Future Trend Setter

Oxinium Knee Replacement For Young Patients With Osteoarthritis

Total knee replacement is generally performed in older patients with osteoarthritis. For the first time in India, a new prosthesis for young patients with osteoarthritis will be introduced. This prosthesis made of a wonder material called Zirconium, a ceramic coated metal ensures longer survival of the prosthesis after implantation. The introduction of this prosthesis will hopefully encourage more number of young and middle aged Indians and Westerners to undergo knee replacement in India.

Advantages of Zirconium

1) The significant advantage of Zirconium knee implants is that it is considerably harder. On testing it lasts 85 times longer in tests that simulate the stresses inside the actual knee. Additional advantages are scratch resistance.

2) When it is wet, ceramic can glide smoothly along plastic, making for smoother motion than with metal-on-plastic. As a result, the Oxinium total knee replacement will not generate the quantity of plastic wear debris that cobalt chrome will, and the implants should last considerably longer. Zirconium is one of the six most biocompatible elements know to man. So, your immune system will more easily tolerate your new implant.

3) Lastly, patients who are allergic to nickel, the metal most often used in the current implants, cannot currently receive total knee replacements. The ceramic implant, however, can be implanted safely in patients with nickel allergies, since it uses a zirconium alloy with no nickel. Implants made of Oxinium have been implanted in larger number of patients in the UK Australia and the US with great success.

Who would benefit most from an Oxinium (zirconium) total knee replacement?

Three types of patient have been identified as the “best” candidates for an Oxinium total knee replacement.

“Younger” patients: Because Oxinium knee implants offer significantly less wear compared to cobalt chrome implants, they are expected to last considerably longer. In the past, orthopedic surgeons have advised patients less than 65 years of age to wait to have knee replacement surgery because the life span of the cobalt chrome knee implants is only 10-15 years. Now, surgeons have a viable option for a younger patient who previously would not be a candidate for a total knee replacement because the Oxinium knee implants should last much longer. Therefore, a patient under the age of 65 who has advanced arthritis of the knee no longer has to suffer for years until he reaches an appropriate age for total knee replacement surgery.

“Active” patients: Patients, who desire to return to an active lifestyle, including sports, dancing, gardening, or other strenuous activities, may also benefit from an Oxinium knee replacement. As a result of their high activity level, this patient population will put more “wear and tear” on their knee replacement, which can cause the implants to wear more quickly. An Oxinium knee is better able to tolerate this high activity level and last longer that the traditional cobalt chrome knee. Metal allergy patients: Because Oxinium is one of the most biocompatible materials known to man, it is the only choice for patients who exhibit metal allergies. Patients who have needed total knee replacement surgery, but could not tolerate the cobalt chrome implants due to their nickel content, can now have the surgery they need to return to an active lifestyle without the fear of an allergic reaction.

The first patient will be a middle aged Housewife with osteoarthritis. Whereas normal knee prostheses cost about 80,000 rupees, this new prosthesis may cost about 1. 25 lakhs, but it is comparable to the best in its category. The higher cost will be offset by the longer survivorship of the implant. A Total knee package is available for Indians and foreigners with normal and long life prostheses at affordable costs.



Source by Alampallam Venkatachalam

 

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How To Avoid Knee Manipulation After a Total Knee Replacement

When it comes to undergoing a total knee replacement, the majority of your time will be spent in your physical rehabilitation working on regaining your leg strength, learning how to walk properly again and, obtaining as much range of motion in the surgical knee as possible.

When it comes to working on your range of motion, this is considered the toughest part of the physical rehabilitation due to the pain level when it comes to flexing and extending the knee.

Some patients will become apprehensive when it comes to flexing and extending their knees during physical therapy and will not put in the effort in it will take to make their knees as fully functional as possible.

When this part of the rehabilitation process is not emphasized, many patients can end up with a contracted knee due to the musculature surrounding the knee and allows chronic long-term pain due to the accumulation of scar tissue.

How do you avoid this? I have listed below three tips to help you avoid having to go back into the hospital to have your knee manipulated.

Learn to Relax. You will find if you can learn to relax as your rehabilitation professional is working on your knee, you will have much more success in obtaining the motion needed for a full and painless recovery. Trying to resist movement of the knee during this process only makes it harder on you and more painful. Anxiety is a major problem here so learning relaxation skills prior to surgery will be beneficial.

