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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:

heat
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

Read more about
Knee specialist
Reviewed on
October 28, 2024
by
Dr Benjamin Fadida
About reviewer

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