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While hundreds of thousands of knee surgeries are performed across the nation, the surgical methods employed will vary from surgeon to surgeon. At Nanoknee, we have taken this vital, life-changing procedure to a new level of efficiency and results.

Our process has some significant differences that benefit our patients, including:

Nanoknee Bone-Resurfacing Procedure

Nanoknee Resurfacing Procedure is a revolutionary procedure that provides the most Minimally Invasive Total Knee Replacement available. Nanoknee is one of the only facilities in the entire country to perform this incredible procedure!

What makes the Nanoknee so unique is that the procedure spares the two stabilizing ligaments of the knee, The Anterior Cruciate Ligament and the Posterior Cruciate Ligament. These crucial ligaments give the knee its natural feel and balance when moving, and are normally removed during traditional knee replacement, causing patients to lose their natural range of motion. In addition, Nanoknee performs a unique resurfacing of the knee, as opposed to the large bone cuts associated with traditional Total Knee Replacement.

The results of the procedure are dramatic and amazing! Our patients experience range of motion and stability unmatched by traditional Total Knee Replacement. They are recovering faster and immediately gaining confidence in their knee after the procedure.

The Nanoknee Total Knee Resurfacing procedure is ideal for the active patient who has healthy, intact Anterior and Posterior Cruciate Ligaments.

3D Modeling

In planning for your surgery, we use the most advanced technology to guide your personalized procedure. We use 3D modeling and planning to optimize the kinematic alignment of your knee implant, restoring each patient’s natural physiologic motion. This is a critical difference in how we approach knee surgery; with the assistance of our team of biomedical engineers, working with your CT or MRI scan, we create a virtual replica of your individual knee. This allows us to determine the ideal size and orientation of your implant, based upon your unique physiology.

The combination of this 3D modeling, in conjunction with our minimally invasive surgical technique and our advanced pain management system is a groundbreaking development in knee surgery, leading to less pain, faster recovery, and a lower risk of complication.

Orthopedic Surgeon Los Angeles

Step 1

Knee Before Surgery

Orthopedic Surgeon Los Angeles

Step 2

Knee After Resurfacing

Orthopedic Surgeon Los Angeles

Step 3

Knee With Oriented Implant

Anesthesia and Pain Management

Our cutting-edge pain management techniques aid in faster recovery time. Nanoknee does not use general anesthesia; we use a twilight sedation, similar to that of a colonoscopy. The additional use of an ultrasound guided nerve block and long lasting local anesthetic help to effectively manage and relieve pain. Even post-surgery, our technique aids in relieving the pain typically experienced with total knee replacement surgery, resulting in our patients being less reliant on opioid-based pain medication.

Fast Track Recovery and Physical Therapy

Our patients at Nanoknee Institute have a far superior recovery experience. Patients are able to walk almost immediately after surgery, full weight bearing. And, in most cases they return home within two to three hours after surgery, rather than having a stressful hospital stay. Typically, you should be able to recover and return to work within one to two weeks depending on the activities you perform at work. If activities performed are more strenuous three to four weeks may be advised.

Your rehab is performed in the comfort of your own home through an app that tracks your individual progress. With Nanoknee there is no need to keep track of physical therapy appointments each week. With the use of out Pulse app, we are able to send you self-guided exercises to work through from the comfort of your home and at your own pace. In addition, through our app you will have 24/7 access to medical staff who can answer any questions that may arise during your recovery process.

Knee Implant

The Nanoknee procedure is a minimally invasive knee surgery and requires an implant. All of our implants are manufactured in the United States and are FDA approved. The knee implant consists of three components: The femoral component, tibial insert component and the tibial tray.

The Femoral Component fits on the end of the thigh bone and is a cobalt chromium alloy material. For patients with metal allergies we offer a titanium nitride coated component.

The Tibial Insert Component placed between the two metal implants is a highly crosslinked, Vitamin E infused polyethylene. The Vitamin E reduces wear and oxidation of the polyethylene bearing surface to meet the long-term performance needs of highly active patients.

