A Good Candidate For A Total Knee Replacement

A Total Knee Replacement, a surgical process in which the diseased knee joint of the patient is substituted with artificial materials. In a total knee replacement, the lower end of femur bone is detached and replaced with a metal shell. The end of the lower leg bone (tibia) is also detached and substituted with a channeled plastic piece with a metal stem. According to the condition of the kneecap portion of the knee joint, a plastic sheet may also be added under the kneecap

Physical therapy, for strengthening purposes, and bracing the joint for stability is also an option when muscle strength is not adequate enough to support the needs of the joint. There are also many types of medications, supplements, or even cortisone injections that may be prescribed by a physician to halt or reverse the symptoms of osteoarthritis (Palo Alto Med Foundation 2014). Surgical options will depend on the severity of the disease and the mechanisms affected. Focusing on treatments for osteoarthritis of the knee, surgical options include cartilage grafts, a synovectomy, and partial or total knee replacements. These processes either remove or replace damaged tissue and cartilage in order to ease symptoms or completely negate the effects of the disease (American Academy of Ortho Surgeons

What were once considered high-tech, joint replacements are now a common operation. Surgeons replace more than a million hips and knees each year in the U.S. Studies show joint replacements can significantly relieve pain and increase mobility in about 90% of people who get them. Feature, R. Morgan, Griffin WebMD. “Should You Have Knee or Hip Replacement Surgery?” WebMD. WebMD, 30 Dec. 0089. Web. 21 Oct. 2013. What symptoms should tell a person that it is time for a hip replacement? The first and most important sign is pain and

Introduction: The role of the posterior cruciate ligament (PCL) remains controversial in total knee arthroplasty (TKA). It is recognized that awareness of joint position in the knee deteriorates because of aging, anterior cruciate injury, or osteoarthritis.

A total knee replacement is a surgical procedure in which the articular surfaces of the tibia, patella, and femur are replaced with prosthetic devices. It is performed to relieve pain from joints that have not been controlled by other methods of pain management. There are varieties of reasons a patient might need a knee replacement including rheumatoid arthritis, post traumatic arthritis, congenital knee deformity and in the case of my patient, osteoarthritis which is also the most common type of joint disease. Osteoarthritis happens when cartilage that covers the ends of the bones where they meet joints break down and deteriorate. When this happens, the bones and the joints now rub together. Sometimes the bone will grow causing bone spurs and make it very painful and stiff to move around.

The test population was a community subjects with osteoarthritis of the knee who needed a unilateral total knee replacement. Test subjects were recruited and divided into two groups; a control group, and a prehabilitation/exercise group. The control group were dealt with the usual care preparation prior to their operation while the prehabilitation group were given an exercise programme and these exercises were performed under supervision. The exercises were performed three times a week and included resistance training, flexibility, and step training.

Doctors or surgeons use Knee arthroscopy to diagnose and treat problems in the knee. The surgery deals in making small incisions and inserting a tiny camera to see the knee for damage. Depending on the images generated, he/she can correct the damage by using the Arthroscope (instrument that look like a tube with a camera inside). The technique is used

Background and Purpose: Total knee arthroscopy (TKA) is a very common procedure performed in the United States over 670,000 times annually.1 The number of TKAs is expected to rise due to an aging population. The purpose of this case report is to explain the interventions used based on current evidence in the literature, and to track a patient’s progress through a three-week physical therapy program following a right TKA.

Patient satisfaction is the ultimate goal of all orthopaedic procedures. Total knee arthroplasty (TKA) has revolutionized the care of patients with end-stage knee arthritis. In spite of significant advances in primary TKA, various studies show that only 82% to 89% of primary TKA patients are satisfied. In this paper this issue is re-examined after primary TKAs performed in the province of Ontario. The patient population, the overall level of satisfaction and the number of preoperative and operative factors that affect patient satisfaction and dissatisfaction are important topic to consider comparing with previous study.

In Japan, there is approximately 70,000 knee replacement surgeries completed a year. Total knee replacement (TKR), also known as total knee arthroplasty (TKA), is a common surgery performed on patients with severe osteoarthritis of the knee. Anshin Hospital in Japan made every patient sign a consent form prior to starting the research study. Total knee replacement surgery will enhance patient’s quality of life, pain relief and functional recovery over time with the use of rehabilitating gait training. This prospective cohort research study performed early treatments for 57 patients that had osteoarthritis. Joint range of motion and strengthening quadriceps muscles are significant for the best outcome of total knee replacement. In order to have the best outcomes after total knee replacement, early rehabilitation is pivotal.

Unicompartmental knee arthroplasty (UKA) had been a common surgical treatment1 for single compartment osteoarthritis (OA) other than total knee arthroplasty (TKA) and high tibial osteotomy (HTO). The outcome of UKA is comparable with total knee arthroplasty2; with having the advantages of lesser bone resection, lower risk of infection, lesser thromboembolic event, reduced length of hospitalization3 and early functional recovery4. Furthermore, preservation of the anterior and posterior cruciate ligaments with intact patellofemoral joint and meniscus may allow the operated knee mimicking near normal knee kinetics5, 6. Despite having such reported advantages, patients who underwent UKA surgery were known to have a higher risk of revision

Results: The 10 year cumulative percent revision of a 1st revision knee replacement (i.e. the rate of 2nd revision) was 22.6%. There were 9,428 1st revisions of known primary procedures performed ≤5 years and 2,304 1st revisions of known primary procedures performed >5 years. The rate of 2nd revision was higher when the 1st revision was undertaken within five years of the primary procedure. The cumulative percent revision at seven years of the ≤5 year group was 20.1% compared to 10.1% for the >5 years.

This case report is about total knee arthroplasty in a Rheumatoid patient with both valgus deformity and flexion contracture. Rheumatoid patients still have deformity occurring despite new treatment, hence the need for surgery such as total knee arthroplasty. In this case report we will discuss more about the different techniques in the management of bone defect during surgery and use of the screw and cement method for defect correction. This method has been through several debates about its efficacy and failure and a global consensus has not still been

Study Design & Methods: In this prospective cohort study 80 knees were operated with a posterior

Knee extensor mechanism is a complex structure that comprises of quadriceps muscle and tendon, patella, patellar tendon, and the tibial tubercle (Andrikoula et al. 2006). This mechanism helps extend the knee and stabilizes the knee joint. Rupture of any of the quadriceps or patellar tendon or fracture of the patella can lead to extensor mechanism disruption of the knee (Lynch et al. 1987), (Rosenberg 2012). Total knee arthroplasty (TKA) is considered one of the most common and successful surgical interventions (Brady et al. 2000), (Harwin et al. 2014). However, complications involving disruption of extensor mechanism after arthroplasty that leads to failure of this procedure is devastating and challenging, therefore, require immediate surgical