Total knee replacement (TKR)

Overview

Total knee replacement (TKR), also known as total knee arthroplasty, is a surgical procedure aimed at relieving pain and restoring function in severely diseased knee joints. This condition typically arises from arthritis, injury, or other degenerative joint diseases, leading to the erosion of cartilage, inflammation, and significant pain during activities such as walking, climbing stairs, or even resting.

Specialty

Total knee replacement is typically performed by orthopedic surgeons specializing in joint replacement. They have extensive training in the anatomy of the knee, advanced surgical techniques, and postoperative rehabilitation strategies to ensure optimal patient outcomes.

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How is Total knee replacement (TKR) done?

Medical Evaluation:
  • Comprehensive medical history review and physical examination.
  • Imaging tests like X-rays or MRIs to assess the condition of the knee.
  • Blood tests to check overall health.
Preoperative Instructions:
  • Discuss medications: Some may need to be adjusted or stopped (e.g., blood thinners).
  • Nutritional advice to maintain a healthy weight and overall health.
  • Plan for postoperative care, including physical therapy.
Lifestyle Adjustments:
  • Engage in prehabilitation exercises to strengthen the knee and improve recovery.
  • Arrange for help at home after surgery, especially for the first few weeks.

  • Anesthesia: General or regional anesthesia (such as spinal or epidural) is administered.
  • Incision A 6 to 10-inch incision is made over the knee to access the joint.
  • Joint Preparation: Damaged cartilage and bone are removed from the thigh bone (femur), shinbone (tibia), and kneecap (patella).
  • Implantation: The knee joint surfaces are replaced with prosthetic components made of
  • Closure: The incision is closed with sutures or staples, and a dressing is applied.

While TKR is generally safe, complications can occur, including:

  • Infection: Risk at the incision site or deeper joint infections.
  • Blood Clots: Deep vein thrombosis (DVT) can develop in the legs.
  • Nerve or Blood Vessel Damage: Potential injury during surgery.
  • Implant Issues: Wear and tear or loosening of the prosthetic components.
  • Persistent Pain: Some patients may experience ongoing pain despite surgery.
What are the Benefits of Benefits?
  • Pain Relief: Significant reduction in knee pain, often leading to improved quality of life.
  • Enhanced Mobility: Restoration of knee function allows for easier movement and participation in daily activities.
  • Improved Alignment: Correcting any deformity helps restore normal knee alignment and stability.
  • Increased Activity Levels: Patients can return to activities and sports they enjoy.

Infrastructure Facilities

Surgical Center:
  • Equipped with advanced imaging and surgical tools for precision.
  • Availability of specialized orthopedic surgeons and nursing staff.
  • Rehabilitation Facilities: Access to physical therapy and rehabilitation programs tailored to TKR recovery.
  • Postoperative Care: Monitoring for complications and managing pain post-surgery.
  • Patient Education: Resources and support for preoperative and postoperative care, including pain management, wound care, and exercises.

Conclusion

Total knee replacement is a transformative procedure for many patients suffering from severe knee pain. Proper preparation, understanding the procedure, and following postoperative care are vital for successful recovery and improved quality of life. Always consult with a qualified orthopedic surgeon to explore the best treatment options for your specific condition.

FAQs

Recovery time varies, but most patients can expect to return to normal activities within 3 to 6 months.

Yes, physical therapy is crucial for regaining strength and mobility

Most implants can last 15-20 years or longer, depending on various factors, including activity level and weight.

Engage in preoperative exercises, lose excess weight, and arrange for post-surgical help.

Non-surgical options include physical therapy, medications, injections, and less invasive surgeries, but they may not be suitable for all patients.

Discuss potential complications with your surgeon, including infection, blood clots, and issues related to the implant.

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