Knee joint replacement: surgery, rehabilitation, feedback and consequences

The largest joint in the human body is the knee. Violation of his work is accompanied by severe pain. In some cases, problems with the knee joint can and does lead to disability. To return to normal life if there is such a disease will help endoprosthesis. So call the surgery to replace the joint with an artificial implant.

What are the readings

There is such a surgery, of course, only in the most extreme case to improve the other methods cannot. Usually implantation of the artificial joint is held in:

• Dysplasia of bone;

• Strong deformation of the knee;

• Necrosis avascular;

• Osteoartrita;

• Hemophilia;

• Podagra.

Very often the indication for replacement is old age. The fact is that throughout the life of the feet are subjected to a constant and significant load. Why wear out the knee joint. Its replacement is frequently required in connection with the development of osteoarthritis.

Opinion of the patient undergoing surgery for knee replacement in Artusmed

Types of prosthesis

Depending on the degree of damage to the joint during surgery can be made:

• Setting the unilateral moving of the prosthesis. This procedure is shown in the case if only the lower or upper part of the joint.

• Rotational Implantation of the prosthesis. This operation is indicated for identification of the patient's instability of the ligaments. Rotating the prosthesis is fixed using special high-strength polymer cement.

• Setting the substitute surface. A prosthesis of this kind is implanted articular cartilage in the case if it is damaged.

• Setting the hinge of the prosthesis. The patient is implanted a special device made in the form axis.

  

The type of the selected prosthesis, to a large extent will depend on the answer to the question of how much it costs for knee replacement. Of course, the installation of a unilateral implant will cost less than, for example, a swivel option. In some cases, joint replacement can be performed using specialized prostheses made individually by the laboratory tests and measurements.

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How is the preparation for the operation

Joint replacement is a pretty important and complicated procedure. The patient should first undergo a full medical examination. First, it takes the doctor. Specialist carefully examines, of course, the knee joint. Replace it anyway - quite a serious interference in the body. So the preparation for this procedure, you must be very careful. After the examination the patient has taken all the necessary tests. In the event of an emergency, many patients become also a donor for himself. That is, give blood, which may be needed during the operation.

It is mandatory In the preparatory period is carried out and the General correction of the body. In addition, the patient goes to the dentist. The fact that the bacteria living in your mouth can enter the bloodstream and relax the body before surgery. And this can lead to all sorts of complications.

The examination, the doctor necessarily asks the patient about all drugs taken. The fact that some drugs can cause bleeding during surgery. In addition, patients are sometimes advised to get rid of excess weight and quit Smoking.

Contraindications

Of Course, the prosthesis can not all patients. Contraindications in this case there are:

• Significant overweight

• Some types of chronic somatic diseases;

• Some mental illnesses;

• Liver disease;

• Cancer.

How is it performed

Actually the method of replacement is as follows:

• The Patient receives an anesthetic.

• A Worn joint or part of it removed with the help of special medical instruments.

• The denture.

Two hours — about as much time it takes for the specialists to put an artificial knee joint. Replacement lasts for quite a long time, because the surgeon should carefully and slowly, piece by piece to remove the bone tissue. After the operation the patient is placed in intensive care. Here, the patient should be to the exit of the anesthesia. All this time he remains under the supervision of doctors. If no complications are observed, the patient transferred to a General ward.

Infection — one of the problems that can occur after the knee replacement. After the operation, to avoid this, the patient is prescribed antibiotics. On the second day operated prescribed physical therapy. Performing simple exercises, the patient can greatly accelerate his rehabilitation.

Postoperative period

Home of the patient is usually dischargedon 7-14-th day. The process of rehabilitation takes approximately 10 weeks. If the work of the patient is not associated with physical activity, return to it, he can in a month. Get behind the wheel of a car allowed for about 4-6 weeks after hip replacement. In the event that the operation for the knee replacement was successful and the patient feels normal, no special measures for restoration to take is not necessary. However, some doctor's recommendation to keep still need:

• The Leg is in any case impossible to overload. Otherwise, the prosthesis may be damaged and will have to change it again. Re-operation is usually more complicated than the first.

• Not to engage in active sports.

• You Need to reconsider your diet. Nutrition in the rehabilitation period should be as balanced as possible.

• Rehabilitation after knee replacement involves including recovery exercises at home.

Some time after surgery, patients experience discomfort in the knee. Therefore, they are prescribed painkillers to be taken.

Cost of operations

How much you need to pay in order to get a new artificial knee joint? Replace this part of the body — the procedure is of course costly. First of all, the price is affected by the complexity of the operation itself. The cost of prosthesis depends on the type of use of the prosthesis. Of course, to save on this important element is not necessary. Modern knee prostheses can be made of different materials: special medical alloys, polymers, ceramics. The last option is the most durable. Ceramic joints can last up to 20 years. Conventional dentures have to be replaced in 10-15 years.

The implant itself will have to pay about 140-150 thousand rubles. About 350-400 thousand rubles — about as much of a knee replacement. The price of hip replacement abroad, of course, much higher. For example, in Israel the cost of this surgery starts from $ 25 000.

Knee Replacement: patient testimonials

Some people don't have much faith in possibilities of modern medicine and are afraid to undergo a procedure known as arthroplasty. And so looking for feedback from those users who still decided to lie on the operating table. In most cases, people with artificial joints do joint replacement suggest. Moreover, according to the opinion of the majority, to delay the operation should not be. If the doctor recommends it, you should start to collect the money.

As to the site of the operation, the majority of former patients speak well not only of foreign clinics, but also about our Russian. In the Network there are flattering posts about Novosibirsk, Moscow, Kurgan, etc. surgeons. Post-operative care, state wards, feeding in Russian hospitals — all this, in most cases, according to patients, is at the proper level. As many believe, the main drawback of such procedures as knee replacement, — price. Of course, 350 thousand rubles for many who need such a prosthesis is very much.

How to get a referral for surgery

Of Course, to reach a conclusion about the necessity of carrying out of procedure of the endoprosthesis can only doctor. There are such operations not all cities of the country. The clinic the patient chooses their own. Doctor only writes the direction. Of course, to reduce expenses is to choose a hospital closer to home. But you can read reviews about various medical institutions and to give preference to the best.

What problems can occur after knee replacement

If the patient will comply with all recommendations of the attending physician, probably, after the operation he will have no complications. But sometimes problems still arise. As mentioned, most patients who have undergone the procedure of replacement, face such troubles as:

1. The Beginning of the infectious process, which may be acute or chronic. To alleviate or stop its development by using antibiotics. Most often this problem occurs in people suffering from rheumatoid arthritis and receiving hormones. In some cases, to stop the development of infection is possible only after removal of the implanted joint.

2. The Formation of blood clots. This is a very serious complication, life-threatening patient undergoing a procedure such as knee replacement. Rehabilitation of patients is therefore accompanied by a reception including anticoagulants. Drink them 2-3 weeks after the prosthesis is mandatory. Detachment of thrombus may lead to infarction or pulmonary embolism.

Of Course, there is (albeit minor) risk of rejection of the prosthesis. Also, sometimes after surgery, patients are faced with such a problem as separation of the patellar tendon.

Hip replacement - the ability to return to normal life

The First surgery to replace a knee joint in the prosthesis was made in the middleof the last century. Initially complications in patients were observed quite often. However, nowadays the replacement of joints in most clinics is a common operation and technology, as well as methods of postoperative rehabilitation is fulfilled to trifles. Therefore, complications patients extremely rare. So afraid to lie on the operating table is not necessary.