1 / 16

TKA Indications

TKA Indications. Pain and disfunction severe enough to justify surgery X-ray correlation: joint damage beyond repair by other means Patient good understanding of what to expect from surgery . TOTAL KNEE REPLACEMENT When?. Pain Function LOM Level of disability. TOTAL KNEE REPLACEMENT How?.

Jimmy
Télécharger la présentation

TKA Indications

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. TKAIndications • Pain and disfunction severe enough to justify surgery • X-ray correlation: joint damage beyond repair by other means • Patient good understanding of what to expect from surgery

  2. TOTAL KNEE REPLACEMENTWhen? • Pain • Function • LOM • Level of disability

  3. TOTAL KNEE REPLACEMENTHow? • Fixation • Cement • Cementless • Incision – approach • Limited – minimal • Prosthetic choice

  4. TKAThings to consider • Patient’s age • Occupation and activity level • Surgeon ability • Patient desires

  5. TKATYPES • Unicompartmental • Tricompartmental - Posterior cruciate retaining - Posterior cruciate substituting • Hinge

  6. UNICOMPARTMENTAL • Medial-lateral Single comp. Disease Good ligaments Limited activity • Patellofemoral Only PF disease No patellar maltracking Few candidates

  7. TKATYPES Tricompartmental • Non modular • Modular • Rotating platform

  8. TOTAL KNEE ARTHROPLASTYSurgery • 1-2 hr surgery • 3-5 days hospitalization • More discomfort than hip • Rehabilitation a bit harder

  9. for TOTAL KNEE ARTHROPLASTYAnesthesia • Regional or general • Femoral n. block (continuous)Sciatic n. block • postop analgesia

  10. TOAL KNEE ARTHROPLASTYRecovery • 4-6 wks walker / 2 crutches • Wait for wound healing to FWB • Physical therapy advisable

  11. TOTAL KNEE ARTHROPLASTYExpectations • 95% satisfaction • Slightly less than THA • 20+ yrs longevity • Ability to walk distances • Bike, horseback riding: yes • Skiing, running, jumping: no

  12. TOTAL JOINT ARTHROPLASTYMinimally Invasive Surgery • Same surgery, smaller incision • Technically more demanding • No proofs that recovery is better, faster or less painful • No long-term data

  13. TOTAL JOINT REPLACEMENTHIP AND KNEEConclusions • Pain relieving and function improving procedures • Predictable results

  14. TOTAL JOINT REPLACEMENTHIP AND KNEEWho Should Do It? • Proper training • Over 50/yr

More Related