Total Knee Replacement
Information for the patient
Non exhaustive, individual, depending on primary or revision case, speak with us.
Who needs a knee replacement?
For patients suffering from chronic knee pain with difficulty functioning, no benefit despite conservative treatments.
Osteoarthritis (OA) - cartilage erosion - after a fracture\ sports injury or degenerative changes
Arthritis in the background\ Rheumatological treatment
What to check specifically before surgery?
Past treatments:
Surgical\ Non-Surgical
X-rays:
XR pelvis with standing hip joints
AP LAT SKYVIEW LAT LYING LAP XR
XR Standing Knee AP LAT
XR axis measurement of the legs in a standing position
X-RAY FINDINGS FOR OSTEOARTHRITIS/SEROUS EROSION:
THE COMPOSITIONS ARE SPACED IN THE CHAPTERS
Osteophytes
SUBCONDERAL CYSTS
Sclerosis of the subchondral bone
Bony deficiency
Measurements of angles relevant to the planning of the analysis
On the day of surgery, in view of his pain and disability
The patient is electively accepted for a complete replacement of the knee joint
Follow-up care after surgery:
Follow-up for the duration of hospitalization includes:
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HEMODYNAMIC AND RESPIRATORY STABILITY — SATURATION, OXYGEN, CONGESTION
Tracking the wound: clean and dry bandage, secretions, redness around
Neurological and vascular clinical examination without remote deficiencies
Photo review demonstrates satisfactory position of the implant
Antithrombotic therapy:
Postoperative anticoagulants in prophylactic dose
In accordance with the patient's condition and background
Monitoring hemoglobin levels:
Transfusion of postoperative blood dose as needed
Physiotherapy:
Full weightbearing after surgery in most cases
Walking as usual before the event
Permanent help in the first weeks
Exercises for restoring ranges of motion
Treatment of osteoporosis as needed:
Vitamin D 80,000UI
Once a week for a month
Blood tests for vitamin D levels one month from the start of loading.
General care:
Removal of surgical skin staples- 2 weeks after surgery
Continue prophylactic antithrombotic therapy for 35 days after surgery
Pain killers as needed
Return to regular treatment
The attending physician should be informed about the hospitalization and the course
In case of pain worsening, go back to the doctor
Follow-up at the clinic one and a half months and 3 months after surgery
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