knee joint replacement…

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knee joint replacement prosthesis, knee joint replacement, total knee replacement, knee arthroplasty, knee joint replacement is surgery to replace a painful damaged, diseased knee joint, an artificial joint, prosthesis, operation is performed under general anesthesia, orthopedic surgeon makes a cut over the affected knee, patella, knee cap, moved out, the way, ends, the femur, thigh bone, tibia, shin bone, cut to fit the prosthesis, similarly, undersurface, the knee cap is cut, placement of an artificial component, two parts, the prosthesis, implanted onto the ends, the thigh bone, femur, shin bone, tibia, undersurface, the knee cap, patella, using a special bone cement, metal is used on the end, the femur, plastic is used on the tibia, patella, the new knee surface, newer surfaces, metal on metal, ceramic on ceramic, ceramic on plastic, in many cases, a mini-incision, avoid cutting the tendon on the front, the knee, allows, faster, less painful recovery than standard total knee replacement, return from surgery, a large dressing on the knee area, a small drainage tube, surgery to help drain excess fluids, joint area, leg placed, continuous passive motion, cpm, device after surgery, mechanical device that flexes, bends, extends, straightens, knee to keep the knee from getting stiff, bending, leg should always be in this device, in bed, cpm device helps speed recovery, decreases pain, bleeding, infection, experience moderate pain after surgery, receive injections of narcotic medications, patient-controlled analgesia, pca, epidural, spinal column) pain medications to control pain, the first 3 days after surgery, pain should gradually decrease, by the third day after surgery, pills sufficient to control pain, try to schedule pain medications, one-half hour, walking, position changes, return from surgery, several iv, intravenous, lines in place, fluid, nutrition, iv, remain in place, able to drink adequate amounts of fluids, antibiotics given to reduce the risk of developing an infection, would, require removal, the artificial joint, return from surgery wearing anti-embolism, anti-clot, stockings, inflatable pneumatic compression stockings, devices, reduce risk of developing blood clots, more common after leg surgery, additionally, encouraged to start moving, walking, the first day after surgery, assisted out of bed to a chair on the first day after surgery, in bed, bend, straighten ankles frequently, prevent development of blood clots, instructed on how, use an incentive spirometry device, a plastic device to encourage deep breathing, cough, deep breathing exercises to gradually increase the depth of breaths in order, prevent lung collapse, pneumonia, a foley catheter inserted, surgery to monitor the function, kidneys, hydration level, removed on the second, third day after surgery, encouraged to try to walk, bathroom, assistance, knee joint replacement recommended, knee pain that has failed, conservative therapy, injections, physical therapy, 6 months, knee pain that limits, prevents activities of importance, arthritis, the knee, decreased knee function, arthritis, inability to sleep, the night, knee pain, tumors involving the knee, knee joint replacement, not recommended, current knee infection, poor skin coverage around the knee, paralysis, the quadriceps muscles, severe peripheral vascular disease, neuropathy affecting the knee, severe limiting mental dysfunction, terminal disease, metastatic disease, morbid obesity, over 300 lb, risks of this surgery, blood clots, in the legs, deep vein thrombosis, dvt, dvt that breaks loose, goes, lungs(embolus , pneumonia, infection necessitating removal, the joint, loosening, the prosthesis, dislocation, the prosthesis, a prosthetic device, an artificial joint, take special precautions against infection, should carry a medical identification card indicating, a prosthetic device, always inform health care provider of prosthetic knee joint, should receive antibiotics, prior to dental work, invasive procedure, results of a total knee replacement, excellent, operation relieves pain in over 90% of patients, most need no assistance walking after recovery, most prostheses last 10 to 15 years, 20 years, loosening, requiring revision surgery, hospital stay generally lasts 3-5 days, the total recovery period, from 2-3 months to a year, walking, range-of-motion exercises, started immediately after surgery, surgeons recommend using a machine, bend the knee, the patient in bed, patients, require a short stay, rehabilitation hospital to, become safely independent in activities of daily living, use crutches, a walker, few weeks, months after surgery, physical therapy started, in the hospital, continue after you've gone home, strength, motion return, contact sports should generally be avoided, low impact activities, swimming, golf, after full recovery from surgery.