Total 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.

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 patient arrives at the hospital for their knee replacement surgery that has been scheduled for today. The patient is checked in at admitting and is called back to the pre-operative area by the nurse. The patient changes and the nursing staff begin to take the patient’s vital signs, review the patient’s history, draw blood for lab work and they let the patient know what to expect before, during and after surgery. The surgeon arrives and checks in with the patient, asks if they have any final questions before surgery and then leaves for the operating room to prepare. The patient is taken to the operating room, anesthesia is given, and the operation begins. The procedure goes smoothly and the patient is taken to the post-op area. When the patient comes out of the anesthesia, the surgeon

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).

Osteoarthritis (OA) is a degenerative joint disease, highly prevalent in African Americans. African Americans men are 3 times more likely then Caucasians men to have involvement of all three compartments of the knee (Jordan, 2015). Total Knee Replacement (TKR) is a cost-effective treatment. Nonetheless, TKR rates are lower in African Americans.

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.

Total hip replacement is a surgical procedure to remove damaged bone in your hip joint and replace it with an artificial hip joint (prosthetic hip joint). The purpose of this surgery is to reduce pain and improve your hip function.

Getting a total or even a partial hip replacement in Frisco, TX is a major surgical event, and the process of deciding whether or not to have a the procedure performed is an even bigger decision. Perhaps the most daunting aspect of getting a hip replacement in Frisco, TX is the recovery time that is necessary following the surgery. If you're not sure whether or not it may be time to tackle this kind of major surgery, here are some of the signs you should be looking out for.

What were once considered high-tech, joint replacements are now a common operation. Surgeons replace more than a million hips and knees each year in the U.S. Studies show joint replacements can significantly relieve pain and increase mobility in about 90% of people who get them. Feature, R. Morgan, Griffin WebMD. “Should You Have Knee or Hip Replacement Surgery?” WebMD. WebMD, 30 Dec. 0089. Web. 21 Oct. 2013. What symptoms should tell a person that it is time for a hip replacement? The first and most important sign is pain and

Arthritis or rheumatism is the leading cause of disability [1]. Arthritis is inflammation of one or more of the joints and the main symptoms of arthritis are joint pain and stiffness, which typically worsen with age [1]. More than 20 million individuals with arthritis have severe limitations in function on a daily basis [2]. Majority of the patients, who goes through this disability, finds their solution by doing Total Hip Replacement (THR) surgery. More than 285,000 hip replacements are performed in the U.S. each year [3]. It is estimated that by 2030 there will be an increment of 175% in the THR surgeries rising the numbers to 0.5 Million [3].Thus, these numbers portray the importance of hip replacement surgeries in the near future. Hip joint deterioration can lead to pain, stiffness or difficulty walking. When these symptoms do not respond to conservative treatment, such as physical therapy, patients may be advised to undergo total hip replacement or hip resurfacing. As part of this treatment, they may receive a “metal-on-metal” hip implant in which the “ball and socket” of the device are both made from metal as shown in Figure 1. These metal implants have been used in total hip replacement (THR) surgeries and hip resurfacing procedures. Because of metal's durability, MoM devices were expected

Nowadays total hip replacement surgery is a common procedure with statistics continuing to show a raised numbers of operations taking place and, steadily increasing. From 2010-2011 in England and Wales, over 77,800 total hip replacements and more than 9,000 hip revisions were carried out (National Joint Registry 2011, p35). Also the routine elective surgery period between admission and discharge has been reduced in recent years. In England during 2009/2010 the length of stay was recorded as 5 days for total hip replacement (Health Service Journal 2011)

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.

Hip replacement surgery is one of the most performed orthopedic surgeries around the world with high success rate. According to various studies, the hip implant has shown to have a survival rate of at least 15-20 years. Initially hip replacement surgeries were performed only on elderly patients but due to its high success rate and increasing popularity, it has been considered for the younger patients as well. Younger patients have more daily activities associated with them which leads to wearing of joint surface much sooner than expected. Once the joint is worn off, it is required to be replaced. So, replacing the artificial joint through revision surgery is becoming more common. Revision surgery is always more complex than the original operation

The results indicated that there were no statistically significant differences between the groups based on WOMAC scores from the initial 8 week assessment till the end of the study period of 2 years. This illustrates that arthroscopic procedure may have very little intervention value for such level of OA in the knee. In relation to total knee replacements (TKR) the efficacy on their effectiveness primarily depends on the postoperative management. In a study by (Moffet et al., 2004) recipients of TKR were divided into 2 groups. One group underwent supervised intense functional retraining (IFR) while in hospital (ie exercises, physiotherapy)

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