EMERGENCY NUMBER :
90 5171 5171 / 83340 31345

Joint Replacement

 
 

JOINT REPLACEMENT

Once considered a high risk, joint replacements are now very common. It is termed as ‘a life-changing procedure’.

 

THINGS TO CONSIDER IN JOINT REPLACEMENT

  • Initially conservative management with medicines is administered
  • At home, assistance is required for basic life activities
  • Lifestyle modification is necessary as prescribed by physician
 

WHEN JOINT REPLACEMENT MAY NOT BE OF MUCH HELP ?

INFECTION :If there is any existing infection in the body

OBESITY :If the patient is overweight

NEUROPATHY:In case of any nerve damage

 

PRE-OPERATIVE MEDICAL EVALUATION OF THE PATIENT

Medical evaluation - Good cardiopulmonary function can withstand anesthesia and to cope with a blood loss of 1000-1500 ml

 

X-RAYS

  • Standing Anterior-Posterior (AP) View
  • Lateral View
  • Patellofemoral (skyline) View
  • Long leg Radiographs (for assessmal-alignment)
  • Standing Radiographs with the knee in extension or in 45 degrees of flexion (Rosenberg view)
 

PATHOLOGY

  • Complete Blood Count (CBC)
  • Erythrocyte Sedimentation Rate (ESR)
  • Serum Electrolytes l Renal Function Studies
  • Prothrombin Time and Activated Partial Thromboplastin Time (PT/APTT)
  • Urinalysis
  • Urine Culture
 

Antibiotics and antithromboembolic Devices

Antibiotics and antithrombotic prophylaxis are administered approximately 30 minutes before the incision is made.

Mechanical anti-thromboembolic devices like struva, stockings and foot pumps are used intra-operatively to prevent thrombosis.

 

SURGICAL POST-OPERATIVE CARE

Adequate Hydration & Analgesia :The patient undergoes recovery & is usually observed for a 24-hours period in a High-Dependency Unit. Adequate hydration and analgesia are essential at this time of high physical stress. Analgesia is provided through continuation of the intraoperative epidural, patient-controlled intravenous analgesia or oral analgesia. Cryotherapy is used to reduce post-operative swelling and pain.

Beginning of Knee Movement :At this early stage, the patient begins knee movement, sometimes using a Continuous Passive Motion (CPM), machine & exercises. These are continued under the supervision of a physiotherapist until discharge. Drains are usually removed within 24 hours, and the patient is encouraged to walk on the 2nd postoperative day. Continual improvement is generally observed & discharge occurs in 5-14 days depending on speed of recovery.

Discharge :Discharge is recommended only once wound healing is satisfactory, knee flexion of 90 degrees has been achieved, the patient is considered to be safe and supported in the home environment & no complications are present. Thromboembolism prophylaxis is often continued at home for a period of time. The first outpatient review generally is in 6 weeks to 3 months

 CONTACT
Email : info@desunhospital.com
Or Call : (033) 71-222-000 (Mon - Sat, 10am - 6pm)

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