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).
I will be taking sick leave tomorrow, Monday, January 9, 2017, so I can pick-up my mother from the hospital in Winchester, VA. She had knee replacement surgery this past Thursday and she is scheduled to be released around noon tomorrow. I also need to get her prescriptions filled, so it will be a full day.
.) SP is an 84-year-old widow recently admitted to an orthopedic ward for a total hip replacement from the anterior approach. She is widowed, but has two adult children living nearby. SP has a familial history of cancer and heart disease, and she herself has experienced several different medical issues. When discussing cares, procedure options, and having general conversations with SP the health care team needs to be especially aware of her hardness of hearing, and need to use hearing aides. A communication barrier exists between the patient and the care team. This barrier exists because of both her hearing issues and her advancing age. Safety risks from improper communication related to these barriers can greatly increase her chances of experiencing undue harm from her hospitalization. An example of how this could occur would be improper communication of what hip needs to be operated on. At all times, the health
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.
In a hospital I worked at recently, I was told in report that a patient I was taking was demented and didn’t know where she was or what her situation was. The patient admitted for a post knee replacement was 86 years of age, fragile, very hard of hearing and mute. The pain in her knee was excruciating and she often cried out asking for pain medication. Moving her in the bed also caused her pain, because she was said to have dementia no one explained to her what they were doing so, she fought the staff when they moved her or changed her brief. After I came on shift I assessed her, I attempted to take her knee immobilizer off to assess her knee and she cried out in pain and smacked my hand aside. I felt so bad for her, I decided to try to yell
Introduction: In case of advanced knee arthritis, Total Knee Arthroplasty (TKA) represents an effective and reproducible surgical technique. In the last decade, Computer-Assisted Systems (CAS) have been introduced in TKA to allow more accurate prosthesis component implantation via intra-operative anatomy-based data tracking of the tibio-femoral joint (TFJ). Particularly, these systems were expected to result in better post-operative clinical outcomes under loading conditions and longer implant survivorship than Conventional Instrumentation (CI). This is generally due to more precise targeted bone cuts and Mechanical Axis (MA) using CAS. Unfortunately, only a few studies have compared so far TKA via CAS and CI at a long term follow-up in terms of clinical outcomes, MA alignment and implant survivorship.
Total knee arthroplasty are also known as total knee replacement. It is used as one of the option to relive the pain and to restore the function to an arthritic knee. Total knee arthroplasty or total knee replacement is used when other methods such as weight loss, physical therapy, medical or injections have failed to relive arthritis- associated knee pain. Knee replacement implant is remove of damaged cartilage and bones from surface of knee joint and followed by implantation of an artificial knee joint made with biomaterials. Femoral components and tibial component are made with metal alloy. Between the Femoral component and tibal component there is a Polyethylene layer. Inflammatory response is Phagocytes which is cells that are able to
Dillon is an 18-year-old male patient who is seen at the medical clinic today in regard of requesting for a newer and better knee sleeve for his left knee. The patient stated that there is no pain, no swelling. He already has knee sleeve but he stated that knee sleeve can pinch his skin sometime, so he requests for having a better knee sleeve. He stated that when he plays sports with the knee sleeve he feels his knee is more stable, not causes a popping sensation. Otherwise, he is doing fine. He has no medical concern at this visit.
People undergo total knee replacement when arthritis or injury erodes the joint's natural cushioning to the point where it's hard to walk even short distances without severe pain.
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.
UPMC has over 500 rehabilitation professionals at 50 Centers for Rehab Services across western Pennsylvania. These facilities offer physical therapy, speech therapy, and occupational therapy, and each CRS has different specialized therapy programs to provide care for any individual’s rehabilitation needs.
Teaching the importance of activity and exercise has a huge significance to the patient especially she undergone surgery, left knee arthroplasty. Lack of adequate knee exercise after surgery will lead to various complications that are dangerous and life threatening such as deep vein thrombosis, stroke and pulmonary embolism. Another complication that is associated with inadequate movement of the limbs and extremities is muscle contracture (LeMone et.al, 2011 p 142). Patient has a high risk of developing these complications. We wanted to educate the patient about these so that we could lower her risk at some point. We believe that even when patient is lying down on the bed, she can do a lot of things to improved her health and prevent
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
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