Total Knee Replacement For Severe Osteoarthritis
Patients with damaged joints (osteoarthtritis) can now be treated with total knee replacement.
Like a machine used continuously, at a time will be impaired due to repeated friction. The same thing happens to our body organs, namely the joints. Unlike the human body is a machine and if the damage to the machine, we can replace it with a new spare part or parts. But what if the damage occurs in the joints or knees. Can we replace it?
Generally, the knee joint is composed of three parts, the thigh bone (femur), the shinbone (tibia) and the kneecap (patella). In order not easily porous and protect from the friction, the three types of bone cartilage protected. In addition, between the femur and tibia are meniscus or cushion that serves as a hinge for easy activities.
Despite having protective, damage can occur in a variety of joints (osteoarthtritis). Many causes of osteoarthritis, including age, calcification, knee injury, and so on.
Early indications of osteoarthritis is not the same, but in many cases found an initial symptom, pain and pain in the knee to limit activity during walking or other activities. If this is allowed, a time will cause stiffness and instability when walking. Prominent physical damage or deformity in the form of changes in foot shape resembles the letter ‘O’ or ‘X’.
If the damage is not immediately followed up with treatment or medical treatment, the worst effects are known to be the erosion of the cartilage surface. Due to erosion, will trigger a reaction formation of new cartilage around the joint. In many cases the growth was outside the shell and cause pain. Cartilage formation is not perfect it is also called perkapuran.
Action against patients perkapuran do with arthroscopic washout to scrape and discard the piece of cartilage and bumps caused by perkapuran. Even if necessary, to do the drilling (drilling) to stimulate cartilage growth targeted around the joint. However this action is only performed in patients with osteoarthritis of the conditions are not so severe.
As for the calcification of advanced stage or grade IV, usually accompanied by a change in the physical form of the foot resembles the letter ‘O’ or ‘X’. If that happens, the action arthroscopic washout was not much help. Because the damage was cause disability or physical changes in the foot. Possible actions is total knee replacement or replace the knee joint using PROTHESE. Although not perfect aritifisial knee as before, but the operation will improve the quality of life of patients with loss of pain, joint stiffness, and shape of the knee joint is bent.
Although joint damage can be treated with total knee replacement, but the move was risky. Some of the possibilities that can occur after joint replacement surgery is, nabloding (infection resulting from a multi-layered bandaging) or thrombosis (blood clots in the surrounding areas of operations), PROTHESE off (due to infection or not strong phrotesa bear the patient’s weight and the consequent of activities undertaken sufferers).
Therefore, the replacement of the knee joint and the physician should be competent in their fields. In addition, the level of difficulty is very high, also required accuracy and neatness doctors in surgery.
Technically, once installed, prosthese can last between 15-20 years. But for some reason, total knee can not be performed on people who are obese or who are too young age. If prosthese get loose, it will cause pain. Although it can be replaced, but the second operation the results were not as good as the first operation.