Joint Replacements are a very common process now a days, specifically the knee joints are most commonly replaced joints....
When is it Required:
> there are certain classifications of arthritic changes depending on which staging is decided and also the need of replacement.
> Certain conditions like infections or injuries damaging joints badly.
Knee joint replacement are undertaken through four stages:
* Preparing the ends of the thigh and shin bones by removing any damaged cartilage.
* Cementing and positioning metal implants to recreate the joint’s surface.
* Resurfacing the knee cap by inserting a plastic button behind the patella inserting a medical-grade plastic spacer between the metal components to form a fluid gliding surface, allowing the knee to move freely in its natural range of motion.
After Knee Replacement:
- Immediate postoperative mobilisation done on same day in most cases.
- Patient in most cases is discharged walking with walker by other day.
- Open Wound Protection, Avoiding Infection, maintaining minimum advised range are the responsibilities of Patients.
Physiotherapy Roles Pre and Post Operatively!
- Very important to Identify muscular weakness and undergo good exercise regimen, if needed 5-8 regular sessions with a physio should be under taken
- Understanding few exercises required postoperatively is helpful.
Post Op Rehabilitation:
- Its important to gain early Strength and reduction in swelling over knee joint to prevent any immediate post operative complication.
- Good range of knee bending and complete knee extension should be achieved.
- Pain free walking in first two weeks, and by end of four weeks ability to take stairs could be Ideal progression.
- Exercises are individual specific and so are to be done as and when administered by a qualified Physiotherapist only.
- There are certain mechanical issues that can be due to muscular weakness and can be identified by a Physio only and if we continue to neglect such things it could cause early Damage to Implants.
- Citation : “There has always been a philosophy that the patient and the surgeon want the joint replacement to last as long as possible — hopefully, for the duration of the patient’s life,” Thomas P. Schmalzried, MD. But that is in contrast to the philosophy about patients having joint replacement surgery to enjoy a better quality of life and there are certain physical activities that increase their quality of life.
- Keeping muscles strong is essential to promoting function and battling the sarcopenia, which occurs with age.
- Inappropriate rehabilitation could force one into Revision surgery in future life.