dr akbar tkr
TRANSCRIPT
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