According to a recent study published on bmj.com, physiotherapy can improve the daily lives of osteoarthritis patients who have undergone knee replacement surgery. Osteoarthritis is the most common type of disability found in oler people, so total knee replacement surgery is a routinely performed procedure. Since some patients continue to experience problems with everyday tasks shortly after surgery, researchers reviewed data to determine if short term physiotherapy is an effective solution.
The study involved over 600 patients who were reviewed for effectiveness of physiotherapy treatments accordng to improved function, quality of life, walking, range of knee joint motion, and muscle strength. The results found a small to moderate effect of functional exercise on joint motion and quality of life at three to four months after surgery. This effect, however, was not sustained at one year.
The authors believe that, despite inconclusive evidence, these results indicate that patients should be referred for a short course of physiotherapy exercise to provide short term benefits. These findings also suggest that further research would be worthwhile to reduce uncertainty. The lack of high quality research on the effectiveness of physiotherapy programs following total knee replacement is strongly highlighted by this study.
Knee Replacement Surgery Complications
In severe cases, total knee replacement surgery is used to resurface a person's knee, in the effort that the new knee implant will mimic natural function and range of motion (ROM) of the knee joint. Diseased cartilage and bone often times are removed in a total knee replacement surgery. The lower end of the thigh bone (your femur), the upper end of your tibia (your shin bone and the poseterior aspect of the knee cap can all be resurfaced in this surgical procedure.
How Should You Prepare for Surgery?
It is no doubt that a knee replacement surgery can be important, but equally important are the other actions you take before your surgery. Key information is found in the next section that describes how you can optimize your recovery.
It is important that you communicate with your physician and his/her support staff what devices you will be needing when you are discharged from the hospital. Your hospital may have classes regarding your knee surgery available to you prior to your stay in the hospital. At this class you can speak with nurses and therapists regarding your various questions and needs. One key reminder about these recommended products,....On average, you can obtain medical products, with the help of the internet, at a much greater discount than you would if you visited a product vendor at the hospital. Keep this in mind!
It is important to note that you should analyze not only the potential benefits of a knee surgery, but also the potential risks. A pre-operative coversation with your physician and his/her team will be very helpful. Also, ask to speak with someone else who has undergone the same procedure with the same physician prior to your surgery. Do yourself a favor and ask for this information. Physical aliments and significant medical history such as fever and infections (etc.) should all be reported to your surgeon. Medications you are taking and medications that you are allergic to are important to communicate to your physician as well.
If there is a loss of blood, which can happen with any surgery, your physician may recommend that you donate some of your own blood several weeks before your surgery. Your physician and his/her team can instruct you about where and when you can donate blood.
Make sure the orthopedist performing the surgery is board-certified, which can be determined by calling the American Board of Orthopaedic Surgery at 919-929-7103.
Once your surgery takes place you will definately need support. Among the products that your physician and his/her team may recommend is a post-operative hinged knee brace. The purpose of the knee brace is to help stabilize your knee directly after surgery. This knee brace usually involves an adjustable locking mechanism that can either help keep your leg straight, or allow for different degrees of knee flexion. Usually, as you recover, your physician will allow for more knee flexion, but directly after your surgery, the knee may need to be kept in pure extension (totally straight). It is important to speak with your physician about the exact duration of wearing parameters and activity levels with respect to your new knee brace as well. This post operative knee brace can be a great asset. The DonJoy IROM Knee Brace can provide you the support you need in these instances, and via our website, you can purchase this brace and save you several hundred dollars over that of a brace you receive by other vendors.
Both Francisco Mejias & Daniel Sims are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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