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FACTS ABOUT TOTAL KNEE REPLACEMENT (TOTAL KNEE REPLACEMENT SURGERY) (TKR) |
For more systematic information visit the chapters below.
The individual chapters are ordered in a "logical" succession.
These chapters start with the description of the operation, and continue with your preparation for it, describing how to choose the prosthesis, present the results of the operation, and tell you about possible complications.
You may just follow the chapters in the given order or you may start to read at whatever chapter you like. Just click on the name of the chapter.
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| CHAPTER | CONTENT |
| Total knee operation | knee joint anatomy / mechanical axis of the knee joint / compartments of the knee joint / medial compartment / lateral compartment / patellofemoral compartment / collateral ligaments / cruciate ligaments / range of motion, total knee / operation total knee / balancing of ligaments / cemented total knee / cementless total knee /computer-assisted TK |
| Computer-assisted total knee operation | |
| Outline of a total knee | unicompartmental TK / tricompartmental TK / cemented / cementless TK / materials for joint surfaces TK / metal-on-polyethylene TK / ceramic-on-polyethylene TK |
| PolyEthylene wear in a total knee | wear of polyethylene / ceramic components and wear / constrained TK and wear / unconstrained TK and wear / polyethylene synovitis |
| Mobile bearing total knee prosthesis | joint surfaces contact area / contact stresses on joint surfaces |
| Posterior stabilized total knee prosthesis | posterior cruciate ligament (PCL) / retention of PCL/ sacrificing of PCL |
| Linked total knee prosthesis | revision prostheses |
| Alternative knee operations | arthroscopic "shaving" / transplantation of tissues and cells / osteotomy around the knee / arthrodesis of knee joint / fusion of knee joint |
| Knee joint diseases | osteoarthritis / rheumatoid arthritis / lupus / osteonecrosis / infection, previous |
| Diagnostic methods for knee joint diseases | X-ray picture / CAT picture / MRI picture / scan / bone scan / ESR / sed / CRP / white blood cells / rheumatoid factor / genetic markers / arthroscopy |
| Candidate for a total knee? | pain as reason for surgery / pain, severe and tolerable / postponing the surgery / X-ray pictures, importance of / ideal patient for TK / who is not candidate for TK |
| Candidate for bilateral TKR? | staged bilateral TK / simultaneous bilateral TK / bilateral TK, candidate for |
| Young for a total knee? | activity of young patients / failures TK in young patients / young patients as candidates for TK |
| Making up your mind | |
| Expectations from TK surgery | improvement after surgery / walking capacity after surgery / pain relief / return of motion in total knee, / return to sports, / good mood, return of / return of stair climbing capacity / return to daily activities / dissatisfaction with TK / causes of dissatisfaction / length of pain postoperative / obese patients, satisfaction with TK surgery / X-ray pictures, prediction of results |
| Concerns before TK surgery | anxiety preoperative / concern for pain / concern for length of recovery / fear of postoperative complications/ fear of failure of TK |
| Preparing for surgery | understanding of surgery / asking your surgeon/ sources of more knowledge/ Internet information/ weight reduction/ increase of fitness/ stop smoking/ stabilizing medical condition/ making lists / medical preparation/ pre-admission testing |
| Donating blood | autologous (own ) blood / allogenic (alien) blood / infection risks and AIDS / ways to avoid transfusion |
| Preparing your home | |
| Which total knee model | Material combinations for TK / Fixation of TK / cemented TK / cementless TK / candidate for unicompartmental knee / candidate for tricompartmental TK |
| Operation and recovery | anesthesia / spinal block / epidural block / postoperative pain / pain control / length of hospital stay / leaving operation room / continuous passive motion |
| Life with a total knee | precautions after TK surgery / problems at home after TK surgery / pain in the replaced knee / everyday activities after TK / do and don't / driving after TK / range of motion in your new knee joint / stresses on your new knee joint / sports |
| Total knee and sports | stress on TK joint / skiing and TK / golf and TK / tennis and TK / sports recommended |
| Total knee and cancer | occurrence of cancer after TK |
| Pain in the total knee | pain in kneecap / patellar clunk / pain as sign of loosening/ pain as sign of infection |
| General complications after surgery | heart infarct / pulmonary emboly / bowel obstruction / retention of urine / confusion |
| Deep vein
thrombosis Blood Clot |
deep vein thrombosis (DVT), what is it / signs of DVT / diagnosis of DVT / prevention of DVT / treatment of DVT |
| Total knee infection | infection total knee, early , late / diagnosis of infection / risk rates of infection / prevention of infection |
| Treatment of TK infections | exchange operation, staged / results of treatment / satisfaction after revision operation / fusion of knee joint after infection in total knee / amputation, after infection in total knee |
| Bacteria | spreading of bacteria / Staphylococcus / Gram - positive bacteria / Gram-negative bacteria / antibiotic resistance |
| Antibiotics | antibiotic, choice of / duration of treatment / antibiotic, suppression treatment |
| Loosening of total knee joints | loosening TK, symptoms of / diagnosis of loosening / revision operation for loosening |
| Details on Total Knee Loosening | loosening aseptic, causes of / risk factors for / treatment / osteolysis |
| Stiff total knee | stiff total knee, causes of / manipulation in narcosis |
| Other complications of TKR | loosening / instability / fractures around TH / patellar problems / patellar clunk syndrome / rigidity of the total knee / swollen total knee joint / breakage of TK components / peroneal nerve, Injury of / vessels, damage of |
| If your total knee fails | failure, signs of / causes of failure / treatment of failed TK / techniques for revision operation |
| Materials for total knee prosthesis | |
| Metal alloys | characteristics, mechanical / biocompatibilty / Cobalt-Chrome alloys / Titanium alloys / stainless steel alloys / stress shielding / corrosion resistance / allergy |
| Polyethylene for total joints | wear of PE / polyethylene, gas sterilized, cross linked |
| Bone cement | bone cement, composition of / antibiotics loaded bone cement/ drawbacks |
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Copyright © Valdemar SURIN. All rights reserved.
Revised:
Sept 2005.