Dr. Lloyd G. Cox Essay

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.

Hello Mrs. Goldman, this is Krystal from the orthopedic office regarding your office visit with Dr. Mitchell. I see you were interested in finding out more information about your office note. Below I have clarified your medical break down of your clinic note.

Moore et al. (2003) looked at the percent agreement in clinical diagnostic accuracy (CDA) between orthopedic surgeons (OS), PTs, and non-orthopedic providers (NOP) including family physicians, internal medicine, pediatric, emergency, podiatrists, physician assistant, and clinical nurse practionier. Orthopedic surgeons had a CDA of 80.8%, PT of 74.5%, and non-orthopedic providers of 35.4%. There were significant differences between OS and PTs in comparison with NOP, but no significant difference between OS and PTs. When red-flags are present, screenings do not require consultation of a surgeon, simple imaging and lab tests, which PTs can run, can rule out tumors with 100% sensitivity. While PTs are not qualified or expected to diagnose non-mechanical musculoskeletal complaints, but they are trained to identify inappropriate patients for PT and refer

OrthoOklahoma is an orthopedic medical clinic with a physical therapy branch that provides outpatient physical therapy care. The facility has a staff of three licensed physical therapists and a physical therapy assistant along with four physical therapy techs. I was able to observe all three physical therapists, Megan Ripley, Joe Ogle and Ken Roberts. At OrthoOklahoma, the most common patients are post-surgery from repairs of muscles, bones or joints. While shadowing these therapists, I observed cases of total knee replacement, total hip replacement, ACL/meniscus repair, rotator cuff repair, frozen shoulder, labrum repair, and other ailments from wear-and-tear and aging. This experience allowed me to talk to physical therapists about the ins and outs of their job, learn about different exercises and routines for treatment of injuries, and really get an idea of the work it takes to become a well-respected physical therapist.

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).

Once again Dr. Armin Tehrany was asked to share his professional opinion, based on his decade’s long experience and profound orthopedic knowledge.

Obtaining a degree in medicine is one of the lengthiest educational paths one can choose to take. Choosing to become a surgeon lengthens that journey even more and it is one of the most challenging degrees to obtain. An orthopedic surgeon is a physician that “focuses on the diagnosis, care, and treatment of patients with disorders of the bones, joints, muscles, ligaments, tendons, nerves, and skin.” (“Career in Orthopaedics”). Throughout treatment in these areas, “they use medical, physical, and rehabilitative methods as well as surgery” (“Career in Orthopaedics”). Despite being branded “surgeons” only about 50% of their everyday job description involves surgical aspects or procedures (“Career in Orthopaedics”). Dr. Brian J. Cole (“Interview with an Orthopedic Surgeon) explains that orthopedic surgeons are not only surgeons and that “[they] are physicians and health care providers that address mostly non-surgical problems…”. An orthopedic surgeon often wears many hats in the medical setting providing consultation, emergency assistance and becomes the overall supervisee of medical or surgical procedures pertaining to their areas of expertise (“Career in Orthopaedics”).

An Orange County orthopedic surgeon has the specialized skills and expertise to correct your problem, to stop the pain, and to restore your ability to walk, sit, stand, climb steps, and sleep naturally. Your orthopedist will analyze your particular pain symptoms, accurately diagnose the extent of your precise knee injury, and advise you on the most effective knee procedure to correct your condition.

For this report I will concentrate on total hip replacement, its components, main surgical technique, and complications. Sir John Charnley first developed total joint arthroplasty in the 1960s (Skinner 395). In a total hip replacement "the articular surfaces of the acetabulum and femoral head are replaced" (Lemone 1241). A prosthesis is then used to replace the entire head of the femur

As many know, I had surgery this past week. Surgery is extremely rough, especially for those who have been constantly battling their problem. My knee has been a mystery for my doctor for over two years and I can not fathom why this crazy mishap happened to me of all people.These last two years have been the worst years of my life due to unexpected illnesses and surgeries.

However, new techniques enable surgeons to repair the ligament instead of replacing it. This means the player can start moving a lot quicker — and movement is essential for recovery.

The repair of the ligament is available via a number of different procedures, most of which are decided by the patient and the surgeon. As mentioned, semitendinosus tendon repair and patellar tendon repair are the two most common, however some studies show that the semitendinosus repair allows a more functional outcome in the long term2. Finally, after successful surgery, a lengthy process of rehabilitation can return a knee joint back to full functionality and strength, thanks to the guidelines provided by a physical

The patient may also complain of crepitation being heard during movement due to irregularity of the joint surfaces in the knee gliding over one another. Knee osteoarthritis is characterized by structural changes in the knee seen on radiographs involving loss of articular cartilage, joint space loss, and the presence of osteophytes.3 Primary care providers is the ones who primarily manage osteoarthritis with conservative and pharmacological treatments. Conservative treatment consists of exercise, strength training, and weight loss in order to reduce pain and progression of the disease. However, many conservative treatments fail over time and pharmacological treatment is needed to reduce pain in the patient.1 This literature review will look into the knee portal techniques, corticosteroid injections, and hyaluronic acid injections for knee

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.

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