Oakland,Area,Orthopedic,Surgeo health Oakland Area Orthopedic Surgeon Gives Knee Replacement Surge


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I have been specializing in total and partial kneereplacement surgery in the greater Oakland area for nearly thirtyyears. Also known as arthroplasty, a knee replacement procedure can result inthe alleviation of pain in addition to the restoration of functionality in kneejoints that have been damaged due to disease or injury. During this type ofknee surgery, the injured cartilage and bone are extracted from the kneecap,shinbone, and thighbone. They are replaced with an artificial joint, orprosthesis, constructed of polymers, high-grade plastic and alloys.Back in the 1950s, when arthroplasty was in its infancy, kneeprosthetics were simply crude hinges. Nowadays, with in excess of 300,000 kneereplacement surgeries being performed annually, there is a diverse array ofartificial knee designs available to patients and physicians. The majority ofthese artificial knees have been designed to accurately mimic the knee’snatural ability to roll and glide throughout its entire range of movement.Are You a Candidate for Total Knee Replacement Surgery?Total knee replacement surgery can prove to be effective in eliminating kneeproblems resulting from a variety of degenerative conditions. These include rheumatoidarthritis, osteoarthritis and avascular necrosis. The latter is a condition inwhich an obstruction of blood flow causes the bone tissue to die.The following is a list of questions indicating that arthroplastymay be right for you:1.      Does your knee pain cause a limitation inactivities such as sitting down and getting up, going up and down stairs, oreven just walking?2.      Is there moderate to severe pain in your kneeseven while you’re at rest?3.      Is the mobility and the flexibility of yourknees impeded because of chronic swelling and stiffness?4.      Are you unable to bend or straighten yourknees?5.      Have you tried other non-surgical methods forreducing the pain without improvement? These would include medications,physical therapy, weight loss, rest, or injection therapy.6.      Does your knee show any signs of deformitysuch as bowing inwards or outwards?It is worth noting that even though knee replacement surgery istypically performed on older adults, young people who exhibit a high level ofphysical activity may need arthroplasty if they prematurely wear out theirknees.Some Tips for Recovering from Knee Replacement SurgeryAn essential aspect of the rehabilitation process following knee replacementsurgery is physical therapy. For the best possible outcome, it is necessary forthe patient to lend their full cooperation. In many cases, physical therapy canbe initiated as soon as 24 hours after the procedure. There will usually be ahigh degree of stiffness and discomfort when physical therapy begins. Often aCPM or a constant passive motion machine will be used to aid with mobility.During the recovery period in the hospital, the patient should beprompted to move the ankle and foot to increase the blood flow to the legmuscles. This will help prevent blood clots and excessive swelling. Bloodthinners may be administered to the patient. He or she might have to also weara support hose or compression boots to further protect against swelling andclotting.As soon as the next day after knee replacement surgery, the patientwill be shown how to lightly exercise the new knee by a physical therapist. Acontinuous passive movement machine (a device that slowly moves the knee whilethe patient is still in bed) may also be employed to help the joint regainmobility.By following all of the instructions given by the orthopedicsurgeon regarding diet and exercise, the patient should have no problemrecovering within the first few weeks after surgery.In order to continue the recovery process after being dischargedfrom the hospital, the patient should engage in the following physicalactivities:1.      A graduate walking program first performedindoors and then outdoors. This will to increase the flexibility and stabilityof the knee in safe increments. Crutches or a walker may be needed initially.2.      Basic household activities, such as traversingstairs and inclines, may be resumed gradually.3.      A few times throughout each day the patientshould repeat the knee strengthening exercises that were learned from thephysical therapist.4.      Common daily tasks such as non-strenuous housecleaning and shopping can typically resume about 3-6 weeks after the kneereplacement surgery.5.      Driving can be resumed in 4-6 weeks if thepatient has regained sufficient flexibility in the knee to sit in a vehicle.Muscle strength should be recovered enough to press the accelerator and brakesadequately.Most individuals will be able to participate in a variety oflow-impact activities such as swimming, walking, biking, or playing golf oncethey have completely recovered from knee replacement surgery. Higher impactactivities, such as tennis, skiing, jogging or sports that demand jumping orphysical contact are usually not advisable. Be sure to contact my office for more specific informationregarding the limitations of physical activity after recovering fully from kneereplacement surgery.Committed to getting you back in the game,Dr. K

Oakland,Area,Orthopedic,Surgeo

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