Use Heat 30 Minutes Prior To Physical Therapy. Yes, you read it right use heat. Use a large heating pad that has the capabilities to apply a moist heat to your thighs or quadriceps and hamstring muscles. Heat will allow the muscles and surrounding tissue to become more pliable and will allow greater flexibility within the knee. Just be sure you do not place the heating pad directly over your knee this will only increase your swelling making your knee more difficult to work with.

Think Long-Term Success. Think and visualize how your knee is flexing and extending properly and how you will look and feel once you are able to walk again pain-free with a normal functioning knee. You will have to pay a short-term price today to have your knee moving and operating smoothly tomorrow. Remember, like many things in life you either pay the price of discipline today or live with the pain of regret tomorrow.

I have worked with knee replacement patients for close to 23 years now and have found that those patients that were not willing to pay that short-term price of allowing their knee to be properly rehabilitated due to anxiety or discomfort will have lost the benefit of the surgical procedure, to begin with, and do not recover fully which invites long-term discomfort in the future.



Source by Richard A Haynes

 

How To Accelerate Your Knee Replacement Rehabilitation

Before going through knee replacement surgery, many of us will have questions about a number of issues involved during the surgery and more importantly after the surgery and when the physical rehabilitation takes place.

The physical rehabilitation after surgery will be the most crucial part and will play a vital role in how quickly you recover. Of course there are other pre-surgical factors to take into account like your over all health and level of fitness as well.

Many of the patients I have seen over the years will get confused due to the amount of information from well-intentioned family and friends on what to do to help in their recovery. I have seen many patients heal and make a full recovery as expected and a few who have not due to poor advice or not following through with instructions provided by the medical professionals.

I have listed three tips on how anybody can accelerate their total knee replacement recovery if followed and practiced daily.

1. Keep Hydrated With Water: Keeping yourself hydrated with fresh water will help in the recovery process. Water is one of the main components of life, it carries the blood cells that are needed for healing. By taking in water we keep our blood flowing properly and oxygen levels high enough to heal the surgical site.

Making you are well hydrated with water also helps in the prevention of blood clots. Staying hydrated also helps in flushing out toxins that have accumulated during the surgical process with the addition of anesthesia and other pain medications. The sooner you can get these toxins and other residues out of your body the better you will feel.

2. Keep Your Physical Therapy Routine to a Minimum: This one will catch a few of you by surprise. After all, everyone that has taken the time to give you their opinion of the procedure has told you how important your physical rehabilitation is right?

Well in a sense they are however, many of my former patients also felt that they had to be in non-stop physical therapy causing themselves increased pain and swelling which in turn slowed down their recovery.

When it comes to knee replacement surgery, more is not better, If you can go through your physical therapy routine two times daily correctly, that will be sufficient to reap the benefits and help reduce chronic pain and edema therefore accelerating your recovery.

3. Use Your Pain Medication As Prescribed And Other Modalities: One of the biggest problems I would run into after starting with a patient in home health is the fact many are concerned to get off the pain medication as soon as possible. That’s understandable, but not at the cost of staying in chronic pain which will slow down your bodies ability to initiate the healing process.

Your body is working overtime after surgery to begin the healing process, there will be pain involved and to stop taking your pain medication altogether will hinder your physical rehabilitation efforts along with your ability to rest comfortably.

Take the pain medication as prescribed. Also you will be instructed by your rehabilitation professionals how and when to use both heat and ice to help with pain control. Make an effort to use both at the proper times. Ask your rehabilitation professional when is the proper time to use these modalities during your recovery.

Using the pain modalities along with the pain medication prescribed in a timely fashion will help you considerably during the healing process.

If you can follow these three simple tips during your recovery period, you will be doing everything you can in speeding up your recovery process. These are basic principles that are generally stressed before and after surgery yet few will follow them as instructed.

No one will promise you your recovery will be easy, it will take work and planning but if done correctly, you can speed up the recovery process and get back to enjoying your new pain free mobility.



Source by Richard A Haynes

 

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Knee Replacement Surgery Facts: What Happens Before, During and After Knee Arthroplasty?

Over a period of time, due to advancing age or injury, the knees lose their flexibility. As a result, it becomes painful for people to bend their knees due to accompanying inflammation and pain. The mobility becomes further restricted and the pain increases when the cartilage between the two knees wears out with age.

The bad condition of the knee joint and the surrounding cartilage make it difficult for people to move, thus hindering their performance in conducting daily activities. If nothing is done to rectify the condition, the situation only worsens, becoming more painful and difficult.

