Tourniquet Free Knee Replacement
Avoiding tourniquet inflation decreases thigh pain and facilitates early recover.
Outpatient Knee Replacement
Dr. Molho uses cutting-edge techniques to minimize pain, maximize early motion, and offer a speedy recovery. The vast majority of patients go home the same day as the knee replacement surgery. Nerve blocks performed by anesthesiologists, injection of numbing medication around the surgical site, intra-operative dexamethason dose, and post-op multimodal pain regimen help facilitate an early recovery
Total Knee Replacement
MAKO Robotic Assisted
Medial Partial Knee Replacement
MAKO Robotic Assisted
Lateral Partial Knee Replacement
MAKO Robotic Assisted
Patellofemoral Replacement
MAKO Robotic Assisted
Partial knee replacement - MAKO Robotic Assisted
Tourniquet free partial knee replacement using robotic technology achieves high performing, well balanced knees, and an earlier recovery
Patellofemoral arthroplasty - MAKO Robotic Assisted
Outpatient, tourniquet free patellofemoral arthroplasty guided by Robotic Assisted Technology (MAKO)
Robotic Knee Replacement in Orange County — Total & Partial
Chronic knee pain from arthritis or injury can make even simple activities feel impossible. Dr. David Molho offers state-of-the-art robotic-assisted total and partial knee replacement surgery for patients throughout Orange County, with offices in Irvine, Laguna Woods, and Los Alamitos.
Robotic-Assisted Total Knee Replacement
Dr. Molho uses advanced robotic technology to achieve a precisely balanced, high-performance knee replacement. Robotic assistance allows for greater accuracy in implant positioning, which translates to a more natural feeling knee, less post-operative pain, and faster recovery. This minimally invasive technique reduces trauma to surrounding tissue and gets you back on your feet sooner.
Robotic-Assisted Partial Knee Replacement
Not every patient requires a full knee replacement. If arthritis is limited to one compartment of your knee, a partial (unicompartmental) knee replacement may be the better option. Partial knee replacement preserves more of your natural knee, results in a more natural range of motion, and typically has a faster recovery than total knee replacement. Dr. Molho uses robotic technology to ensure precise implant placement for optimal outcomes.
Am I a Candidate?
You may be a candidate for knee replacement if you have persistent knee pain, stiffness, or swelling that limits your daily activities and has not improved with conservative treatments such as physical therapy, medications, or injections. Dr. Molho will review your symptoms, perform a physical examination, and obtain X-rays to help determine whether total or partial knee replacement is right for you.
What to Expect
Knee replacement surgery typically takes one to two hours. Dr. Molho's minimally invasive technique means less blood loss, a smaller incision, and a faster recovery. Most patients are walking the same day and return home shortly after surgery.
Why Choose Dr. Molho?
With over 132 five-star Google reviews and a reputation built on precision and personalized care, Dr. Molho is one of Orange County's most trusted knee replacement surgeons. His artistic background as a published medical illustrator reflects the detail and craftsmanship he brings to every surgery. Offices conveniently located in Irvine, Laguna Woods, and Los Alamitos serve patients from across Orange County including Anaheim, Huntington Beach, Mission Viejo, Seal Beach, and surrounding communities.
Call or click below (949) 586-3200 or request an appointment online today.
Frequently Asked Questions About Knee Replacement
What is robotic-assisted knee replacement? Dr. Molho uses the MAKO robotic system to assist in knee replacement surgery. The robot creates a 3D model of your knee before surgery, allowing Dr. Molho to plan the precise size, position, and alignment of your implant. During surgery, the robotic arm provides real-time guidance to ensure accurate bone preparation.
What is the difference between total and partial knee replacement?
Total knee replacement replaces all three compartments of the knee joint. Partial (unicompartmental) knee replacement replaces only the damaged compartment — either the medial (inner), lateral (outer), or patellofemoral (front) compartment — while preserving the healthy portions of the knee. Partial knee replacement typically offers faster recovery, more natural motion, and better range of motion.
Can I go home the same day as knee replacement surgery?
Yes. Dr. Molho performs outpatient knee replacement surgery, and the vast majority of patients go home the same day. His combination of minimally invasive technique, tourniquet-free surgery, nerve blocks, and a multimodal pain management protocol makes same-day discharge safe and comfortable.
What does tourniquet-free knee replacement mean?
Traditionally, a tourniquet is inflated around the thigh during knee replacement to reduce bleeding. However, this causes significant thigh pain and swelling after surgery. Dr. Molho performs knee replacements without a tourniquet, which decreases post-operative pain and allows for faster recovery and earlier mobility.
How long is recovery after knee replacement?
What is patellofemoral replacement?
Patellofemoral replacement is a type of partial knee replacement that addresses arthritis isolated to the front of the knee — between the kneecap and the femur. Dr. Molho uses MAKO robotic assistance for this procedure, preserving the healthy portions of the knee while relieving pain from the damaged compartment. This is a less common but highly effective option for the right candidate.
Does Dr. Molho accept my insurance?
Dr. Molho's office accepts most major insurance plans. Click the link below or call (949) 586-3200 to verify your specific coverage before scheduling an appointment.