dr akbar tkr

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Cell: 8500 780 786 Dr. MD AKBAR KHAN MS (ORTHO) MCJR (ORTHOPAEDIC, JOINT REPLACEMENT & HAND SURGEON) ASSISTANT PROFESSOR A C S R Government medical college, nellore CONSULTANT VIJAYA CARE HOSPITAL, NELLORE

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Page 1: 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

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ANATOMY & MOVEMENTS

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ANATOMY

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ALIGNMENT

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Increasing ageObesityFemale sexTraumaInfectionRepetitive occupational trauma

RISK FACTORS

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ETIOLOGY

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DEGENERATION OF KNEE

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GROSS PATHOLOGY

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GROSS PATHOLOGY

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

Clinical Features Of Osteoarthritis

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Clinical Features Of Osteoarthritis

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DEFORMITY – VARUS & VALGUS

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DEFORMITY – VARUS & VALGUS

VALGUS & VARUS

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Radiology Of Osteoarthritis

Grade II

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Radiology Of Osteoarthritis

Grade III

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Radiology Of Osteoarthritis

Grade IV

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

Pharmacologic therapyNSAIDSGlucosamine sulphateIntra articular CorticoteroidsIntra articular Hyaluronic acid

Non Operative Treatment

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Arthroscopy OsteotomyKnee replacement

surgery

Operative Treatment

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Arthroscopic Debridement

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Osteotomy

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Partial knee replacementTotal knee replacement

Knee Replacement

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Un constrained TKR

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Constrained TKR

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Different models of Knee Replacements

Scorpio NRG Knee Flexed ™

Triathlon PS Knee System ™

Scorpio TS Revision Implants Front View ™

ADVANCE STATURE® Knee

PROFIX™

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Uni condylar TKR

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

of the knee

Who Is A Candidate For TKR

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

What Is The Time For Replacement

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

Goal of TKR

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T K R on Model

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T K R on Model

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T K R on Model

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T K R on Model

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T K R on Model

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T K R on Model

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Incision-5cm Below Joint Line

T K R – Surgical Procedure

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Mark Proposed Incision

T K R – Surgical Procedure

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Apply Tourniquet in Flexion

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Initial Skin Preparation

T K R – Surgical Procedure

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Skin Incision

T K R – Surgical Procedure

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T K R – Surgical Procedure

Femoral Marking

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T K R – Surgical Procedure

Femoral zig

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T K R – Surgical Procedure

Femoral cuts

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T K R – Surgical Procedure

Tibial Cuts

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T K R – Surgical Procedure

Application of Implants

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T K R – Surgical Procedure

Closure

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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

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T K R – Post surgical x ray

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Immediate Post op Physiotherapy

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Physiotherapy

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Thank you