COMPLICATIONS OF TOTAL KNEE REPLACEMENT
Ali Salah Eddin Seddique;
Abstract
The knee joint is a freely mobile joint composed of tibia femoral and patellofemoral articulation. The tibiofemoral joint permit flexion, extension and abduction-adduction and rotational movement.
The mechanics of T.K.R do not differ substantially from those of the natural limb with the mechanism producing abduction-adduction stability of the normal joint still applicable for most prosthesis, however with some important distinctions.
Indications of T.K.R have been discussed in brief. Different items of complications of T.K.R are separately discussed.
Nothing can be more devastating than infection after T.K.R. The risk of infection was significantly increased in patients who had rheumatoid arthritis, patients with skin ulceration and patients who had undergone previous knee operations. The organism most frequently found in infected T.K.R. is staph. aureus. Diagnosis is by clinical course with prolonged pain, swelling, inflammation and fever laboratory investigations includes leukocytic count, CRP and ESR which are elevated. Radiograph, technetium and gallium bone scans may have role in diagnosis of infected T.K.R but not conclusively show presence of infection.
The mechanics of T.K.R do not differ substantially from those of the natural limb with the mechanism producing abduction-adduction stability of the normal joint still applicable for most prosthesis, however with some important distinctions.
Indications of T.K.R have been discussed in brief. Different items of complications of T.K.R are separately discussed.
Nothing can be more devastating than infection after T.K.R. The risk of infection was significantly increased in patients who had rheumatoid arthritis, patients with skin ulceration and patients who had undergone previous knee operations. The organism most frequently found in infected T.K.R. is staph. aureus. Diagnosis is by clinical course with prolonged pain, swelling, inflammation and fever laboratory investigations includes leukocytic count, CRP and ESR which are elevated. Radiograph, technetium and gallium bone scans may have role in diagnosis of infected T.K.R but not conclusively show presence of infection.
Other data
| Title | COMPLICATIONS OF TOTAL KNEE REPLACEMENT | Other Titles | مضاعفات تغيير مفصل الركبه الصناعى | Authors | Ali Salah Eddin Seddique | Issue Date | 2002 |
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