

Mr. Sudheer L Karlakki
MBBS, FRCS(Ed&Gl), FRCS(Orth), Msc(Orth Eng), LLM (Med Law)
GMC membership number: 4340252

Consultant Hip & Knee
Replacement & Revision Specialist
Honorary Senior Lecturer
Robert Jones & Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry
01691 404344 & 07384 277867
Knee Replacement:
Surgery that is carried out to replace the worn arthritic knee joint with an artificial one. Worn ends of the bones are cut using a saw, this is a precision cut using specialised instruments to balance the knee which is a critical part of the surgery. The surfaces of the cut ends of the bone are covered by a highly polished metal implants made of cobalt chromium/titanium, using cement and a poly tray is fixed to the tibia or leg bone component resulting in a Metal on Poly articulation, The back of the knee cap or patella is also resurfaced as a routine in my practice with a cemented poly button to improve predictability of outcome.
Most knee replacements are cemented, part of it may be uncounted. Your surgeon should be able to discuss this with you.


Total Knee Replacement
Is a surgical option when non-operative management of arthritis such as activity modification, pain medications, anti-inflammatories have failed and quality of life is severely affected.
Knee replacement is a major surgery but can be a life changing under right circumstances
Almost all of the surgeons use some form of Enhanced or Accelerated recovery. This is to get you recover quickly from the surgery and feel well from surgery. This however should not be confused with healing process that carries on for many months.
National Joint Registry website provides information on your surgeons/hospital practice, volume of surgery and some outcome information. The web site also has useful information leaflets on joint replacement.
