Total knee replacement patient education

A short presentation on total knee replacement surgical procedure. This short presentation gives brief idea of the procedure, preparation for the surgery and post surgery management.
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1. TOTAL KNEE REPLACEMENT Simple information for patients

2. Dr. A.MOHAN KRISHNA M.S.ORTHO, MCh ORTH(U.K) Consultant Orthopaedic surgeon , Trauma, Arthroscopy, Arthroplasty Surgeon Apollo hospitals, Hyderabad Consultant Orthopaedic Surgeon at www.drmohankrishna.com www.healthyjointclub.com www.bonesandjointsclinic.com

3. NORMAL KNEE JOINT LARGEST JOINT IN THE BODY TAKES HUGE STRESS WITH DAILY ACTIVITIES CARTILAGE: Lining of the joint Shock absorber MENISCUS: Cushion in the joint BONES: Femur, Tibia, Patella SYNOVIAL FLUID: Lubricates the joint

4. Infections Injury to the joint Rheumatoid arthritis Osteoarthritis Worn-out cartilage PROBLEM KNEE JOINT

5. How common is it? Risk factors Most commonly affected joint in the body 15% of general population Age - Uncommon under 40 years 1 in 5 over 60 years Overweight / obesity Runs in families Joint injury OSTEOARTHRITIS OF KNEE JOINT

6. Diagnosis Clinical X-rays

7. Treatment INTEGRATED APPROACH OF HEALTHY JOINT CLUB Pain Killers/local Gels Physiotherapy/ Knee strengthening exercises Nutraceuticals / Gluocosamine / Collagen peptides Injections-Steroids/Lubricants Key Hole Surgery/Arthroscopy Osteotomy : Corrects angle of knee joint TOTAL KNEE REPLACEMENT

8. Replacing the damaged cartilage in the knee joint with metal (Cobalt chrome) and highly specialised plastic. These components are stuck to the bone with cement METAL Cobalt-chrome Stainless steel PLASTIC Specialized polyethylene CEMENT What’s new? Oxynium knee Fixed

9. The surface of knee joint is replaced The knee cap may or may not be replaced TOTAL KNEE REPLACEMENT The affected part of the knee joint is replaced. (Not commonly practiced in INDIA ) PARTIAL KNEE REPLACEMENT

10. Knee Replacement About 70,000 operations are carried out every year in the INDIA Needs General / Spinal anaesthetic Operation may take up to 1 ½ hours A cut is made on the front of the knee joint The new joint can last up to 15 years

11. Better quality of life Relief from Pain/Sleep disturbances Improves mobility with daily activities Walking, Climbing stairs Cycling Swimming

12. Details of medical conditions/Allergies Previous operations List of medicines you are taking To stop blood thinning drugs (ASPIRIN , CLOPIDOGREL) General examination : Dental check Discussion regarding operation

13. Replacing the damaged cartilage in the knee joint with metal (Cobalt chrome) and highly specialised plastic. These components are stuck to the bone with cement METAL Cobalt-chrome or Stainless steel PLASTIC Specialized polyethylene BONE CEMENT FIXED

14. Immediately after surgery you would be shifted to ICU and observed there for 24 hours. Later on you would be shifted to ward.

15. Day 3 Removal of IV lines, Urinary catheter, allowed to go to bathroom Continue the exercises Day 1 Exercises for ankles and toes to prevent blood clots You can sit on a chair & take a few steps with a frame. No diet restrictions unless specified. Day 2 Removal of bandage and drain from the knee joint Knee exercises – straightening / bending Walking with frame / crutches / stick You may be able to go home within 3 to 5 days after the operation

16. You can shower/ bath after removal of stitches / clips Return to household work & other day to day activities in 6-8 weeks Swelling of the leg may remain for up to 4-6 months Stitches / clips removed at 12 - 14 days

17. CONTACT Dr.A.MOHAN KRISHNA M.S.Ortho ., MCh Ortho(U.K)., Consultant Orthopaedic Surgeon, Apollo Hospitals, Hyderabad. Appointments: Secretary : 09247258989 / 09441184590 08332936085 www.drmohankrishna.com www.healthyjointclub.com www.bonesandjointsclinic.com Email: bonesandjointsclinic @gmail.com