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Total Knee Replacement:

Total knee anthroplasty or total knee replacement is a form of treatment performed to restore the disabled knee joints and therefore restore the function of knee joints. Artificial knee joints replace the damaged\diseased knee joints, and are available in metal and plastic materials in various designs. The most complex and largest joints of the human body are the knee joint and it is estimated that when a 70kg man plays football or basketball or performs a running race, he will apply around 210kg of force on his knee. In the recent times, one of the most successful surgeries of arthritis is known to be artificial knee replacement.

Procedure Details:

The replacement of the total knee is suggested due to the following reasons:

  • When other treatments have failed
  • There is a disturbed sleep at night
  • Or the regular activities of the day are affected

The reasons for the limited functioning of the knee and pain in the knee area can be due to

  • Avascular necrosis
  • Accident following injuries to the joints of the knee
  • Rheumatoid arthritis or osteoarthritis

Benefits of total knee replacement surgery:

  • More than 95% of the patients experience relief post surgery, hence the total knee surgery is a highly successful surgery
  • There is a total liberation from joint pain along with an increase in the leg strength and ability to be mobile
  • The long life span of 10 to 15 years is possible with total knee replacement
  • There is a wide possibility of different activities by the patient which is improved after the surgery, which had no scope before the performance of the surgery  

 

 Risk and Complications associated with post knee replacement surgery includes:

  • Infection and bleeding
  • Scarring
  • Prosthesis can loosen from the bone
  • Blood clot can form
  • Breathing problems/Anesthetic reactions
  • Medicinal reactions
  • Patellar complications, undesired stiffness of joint is possible
  • Altered or loss of knee movement

Preparation before knee replacement surgery:

  • Complete physical check-up
  • Analysis of blood and urine
  • X-ray chest and ECG for elderly patients (aged 50 and above)
  • A week before the tentative schedule of surgery, consult the doctor regarding the continuation or  discontinuation of your list of medicines
  • Notify smoking or alcohol consuming habit to the surgeon
  • Make a visit to a physical therapist to get an insight about the post surgery rehabilitation program as well as the use of walker or crutches
  • Apply for leave at work place and arrange for an assistant at home and drive to the rehabilitation program
  • Carry along easy to wear clothes

Tips for medical tourists:

  • Have an access to handicap reachable hotel room, in case the patient is a medical tourist, so as to stay comfortably after hospital discharge
  • Organize blood donors during surgery, if necessary
  • Organize your home for post surgery rehabilitation

Knee replacement surgery after care:

  • A special compression stockings may be required for the patient after surgery in order to improve blood flow and proper healing
  • With the help of crutches or walker, the patient is advised to begin light activities starting from day one after the surgery
  • 48 hours after surgery, the patient can start getting physical therapy
  • In order to get an optimal result from the surgery, it is utmost important for the patient to do regular exercises according to the instruction of the physical therapist
  • It takes 7 to 10 days after surgery for normal recovery. The patient is discharged after the following criteria is met with
  1. They are able to get out of the bed without any support
  2. The knee can be bended at 90 degree angle
  3. Is able to walk using crutches or walker
  4. Can extend the knee straight out
  5. Can perform prescribed home exercises

Special precautions following surgery:

  • Pursue a strict dietary  regime
  • Take the prescribed medicines according to the schedule
  • Strictly do the exercises advised by the physiotherapist
  • For strengthening the knee muscles, it is mandatory that you make yourself mobile soon

Finally, wait till the sutures or staples are removed for taking bath


 

Health Tips

Make a puree of 4 tomatoes. Soak some rice for 30 minutes and grind it coarsely. Add this to the pureed tomatoes. Apply this mixture all over the body and leave it on for about 15 minutes. Bathe with warm water; this is a good scrub recipe for oily skin.

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