Outpatient Total Knee Replacement

Dr. Grutter has performed outpatient joint replacements in Tennessee since 2014.  Outpatient total knee replacement is a great option for people with knee pain from arthritis which has failed to improve with non-operative, conservative treatment.  Types of arthritis that commonly affect the knee include: osteoarthritis, rheumatoid arthritis or other inflammatory arthritis and arthritis that develops after an injury. It is considered after failure of non-surgical treatment options such as medications, bracing, physical theray and weight loss have failed to decrease the severity of a persons knee pain. 

Over 600,000 knee replacement surgeries are performed each year allowing patients with arthritic knee pain to get back to enjoying their normal, everyday activities. Most of these knee replacements are done in a hospital with a 3-5 day hospital stay.  Due to advances in surgical technique, implant technology and pain management knee replacement can now be done as an outpatient.

Dr. Grutter has uses an approach to knee replacement surgery that does not cut into the quad muscles like older, traditional approaches. This is called a sub-vastus approach.  The goal of this technique is to minimize pain and shorten recovery. He also maximizes knee mobility using computer navigation to place the implants or to create custom implants using 3D modeling of each individual patient’s knee.  Using these techniques Dr. Grutter commonly performs knee replacement as an outpatient surgery. 

The procedure itself takes 1-2 hours. During the surgery the painful, arthritic areas of bone are removed. The joint surfaces are then replaced with metal and plastic restoring the normal alignment and function of the knee.  More than 90% of patients who have a knee replacement experience a dramatic decrease in knee pain and significant improvement in their ability to perform their common activities of daily living.

Following outpatient total knee replacement surgery, patients recover in the post-operative area and generally walk with a walker a few hours after surgery.  Outpatient knee replacement patients are discharged from the surgery center after they are have walked, eaten and are comfortable on our advance pain management protocol.  While every patient rehabs differently, most patients recover over a two- to four-week period compared to the two to three months of recovery time with traditional knee surgery.

Total knee replacement technology used by Dr. Grutter includes: Stryker GetAroundKnee, Smith & Nephew Verilast, and Conformis.

The benefits of outpatient knee replacement include: no expensive hospital stay, fewer complications, lower out-of-pocket costs and better outcomes.

Dr. Grutter was one of the first surgeons to perform outpatient joint replacement in the Nashville Tennessee area and is highly trained and well experienced in performing knee replacement surgery. Appointments are available to discuss knee replacement surgery and determine if knee replacement or  non-operative measures are the best treatment for you.

Please read this information carefully. Write down any questions that you have about your diagnosis and its treatment and discuss them with your surgeon. Working together you and your surgeon will determine the best treatment for you.

Appointments to discuss Total Knee Replacement with Dr. Grutter can be made here.  
Dr. Grutter's has offices in Hendersonville,  Nashville, and Gallatin, Tennessee. Directions to our offices in the Nashville, Tennessee area can be located here. Please contact our office if you are from outside the Nashville, Tennessee area and would like assistance in arranging lodging or transportation for a consultation.