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Knee Replacement Surgery

Total Knee Replacement

If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down.
If nonsurgical treatments like medications and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. Joint Replacement Surgery is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities.


Causes

Osteoarthritis: This is an age-related "wear and tear" type of arthritis.
Rheumatoid arthritis: This chronic inflammation can damage the cartilage and eventually cause cartilage loss, pain, and stiffness.
Post-traumatic arthritis: This can follow a serious knee injury. Fractures of the bones surrounding the knee or tears of the knee ligaments may damage the articular cartilage over time, causing knee pain and limiting knee function.


Is Total Knee Replacement for You?

The decision to have total knee replacement surgery should be a cooperative one between you, your family, your family physician, and your orthopedic surgeon. Your physician may refer you to an orthopedic surgeon for a thorough evaluation to determine if you might benefit from this surgery.


When Surgery Is Recommended ?.

There are several reasons why your doctor may recommend knee replacement surgery. People who benefit from total knee replacement often have:

A knee that has become bowed as a result of severe arthritis.

  • Severe knee pain or stiffness that limits your everyday activities, including walking, climbing stairs, and getting in and out of chairs. You may find it hard to walk more than a few blocks without significant pain and you may need to use a cane or walker.
  • Moderate or severe knee pain while resting, either day or night.
  • Chronic knee inflammation and swelling that does not improve with rest or medications.
  • Knee deformity — a bowing in or out of your knee.
  • Failure to substantially improve with other treatments such as anti-inflammatory medications, cortisone injections, lubricating injections, physical therapy, or other surgeries.

 


Candidates for Surgery

There are no absolute age or weight restrictions for total knee replacement surgery. Recommendations for surgery are based on a patient's pain and disability, not age. Most patients who undergo total knee replacement are age 50 to 80, but orthopedic surgeons evaluate patients individually. Total knee replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.



Orthopedic Evaluation

ASUTOSH, our evaluation as an orthopedic surgeon consists of several components:

  • A medical history. We will gather information about your general health and ask you about the extent of your knee pain and your ability to function.
  • A physical examination. This will assess knee motion, stability, strength, and overall leg alignment.
  • X-rays. These images help to determine the extent of damage and deformity in your knee.
  • Other tests. Occasionally blood tests, or advanced imaging such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your knee.
(Left) In this x-ray of a normal knee, the space between the bones indicates healthy cartilage (arrow). (Right) This x-ray of an arthritic knee shows severe loss of joint space and bone spurs (arrows).


At ASUTOSH,Other treatment options including medications, injections, Arthroscopy, physiotherapy, or other types of Surgeries will also be considered and discussed
.

Hospital Stay

You will most likely stay in the hospital for several days.
Pain Management
After surgery, you will feel some pain, but your surgeon and nurses will provide medication to make you feel as comfortable as possible. Pain management is an important part of your recovery. Walking and knee movement will begin soon after surgery, and when you feel less pain, you can start moving sooner and get your strength back more quickly. Talk with your surgeon if postoperative pain becomes a problem. Preventing Infection.
Hospital Stay will help you to prevent infection under observation of qualified nurses & experienced Doctor Team.
Physical Therapy
A continuous passive motion machine can help prevent postoperative knee stiffness in the early postoperative period. Most patients begin exercising their knee the day after surgery. A physical therapist will teach you specific exercises to strengthen your leg and restore knee movement to allow walking and other normal daily activities soon after your surgery. To restore movement in your knee and leg, your surgeon may use a knee support that slowly moves your knee while you are in bed. The device, called a continuous passive motion (CPM) exercise machine, decreases leg swelling by elevating your leg and improves your blood circulation by moving the muscles of your leg. Foot and ankle movement also is encouraged immediately following surgery to increase blood flow in your leg muscles to help prevent leg swelling and blood clots.
Extending the Life of Your Knee Implant
Currently, more than 90% of modern total knee replacements are still functioning well 15 years after the surgery. Following your orthopaedic surgeon's instructions after surgery and taking care to protect your knee replacement and your general health are important ways you can contribute to the final success of your surgery.

 


 

 
 
 
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