Is knee pain holding you back from doing simple, everyday tasks, such as walking, climbing a flight of stairs or getting out of bed each morning? Please don’t delay your care. The orthopedic specialists at Detroit Medical Center (DMC) are here for you.

We specialize in treating all kinds of knee pain, including the following:

  • Arthritis
  • Ligament injuries including ACL tears
  • Muscle or tendon injuries
  • Cartilage injuries including meniscus tears
  • Fractures / dislocations
  • Bone deformity or abnormal rotation

Our team of orthopedic surgeons, non-operative sports medicine physicians, physician assistants, nurses and physical therapists work together with you to design a personalized treatment plan, helping to reduce your pain and increase your mobility and activity level.

Nonsurgical Treatment Options

Not all knee pain requires surgery. We work with you to diagnose the source of your pain and typically start with a conservative, nonoperative approach.

Some of our nonsurgical treatment options include the following:

  • Physical therapy
  • Cortisone (or steroid) injection
  • Hyaluronic acid injection (gel shots)
  • Medications
  • Platelet-rich-plasma injection (PRP)
  • Acupuncture
  • Osteopathic Manipulative Treatment (OMT)
  • Tenex procedure
  • Weight loss
  • Activity modification
  • Bracing

Surgical Treatment Options

If you have a serious knee injury or problem, surgery may be the preferred option to repair the damage. You and your doctor will discuss your knee pain and evaluate your options including both joint preservation options as well as replacement options.

Some of the surgical procedures we specialize in include the following:

  • Total knee replacement
    • Mako SmartRobotics™ total knee replacement
    • Conformis iTotal custom made knee replacement
  • Partial knee replacement
    • Mako SmartRobotics™ partial knee replacement
    • Conformis I-Uni custom made partial knee replacement
  • Knee arthroscopy (scope)
    • Meniscus repair or partial removal of torn meniscus
    • Removal of loose bone or cartilage fragments
    • Microfracture
  • Arthroscopic ACL reconstruction
  • Joint cartilage reconstruction
    • OATS procedure (Osteochondral Autograft Transfer System)
    • Mosaicplasty
    • Autologous Chondrocyte Implantation (ACI)
  • Bone realignment (Osteotomies) to correct deformity
  • Procedures to stabilize kneecap instability – Medial Patello Femoral Ligament Reconstruction (MPFL)
  • Fracture or dislocation management

Total Knee Replacement

In knee replacement surgery, the surgeon removes the arthritic ends of the bone, and resurfaces that with a metal implant. Over the past several years, the surgery has become far less invasive than in past years (minimally invasive surgery) as techniques and equipment have improved. Almost all patients are now considered candidates for this minimally invasive approach. Almost all implant designs consist of two metal components to cover the end of the thigh bone (femur) and the top of the shin bone (tibia). The metal is usually mainly a composite of chrome and cobalt. A durable piece of plastic (polyethylene) is sized to fit between the metal surfaces as a new cushion and make the knee stable. A plastic button may be used to make the kneecap more comfortable and fit in the new metal groove. The artificial joint may be secured in place by natural bone growing into the metal, or can be cemented into place if the bone is more fragile.

Joint replacement surgeries are performed at DMC Harper University Hospital, DMC Detroit Receiving Hospital, DMC Sinai-Grace Hospital and DMC Huron Valley-Sinai Hospital.

Robot-Assisted Total Knee Replacement

Orthopedic surgeons at the Detroit Medical Center utilize Mako SmartRobotics™, a robot-assisted surgical option to perform your total knee replacement. Mako uses 3D CT-based planning software so your surgeon can know more about your anatomy to create a personalized joint replacement surgical plan.

Detroit Medical Center is one of the top health systems in Michigan for the number of Mako surgeries performed each year and has been performing Mako SmartRobotics™ joint replacement surgeries since 2012.

Potential benefits of Mako SmartRobotics™ compared to traditional joint replacement surgery may include the following:

  • Precise resurfacing of the arthritic portion of the knee
  • Optimal implant positioning resulting in a more natural feeling knee following surgery
  • Less pain
  • Quicker recovery time
  • Lower risk of complications
  • Accurate placement of implants reduces the need for future surgeries on that knee.

When you hear ‘robotic-arm assisted technology,’ it’s important to understand that the Mako robotic-arm doesn’t actually perform the surgery. Surgery is still performed by your orthopedic surgeon, who uses the Mako system software to pre-plan your surgery, and the robotic arm to help prepare the bones for your new knee extremely precisely.

Partial Knee Replacement

Your orthopedic surgeon may recommend partial knee replacement instead of total knee replacement. This may also be performed with the Mako SmartRobotics™ system. Partial knee replacement is appropriate in certain patients, who also have their knee arthritis confined to only one side of the knee, or just under the kneecap.

Partial knee replacement has potential advantages in the right patient, which may include the following:

  • Less invasive surgery
  • Preservation of all healthy bone and ligaments
  • Less blood loss
  • Reduced pain after surgery
  • Shorter recovery time, and reduced hospital stay.
  • A more natural feeling knee

Revision Knee Replacement

Unfortunately, some knee replacements may need to be re-done, usually because they have worn out after many years. Other knees might need to be re-done due to other complications. Fortunately, DMC’s orthopedic specialists are experienced in re-doing knee replacements to restore normal knee movement and relieve pain.

Why Choose DMC for Knee Replacement?

The DMC provides safe and compassionate orthopedic care at 6 hospitals, 13 clinics and 28 outpatient rehab centers throughout metro Detroit. We are also proud to be the medical services provider for the Detroit Red Wings and Detroit Tigers.

Blue Cross Blue Shield has designated DMC Harper University Hospital as a Blue Designation Center+ for knee and hip replacement. This designation is given to healthcare facilities and providers recognized for their expertise and efficiency in delivering specialty care.

DMC has more than 35 operative and non-operative orthopedic and sports medicine physicians on staff who have performed thousands of joint replacement and orthopedic procedures from the simplest to the most complex. There are also multiple highly trained joint replacement specialists to tackle the most challenging of first time or revision knee replacements. DMC hospitals have a total of four robots and continue to be among the top health systems in Michigan for performing robot-assisted hip and knee joint replacements.

To help treat our patients better, we invest our time in improving our orthopedic knowledge, quality of service and hospital safety. The DMC voluntarily participates in clinical trials and other initiatives that may help improve the success rates of patients.

Pam's Knee Rehabilitation Story

Pam Yagiela, winner of the Michigan Senior Olympics powerlifting competition tells her miraculous story of rehabilitation after knee surgery.

Find an Orthopedic Specialist

Request one of our specialists to get a second opinion, or a really good first one.