In such cases, surgery is often recommended as the first line of treatment, most commonly after there is no relief from pain from medications and physiotherapy. It is estimated that more than 90 percent of the patients benefit from the procedure.

During knee replacement, the knee joints that get damaged because of injury or osteoarthritis are replaced with mechanical implants. The doctors may decide to conduct a total knee replacement or partial knee replacement, depending on the condition of the knee.

Patients suffering from osteoarthritis of the knee are often surrounded by a number of questions, especially related to whether they should undergo knee replacement or not or if there is any other alternative line of treatment. Some of these common questions that a patient advised to undergo knee replacement typically have are discussed below.

Question 1: Is total knee replacement the only solution to get relief from osteoarthritis pain?

No, total knee replacement is not the only option to get relief from pain. However, 90 percent of all knee-related surgeries include total knee replacement. The other options that you may opt for include partial knee replacement, minimally invasive knee replacement, physical therapy and pain control using drugs and ointments.

In case of partial knee replacement, the surgeon just cuts out the part of the knee damaged and replaced it with mechanical implants. The rest of the knee is left in its natural form. It requires smaller incisions and recovery is quick.

However, this minimally invasive form of surgery is performed only by a handful of specialized doctors. In addition, there is a risk that the osteoarthritis may return in the part of the knee, left by the doctors in its natural form. This may require further surgical intervention in the future.

On the other hand, minimally invasive form of total knee replacement is a newer form of technique that allows surgeons to replace knees without making a larger incision. It results in less damage to the tissues, minimal scarring and quicker recovery time. However, the long-term benefits of this technique are still being researched.

Osteoarthritis patients are often prescribed medications, physical therapy and exercises at the primary level. Knee replacement is recommended only when there is no relief from these techniques or when the movement is totally restricted because of severe pain and inflammation.

Question 2: What are the complications associated with the procedure?

Knee replacement surgery is considered as a safe procedure. Only a fraction of patients experience complications after knee replacement. One of the most common surgical complication is the occurrence of an infection post surgery. However, so far it has affected only 2 percent of the patients.

Other complications may include blood clots, damage to the blood vessels and surrounding tissue, recurring pain and rejection of the implant or a defect in it.

Question 3: How much time does it take to recover?

Despite hospitals and surgeons claiming that an osteoarthritis patient is able to walk normally within a week of operation, it may take several weeks for the patients to recover from the surgery.

Soon after total knee replacement, patients are advised to undergo a combination of physical and occupational therapy at the hospital itself. The therapy may continue for days after the patient is discharged from the hospital. Typically, a total knee replacement patient is required to stay in the hospital for three to five days after the surgery.

The patients start to walk or stand, with the help of a walker or without support, when they leave the hospital. The rehabilitation and recovery continues for at least two months after the surgery. Along with occupational and physical therapy, some set of exercises is often recommended to be performed at home for quick recovery.

By the end of eight weeks, the patients are expected to stand and walk properly without any support and resume doing household work. However, recovery could be slow in some patients. Patients are often asked to avoid squatting and complete bending of the knee.

Question 4: What exactly happens during knee replacement surgery?

During the knee replacement surgery, the surgeon encases the shin bone with plastic and the thigh bone with a metal casing. All this is done under the influence of general anesthesia. Prosthetic implant is then used to replace the worn out, irregular surface of the knee bone.

The surface under the knee cap is also replaced with plastic. This is done to ensure smoother movement of the joints after the surgery and to reduce pain. Overall, the surgery includes removal of some natural cartilage and bone.

Either cement or some other material is used to join the artificial parts or implants with the shin bone, thigh bone and knee cap. After setting, the artificial parts form joints that depend on the surrounding ligaments and muscles for support and proper functioning.

Question 5: Am I eligible for knee replacement?

You are eligible for knee replacement surgery if you are above 50 years of age and suffer from severe arthritis of the knee. The conditions should be so severe and painful that makes it impossible for you to stand or walk properly or hinder with the daily routine of activities.

Patients with damaged knees due to an accident, with no gap between the knees and those with severely restricted movement are perfect candidates for this type of surgery.

Question 6: Is it a safe procedure?

Knee replacement has been there as an option for more than four decades now. It is a safe procedure, however, like all other surgeries, it has risks too. Apart from blood clots, infection and bleeding, there are certain things that the surgeon should pay particular attention to while performing the surgery.

