dr akbar tkr

Cell: 8500 780 786

Dr. MD AKBAR KHANMS (ORTHO) MCJR

(ORTHOPAEDIC, JOINT REPLACEMENT & HAND SURGEON)ASSISTANT PROFESSOR

A C S R Government medical college, nellore

CONSULTANTVIJAYA CARE HOSPITAL, NELLORE

ANATOMY & MOVEMENTS

ANATOMY

ALIGNMENT

Increasing ageObesityFemale sexTraumaInfectionRepetitive occupational trauma

RISK FACTORS

ETIOLOGY

DEGENERATION OF KNEE

GROSS PATHOLOGY

GROSS PATHOLOGY

Depends upon stage of involvementI. PainII. Loss of functionIII.StiffnessIV. SwellingV. DeformityVI. Crepitus

Clinical Features Of Osteoarthritis

Clinical Features Of Osteoarthritis

DEFORMITY – VARUS & VALGUS

DEFORMITY – VARUS & VALGUS

VALGUS & VARUS

Radiology Of Osteoarthritis

Grade II

Radiology Of Osteoarthritis

Grade III

Radiology Of Osteoarthritis

Grade IV

Non pharmacologic therapyPatient’s educationUse of assistive devicesWeight lossPhysical therapyOccupational therapy

Pharmacologic therapyNSAIDSGlucosamine sulphateIntra articular CorticoteroidsIntra articular Hyaluronic acid

Non Operative Treatment

Arthroscopy OsteotomyKnee replacement

surgery

Operative Treatment

Arthroscopic Debridement

Osteotomy

Partial knee replacementTotal knee replacement

Knee Replacement

Un constrained TKR

Constrained TKR

Different models of Knee Replacements

Scorpio NRG Knee Flexed ™

Triathlon PS Knee System ™

Scorpio TS Revision Implants Front View ™

ADVANCE STATURE® Knee

PROFIX™

Uni condylar TKR

Quality of life severely affectedDaily painRestriction of ordinary activitiesEvidence of significant radiographic changes

of the knee

Who Is A Candidate For TKR

Old age with more sedentary life styleYoung patients who have limited functionProgressive deformityOther treatment modalities have failed

What Is The Time For Replacement

Pain reliefRestoration of normal limb alignmentRestoration of a functional range of motion

Goal of TKR

T K R on Model

T K R on Model

T K R on Model

T K R on Model

T K R on Model

T K R on Model

Incision-5cm Below Joint Line

T K R – Surgical Procedure

Mark Proposed Incision

T K R – Surgical Procedure

Apply Tourniquet in Flexion

Initial Skin Preparation

T K R – Surgical Procedure

Skin Incision

T K R – Surgical Procedure

T K R – Surgical Procedure

Femoral Marking

T K R – Surgical Procedure

Femoral zig

T K R – Surgical Procedure

Femoral cuts

T K R – Surgical Procedure

Tibial Cuts

T K R – Surgical Procedure

Application of Implants

T K R – Surgical Procedure

Closure

Rapid post-operative mobilizationRange of motion exercises startedCPMPassive extension by placing pillow under

footFlexion- by dangling the legs over the side of

bedMuscle strengthening exercisesWeight bearing is allowed on first post op day

Post Operative Rehabilitation

T K R – Post surgical x ray

Immediate Post op Physiotherapy

Physiotherapy

Thank you