Physical Therapy After Joint Replacement
The Jacksonville Orthopedic Institute is certainly a leader in the use of the Mako Procedure in the North Florida Region. JOI remains dedicated to innovative technology and advancements in all areas of orthopedic care. JOI combines innovative technology, joint camp education and advanced rehabilitation to achieve superior clinical outcomes.
If you want to learn more about Mako or Robotic total joint replacement, visit the link below:
To schedule an appointment with a JOI Joint Replacement Specialist, call , schedule online, or Click HERE.
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What Are The Alternatives To Revision Surgery
Alternatives to revision knee surgery are rarely used as they can sometimes be more complex and lead to worse results than revision surgery, but they include knee fusion or .
The following alternatives are employed depending on the seriousness of the problem affecting the knee:
- of the knee joint may relieve pain but at the expense of keeping the knee in a fixed, non-bending position.
- may be used in extreme cases in which the knee joint has a severe infection that cannot be eradicated
Fear Bending And Baby The Knee
I have been in the field working as a therapist for over 20 years and havent yet seen an incision split open with active bending exercises, however I do understand how this fear can overwhelm early on in the recovery. The rule is baby the knee went it comes to walking but dont baby the knee when it comes to bending. That doesnt mean you aggressively bend the knee. You must use frequent low loads and the knee will respond delightfully and give you back your range of motion in steady increments.
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Q: How Long Can I Expect The Implant Used In A Makoplasty Procedure To Last
A: All implants have a limited life expectancy that depends on several factors including a patients weight, activity level, quality of bone stock and compliance with the doctors orders. However, alignment and positioning are also very important factors affecting the life expectancy of an implant. By using the MAKO Tactile Guidance System, we aim to achieve the optimal alignment and positioning for your implant to help it last as long as possible. In addition, because very little bone is actually removed during a MAKOplasty® procedure, the implant can be replaced with another procedure such as a total knee replacement in the future, if necessary.
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Complications And Risks Of Knee Replacement Surgery
Most patients who choose to have knee replacement surgery are very happy with their . Typical patients find relief of pain, and an ability to increase their activities. However, there are possible complications of the surgery, and why knee replacement patients may not be happy. Here are five problems that can frustrate patients who have knee replacement.
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Detour To Mako Knee Replacements
Bob was taking his time getting treatment, though. The first time he began the process to see if knee surgery was right for him, he ended up on the operating table for a different reason. After undergoing preliminary tests for knee surgery, Bob had to have heart bypass surgery after doctors discovered two blockages to his heart.
Bob took the time to heal and do some research on minimally-invasive surgery options for his knees. This led him to make an appointment with John Mercuri, MD, an orthopaedic surgeon specializing in knee and hip replacements.
He wanted to learn more about Mako robotic joint replacement surgery, in which Dr. Mercuri is certified. It really interested me, says Bob. I felt it would be less invasive and offer more accurate placement of the titanium in my knee.
Mako robotic surgery allows the surgeon to plan out every aspect of the patients joint replacement down to the millimeter, says Dr. Mercuri. It also helps to make the surgery faster and less invasive. When you combine this type of advanced surgery with a motivated patient like Bob, you can achieve exceptional results.
After learning more about the procedure, Bob was ready to hop on the operating table again to undergo surgery on his right knee then again, three months later, for his left knee.
I went in for surgery early in the morning and left the hospital later that afternoon, says Bob about both of his knee replacements.
What Are The Risks And Complications Of Revision Knee Replacement
Any surgery can have potential complications. The complexity of revision joint surgery increases the chance of surgical complications, which include but are not limited to:
- damage to nerves or blood vessels
- intra-operative fractures
- pulmonary embolism
Infection, bleeding, damage to nerves or blood vessels, and intra-operative fractures can be minimized by using antibiotics before and after surgery, employing sterile surgical techniques and utilizing well-planned surgical exposures. Patients who are obese are particularly at increased risk of infection and wound drainage issues post operatively.
Similar to primary knee replacement, some mild swelling of the knee or ankle may be present after surgery for as long as three to six months. Swelling can be treated by elevating the leg, applying an ice pack, and wearing compression stockings.
Prior medical conditions, such as heart and lung complications or stroke conditions, can be aggravated by a revision procedure. These conditions may also develop in patients after revision surgery. Very rarely, death can occur. The decision to perform revision joint surgery is made when the benefits of pain relief and functional improvement outweigh the risk of potential complications.
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Guidelines To Protect Your New Knee Joint
It is very important to KEEP YOUR KNEE STRAIGHT WHILE RESTING, never place a pillow under the back of your knee. Place your heel on a rolled up towel, ottoman, or chair so air is under the knee, push the knee down in extension. This is the most important stretch or exercise after knee replacement, this will help you regain full extension.
