Essay Paper on Total Knee Replacement Surgery

Total joint replacements are very common in the United States, and are becoming even more common with increasing obesity rates and an increase in life expectancy. Long-lasting and high-performance implants are needed for the younger, active population that receives them. The Agency for Healthcare Research and Quality states more than 285,000 total hip arthroplasties (THA) and 600,000 total knee arthroplasties (TKA) are performed in the United States alone each year (2). Longevity of these joint replacements is dependent on several factors: the durability of the fixation of the implant surface to the bone, the bearing surface’s wear rate, and the accuracy of the surgeon in implantation of the total joint (2). Of these total joint replacements, periprosthetic osteolysis and aseptic loosening occurs in about twenty percent of cases, and aseptic loosening is responsible for about seventy-five percent of total joint replacement failures (2). This is

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).

54% have been for revision knee arthroplasties. One patient had both a problematic hip and knee replacement. In 43% of the cases there was a recommendation to change the management plan following discussion in the meeting. In several cases, there has been a significant alteration to the treatment plan; including changing the planned procedure from a single stage to a two stage approach, cancelling planned revision surgery to aspirate the affected joint and obtain a microbiological diagnosis prior to revision, and even changing the joint to be operated on. Following discussion, seven cases (4%) have been transferred to NUH for revision surgery. Analysis of the operative plan and the theatre inventories at each hospital revealed that in 59 cases (35%) extra loan kit was likely to be

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.

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.

Jane Brody [2017] argues that there are million of Americans outliving their joints which are why millions of people have surgery to replace worn out joints but the numbers are going to grow in coming decades as people get older. Joint replacements are good when a person has lost mobility because humans need to move in order to do exercise and be healthy. Surgery can get rid of the joint pain but most patients in a study did not get a joint replacement. However, the numbers of patients of getting joint replacements are increasing rapidly. In a study, it showed people who had surgery recover equally well and typically experience less complication only if they go home directly from the hospital. Also, people who get outpatient rehabilitation

The knee replacements is a procedure that is carried out for the treatment of a knee joint that has been damaged because of osteoarthritis, in which there is a breakdown of joint cartilage as well as the underlying bone. Just like any other operation, knee replacement surgery has risks as well as benefits. In most of the cases, the knee replacement result in serious complications, but in some people it does.

Hip replacements are viable surgical options when damage occurs within the joint or bones affecting the ability to function. The most common causes of requiring a hip replacement include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, avascular necrosis and childhood hip diseases (Foran & Fischer, 2015). Rooks et al. (2006) reported that “osteoarthritis is an increasingly prevalent chronic illness of aging Americans and the leading cause of disability in the US” (p. 700). Progression of symptoms relating to arthritis lead to a decrease in mobility, reduced functional status and deconditioning (Rooks et al., 2006). Arthritis or other conditions damaging the hip joint severely impact individual’s quality of life and independence in occupational performances. Overall, studies report a rise every year in hip replacements due to the aging population. Due to the increased need for this population, “long waits for surgery prolong the experience of pain and low functioning level, therefore possibly leading to an increase in disability" (Gill, McBurney, & Schulz, 2009, p. 388). Clients may face many physical and emotional changes about their arthritis while awaiting the opportunity to undergo a hip replacement.

Total hip replacement (THR), also known as total hip arthroplasty (THA), is commonly performed surgical procedure for treatment of the late stage of osteoarthritis of the hip joint throughout the world. Arthritis causes damage to the articular cartilage of the femur and leads to reduced joint mobility and pain. Total hip arthroplasty involves replacement of worn cartilage with an artificial ball-and-socket joint. The surgery provides

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.

Arthritis affects approximately 43 million Americans. This condition thins the joint cartilage which then results into painful knees or hands. Types of arthritis include osteoarthritis and rheumatoid arthritis. Arthritis in knee happens when the hinge-type joint from the femur’s lower end rubs with the upper end of the shin-bone or tibia. Also involved are the patella or knee cap as well as the fibula or the long bone which runs right beside the tibia on the outside portion of the leg.

The main reasons one seeks joint replacement is for the relief of pain and improved joint function/ mobility. Because of the pain dealing with join diseases or injuries, many people are unable to perform

Background Recurvatum following total knee arthroplasty (TKA) is a spectrum of instability which is the major cause of late failure. TKA in genu recurvatum deformity has received little attention. Decreased distal femoral bone cut to reduce extension gap and increased posterior femoral condylar bone cut to increase flexion gap were proposed to equalize the flexion and extension space. Some surgeons recommended constrain condylar knee or even hinge knee to deal with the recurvatum deformity. A specific protocol which revealed quantity of bone under-resection to manage various degree of recurvatum in TKA has not been reported.

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.

Joints and joint related problems are very crucial in human bodies which need to be treated perfectly by the best knee replacement surgeons from any well known hospital. Joint pains have always known to be the hardest pains ever when it comes to following the daily routines along with bearing those pains. The starting stages can be treated really well by medicinal courses or exercising routines or by physiotherapy sessions given by various well educated, well trained and well experienced physicians of the specific field. In case the before mentioned methods do not work out well and the patients are found to be suffering to the extreme