Honest Dialogue And Emotional Support Can Help You Through The Knee Replacement Journey

A growing number of individuals are undergoing knee replacement to treat osteoarthritis, also known as a 'wear and tear' of the joints, to reduce pain and increase mobility. In the U.S., more than 760,000 knee replacements are performed every year.^¹

Many people who have had knee replacement can get back to the life they loved, being able to take walks with family and friends, travel, volunteer, climb stairs and sleep with less pain.

Yet, even after conservative options like pain medicine or knee injections no longer provide relief, many with severe joint pain delay knee replacement surgery. They may have concerns about how painful the procedure will be, and whether mobility will be regained. Or they may have heard stories about painful and difficult recovery after surgery.

Knee replacement is not a quick fix, but a journey with several steps. Emotional support is important to help people through each step of their journey. And honest conversations with your surgeon can help set realistic goals.

The decision to seek surgery - support from loved ones or colleagues can help

Having conversations with your friends and loved ones about knee pain can be very helpful.

Royce Stegmann, part-time coach and umpire from New Hampshire who works for a network infrastructure company, like many others, suffered through countless years with knee pain. Royce recalls how his lifestyle changed – "As the pain became unmanageable, the amount of time I could spend doing the things I enjoyed became significantly reduced."

Emotional support can come in a variety of ways. With his pain mounting, Royce got the confidence to consult a surgeon from his family and friends.

An open dialogue with your surgeon can help set attainable goals

Today, some patients with osteoarthritis and knee pain are younger and more active. And they have heard about successful knee replacements, so they have more ambitious goals for recovery.^²

Orthopaedic surgeons from across the country continue to stress the importance of having candid conversations with patients and their loved ones about surgery and recovery.

Dr. Thomas King, Portsmouth, New Hampshire, has seen these changes in his own practice – "the expectations are entirely different now from what they were previously. People come in at a much earlier stage with their arthritis than they had previously."

"So, these patients want a lot more out of life, expect a lot more for themselves. They are not willing to sit in a chair and give up activities that they enjoy."

According to Dr. Anna Kulidjian, San Diego, California, surgery can be a sensitive topic to some, "I think expectations are a very, very personal thing. I think you have to set them based on the patient, and the patient populations you're dealing with."

Easier to set expectations with the ATTUNE® Knee System

With a knee system such as the ATTUNE® Knee System, surgeons find they can more effectively set expectations with their patients.

Dr. Robin Goytia, Houston, Texas, says that the ATTUNE Knee, "has helped us meet the high expectations of patients, how patients are very happy with their knees and are able to meet some of their goals sooner than with a typical system. Patients seem to recover quicker, seem to be happier with the new system."

"The ATTUNE Knee has drastically changed my overall expectations with my patients, because I know the standardized result we are looking for. I know we are trying to achieve motion very early," says Dr. Jeffrey Jaglowski, Houston, Texas.

Dr. Sarkis Bedikian, Chicago, Illinois, is now more confident – "I can tell my patients they're going to achieve less pain, their range of motion, and improve their function a lot quicker than I could before. I think it's very important that patients want to go back to their lifestyles, whatever that may be, whether it's work or sport. And they can do that better now."

Conversations about recovery and rehab

Outlining the amount of work that a patient needs to do after surgery is important for a successful recovery.

Dr. Andrew Spitzer, Los Angeles, California, says, "I've had to sort of sit down with some patients to say, listen, this is a big operation. There's recovery. There's downtime. And then there's significant effort in rehabilitation in order to maximize the result."

The ATTUNE Knee gives surgeons the confidence to ask more of their patients during the recovery process.

"I know we are going to have a stable knee, so I am very aggressive with my physical therapy, and I like to educate my patients quite extensively on exactly what to expect and what my goals are," says Dr. Jeffrey Jaglowski, Houston, Texas.

Positivity and support from friends and loved ones is vitally important during recovery and rehab.

"My family's reaction has been very positive – they were at first apprehensive because they thought there would be a lot of pain," Royce recalls. That worry turned out to be unfounded – "When it was all said and done, my family realized that I wasn't in a lot of pain and pretty much back to normal and doing everything."

"The recovery process was probably the strongest piece of the whole process – I worked with a physical therapist that outlined exactly what I needed to do from the day I left the hospital to when I began walking again," says Royce.

Looking back, Royce felt prepared – "I was very fortunate, I had a friend to answer a lot of my questions and my surgeon to walk me through everything step-by-step."

It's important to remember that the performance of knee replacements depends on age, weight, activity level and other factors. There are potential risks and recovery takes time. People with conditions limiting rehabilitation should not have these surgeries. Only an orthopaedic surgeon can determine if knee replacement is necessary based on an individual patient's condition.

For more information and to hear more stories from people who have received the ATTUNE Knee, visit www.ATTUNEKnee.com.

© DePuy Synthes 2019. All rights reserved.

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1. 2017 GlobalData.
2. Changing Demographics in Primary and Revision Total Joint Arthroplasty, 2000-2014. http://aaos2018.conferencespot.org/66451aaos-1.4066572/3-1.4073923/t002-1.4073930/a024-1.4075819/p0016-1.4076000 downloaded November 21, 2018.