We encourage you to walk, get outside, and work on your motion. We strongly encourage the use of ice for the first few weeks after surgery. You will receive a polar care or ice machine which cools the knee which is particularly helpful after therapy.
Lying in Bed: You may lie on either side. Remember never to put a pillow under your knee. Keep your knee out straight while lying down.
Sitting in a Chair: Use a firm, sturdy chair with arm rests.Allow your foot to rest on the floor if you can. Use a cushion or pillow to raise you up, if needed, to facilitate getting out of the chair.
Walking: YOU MAY PLACE ALL OF YOUR WEIGHT ON YOUR KNEE. The physical therapist will teach you to use a walker or crutches when you walk until your knee heals. Most people are walking normally after 3 weeks. Most only use crutches to provide balance and to ensure a normal gait in the first few weeks of recovery. Once a normal gait is established you may discontinue using your crutches, cane, or walker.
Your balance might be shaky for a while, we recommend that you:
Things You May Not Know About Robotic Joint Replacement
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If you are experiencing a medical emergency, please call 911 or seek care at an emergency room.
If you have advanced arthritis of the knee or debilitating knee pain that limits your ability to move and perform daily activities, you may benefit from robotic joint replacement surgery. Like a traditional knee replacement, the procedure allows an orthopedic surgeon to replace worn or damaged portions of the knee with customized implants designed to relieve pain and restore strength, mobility, and balance to the knee. Robotic-assisted surgery can also be used to replace hip joints affected by arthritis or osteoporosis.
Unlike traditional joint replacement surgery, robotic surgery involves the use of advanced technology, such as the MAKO robotic arm or a Robotic Surgical Assistant , to navigate to the precise location and operate with incredible accuracy under the guidance of an experienced surgeon. Patients benefit from exceptional results that include better precision and often faster recovery times with improved post-operative pain management. Here are five things you may not know about the robotic-assisted procedure that can help you get back to your active life.
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How Does Mako Technology Work
Mako Robotic-Arm Assisted Technology provides you with a personalized surgical plan based on your unique anatomy. First, a CT scan of the diseased hip or knee joint is taken. The CT scan is uploaded into the Mako System software, where a 3D model of your hip or knee is created. This 3D model is used to pre-plan and assist your surgeon in performing your hip replacement or knee replacement surgery.
In the operating room, your orthopedic surgeon follows your personalized surgical plan while preparing the bone for the implant. The orthopedic surgeon guides the robotic arm within the pre-defined area and the Mako System helps the surgeon stay within the planned boundaries that were defined when the personalized pre-operative plan was created.
In a laboratory study, Mako Total Knee Technology demonstrated accurate placement of implants to a personalized surgical plan. This study also showed Mako total knee replacement demonstrated soft tissue protection to the ligaments around the knee. Inpatient and laboratory studies on Mako total hip replacement and partial knee replacement, Mako Technology demonstrated accurate placement of implants to a personalized surgical plan.
The Joint Replacement Center Of Scottsdale
- Dr. Shane Martin
About 790,000 Americans have total knee replacements each year. Do you struggle with knee pain or instability that impacts your daily activities? Has your doctor recommended that you get a TKR?
Today, new advances in technology are making the recovery process easier. The Mako robotic knee replacement surgery is quicker and can help your TKR last longer. Keep reading to learn more about the Mako technology.
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Mako Knee Replacement Vs Traditional
Using a robotic arm, the procedure has fewer soft tissue releases than traditional nonrobotic approaches. It is preferable to have less pain and a faster recovery time. A better joint alignment, which can be provided by using Mako technology, may also allow you to walk more naturally and faster.
A few orthopaedic surgeons are now offering robotic arm-assisted hip and knee replacements to patients. We will examine the advantages and disadvantages of conventional knee and hip replacements in this blog. You may be offered a partial or total knee replacement if your knee is damaged. The Mako system enables surgeons to create a 3D model of your affected joint prior to surgery based on a CT scan. In this process, the surgeon will be able to estimate how much space is left in the joint and which parts must be removed and which must be left intact. Despite the ongoing Covid-19 pandemic in the United Kingdom, orthopaedic treatments are still being provided to patients on a regular basis. You should not be concerned if you have the vaccine because your treatment will not be halted. In the meantime, you should wait a few weeks to ensure that your bodys response to the vaccine is optimal.
Robotic Knee Replacements May Lead To A Longer
During knee replacement surgery, our orthopedic surgeons guide the robotic arm to the incision site and throughout the entire operation. By using the robotic arm with its specialized navigation, our highly skilled surgeons can ensure the artificial knee parts are placed as accurately as possible and to fit each patients unique anatomy. Because robotic-assisted surgery allows the surgeon to place your implant with a high degree of precision, patients often report a more natural fit and better function.
