- Doctor Interviews
- Dr. Berend and Dr. Lombardi
- Dr. Bose
- Dr. Coon
- Dr. Ferro
- Dr. Fisher
- Dr. Kohan
- Dr. Lombardi
- Dr. McKeon
- Dr. Pai
- Dr. Palmer
- Dr. Robert Mayle Discusses Partial Knee Replacement
- Dr. Saliman
- Dr. Sculco
- Dr. Sheinkop
- Dr. Siegel
- Dr. Steadman
- Dr. Todd Borus
- Dr. Waldman
- The Side Approach to Total Knee Replacement by Dr. Messieh
Heart Attack After Total Knee Replacement Bruce Jancin writing in rheumatology News reported on a British study of more than 13,000 patients who underwent total knee replacement. A matched nonsurgical group was used as control. During the first month after knee replacement, there was an almost 9 fold increase in the risk of heart attack compared with the control group. At 3 months the risk was four times greater and at 6 months 2 times greater. Another finding was that the risk of venous thromboembolism- a blood clot that goes to the lungs- remained elevated for 5 years.
…After adjusting for all pertinent variables, investigators found a revision TKA patient was 4.1-times more likely to be obese in 2011 and 4.5-times more likely to be obese in 2012 than in 2002…
Why do I still have pain after a knee replacement? Dr. Luks explains the reasons! A knee replacement in a BIG procedure and you need to be ready to invest a lot of time, and be ready to expend a lot of emotional,physical and psychological efforts as well! Most will do very well… some may not. Let’s explore why some people do not do well after a knee replacement.
Trauma can cause injury to the ligaments
Injuries to these areas are noticed as immediate pain, but are sometimes difficult to localize.
Usually, a collateral ligament injury is felt on the inner or outer portions of the knee. A collateral ligament injury is often associated with local tenderness over the area of the ligament involved.
A study conducted by researchers at Brigham and Women’s Hospital in Boston in 2011 predicts that 6.5 million Americans between 35 years and 84 years will be diagnosed with knee osteoarthritis in the next decade.
“The large number of newly diagnosed cases of knee osteoarthritis in younger individuals will lead to continued increases in the use of total knee replacement,” Elena Losina, PhD, stated in a press release from the American College of Rheumatology. “Furthermore, these data are consistent with the recently observed tripling of total knee replacement use in 45- to 65-year-old persons in the United States.”
April 4, 2014
The number of revision total knee replacement surgeries continues to increase with periprosthetic joint infection and mechanical loosening found to be the most common reasons for revision, according to data presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
Up to 2% of total knee arthroplasties (TKAs) are complicated by infection. This leads to dissatisfied patients with poor function, and has social and economic consequences. The challenge is the eradication of infection, restoration of full function, and prevention of recurrence.
A number of therapeutic strategies exist for the management of infected TKA with the accepted gold standard being two-stage revision arthroplasty combined with intravenous antibiotic therapy. This usually is associated with long periods of hospitalization, difficult mobility, pain, and financial ramifications. As a result novel and less aggressive approaches are being attempted. Prosthesis sparing early aggressive debridement in the acutely infected knee, antibiotics, and single-stage knee revision should be considered.
CHICAGO 2012 – There has been an increase in total knee arthroplasty (TKA; knee replacement) procedures over the past 20 years that has been driven by both an increase in the number of Medicare enrollees and increase in per capita utilization, according to a study in the September 26 issue of JAMA. There has also been a decrease in hospital length of stay for TKA, but increased hospital readmission rates and increased rates of infectious complications.
“Total knee arthroplasty is a common and safe procedure typically performed for relief of symptoms in patients with severe knee arthritis. Available data suggest that approximately 600,000 TKA procedures are performed annually in the United States at a cost of approximately $15,000 per procedure ($9 billion per year in aggregate),” according to background information in the article. Total knee arthroplasty is one of the most common and costly surgical procedures performed in the United States.… Read the rest