The Tibial Tray Component which sits on top of the shin bone is a titanium alloy material. Though the procedure has been in practice for a little over three years, the estimated longevity of the implant is 25-35 years. Testing has indicated that it is likely the implant may sustain even longer than projected.

Partial Nanoknee Replacement

Partial knee replacement surgery is suitable in patients who only have damage from arthritis in part of the affected knee joint. This type of knee replacement surgery preserves the healthy portions of the knee, allowing for greater range of motion and function following surgery.

During partial knee replacement surgery, the damaged portion of the knee joint will be resurfaced and replaced with synthetic components. Since partial knee replacement surgery is performed using smaller incisions than with a full knee replacement.

Recovery

Patients experience less downtime and may return to their daily activities much sooner than with a full replacement surgery.

Since more natural parts of the knee are kept during partial knee replacement surgery, patients report a more organic feeling of motion in the knee joint post-surgery than those who have received a full knee replacement.

Uni-Knee: Partial Knee Replacement

You may be suffering the effects of arthritis in your knee, with your quality of life affected so much that you’re considering surgery. It’s possible that you may not need a total knee replacement.

For a number of patients suffering from osteoarthritis, a unicompartmental (“Uni-Knee”) procedure can be a less-invasive and effective option.


Your Knee Has Three Compartments

Your knee joint is made up of three parts, or “compartments”:

  • The knee cap and the front part of the femur (thigh bone)
  • The inside of the knee, known as the “medial compartment”
  • The outside, the “lateral compartment”

The medial and lateral compartments are the area between the femur and the tibia (shin bone). Osteoarthritis is most common in the medial compartment. An X-ray can reveal which areas of your knee are affected by arthritis. If your disease is confined to one compartment, you could be a candidate for a unicompartmental knee procedure.

How is a Partial Knee Replacement Done?

The goal of a Uni Knee surgery is to create an artificial joint, just as in a total knee replacement. The difference is that the Uni Knee procedure only addresses the area where disease has been found.

Patients receive regional anesthesia, which numbs the lower portion of the body, and IV sedation to remain comfortable. Most patients are walking pain free 30-45 minutes after surgery.

The surgeon will first make an incision at the front of the knee. The damaged cartilage in the affected area is removed and a resurfacing component is attached to the femur and to the tibia. Knee ligaments and unaffected cartilage are left undisturbed.

Am I a Candidate for Uni Knee Surgery?

You’ll need an examination to determine if your problems are restricted to one compartment of your knee. Overall, anywhere from 10 to 15 percent of patients suffering from osteoarthritis of the knee will be eligible for Uni Knee surgery.

Certain patients would not be eligible for this procedure, for example:

  • Patients whose knee ligaments are not intact
  • Patients with rheumatoid arthritis
  • Patients who are morbidly obese

Other factors could also affect your eligibility. A consultation with your surgeon can clarify whether a partial knee patient is right for you.


Benefits for Those Who Qualify

As comparted to total knee replacement, Uni Knee surgery does offer benefits to those who are qualified to receive it, among them:

  • It is a less-invasive operation, with a smaller incision, less blood loss and a smaller amount of bone removed.
  • No hospital stay and a rapid recovery.
  • Your recovery will be quicker, and you will experience less pain the days following your surgery.
  • Because bone, ligaments and cartilage in the healthy parts of your knee have not been touched, your knee will feel more like a “natural” knee.
  • When you have healed, you should be able to be more active than if you had received a total knee replacement.

It is possible that as time passes, you could develop arthritis in other parts of your knee. If it becomes necessary in the future for any reason, you would still be able to receive a total knee replacement.

Arthrosurface Implants

Minimally invasive Bone Resurfacing

The loss of cartilage in the knee due to arthritis or injury results in bones rubbing together. This is not how your knee was designed to work, and it causes significant pain, affecting mobility.

