Knee Replacement Surgery with Native Alignment Technique

Health Articles
Elderly man walking confidently after robotic-assisted total knee replacement, showcasing natural knee alignment technique at Vejthani International Hospital.

When osteoarthritis of the knee becomes a barrier to daily life, knee replacement surgery is often considered. Today, an approach known as “Native Alignment” helps restore mobility and recreate a sensation closer to that of a real knee.

What is Knee Osteoarthritis?

Knee osteoarthritis occurs when the cartilage surface of the knee joint gradually wears down. Cartilage cushions the bones, supports body weight, and ensures smooth joint movement. When it deteriorates, patients may experience stiffness, difficulty moving the knee in the morning, pain, swelling, cracking sounds, and weakness.

Robotic-Assisted Knee Replacement with Native Alignment

Robotic-assisted knee replacement is a highly effective treatment method, particularly for patients with advanced osteoarthritis. The Native Alignment approach or Anatomical Alignment approach is designed to relieve pain after knee replacement surgery while preserving the knee’s natural structure and movement pattern—closely resembling how the knee functioned before damage occurred.

Key Principle of Native Alignment

The main goal of Native Alignment is to restore the natural biomechanics of the knee, enabling patients to move as they did before joint degeneration or deformity. This approach allows the artificial knee joint to function efficiently without restricting daily activities.

Benefits of Native Alignment Knee Replacement

  1. Preserves the knee’s natural shape and alignment
    This approach aims to restore the knee to its original anatomical alignment before degeneration, reducing the risk of postoperative pain.
  2. Reduces postoperative pain
    By adjusting the bone alignment to match each patient’s natural anatomy, this method helps minimize the risk of pain or injury caused by excessive movement after surgery.
  3. Enhances patient satisfaction
    Patient satisfaction rates increase from approximately 80% to 95–98% following surgery.
  4. Improves mobility and balance
    Patients regain smoother movement and greater confidence in returning to their daily activities.
  5. Replicates the natural knee function
    It preserves the knee’s original biomechanics, allowing the artificial joint to function more like a natural knee.

Knee Care and Osteoarthritis Prevention

While osteoarthritis is more common in older adults, it is increasingly seen in working-age individuals. It is important to start taking care of your knees early through the following practices:

  1. Maintain a healthy weight
    Excess body weight increases pressure on the knee joints, especially when bending deeply, such as squatting, kneeling, sitting cross-legged, or folding the legs for a long time. These positions can accelerate cartilage wear.
  2. Exercise regularly and appropriately
    Engage in low-impact exercises that strengthen the muscles around the knees, such as swimming, cycling, or brisk walking on flat surfaces.
  3. Prevent knee injuries
    Be cautious to avoid accidents that can harm the knees, such as walking or running on uneven or slippery surfaces, or playing high-risk sports or activities without proper care.
  4. Avoid positions that increase knee pressure
    Prolonged sitting in positions like kneeling, squatting, or sitting on folded legs can put excessive pressure on the cartilage and speed up knee degeneration.

When to See a Doctor

Consult a doctor if you experience knee pain without a clear cause, frequent locking, or clicking sounds in the knee. Early diagnosis and treatment can help prevent the progression of knee degeneration.

For more information, please contact

Hip and Knee Center, Vejthani Hospital
Call: (+66)2-734-0000 Ext. 2222, 2223
English Hotline: (+66)85-223-8888

Medically Reviewed by

Dr. Premstien Sirithanapipat
Dr. Premstien Sirithanapipat

Orthopedics

Total Joint Reconstruction (Arthroplasty)

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