplasty knee replacements include less pain, blood loss, and scarring; shorter hospital stays; and faster rehabilitation and recovery.

To find out if you are a candidate for Makoplasty partial knee replacement surgery or Makoplasty total 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.

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 specially made 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 and Melody's stories about life before and after ConforMIS knee replacement. They are actual patients 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.

Your surgeon will provide a list of items that are required prior to your surgery.  In general, you'll need to do the following before a knee replacement surgery:

• Set up a surgical date
• Discuss the risks & benefits of the surgery
• Make an appointment with your primary care physician, and any specialists that you are treating with, to obtain a medical clearance
• Before your surgery, you will visit our office to meet with the surgeon or the surgeon's physician assistant to plan for a smooth procedure and recovery.  Our surgical coordinator will set up this appointment for you.
• Schedule a pre-hab appointment with our physical therapy team.  Having strong muscles in the upper and lower legs are critical to support the knee joint.  We would like every patient, when possible, to meet with our physical therapy team 1-2 times prior to your procedure to show you exercises that can be done at home prior to surgery to help in your post-surgical recovery.
• Talk to your PCP and any other specialists about medications to stop taking prior to surgery
• Be sure to see your dentist well before the day of your joint replacement surgery (30 days prior is ideal)
• Planning for your return home after surgery will make your recovery easier and more comfortable.  Our surgical coordinator will give you a list of items and ideas to help you prepare your home.

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. The majority of our joint replacement procedures are performed outpatient and patients go home the same day.

Patients benefit from having an in-home physical therapist come out for 1-2 weeks post-surgically before transitioning to an outpatient physical therapy program.  Our surgical coordinator will set up in-home physical therapy for you.

You will have post-operative appointments scheduled with our office regularly for the first year.  At these visits, we will take x-rays and discuss your comfort level, function and mobility, and how your new knee is working for you.  Our goal is to make sure that you're healing well and progressing toward your recovery goals.

Outpatient knee replacement surgery, also called "same day knee replacement," "rapid recovery knee replacement," and "ambulatory knee replacement," is a knee replacement surgery that enables qualified patients to return home the same day of the surgery.

The benefits of outpatient knee replacement surgery include:

• Lower risk of infection
• A more comfortable recovery at home
• Quicker return to normal activities

LKO joint replacement surgeons perform a thorough evaluation of each patient's health and circumstances to determine if they are a candidate for outpatient joint replacement surgery.  If you are curious whether you are a candidate for outpatient knee replacement surgery, schedule your appointment with Dr. Mark Kwartowitz or Dr. Collin O'Keefe today.