Knee Replacement This brochure provides a brief introduction to the knee replacement. It can help you make a list of questions to ask your doctor, Check with your doctor about materials of patient education.
What are the causes of knee pain? There are different causes of knee pain, including injuries, arthritis and infections. Is there a cure? It depends on the problem. Some knee pain can be treated through rehabilitation, other cases require surgery .
What is knee replacement? In surgery of total knee replacement, parts of bones that rub together are resurfaced with metal and plastic implants. The use of computers and precision instruments particular, the damaged surfaces of the bones are removed and replacement of surfaces fixed in place. The surface of the femur is replaced by a curved metal piece which is very close to the curve corresponding to natural bone. The surface of the tibia and a leg bone is replaced by a smooth plastic component. This piece of metal plate, which holds a piece of plastic with ultra-smooth plastic high molecular weight polyethylene used cartilage. The underside of the kneecap may also be replaced by an implant made of polyethylene plastic itself.
How do I know if I need a knee replacement? If it is necessary when the joint is completely worn out. If you have difficulty walking or performing daily activities, it may be time to consider knee surgery. Doctors generally try to delay total knee replacement, as long as possible in favor of less invasive treatments. However, for patients with advanced joint disease, knee replacement is used to relieve pain and return to normal activities.
How do I prepare for knee replacement surgery? If your doctor decides that the total knee replacement is right for you, a date will be set for your response. Several things may be necessary to prepare for surgery. For example, your doctor may ask you to undergo a physical examination that blood transfusions may be necessary during surgery. You may want to donate one or two units of your own blood, if your doctor considers it necessary. All preparations for surgery should be discussed with your surgeon.
What happens during surgery knee replacement? The day of surgery, a small tube (intravenous line) will be inserted in your arm. This tube will be used to administer antibiotics and other drugs during surgery. You will then be taken to the operating room and given anesthesia. After taking effect of anesthesia, your knee will be scrubbed and sterilized with a special solution. The operation begins with an incision on the knee that will expose the joint. When the bones are fully visible to the surgeon, special, guides and precision instruments are used to remove the damaged surfaces and shape the ends of the bone to accept implants. Navigation Calculator is useful at this point. The implants are then attached to bones. When the surgeon is satisfied with the fit and function of the implants, the incision is closed. A special drain may be inserted in the drain would be for the fluids that naturally develop at the surgical site. A sterile dressing is applied and then you'll be led to the recovery room where you will be closely monitored. Your surgery will likely take between one and three hours, depending on individual circumstances. As your anesthesia wears off, you slowly become aware region. A nurse will be with you and encourage you in May to cough and breathe deeply to help clear your lungs. You will also be given pain medication. When you are fully awake, you'll be taken to your hospital room. Your knee will remain swollen and painful for a few days.
How is affixed to the implant in the body? Generally, implant systems are fixed in the body with bone cement systems at least for young people. Bone Cement is a special type of acrylic bone cement may be used to secure some or all components of the implant to the bone. Bone cement takes about 15 minutes to set.
What can I expect after surgery knee replacement?
When you're back in your hospital room, you'll begin a rehabilitation program to help you regain strength, balance and range of motion in your knee. Wockhardt rehabilitation program will be designed specifically for you. Your physiotherapist will help you perform exercises. Approximately 24 hours after surgery, you will probably be asked to stand. Over the next 24 hours, you'll probably start doing a few steps with the aid of a walker. You will be released as soon as your doctor thinks you have recovered sufficiently, you can expect to stay in hospital for about three days after your surgery. You may be transferred to am rehabilitation facility for a few more days, as determined by your surgeon. Your bandages and sutures are usually removed before leaving the hospital. At home, you will need to continue your exercises. Your physiotherapist will teach you the appropriate home care may continue to work with you.
When can I resume normal activities after surgery?
Within six weeks after surgery, most patients are able to walk with a cane. You will probably feel well enough to drive in seven to eight weeks after surgery. In most cases, successful joint replacement surgery will relieve your pain and stiffness and allow you to resume many of your normal daily activities. But even after having fully recovered from your surgery, you may still have restrictions, normal daily activities do not include contact sports or activities that put excessive pressure on your joints.
What about sex?
Doctors generally allow patients to resume sexual activities when they feel comfortable. In the months following surgery, patients are usually advised to take it easy and modify their positioning to keep pressure off the joint while it is healing. As always, it is best to consult your doctor about what is safe for your particular condition.
How long a joint replacement last? Longevity of the prosthetic knee varies from patient to patient. It depends on many factors, such as the physical condition of a patient, activity level and weight, and the accuracy of implant placement during surgery. It is useful to keep in mind that prosthetic joints are not as strong or durable as a natural, healthy joint, and there is no guarantee that an implant will last the life of a patient. Today, total knee replacement has become a common and predictable procedure. Many patients have pain relief and improved function compared to their condition before surgery. However, with any mechanical joint, the knee components move against each other. Natural fluid in the joint space, called synovial fluid lubricates the implants as it lubricates the bones and cartilage in a natural joint. The prosthetic components do wear as they roll and slide against each other during movement. As with car tires or brake pads, the wear rate depends on the parties on how the knee joint is used. Activities that place great stress on the joint implants, as May is the case with patients heavier and more active, may reduce the lifespan of the prosthesis. Loosening and wear on the plastic parts of the implant may lead to the need for revision surgery to replace worn parts or all of the components. Your doctor will be better able to discuss these issues with you, taking into account your clinical circumstances, the type of implants used and your lifestyle after surgery. As a general guide, we expect a relationship to last 10 to 15 years, but there have been cases where they have lasted as long as 40 years. On the other hand if an injury or infection or a complication of the common life will be reduced.
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Friday, November 6, 2009
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