Advantages And Disadvantages Of Knee Replacements

The surgical procedure. A total knee replacement is a surgical procedure where the diseased knee joint is completely replaced by artificial materials that resemble the original knee joint. The orthopedic surgeon removed the end of the femur and the end of the tibia by using metal pieces and sawing the bone, to ensure that he removes the right amount of bone. The end of the femur bone is replaced with metal and the end of the tibia bone is replaced with plastic and metal. A plastic piece was added under the patella because the surface under the patella was damaged as well. These artificial materials, called prosthesis, have smooth surfaces so when they rub against each other, it does not cause damage and is pain-free. The purpose of this surgery is to remove the diseased portions of the joint and replace it with artificial materials to prevent further deterioration and eliminate pain, stiffness, and decreases in function that were caused by the osteoarthritis.

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

Organ donation provided a new therapeutic path when new drugs and devices failed to reduce the mortality and morbidity rate of patients with such illnesses as cardiovascular diseases. By replacing damaged organs or tissue with a functioning substitute, organ transplantation offers an immediate cure. Unfortunately, this “cure” is never guaranteed because of the high risk of graft rejection and that’s if a suitable donor can be found. Thus, tissue engineering has been the projected new treatment for these problems. Tissue engineering replaces the diseased or damaged tissue or organs with biofabricated counterparts made using the specifications dictated by the features of the specific tissue or organ.

A total knee replacement (TKA) is the most common joint surgery performed in the United States (Turner, 2011, pp. 27-32). Each year, over 650,000 Americans undergo this surgery (Wittig-Wells, 2015, pp. 45-49). It is an invasive surgery that involves an incision on top of the knee and replacing damaged parts of the knee with artificial parts that are either metal, ceramic or plastic. Someone would get a total knee replacement for damage of the joint, osteoarthritic, posttraumatic, or inflammatory arthritis. The cartilage is damaged, wears away and then you develop bony deformity and contracture of ligaments but it starts out with specific defects or wear of cartilage. The top nursing priorities for a total knee arthroplasty is to “prevent complications, promote optimal mobility, alleviate pain, and provide information about diagnosis, prognosis, and treatment needs” (Doenges, 2014, pg. 627). A possible nursing diagnosis from the patient who is undergoing a TKA might be ‘impaired physical mobility related to pain and discomfort as evidenced by reluctance to attempt movement.’ Another one could be ‘acute pain related to chronic joint disease as evidenced by reports of pain’ (Vera, 2014).

Oliver et al. (2014), exemplifies how some physicians may not be aware of their implicit bias that could be causing healthcare disparities. This study determines whether physicians’ implicit racial views of African Americans affect their decision making, regarding total knee replacement (TKR) as a treatment option for OA. They also assessed whether not, if the Racial Implicit Association test would impact TKR recommendations. In the study implicit bias was determined by the racial implicit association test (IAT) and explicit bias was tested using a questionnaire that asked physicians which race they preferred (black or white) using a 5-point Likert scale and 10-point thermometer scaled to grade physician’s feelings.

In Kindred Rehabilitation, the patient had a total knee replacement due to osteoarthritis. Osteoarthritis causes degenerative changes, within the joints causing bone stiffening and reactive inflammation. My patient was admitted on 10/21/11 with osteoarthritis and a left total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more

Total knee replacements are known as the most effective orthopedic procedures in the world. These surgeries are most often preformed on geriatric patients. Over time, because the knee is one of the lowest joints in the body, it is typically more prone to wear compared to joints holding less body weight. In the United States, the overall amount of total knee replacements exceeds over four times the overall number of total hip replacements. In the year of 2015, the estimated number of total knee replacements was predicted to be about 719,000 ("Inpatient Surgery." Centers for Disease Control and Prevention). Ordinarily knee replacements are used to ease pain and disability caused by arthritis or other joint problems, while preserving movement.

Total Knee Replacements are the most successful procedures in all of medicine, accounting for 600,000 knee replacements each year in the US. The knee is the largest joint in the body, which is why it’s very important to have healthy knees in order to get around to perform daily activities. The knee consist of the lower femur, the upper end of the tibia, and the patella. The ends of the three bones touch, which is covered with articular cartilage, this is a smooth substances that protects the bones and enables them to move smoothly. Also, located between the femur and tibia are the menisci. The menisci are C-shaped wedges that act as “shock absorbers” this provides cushion for the joint as well. Then, the large ligaments also play a role as well, they hold the femur and tibia together to provide stability. The long

It is a typical weekday on my active Orthopedic/Medical surgical unit, as I worked on the 7am-7pm shift. On this particular day, I was assigned, one client who is a pre-operative for total bilateral hip replacement, four clients, who had recently had orthopedic surgeries and, a client who had his operation, a total bilateral knee replacement, cancelled moments ago, due to a Transient Ischemic Attack (TIA).

The most common indication for total knee replacement is osteoarthritis, or degenerative joint disease. The end stage of osteoarthritis is wearing out of cartilage (smooth, gliding bone ends) resulting in bone-to-bone contact in diseased joints. It is progressive and becomes increasingly painful as the cartilage erodes. Younger people who get knee replacements have damaged their joints by trauma (accidents that destroy joint surfaces), infection, cancer or tumor, and inflammatory conditions such as rheumatoid arthritis.

The most common complication is blood clots after the knee replacement surgery and can form in the first four weeks. Infection is the most serious complication since it can be a deep infection and requires removal of the knee replacement to fight the infection. The most important long-term complication is loosening and wear. This complication is due to the plastic plate wearing away and the knee becomes loose causing the patient pain and discomfort. New technologies and methods have been developed to reduce loosening and wear of the knee.

The first successful human transplant recorded in medical science history occurred in 1954. These transplants included the following: kidney, heart and liver. As the years pass by other organ transplant are on the rise such as kidney-pancreas and heart-lung. Every year, an outstanding number of patients lose their life waiting for a brand-new organ. This has left the medical field in search of a new solution to solve this problem. The benefits of having a pig organ transplant into human is that this would provide a supply of organs to the people in need, would allow scientist to open up new areas of research.

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

Currently, I am working in Biology department at Dartmouth College, NH, USA on one year postdoctoral leave from QAU from September, 2015. Besides I wanted to get knee pain treatments and after detailed checkups and physiotherapies, doctors here suggested me for the knee replacement surgery in early 2016. Meantime, they figured it out that they have to first do another surgery (some gynecological issue) in emergency to keep my Hemoglobin levels normal (as I had to go for the blood transfusions almost every second month), So they did this surgery on 13th of July (Attached doctor’s letter-1) and rescheduled Knee replacement surgery in November, 2016 (Attached doctor’s letter-2) provided everything goes ok. I am still on bed rest after

DN is a 68 year old Caucasian male who lives in Pomona, Missouri. On September 14, 2009, DN underwent a scheduled left total knee arthroplasty at Baxter County Regional Medical Center. A consultation appointment about a total knee arthroplasty was scheduled when DN had increasing pain in his knees while doing chores and working on his dairy farm. The increasing pain DN was having been due to a history of osteoarthritis and the wear-and-tear on his joints throughout his life, no specific injury was noted. Depending on the outcome of the left knee, DN was consulted on having his right knee done in the future