Some of these concerns include:

  • Pieces of bone marrow or fat entering the bloodstream during the surgery pose a serious risk. These tiny pieces can enter other organs such as lungs and cause serious problems.
  • Pressing of the nerves may cause numbness.
  • The artificial parts or implants can break inside the body or become loose.
  • Other bones may also break if pressurized during surgery.

All these complications during knee replacement may result in longer hospital stay and recovery time. The patient may even lose his or her life if proper care is not taken to limit the infection and bleeding or to stop the formation and circulation of blood clots.

Question 7: What happens after knee join replacement?

You are expected to take occupational and physical therapy after knee replacement. In addition, you should completely avoid twisting or pivoting the leg in question for at least six weeks. Kneeling and squatting should also be avoided and you should try to keep your knee as straight as possible when lying down in bed.

You should follow all guidelines to reduce knee replacement recovery time. Remember, not following any of the recommended guidelines may increase your recovery time and can also lead to dislocation of the joint.

You are also required to avoid stair climbing, playing with the pets and falls during the recovery period. The doctor must be consulted before resuming back to normal routine activities, including sexual activity, driving, exercising and gym.

Question 8: How long does the new joint last?

Knee replacement surgery started to take place during the 1970s. Around that time, the average year of the replaced joint was considered to be around 10 years.

However, with advances in medical sciences, artificial joints with different average lifespans are now available. More than 80 percent of the joints replaced nowadays have a lifespan of more than 20 years. This has been made possible by improvements in the artificial joint material and the material used to join them with the bones.

The cost of knee replacement surgery depends on the life of the implant, the duration of stay at the hospital, the fees of the doctor, the country and the type of hospital you are deciding to get operated in.



Source by Anuj Gupta

 

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Total Knee Replacement – Benefits, Risks and Post Operative Care

Total knee replacement surgery answers the debilitating conditions that threaten patients with movement restrictions and pain. Severely degenerated and damaged knees cause pain in the joints and make movement difficult. The condition grows worse progressively. This surgical procedure relives the pain and brings back flexibility and mobility.

Need for replacement surgery

Patients suffering from osteoarthritis and long term knee pain problems benefit from the replacement surgery. Patients with impaired movements due to knee related problems can consider this option.

What is total knee replacement?

Knee replacement is a surgical procedure. During the procedure Surgeons replace the damaged or diseased portion of the knee with plastic or metal prosthesis. In total replacement the entire knee is replaced.

Function of the knee and how replacement helps

The knee joint is crucial to lower limb flexibility and movement. It is the pivot that joins the thigh bone to the bones of the lower leg. Total replacement consists of removing the end of the thigh bone and replacing it with a pre designed shell and simultaneously removing the upper end of the lower leg bone. This is replaced with a plastic piece and metal stem. A button lie structure is placed behind the knee cap. This completes the entire prosthesis that replaces the normal knee. The ligaments that hold the lower leg in position are replaced with polyethylene.

Benefits of knee replacement

  • Relief from pain
  • Improved mobility
  • Improved lifestyle

Risks of replacement surgery

  • The greatest risk is of forming blood clots that can travel as far as the lungs.
  • Other risks include urinary tract infection, nausea, knee stiffness and pain.
  • Bleeding in the joint and damage to nerves can also occur.

Pre and post operative care

Patients are put on antibiotics before the surgery to minimize risks. Vital parameters are also monitored to prevent complications during after surgery. Routine blood tests and reviewing of medications taken are part of pre operative care.

Physiotherapy is an essential component of post operative care. At times a continuous passive motion machine is used to automatically move the knee in various ways while patients relax. This improves blood circulation and prevents knee stiffness. Physiotherapy helps patients to learn to use their knee joint. Exercises are shown to strengthen calf and thigh muscles.

Patients begin to walk with the assistance of walkers and crutches till they are able to walk on their own. It is important for patients to continue with the exercises. They also need to carefully monitor the wound for signs of infection.

Caring for replaced joints

Replaced joints need to be taken care of. Activities remain restricted to those that cause least damage to the new joint. Contact sports are avoided though leisure sports can be enjoyed.

Total knee replacement is a recommended procedure for patients who have severely restricted movement due to knee joint degeneration, damage, trauma and arthritis. With proper care a replaced knee joint can bring back agility and movement and lead to a more active lifestyle.



Source by Sejal Kakadiya