Guide Total Knee Arthroplasty: A Comprehensive Guide

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This book offers a comprehensive guide to total knee arthroplasty (TKA) that will assist in achieving excellent outcomes based on a sound understanding and.
Table of contents

When is Knee Replacement Advised? In Osteoarthritis, a plain x-ray of the knee joint shows the following features: Loss of joint space due to destruction of articular cartilage Sclerosis Subchondral cysts Osteophytes Bony collapse Loose bodies Deformity and mal-alignment Top. History of Total Knee Replacement TKR The total knee replacement or tkr surgery is one of the most popular orthopedic surgical procedures in the world for providing relief from chronic pain and disability caused by advanced arthritis of the knee or other joint disease conditions.

Knee Replacement Past Present Operating time hours 1. Recovery time months months Blood transfusion units 1 unit Pain Moderate to severe Minimal Range of motion 90 degrees degrees Permitted ADL activities of daily living Major restrictions Mostly allowed Incision length cms 10 cms Hospital stay days days Implant Lifespan years years Above estimates can vary based on specific medical condition and other factors.

Types and Techniques. Mobile bearing It allows the plastic cushion of the tibial component to rotate, giving patients greater flexibility on the medial and lateral sides of the knee joint. Medial pivot This implant replicates the natural function of the knee. Gender specific Some studies have indicated that the shape of the woman's knees differs from men.

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Customized A customized knee implant is created and developed based on the MRI of the joint to account for the differences in the anatomy from patient to patient. Knee Replacement Manufacturers Many device companies are designing and manufacturing knee implants, which are made from a variety of metal, plastic, and ceramic components. Knee Replacement Complications: Most knee replacement operations are risk-free but about one to two percent cases may have a few complications. The possible complications are: Joints swelling Debilitating pain Damage to surrounding tissues, arteries or ligaments Nerve damage Fractures Unstable implants Limited range of motion ROM Problems standing or walking Blood clots, deep vein thrombosis, pulmonary embolism Allergic reaction Infections In rare cases, serious complications may require a knee revision surgery , which can be expensive, painful, and inconvenient.

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Physiotherapy after Knee Replacement Surgery Physiotherapy treatment is an essential part to hasten the healing process and ensure a satisfactory outcome in all the patients following a knee replacement. The treatment may consist of: Electrotherapy The use of crutches The use of a compression support Joint mobilization Hydrotherapy Cryotherapy Progressive exercises to improve flexibility, strength especially the quadriceps muscle Awareness development Biomechanical correction Exercise therapy Top. Physiotherapy Exercises Typically, the subsequent exercises are recommended shortly after the knee replacement.


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Quadriceps Sets: Tighten your thigh muscle. Try and straighten your knee. Hold for five to ten seconds. Repeat this exercise about ten times throughout for a 2-minute duration. Rest one minute and repeat. Continue till your thigh feels fatigued. Straight Leg Raises: Raise your leg several inches. Hold for 5 to 10 seconds.

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Slowly lower it. Repeat till your thigh feels fatigued. You can also do it while sitting. Fully tighten your thigh muscle and hold your knee straightened together with your leg unsupported. Continue these exercises sporadically till full strength returns to your thigh. Ankle Pumps: Move your leg up and down rhythmically by acquiring the calf and shin muscles. Perform this exercise sporadically from 2 to a few minutes. Repeat 2 or 3 times every hour in the hospital room. Continue these exercises till you feel fully recovered and the lower-leg swelling is subsided.

Knee Straightening Exercises: Try to straighten your knee and touch the rear of your knee to the bed. Hold the position for 5 to 10 seconds. Bed-Supported Knee Bends: Bend your knee as much as possible so that your slippers touch the bed.

A qualitative study of patient education needs for hip and knee replacement

Repeat many times till your leg feels fatigued or till you are barely able to bend your knee. Sitting Supported Knee Bends: Place your foot behind the heel of your operated knee for support, while sitting at bedside or in a chair with your thigh supported. Then, slowly bend your knee as much as possible. Hold the knee in the position for seconds.


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  • Repeat the exercise several times until your leg feels fatigued or you can completely bend the knee. Sitting Unsupported Knee Bends: Sit at bedside or in a chair with your thigh supported Bend your knee as much as you can till your foot rests on the floor. Now, the foot resting on the floor lightly, slide your upper body in the forward direction in the chair to increase the knee bend.

    Hold it for seconds. Now, straighten the knee fully. Repeat the exercise several times until your legs are fatigued, or you can fully bend your knee. Activities After Knee Replacement: Self-assisted slow passive flexion of the knee should be started. Lees meer. Analytische Cookies zijn nodig om o. Zo krijgen we beter inzicht in het functioneren van de website. Analytische Cookies hebben nauwelijks gevolgen voor de privacy. Optimalisatie cookies worden gebruikt om bezoekers te kunnen volgen tijdens een bezoek aan de website en gebruikt om onze website en gebruikservaring te verbeteren.

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    Increased Efficiency and Less Invasive Surgery with Patient-Specific Knee Guides

    Bekijk online exemplaar. Beschrijving This book is a complete guide to total joint arthroplasty for orthopaedic surgeons presented as a collection of key protocols for surgery. Divided into four sections, the text begins with preoperative considerations, covering patient evaluation, clinical examination, indications, and implant selection.

    An extensive section explains the causes and management of potential complications, including aseptic failure, infections, and periprosthetic fracture. The surgical techniques appropriate for revision knee arthroplasty are described separately, and guidelines on how to deal with bone loss, instability, and extensor mechanism failure are provided. Notes Description based upon print version of record. Includes bibliographical references and index.

    Total Knee Replacement Surgery: Felicia’s Story

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