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A HOLISTIC PERSPECTIVE ON KNEE REPLACEMENTS HEALTH
Turkey Medicals Co-ordinator, “The reason for wearing a knee prosthesis is to reduce pain and improve the quality of life in patients with severe pain due to joint inflammation in the knee. If no results are obtained from other treatments, this operation is performed at the request of the patient. The aim is to reduce pain, gain mobility with firmness in the joint and correct the bad posture of the joint (“O” leg or “X” leg).”
The knee joint is a joint formed by the lower side of the upper bone, the upper side of the lower bone, and the back side of the kneecap bone. An operation performed by replacing the joint locations of all these bones is called a total knee replacement, and an operation performed by replacing only one or two of the problematic ones is called a partial knee replacement in Turkey hospitals..
The goals of rehabilitation after knee replacement operations are to prevent the dangerous consequences of immobility (such as deep vein thrombosis, pulmonary clotting, pressure sores), to help the joints make movements properly and correctly, to strengthen the muscles around the knee, to protect the knee as if there were a knee brace around the knee and to ensure independent walking with an auxiliary device. In short, in order to achieve the best result after surgery, the operated string is to ensure the patient’s return to daily living activities without overload.
Rehabilitation is started before the operation. Patients are informed both about the operation and about the aftermath of the operation. People with calcification in the knee usually walk with their knees slightly bent, which prevents the knee from fully opening over time. For this reason, it is ensured that the index is opened as much as possible first. The condition of the muscles is evaluated by physiotherapists and stretching exercises are performed for short muscles, strengthening weak muscles. The pain complaint is reduced as much as possible. Before the operation, they are taught how to move from bed to chair, from chair to bed. The auxiliary device to be used while walking is introduced to the patient and information is given about the exercise program to be applied after the operation and breathing exercises are taught.
The sooner the rehabilitation program after surgery is started, the more positive the result will be. For this reason, rehabilitation is started as soon as the patient’s general condition improves after the operation. In the first 24 hours, physiotherapists make cold applications to the area and make the patient do breathing exercises. On the day after the operation, exercises are added to the program to regulate the circulation in the leg. In the following days, the level of burden on the patient increases every day. Strengthening exercises are continued without forcing the muscles. Knee bending tools are used and it is ensured that the knee becomes closest to its condition before the operation. At the earliest stage, the patient is taken out of bed. According to the shape of the prosthesis, the patient can put weight on the operated side, or it is performed by making the weight as recommended by the doctor. The patient is told how to use the crutches and is taught how to climb stairs. After the patient learns how to use the new knee and what to pay attention to, he is discharged from the hospital at the earliest time the physician deems appropriate. The rehabilitation program is continued at home.
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