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TOTAL KNEE REPLACEMENT SURGERIES
In the knee joint, calcifications that have reached an advanced degree are treated with knee replacement surgery.
In the early stages of knee calcification, medication, physical therapy and various intra-knee injection methods can be applied. Such treatments, which are started at an early stage, seriously slow down the progression of the disease, although they do not completely eliminate the calcification.
When the calcification progresses, there is a constant pain that does not respond to medications, intra-knee injections should be tried at this stage. If the injections provide the patient with a recovery state of less than 3 months, then it is time to plan knee replacement surgery for the patient.
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BEFORE THE SURGERY
After the surgery day is determined, nasal swab culture and urine cultures are made 1 week before the surgery day. On the same day, the patient also has a meeting with the anesthesiologist doctor.
You should inform your doctor about the medications you use regularly before surgery. Blood-thinning medications such as aspirin should be discontinued one week before surgery. Since herbal food supplements can also affect bleeding, it would be appropriate to stop them a week in advance.
Due to the negative effects of cigarette use on tissue healing and bone healing, it is important that tobacco and its products are discontinued before surgery and not used during the post-healing process.
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THE DAY OF SURGERY
No food and drink should be consumed for at least 8 hours before the operation.
If there is a medication that you need to use, you should consult your doctor about it in advance.
You must be at the hospital 2 (two) hours before your scheduled surgery time.
The operation time is 1 hour. After entering the operating room and resting in the waking room for a while after the operation, your transition time to your room may be about 2 hours.
In total knee replacement surgeries, spinal / epidural anesthesia is mostly used, in which only the lower region of your waist is numbed. Of course, it can also be done with general anesthesia. During the meeting with the anesthesiologist, the type of anesthesia that is most suitable for the patient is decided.
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THE HOSPITAL PROCESS
On the day patients undergo surgery, they start walking with the help of a walker / walker. Physical studies that start with corridor walks continue with stair climbing on the second day of the surgery. Basic needs such as meeting toilet needs and being able to sit and stand up are performed during the hospital stay.
Physical therapy is performed with the CPM device during the hospital stay (Continuous Passive Motion)
The duration of hospital stay is between 3 and 5 days, depending on the patient’s age.
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HOMECOMING
One of the most important factors affecting the success of the operation is that you strictly follow the recommendations of your doctor after the operation. You must be in cooperation.
Removal of Bandages: Absolutely no bathing should be done for the first 15 days after surgery. Water contact is prohibited. 15. the bandages are removed by your doctor in Turkey on the day.
Medications: The medications that the doctor will prescribe should be used as recommended.
Nutrition: Good nutrition is very important in your postoperative recovery process. In terms of gaining muscle and tissue strength, a protein-rich diet should be followed. Be careful not to use cigarettes during this process.
Activity: Depending on the patient’s age, it is possible to walk with the help of a walker, giving a full load as of the day of surgery or 24 hours. 15 To the time to release the walker.the day is decided in the control. The exercises that your doctor will give should definitely be done regularly.
Car use is possible when the patient is able to walk comfortably, sit down and start using pedals. It can be used on average within 3-4 weeks.
Op.Dr.
Adult and Pediatric Orthopedist MedicalPark Istanbul Hospital
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