Joint Surgery Postoperative Management:
The range of surgical options for management of arthritis of the knee is available when joint pain. Conservative therapy and appropriate medical management can not control synovitis. The destruction of articular surfaces, deformity, or restriction of motion has progressed to the point. Functional abilities impair Joint Surgery Postoperative Management.
The surgical procedure selected depends on the
- patient signs
- activity level
- type of diseases
- the severity of articular damage
- joint deformity
- involvement of other joints
Arthroscopic debridement and lavage are used to remove loose bodies. It may be causing swelling and intermittent locking of the knee.
Development of procedure
A number of procedures to repair damaged articular cartilage have been developed. Abrasion arthroplasty, a procedure designed to smooth worn articular surfaces and stimulate the growth of replacement cartilage has met with only limited success. Most recently developed procedures used to repair small, localized articular cartilage defects of the knee, such as microfracture osteochondral autograft transplantation and autologous chondrocyte implantation, appear to hold promise. Joint Surgery Postoperative Management.
Synovectomy is the procedure for a young patient. Symptoms include joint effusion, synovial proliferation, and pain. It is now used infrequently osteotomy of the distal femur. Proximal tibia redistributes weight bearing forces between the tibia and femur in an attempt to reduce joint pain during weight-bearing activities. It also delays the need for arthroplasty of the knee. In the past, the high tibial osteotomy was considered a surgical option of the active patient younger than age 50 to 55 years without active systemic disease and significant limitation of motion or joint deformity. However, because arthroplasty is now performed in younger patients than was the case a decade or two ago osteotomy is an infrequently selected surgical option.
Types of surgery
When erosion of articular surfaces becomes severe and pain is unremitting, total knee arthroplasty is the surgical procedure of choice to reduce pain, correct deformity, and improve functional movement. only in highly selective situations is arthrodesis of the knee used as a salvage procedure to provide a patient with a stable and pain-free knee.
Goals of surgery
Regardless of the type of the surgery selected, the goals of surgery and postoperative management are to
- Reduce pain
- Correct deformity or instability
- Restore lower extremity function.
Carefully progressed postoperative rehabilitation is essential for optimum functional outcomes.
Articular cartilage repair procedures is critical. It works as a successful outcome for the closely monitored program.
The components and progression of a rehabilitation program including
- functional activities
- to protect the repair or graft
- prevent further articular damage
- applying controlled stresses to stimulate the healing process.
The progression of postoperative exercises and functional activities after microfracture, osteochondral autologous transplantation. Autologous chondrocytes implantation has many common elements. They vary to some degree. Detailed postoperative protocols, as well as comprehensive clinical practice guidelines for each of the procedures. It is publish in the literature. In addition to the type of repair employed the rehabilitation progression is based on the size depth and location. The need for concomitant surgical procedures and patient-related factors such as age. Body mass index, health history, and preoperative activity level work in Joint Surgery Postoperative Management
The goals during rehabilitation after articular cartilage repair are similar to those found for most knee rehabilitation program. Protected weight bearing over. It extended a period of time and early motions are essential after articular cartilage repair to promote maturation. It also includes maintaining the health of the repaired and implanted cartilage. Special consideration for exercise and weight bearing associated with the various articular cartilage procedures. Joint Surgery Postoperative Management