{"id":20356,"date":"2025-07-11T00:50:00","date_gmt":"2025-07-11T00:50:00","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=20356"},"modified":"2026-07-03T09:55:01","modified_gmt":"2026-07-03T09:55:01","slug":"prothese-totale-de-genou","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/prothese-totale-de-genou\/","title":{"rendered":"Total knee replacement: indications, procedure and results"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is a total knee replacement?<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Total knee replacement is a surgical procedure that involves replacing worn parts of the cartilage and bone in the joint with specially designed prosthetic implants. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The goal is to restore smooth joint function, relieve chronic pain, and allow the patient to regain a normal gait.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In Geneva, Dr. Coulin favors modern techniques such as\u00a0<a href=\"https:\/\/coulinmedical.com\/en\/chirurgie-mini-invasive\/\" data-type=\"post\" data-id=\"22842\">minimally invasive surgery<\/a>, when it is adapted to the patient&#039;s profile. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This surgical approach is more respectful of surrounding tissues, reduces post-operative pain and promotes faster recovery.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/DO5JGIiiBk_\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/DO5JGIiiBk_\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/DO5JGIiiBk_\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Coulin Center of Movement (@coulinmedical)<\/a><\/p><\/div><\/blockquote>\n<script async src=\"\/\/www.instagram.com\/embed.js\"><\/script>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">In which cases is the intervention indicated?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Knee replacement is primarily indicated in cases&nbsp;<strong><a href=\"https:\/\/coulinmedical.com\/en\/larthrose-mieux-comprendre-cette-maladie\/\" data-type=\"post\" data-id=\"23049\">osteoarthritis<\/a> <\/strong>knee forward, when:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>the pain becomes chronic and disabling,<\/li>\n\n\n\n<li>movements are limited,<\/li>\n\n\n\n<li>and that conservative treatments are no longer sufficient.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin may also recommend this operation in other situations:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inflammatory arthritis (rheumatoid arthritis, ankylosing spondylitis).<\/li>\n\n\n\n<li>Severe joint deformity with loss of limb axis.<\/li>\n\n\n\n<li><a href=\"https:\/\/sosgenougeneve.ch\/fractures-traumatiques-symptomes-urgence\/\" data-type=\"link\" data-id=\"https:\/\/sosgenougeneve.ch\/fractures-traumatiques-symptomes-urgence\/\" target=\"_blank\" rel=\"noopener\">Complex knee fracture<\/a>&nbsp;compromising the stability of the joint.<\/li>\n\n\n\n<li>Bone necrosis occurs when the blood supply is interrupted.<\/li>\n\n\n\n<li>Failure of conservative treatments (infiltrations, anti-inflammatories, rehabilitation).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When pain affects walking, sleeping, and daily activities, total knee replacement surgery becomes the most effective solution to improve quality of life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why consider a knee replacement?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L&#039;<strong>knee osteoarthritis<\/strong>&nbsp;is an irreversible degenerative disease: the cartilage thins, the joint becomes stiff and painful, and simple everyday actions become complicated.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A total knee replacement allows you to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>provide lasting pain relief,<\/li>\n\n\n\n<li>restore functional mobility,<\/li>\n\n\n\n<li>regain fluid and independent walking,<\/li>\n\n\n\n<li>improve posture and balance.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is therefore a reference treatment for patients for whom medical solutions are no longer sufficient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How does the operation with Dr. Coulin work?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The procedure is performed under general or regional anesthesia. Dr. Coulin makes an incision in the front of the knee, removes the damaged bone and cartilage, and then implants the prosthetic components (femoral, tibial, and sometimes patellar).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prior to this, a customized surgical plan is created using...\u2019<a href=\"https:\/\/coulinmedical.com\/en\/planification-3d-en-chirurgie\/\" data-type=\"post\" data-id=\"22979\">3D imaging<\/a>. This key step allows us to model each patient&#039;s anatomy, anticipate surgical procedures, and optimize implant placement. The goal is to faithfully restore the knee&#039;s natural biomechanics and guarantee lasting stability.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the post-operative consequences ?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Rehabilitation after total knee replacement begins within hours of the operation. A physiotherapist works with the patient to gradually mobilize the joint, prevent stiffness, and promote healing.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Days 1-3: first walks with assistance.<\/li>\n\n\n\n<li>Following weeks: structured rehabilitation program to restore joint range of motion, strengthen muscles and regain independence.<\/li>\n\n\n\n<li>Following months: gradual resumption of daily activities and, depending on individual profiles, adapted sports activities (swimming, cycling, walking).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Regular rehabilitation is crucial to achieving a stable, flexible and pain-free knee.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What results can we expect?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Total knee replacement yields excellent results in the vast majority of cases:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>significant reduction, or even disappearance, of pain,<\/li>\n\n\n\n<li>better joint mobility,<\/li>\n\n\n\n<li>resumption of an active and comfortable life,<\/li>\n\n\n\n<li>improved posture, balance and quality of life.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Modern prostheses offer an estimated lifespan between&nbsp;<strong>20 and 25 years old<\/strong>, sometimes more depending on the patient&#039;s activity and medical monitoring.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Are there any risks?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Like all orthopedic surgery, knee replacement surgery carries risks:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>infection,<\/li>\n\n\n\n<li>phlebitis,<\/li>\n\n\n\n<li>persistent stiffness,<\/li>\n\n\n\n<li>wear or loosening of the prosthesis.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin applies strict prevention protocols and ensures close monitoring in order to limit these complications and guarantee a lasting and secure result.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Would you like to know more?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Each patient is unique.<\/strong>\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During a consultation, the\u00a0<strong>Dr. Coulin<\/strong>\u00a0performs a complete clinical examination, analyzes your X-rays and MRIs if necessary, then discusses your pain, expectations and activity level with you.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This assessment helps determine if a\u00a0<strong>total knee replacement<\/strong>\u00a0is the most suitable solution for your situation or if another treatment could be preferred.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>When knee osteoarthritis becomes too painful and limits your daily activities, a total knee replacement can offer a real new beginning.<br \/>\nIn what cases should it be considered? How is the procedure performed? And what are the expected results? A complete overview to better understand this increasingly common surgery.<\/p>","protected":false},"author":1,"featured_media":24687,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100,98],"tags":[],"class_list":["post-20356","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie","category-genou"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/20356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=20356"}],"version-history":[{"count":16,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/20356\/revisions"}],"predecessor-version":[{"id":25136,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/20356\/revisions\/25136"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/24687"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=20356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=20356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=20356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}