Dr Jones: Knee Joint Replacement

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McKinley Court Care Centre's Dr Jones presented the topic "Knee Joint Replacement" on July 9, 2011. The topics that were discussed covered normal/abnormal join function, symptoms of joint disorders, and treatments.

Contact us for more information on knee joint replacement or to attend the next seminar!

info@mckinleycourtcarecentre.com
www.mckinleycourtcare.com

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  • Primus Super Speciality Hospital provides patients with the region’s best Orthopaedic specialists, offering diagnosis,treatment, surgical services and rehabilitation of the highest level. Our state-of-the-art treatment, including educational, support and rehabilitation services, leads to faster recovery and better prognosis. Primus Super Speciality Hospital 2, chandragupt Marg Chanakyapuri New Delhi- 110021, India 011 - 66206620, 9953722892 info@primushospital.com http://www.primushospital.com/joint-replacement-center.html
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Dr Jones: Knee Joint Replacement

  1. 1. Knee JointReplacement<br />Tyler Jones, MD<br />
  2. 2. Topics<br /><ul><li>Normal/Abnormal Joint Function
  3. 3. Symptoms of Joint Disorders
  4. 4. Treatments </li></li></ul><li>The Bones of the Leg<br /><ul><li>Femur (Thighbone)</li></ul>Supports the weight of the upper body at both the hip and the knee<br /><ul><li>Tibia (Shinbone)</li></ul>Supports the weight of the upper body at the knee and the foot<br />
  5. 5. <ul><li>Fibula</li></ul>Smaller bone, always on the outside of the leg <br /><ul><li>Patella (Kneecap)</li></ul> Provides a fulcrum for the muscles of the upper leg to efficiently move the lower leg<br />The Bones of the Leg<br />
  6. 6. Anatomy of the Knee<br />Femur<br />Patella<br />Tibia<br />
  7. 7. Condyles<br /><ul><li>Rounded prominence at the end of the femur
  8. 8. Provide smooth rocking movement
  9. 9. Help distribute the weight of the upper body</li></li></ul><li>Anatomy of the Knee<br />Condyles<br />
  10. 10. <ul><li>Strong bands of tissue
  11. 11. Stabilize the joint
  12. 12. Outside the knee
  13. 13. Medial Collateral
  14. 14. Lateral Collateral
  15. 15. Inside the knee
  16. 16. Posterior Cruciate
  17. 17. Anterior Cruciate</li></ul>Four Major Ligaments<br />
  18. 18. Anatomy of the Knee<br />Ligament<br />Ligament<br />
  19. 19. Cartilage<br /><ul><li>Rubbery tissue found in joints
  20. 20. Cushions and Protects the ends of bones
  21. 21. Provides smooth gliding surface for bones</li></li></ul><li>Anatomy of the Knee<br />Cartilage<br />
  22. 22. Arthritis<br />
  23. 23. Arthritis<br /><ul><li>Defined as inflammation of the joint
  24. 24. Over 100 different types
  25. 25. Affects 43 million Americans each year</li></li></ul><li>Two Primary Types of Arthritis<br /><ul><li>Osteoarthritis
  26. 26. Rheumatoid arthritis</li></li></ul><li>Rheumatoid Arthritis<br />
  27. 27. Rheumatoid Arthritis<br /><ul><li>Affects about 2.5 million Americans annually
  28. 28. Can be a particularly disabling disease
  29. 29. Can seriously limit a person’s well-being</li></li></ul><li>What is Rheumatoid Arthritis?<br /><ul><li>Inflammatory joint condition
  30. 30. The joint’s lubricating fluid (synovial fluid) increases pressure inside joint
  31. 31. Synovium thickens and begins to erode the cartilage
  32. 32. Usually affects more than one joint at a time</li></li></ul><li>Osteoarthritis<br />
  33. 33. Osteoarthritis<br /><ul><li>Most common type of arthritis
  34. 34. Affects 23 million Americans </li></li></ul><li>What is Osteoarthritis?<br /><ul><li>Degenerative disease affecting joint cartilage</li></ul>“Wear and tear” <br /><ul><li>A manageable, treatable condition</li></li></ul><li>Osteoarthritis<br />Normal Knee X-ray<br />Arthritic Knee X-ray<br />
  35. 35. Symptoms of Arthritis<br /><ul><li>Pain
  36. 36. Joint Swelling
  37. 37. Stiffness
  38. 38. Decreased activity
  39. 39. Impaired lifestyle</li></li></ul><li>Physical Examination<br /><ul><li>Decreased range of motion
  40. 40. Joint-line tenderness
  41. 41. Joint deformities</li></li></ul><li>X-ray Analysis<br />Joint space narrowing<br />Abnormal bone formation “spurs”<br />Joint Deformity<br />Bowleg<br />Knock knee<br />
  42. 42. Treatments<br />
  43. 43. Treatments<br /><ul><li>Diet
  44. 44. Moderate Exercise
  45. 45. Walking Devices
  46. 46. Braces
  47. 47. Ice
  48. 48. Medication
  49. 49. Injections
  50. 50. Arthroscopy
  51. 51. Surgery</li></li></ul><li>Diet<br /><ul><li>Good nutrition promotes overall good health
  52. 52. Excess weight places excess pressure on joints and can lead to or aggravate osteoarthritis</li></li></ul><li>Exercise/Physical Therapy<br /><ul><li>Exercise improves joint mobility
  53. 53. Physical therapy may help keep joints flexible and mobile
