Functional And Clinical Outcomes And Knee Rom

The knee is an integral joint in terms of movement, but this joint absorbs much impact while it supports the weight of the body. Depending on the type of activities that you engage in, the level of impact absorbed by your knee may vary. The knee joint connects the kneecap (the patella) with the second bone in the lower part of the leg (the fibula). It also connects the shin bone (the tibia) with the thigh bone (the femur). Four ligaments serve to stabilize the joint; these ligaments are known as the Lateral Collateral Ligament, Medial Collateral Ligament, Posterior Cruciate Ligament, and the Anterior Cruciate Ligament.

In an article online I found some interesting facts about athlete knee injuries. Most meniscal tears are cause because of twisting or force trauma to the knee. The article writes,” the downside to the excision therapy is that in most cases, arthritis develops in the knee many years after surgery”. This can cause a great deal of problems to anyone with this

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).

More investigative studies are needed to test the variation of tissue tolerance during prolonged surgery

According to Su et all (2009), knee replacement is an effective way to find relief of pain and improve mobility, but most importantly giving the patient education and skills during early recovery. In comparison, all articles focused on the need of improving mobility after surgery. Assessing the patient’s abilities and the need for physical therapy and keeping an eye out for complications. A main focus was pain relief and that recovery for each patient varies, but it is important to get them ambulating with assistive devices soon after surgery. My patient at Kindred, had continuous assessment and an interdisciplinary team that assisted in her road to

In addition, regression analysis was used to determine independent variable among age, BMI, grip strength, sex and K/L grade for knee pain. The result indicated that the most significant variable was BMI correlated with the occurrence of knee pain. ORs of BMI (+5 kg/m2) was 1.54 and the risk was 0.60 which was significant. This implied that the ORs of K/L grade for knee pain can be overestimated due to the possibility of extremely low risk of K/L grade. In fact, the percentage of participants who suffered from knee pain with K/L (grade 2) and K/L (grade 3 and 4) was just 61.0% and 71.0% respectively. In other words, it will be about 40% of participants with K/L grade 2 and about a third of subjects with K/L grade 3 and 4 had no pain at the knee joint at follow-up.

You'll be in pain after your knee surgery, and you'll probably be sent home on pain medications to keep you comfortable. If the medications make you groggy, you may develop irregular sleeping patterns that interfere with taking other medications on schedule. If you need to take antibiotics or medications for a condition such as diabetes or high blood pressure, you need to take the drugs on time. A home health nurse or aide will make sure you take your medications on time. He or she can also supervise your medications to make sure you take the right dosage since you may have fuzzy thinking due to pain and narcotic medications.

Observational prospective cohort study: An advantage of this design is a careful analysis of the trends and relationships and differences among the variables can be explored. Rationale: to determine the relationship and trends of early activity with postoperative total knee replacement.

As a new graduate working on the Medical/Surgical floor the use of a Continuous Passive Motion Machines (CPM) in post total knee arthroplasty (TKA) patients was essential. Seasoned nurses drilled onto graduate nurses that the patient had to wear the CPM for a minimum of eight hours per day. As a new nurse, I did not question the why, nor did I ask if there was data supporting the importance of using CPM machines.

Tommy John surgery is arguably one of the greatest innovations in medicine during this past century. It has helped extend the careers of many professional and amateur athletes by reconstructing a worn down and damaged ligament, Carroll (2013). But there has also been a lot misconceptions when it comes to this surgery as well. Not about whether or not it is successful or safe, but more along the lines of the expectations of the results of the individual having the surgery post-operative, Dodson (2015). Along with that, there’s a popular misconception about having the surgery when it is not necessary, Longman (2007).

Long-leg. X-ray evaluations were also performed to assess final MA alignment. Values of MA larger than 3° were considered as outlier.

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

Numerous self-reported questionnaires for knee pathologies, such as the WOMAC or the KOOS, have been reported.21 The WOMAC, developed in 1988, is a standardized self-reported questionnaire that examines the health-related quality of life of patients with osteoarthritis of the knee and the hip.2 The KOOS, originated in 1998, however, evaluates the reduction of health-related quality of life especially after a knee injury.19 Both questionnaires are nonspecific for usage in patients with isolated meniscal lesions.

Most report of successful non-operative injury come from case series. One prospective cohort study of 100 consecutive patient with non-operative treatment ACL injuries found that 15 year follow up 68% had a symptomatic knee (Neuman et al 2008)58.

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.