While hundreds of thousands of knee surgeries are performed across the nation, the surgical methods employed will vary from surgeon to surgeon. At Nanoknee Los Angeles, 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 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 Nanoknee so unique is that the procedure spares the stabilizing ligaments of the knee, where possible. 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, our Los Angeles knee specialists at Nanoknee perform 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.
In planning for your surgery, our Los Angeles Nanoknee doctors 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 in Los Angeles; 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.
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.
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 our 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.
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 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.
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.
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 joint is made up of three parts, or “compartments”:
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.
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.
Our knee specialists 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.
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:
Other factors could also affect your eligibility. A consultation with your surgeon can clarify whether a partial knee patient is right for you.
As comparted to total knee replacement, Uni Knee surgery does offer benefits to those who are qualified to receive it, among them:
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.
Find out more about Uni-Knee Replacement, and how this procedure might resolve your knee issues and enable you to reclaim the mobility and activity level you desire. Schedule a consultation with NanoKnee.Contact Us
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 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.
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.
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.
If you are a candidate for this procedure, you will experience a number of benefits:
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:
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.
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 in Los Angeles, San Luis Obispo, or Bakersfield.
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.
Amongst the most educated and highly-recommended knee specialists in Los Angeles.
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Individual results may vary
The content of this website is for information only, not advice or guarantee of outcome. No individual, including those under our care, should use the information contained in this website to self-diagnosis or self-treat any health related condition. Nanoknee gives no assurance or warranty regarding the accuracy, timeliness, or applicability of the content.
Nanoknee and its Surgery Center Partners want to let our patients know what steps we are taking to help minimize exposure to COVID-19
Is it safe to undergo outpatient surgery during this outbreak?
Yes, in fact the surgery center is one of the safest places to be. All of the centers practice extreme hygiene, the staff use protective equipment (masks, gloves, gowns, etc), and we limit waiting room occupancy to allow for extreme social distancing.
Furthermore, we are actively screening all patients and family members prior to surgery. We are also reducing any unnecessary contact by limiting the waiting room to only a few family members at a time. The surgery centers employs the most up to date infection control practices, and the operating rooms are sterile environments.
Avoiding crowds and the hospital are important measures everyone should take. After surgery all patients get to recover in the comfort of their own home. We can arrange for a nurse to visit you at home to help with any additional care. We can coordinate the majority of your follow-up care remotely.
Should I reschedule my procedure?
We currently do not recommend rescheduling or postponing your procedure. Outpatient surgery is extremely safe, and the current COVID-19 outbreak has not changed our ability to provide the highest level of care. However, any patients that have developed recent respiratory symptoms or fevers will be asked to reschedule their procedures. Delaying your procedure now could potentially mean a significant delay in the future.
All procedures have time-limited authorizations. You could be required to undergo a new consultation with your surgeon, which would effectively move patients to the back of the line. We expect a glut of consults and surgeries following the end of the COVID-19 outbreak, and thus surgery dates could be significantly delayed. With most people encouraged to stay at home this is the optimal time for an outpatient surgery.