Total Knee Replacement

Richard Goding, MD -  - Orthopedic Surgeon

Joint Preservation Institute of Iowa

Richard Goding, MD

Orthopedic Surgeon located in West Des Moines, IA & Corydon, IA

If you have severe knee pain that hasn’t improved with nonsurgical treatment, you might need a total knee replacement. At the Joint Preservation Institute of Iowa in West Des Moines and Corydon, Iowa, Richard Goding, MD, performs total knee replacement surgeries to repair your knee and help you lead an active, pain-free life. Call the Joint Preservation Institute of Iowa or make an appointment online today to find out if total knee replacement is right for you.

Total Knee Replacement

What is a total knee replacement?

Total knee replacement is a surgical procedure to replace worn out or damaged knee components with biocompatible replacement parts. Knee replacements are very common — around 600,000 knee replacement surgeries are done every year.

In addition to total knee replacement, Dr. Goding provides a variety of knee replacement and restoration procedures, including:

  • Cartilage restorative surgery
  • Partial knee replacement
  • Quadriceps-sparing total knee replacement


Your knee consists of the bottom of your femur (thigh bone), the top end of your tibia (shin bone) and your patella (knee cap). The joint is held together with ligaments. 

Your meniscus, a large piece of cartilage shaped like a “C,” cushions and absorbs shock between your bones. Your knee is also surrounded by a synovial membrane that lubricates your joint and reduces friction.

If any of the parts of your knee are damaged, it can lead to pain, weakness, and reduced mobility. Knee replacement surgery reduces your pain and restores function when your knee is too damaged to respond to noninvasive treatments.

Why would I need a total knee replacement?

Osteoarthritis is the most common reason for total knee replacement surgery. This degenerative condition occurs when the cartilage that cushions and lubricates your knee wears away. 

As your bones rub together, it causes increased friction and irritation, which eventually damages your bones.

What happens during total knee replacement?

Whenever possible, Dr. Goding uses arthroscopic surgery to replace or repair your knee joint. While you’re under general anesthesia, he makes incisions in your knee and removes the damaged tissue before grafting replacement parts into your joint.

The steps of knee replacement surgery are:

  • Preparing your bones
  • Positioning the implants
  • Resurfacing the patella
  • Inserting a spacer to create a smooth surface


In some cases, total knee replacement is an outpatient procedure. You can go home to recover on the same day as your operation.

What should I expect after total knee replacement?

After total knee replacement, you’ll need to use crutches or another mobility device to move around without putting pressure on your knee. Most patients are up and moving around within a day. 

You’ll have physical therapy to help you rebuild your strength, balance, and range of motion. Dr. Goding prescribes medication to help you avoid infection and manage your pain.

If you need total knee replacement surgery and are looking for an expert orthopedic surgeon, call the Joint Preservation Institute of Iowa or make an appointment online today to talk to Dr. Goding about your knee replacement options.