Robotic techniques are fairly new within the past decade, so we’re still studying the long-term benefits. However, early findings demonstrate that robotic-assisted techniques are associated with increased accuracy and precision in placement of the knee replacement, better early functional outcomes, and improved limb alignment.
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What Is The Difference Between Arthroplasty And Replacement
arthroplasty is a surgical procedure that involves the reconstruction or replacement of a joint, according to modern medical terminology. Joint replacement is the same as arthroplasty.
Be Informed And Prepared For Arthroplasty Surgery
It is one of the most common surgical procedures that can cause significant pain and discomfort. It is critical to be well-versed in the surgery and its possible complications in order to be prepared. Joint stiffness , swelling , and paraesthesia were the most common complications after joint replacement, and the most common complications were arthroplasty-related readmissions and reoperations . Before going into surgery, you should discuss any concerns you may have with your doctor.
What Is Mako Robotic Surgery
Makois robotic arm assisted surgery that is an innovative tool for orthopedic surgeries including hip replacements, knee replacements and partial knee replacements.
How Mako Works
The robot is a surgical instrument for the orthopedic surgeon to place the artificial joint in the optimal position. The instruments are attached to the robotic arm, and during the surgery the surgeon gets constant feedback from the robot that they are following the surgical plan.
The Advantages of Mako
Mako allows surgeons to be reproducibly accurate, which means that by using the robotic device, surgeons can be more accurate than they can by doing the surgery manually. This allows for more precise position of the components and less room for error.
The right positioning ensures better function and joint longevity. These procedures enable patients to potentially have a quicker recovery with a lower chance of complications due to the prosthetic joint being malaligned.
There was a study with hip replacement patients at Harvard, and they found that even with some of the best trained surgeons in the world, the robot is more accurate. The surgeons do a good job, but the robots are much more precise.
Who is a Candidate?
Any patient that needs either a hip replacement, knee replacement or a partial knee replacement is a candidate for Mako robotic assisted surgery. Ask your physician if Mako surgery is a good fit for you.
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Clinical And Radiological Outcomes
Implant survivorship is dependent on several factors including post-operative mechanical alignment of the lower limb, component positioning and soft tissue balancing.3335 In particular, a varus or valgus malalignment of more than 3° in the coronal plane leads to an uneven distribution of load through the prosthesis leading to earlier radiographic lysis and subsequent risk of aseptic loosening.3638 Robotic systems were therefore developed to increase accuracy in implant sizing, component positioning and bone preparation to further reduce the risk of outliers and hopefully improve clinical outcome and long-term survivorship.9,22,39,40
Mako Technology Was Designed To Help Surgeons Provide Patients With A Personalized Surgical Experience Based On Their Specific Diagnosis And Anatomy
When you hear robotic-arm assisted technology, its important to understand that the Mako Robotic-Arm doesnt actually perform the surgery. Surgery is performed by an orthopaedic surgeon, who uses the Mako System software to pre-plan your surgery. Your orthopaedic surgeon will guide the Mako robotic-arm to remove diseased bone and cartilage. Then the surgeon will insert a Triathlon Total Knee implant.
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Mako Robotic Bone Preparation
With the intraoperative plan optimized, Dr. Buechel guides the robotic cutting tool connected to the end of a robotic-arm across the bone surfaces, removing the planned volume of bone resection. The robotic system provides visual, audible and tactile feedback limiting the area of resection to only the planned surface within a millimeter and one degree of the plan. The robotic system creates virtual boundaries like an invisible wall, safely and precisely limiting the movement of the cutting tool. Once the bone surface is prepared by the robotic cutting tool, Dr. Buechel then trims and prepares the remaining soft tissues in the joint space in preparation to install the trial implants, and then the final implants.
How Long Does Mako Knee Replacement Surgery Take
Mako knee replacement surgery takes about two hours. During this time, the surgeon will make an incision in your knee and insert a metal implant. The surgeon will then attach the implant to your bone with screws and a metal plate.
If you have knee pain, the Mako Total Knee Replacement may be able to help. You will receive a personalized surgical plan based on your unique anatomy as part of your treatment with Mako. An athletes knee replacement differs from a typical knee replacement. They function in this manner by promoting natural-like circular motions in the body. The Mako System allows your surgeon to make changes to your surgery plan as needed. Because of their joint disease, people with osteoarthritis of the knee, including post-traumatic arthritis, may benefit from total knee replacement. The lifetime of a joint replacement varies depending on each person, but it is not infinite.
Dr. Hickman and your physical therapist will help you select the best equipment for you. Some aids may be recommended depending on the needs of the patient, according to their assessment in the hospital. The purpose of cushions is to increase the height of a seat as well as other surfaces. By exercising, you will be able to rebuild your strength in your knees and legs. You can easily walk up and down the street now. The most important exercise after surgery is to improve your knee extension . You will be guided by your physical therapist through these and other exercises.
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