About the author:

Howard J. Luks, MD

Howard J. Luks, MD

A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr. Howard Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has a very "social" patient centric approach and believes that the more you understand about your issue, the more informed your decisions will be. Ultimately your treatments and his recommendations will be based on proper communications, proper understanding, and shared decision-making principles – all geared to improve your quality of life.

4 comments on “Custom Knee Replacement

  • I have bone on bone in my right knee and need a replacement. I have tried the jels with little relief. Is there a material such as a silicon pad etc. that could be placed between the two bones to replace the cartiladge?

  • Hi Dr. Luks,

    I’ve been reading your blog and about you, and hoping you might be able to offer me some advice. I was told today that the arthroscopic knee surgery I had in December (including the repair of two menisci tears, and pattellar sublimation) has been unsuccessful. I have the same issues in my other knee, and the doctor has suggested that I try Synvisic injections, but he suspects I will need both knees replaced. As a 39 year old woman, with Fibromyalgia, Osteoarthritis, Psoriatic Arthritis, and a number of other painful conditions. I am concerned with getting this right. Is there a certain type of prosthesis or brand which I should be looking into. I have Medicaid, so I may not have many options, but I want to be as educated and successful as possible. Thank you for your time.

    Emily Ullrich
    US Pain Foundation

    • Hi Emily …
      The type of prosthesis used for a knee replacement is far less important then the surgeon performing the procedure. The most expensive implant placed improperly will result in a poor result. The older implants did very very well for quite a while as long as they were put in correctly. Find someone who performs 50-100 knees per year … but not more than 300 (yes, too many is probably bad too) and you should be in good hands. This is far more of an emotional, psychological and physical issue then it is implant related. Hope that makes sense.

      Good Luck
      Howard Luks

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