Knee Replacement - Desun Hospital Health Insight

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Desun Hospital Health Insight- Knee Arthroplasty by Saikat Banerjee, Sr. Deputy Manager, DESUN Hospital & Heart Institute.

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Knowledge sharing slideshows to increase general awareness about common medical procedures and good health guidelines Created and Distributed by All Rights Reserved Public Awareness Program

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Total knee replacement is a salvage procedure in orthopaedic surgery to provide a painless, mobile and stable knee joint to improve quality of life of patients suffering from afvanced painful arthritis commonly osteoarthritis, rheumatoid arthritis and rarely post-traumatic arthritis. Damaged cartilages and bones are carefully removed by measured resection and the collateral ligaments are preserved and balanced for creating a equal gap both in knee flexion as well as in knee extension for restoring anatomy. the main indication for doing total knee replacement is pain relief. The overall functional outcomes in terms of functional results are good after total knee replacement. Wound infection must be prevented by strict aseptic precautions during surgery.

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In clinical settings there are several fairly common bone tumors or tumor like conditions that can causes a pathological bony cavity. These cavity can lead to pathological fracture. Giant cell tumors, simple bone cyst( SBC, UBC), fibrous dysplasia, giant cell tumors (GCT), aneurysm bone cysts( ABC) are well known entity. Autologous bone grafting , allograft or various bone substitutes are being increasingly used to fill up such voids or cavity after curettage to provide immediate cavity obliteration, provide mechanical support and promote long term healing the cavity.

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https://hartfordsportsorthopedics.com/ In this presentation, Dr. Mazzara discusses total knee arthroplasty. His presentation highlights: The anatomy of the knee Normal articular cartilage Causes and symptoms of osteoarthritis Diagnosis of osteoarthritis Non-surgical treatment for osteoarthritis Candidates for total knee arthroplasty Surgical approach to knee replacement Potential complications of knee arthroplasty Computer-assisted total knee replacement Post-operative protocol To learn more about total knee arthroplasty, please visit: https://hartfordsportsorthopedics.com/computer-guided-total-knee-replacement-south-windsor-rocky-hill-glastonbury-ct/

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The knee is prone to injuries like ACL tears, meniscus tears, and patellar tendinitis. ACL tears often require surgery and extensive rehabilitation, while meniscus tears can be treated with physical therapy or arthroscopic surgery. Patellar tendinitis is typically managed with rest, physical therapy, and anti-inflammatory medications. Knee clinics offer specialized care for these injuries, with knee specialists providing accurate diagnosis and personalized treatment plans to facilitate prompt recovery and long-term joint health.

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The first knee replacement was performed in 1968. Since then, improvements in material selection and techniques have greatly increased its effectiveness. The study of biomaterials by biomedical engineers has led to advancements in more accurate sizing, the option of patella femoral replacement, better instrumentation as well as components that allow an increased range of motion and a lower wear rate have since been developed and implemented. During this period the collaboration between surgeons and engineers produced many developments in the design of the prosthesis. Today this procedure is safe and established even if in continuous development. The progress in technologies and the use of new materials let researches try again old-fashioned techniques from the past in order to be improved.The most common reason for knee replacement is that other treatments (weight loss, exercise/physical therapy, medicines, injections, and bracing) have failed to relieve arthritis-associated knee pain. The goal of knee replacement is to relieve pain, improve quality of life, and maintain or improve knee function Scope Possible disadvantages of knee replacement surgery include replacement joints wearing out over time, difficulties with some movements and numbness. A replacement knee can never be quite as good as a natural knee – most people rate the artificial joint about three-quarters average (Marian et al.,2021) Most knee replacements aren’t designed to bend as far as your natural knee. Although it’s usually possible to kneel, some people find it uncomfortable to put weight on the scar at the front of the knee. There may be some numbness at the outer edge of the spot. This usually improves over about two years, but it’s unlikely that the feeling will ultimately return to normal. A replacement knee joint may wear out after a time or may become loose. , total knee replacement can help relieve pain that emanates from arthritis restoring the normal mobility of an individual. The procedure involves removing the damaged bone and cartilage from the thigh bone, shin bone, and kneecap and replacing it with an artificial joint made of metal alloys, high-grade plastics and polymers. However, despite having its advantages, total knee replacement surgery carries several risks such as infection, blood clots in the leg veins or lungs, heart attack, stroke and nerve damage. The artificial knee can also wear out due to excessive use. Excess glue is squeezed out to the side as the element is pressed into place and removed. The cement hardens quickly, the incision is closed using several layers of sutures, and a bandage is applied

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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

Cardiac Output, Venous Return, and Their Regulation

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