  54. 54. Exercise can help strengthen muscles and provide support for joints</li></li></ul><li>Treatments<br /><ul><li>Cane or walker may help reduce pressure and pain on affected joint
  55. 55. Braces can help support or align joints to relieve pressure and pain
  56. 56. Wedges may transfer force away from affected area</li></li></ul><li>Pain Management with Medication<br /><ul><li>Tylenol XS
  57. 57. NSAIDs and salicylates
  58. 58. Anti-inflammatory medications
  59. 59. Cox 1 vs. Cox 2
  60. 60. Analgesics
  61. 61. Pain relievers
  62. 62. Corticosteroids
  63. 63. Synthetic form of naturally occurring substance
  64. 64. May only be used for short periods of time</li></li></ul><li>Injections<br /><ul><li>Cortisone
  65. 65. Decrease inflammation
  66. 66. May reduce need for oral medications
  67. 67. Contraindications
  68. 68. Active local infection
  69. 69. Use caution if taking blood thinning medicines
  70. 70. Not recommended earlier than every 3-4 months</li></li></ul><li><ul><li>Hyalgan or Synvisc One
  71. 71. Purified sodium hyaluronate
  72. 72. Comes from rooster combs
  73. 73. Acts like a lubricant or shock absorber
  74. 74. In Osteoarthritis
  75. 75. Decreased quantity of hyaluronate
  76. 76. Possible change in quality of hyaluronate</li></ul>Viscosupplementation<br />
  77. 77. Viscosupplementation<br /><ul><li>Contraindications
  78. 78. Allergic to Hyalgan, Synvisc One or similar material
  79. 79. Local infection at injection site
  80. 80. If allergic to bird products
  81. 81. Feathers, eggs, poultry
  82. 82. Pregnant women or nursing mothers
  83. 83. Has not been tested in them</li></li></ul><li>Nutritional Supplements<br /><ul><li>Glucosamine
  84. 84. Chondroitin</li></li></ul><li>Surgical Options<br /><ul><li>Arthroscopy
  85. 85. Unicompartmental Knee Replacement
  86. 86. Total Joint Replacement</li></li></ul><li>Arthroscopy<br />
  87. 87. UnicompartmentalImplants<br />
  88. 88. Total Knee Replacement Surgery<br />
  89. 89. When Should Total Joint Replacement be Considered?<br /><ul><li>Pain negatively affects daily living
  90. 90. Conservative treatment options fail to provide adequate relief from symptoms
  91. 91. Extensive cartilage damage and/or joint deformity</li></li></ul><li>Total Knee Replacement<br /><ul><li>Damaged bone resurfaced with components made from metal alloy and polyethylene (plastic)
  92. 92. Advances in medical technology have helped make outcomes more predictable and acceptable</li></li></ul><li>Problems<br /><ul><li>Polyethylene wear
  93. 93. Bone loss
  94. 94. Loosening</li></li></ul><li>Primary Knee Components<br />Femoral Component<br />Polyethylene Bearing<br /> (Acts as cartilage)<br />Tibial Tray<br /> (supports polyethylene bearing)<br />
  95. 95. Benefits of Total Joint Replacement<br /><ul><li>Can eliminate or reduce joint pain
  96. 96. May enhance movement and mobility
  97. 97. Can improve quality of life
  98. 98. Return to normal activity
  99. 99. Low impact sports and activities</li></li></ul><li>After Joint Replacement Surgery<br /><ul><li>Hospital stay between 3 and 5 days
  100. 100. Assisted walking within 24 hours of surgery
  101. 101. Pain medication
  102. 102. Physical therapy
  103. 103. Key to recovery
  104. 104. Help prevent swelling, stiffness, and pain
  105. 105. Regain strength and mobility</li></li></ul><li>Resume Usual Activities<br /><ul><li>Routine Activities (4-6 weeks)
  106. 106. Walking (un-assisted), Driving, Gardening, Shopping, Housework </li></li></ul><li>Resume Usual Activities<br /><ul><li>Low-Impact Activities (2-3 months)
  107. 107. Golfing, Dancing, Bowling, Swimming, Bicycling</li></li></ul><li>Restrictions<br /><ul><li>Running
  108. 108. Jumping
  109. 109. Jogging
  110. 110. High-impact or contact sports
  111. 111. Heavy manual labor</li></li></ul><li>Possible Complications<br /><ul><li>Infection
  112. 112. Dislocation
  113. 113. Wear/loosening
  114. 114. Other</li></li></ul><li>Physical Therapy<br /><ul><li>Described by Physician
  115. 115. Supervised Physical Therapy for 4-6 weeks
  116. 116. Home exercise program as directed by physician</li></li></ul><li>Home Care<br /><ul><li>Medications for Comfort While Healing
  117. 117. Exercise
  118. 118. Healthy Diet</li></li></ul><li>Follow-up Visits with Your Physician<br /><ul><li>6 weeks
  119. 119. Set schedule first year
  120. 120. Annually
  121. 121. regularly checking the joint will assist in preventing complications</li></li></ul><li>Closing<br /><ul><li>Your symptoms should be diagnosed to help you get relief
  122. 122. Joint replacement patients should follow-up with their surgeon
  123. 123. Osteoarthritis and Rheumatoid arthritis are treatable, manageable conditions</li></li></ul><li>Questions<br />
  124. 124. Thank You<br />

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