You want to regain your ability to move, and to restore your ability to be active without pain and discomfort. Is a total knee replacement your only option?

NanoKnee, with clinics in Los Angeles, Pismo Beach, and Bakersfield, is one of the few surgical centers that offers a unique and innovative alternative to total knee replacement, a minimally invasive procedure that can help restore natural knee function.


Rubbing Things the Wrong Way

It’s possible that your pain is related to damage in just one part of your knee. Most arthritis pain is related to disease within the knee structure, between the femur (thigh bone) and the tibia (shin bone). Arthritis, or injury, can also cause damage to the outer portion of the knee structure knee, or between the kneecap and the femur.

What if you could reduce friction between the bones in the specific area that is affected? That would help you avoid the trauma of a total knee replacement and give you a better chance at resuming the active lifestyle that you enjoy.

How Resurfacing Works

The approach taken in this innovative surgery is as simple as it is powerful. Implants are placed in the injured areas, restoring smooth, friction-free motion in the joint. The implants are contoured to match the shape of the joint surfaces to which they are attached. The surgery can be done without affecting the healthy areas of your knee joint.


Advantages to the Patient

If you are a candidate for this procedure, you will experience a number of benefits:

  • This surgery can be performed as an outpatient procedure, saving you time and the expenses associated with a long stay in the hospital.
  • It is relatively non-invasive. Not as much bone or cartilage is removed as in a full knee replacement.
  • Your ligaments will remain intact. Overall, the joint is altered much less.
  • Your recovery time will be shorter than for a total knee replacement. You’ll be back at work and back to your normal routines sooner.
  • You will have fewer restrictions on your activity following the surgery – possibly none at all.

Am I a Candidate?

A primary factor in your eligibility is whether or not your problem is limited to a specific area in your joint. This can be determined by an X-ray. Even if this is the case, some patients would not be eligible for this procedure, including:

  • Patients who have a bone infection (osteomyelitis)
  • Patients who have a sensitivity or allergy to materials in bone cements or orthopedic prosthetics
  • Patients who have metabolic disorders that could affect the ability of bone to heal
  • Patients who have infections in other areas of their body that could spread to the implant site

This is not the full list of factors or conditions that could affect your eligibility. As with any other surgery, you will need to be in good general health. The fastest way to determine if you are a candidate for minimally invasive bone resurfacing is to schedule a consultation with our surgeon.

Advanced Treatments for Knee Pain at NanoKnee

If knee pain has forced you to cut back your activities and robbed you of the pleasure you gain from sports and recreational activities, the road out of these problems may be easier to travel than you think.

Don’t wait any longer to find out more about minimally invasive bone resurfacing, and how it can help you overcome your specific knee issues. Schedule a consultation with NanoKnee.


Minimally invasive Bone Resurfacing Knee Replacement

Some patients have worn out all the cartilage in their knee and may need a total knee replacement.

Nanoknee offers a new type of total knee replacement. Our proprietary 3D modeling allows us to offer the most minimally invasive and advanced knee replacement on the market.

Advantages include: Minimally invasive, smaller incision, extremely bone sparring, ligament sparring, more precise alignment using 3D models, perfectly balanced knees.

All patients are done at a surgery center and walking 30-45 minutes after surgery. All patients go home the same day and most go home after just 2 hours.

Get back to doing what you love

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Contact Us

Arroyo Grande /
San Luis Obispo

860 Oak Park Blvd. Suite 101 Arroyo Grande, CA 93420

Tel : (805) 669-9471 Fax : (805) 481-5245

Los Angeles

23365 Hawthorne Blvd Suite 102 Torrance, CA 90505

Tel : (323) 947-2737 Fax : (805) 481-5245 Contact.

Bakersfield

2701 Chester Avenue Suite 102 Bakersfield, CA 93301

Tel : (805) 669-9471 Fax : (805) 481-5245

Minimally invasive knee surgery in Los Angeles.

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