Procedures
Partial Knee Replacement
Dr. Nadaud performs over 100 partial knee replacements every year. He prefers to offer this procedure for appropriate candidates. While total knee replacement is a very successful operation, partial knee replacement is the least invasive joint replacement procedure. It is less traumatic and delivers improved results for pain relief. Additionally, it can be performed on an outpatient basis. Partial knee replacement utilizes a smaller incision than the total knee, requires much less cutting of the bone, and does not cut muscle or disrupt the quad muscle or tendon (unlike the quad sparing technique).
This procedure carries lower risk than TKA, involves less pain, and has a faster recovery with an easier rehabilitation. Most people find that it feels more natural than TKA due to retaining more of the natural anatomy. For those interested in sports, it enables a faster and more likely return to vigorous activity. 80-90% of partial knee replacements are expected to last beyond 20 years, which is similar to the durability of total knee replacement. For very young patients, this is an excellent option for obtaining pain relief and delaying the need for a total knee arthroplasty. In fact, many patients who have undergone a partial knee replacement will never need a total knee replacement.
Total Knee Replacement
With 24 years of experience, Dr. Nadaud performs hundreds of minimally-invasive total knee procedures each year using minimally-invasive techniques and the most proven approaches to achieve ideal outcomes and minimize risk. While some surgeons market procedures that have demonstrated increased risks, Dr. Nadaud’s priority is always achieving optimal results while avoiding complications. As with all of our procedures, we use multimodal pain management and accelerated recovery after anesthesia (ERAS) protocols to optimize patient comfort and allow rapid mobilization and same-day discharge to home when possible. Approximately 85% of our total knee patients are able to participate in our outpatient program and go home the day of surgery. The majority of our patients never require a hospital stay and have their surgery performed at our award-winning outpatient surgery center, KOSC.
Hip Replacement
Dr. Nadaud’s extensive experience with minimally invasive total hip replacement allows him to offer outpatient hip replacement using the most proven techniques and protocols. Patients receive personalized care tailored to their anatomy, activity, and needs. Perioperative care is delivered through our team of specialized providers, experts in providing the best and safest experience for each of our patients. We emphasize patient education and communication with our team through a personalized app which guides patients through preparation, surgery, and recovery. Most patients can be discharged to home the day of surgery and don’t require physical therapy. Our team will be available to you through recovery and mobilization and help you get back to the activities you enjoy.
What to Expect Before Your Surgery with Dr. Nadaud
- Orthopaedic evaluation including history and physical, hip and knee examination, and x-rays.
- Once the decision for surgery is made, you will choose a date and receive educational materials and access to the MyMobility peri-operative app.
- All hip and knee patients are encouraged to participate in daily pre-operative exercise and especially to incorporate regular use of an exercise bike.
- Pre-operative medical assessment will vary depending on patient needs and risk factors.
- Patients will receive prescriptions for medications, assistive devices, and therapy when needed.
- Wound care is generally maintenance-free. All sutures are below the skin, and no suture removal is necessary.
- A watertight skin glue will be applied over the incision which allows for showering on the first day after surgery.
- Most patients will be able to discharge to home on the same day they have had surgery.
- 90% of total hip patients
- 80% of total knee patients
- Nearly 100% of partial knee patients