Arthritis: How Do I Know and What Do I Do?

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Current Expectations• Immediate full weight bearing (day ofsurgery)• 2-3 days in hospital• Walker 1 week, cane 1-2 weeks• 3 weeks out-patient physical therapy• Return to work/driving 4-6 weeks• 15-20+ years before wear becomes an issueOct. 7, 2008
Bilateral Total Knee• Patient selection criticalReplacement• Healthy, motivated patients• Very unhealthy patients (one anesthetic)• Risk comparable or less than two stagedsurgeries• Patient satisfaction improvingOct. 7, 2008
Page 1 and 2:
Arthritis: How Do I Know andWhat Do
Page 3 and 4:
Oct. 7, 2008Kansas Joint and Spine
Page 5 and 6:
Reasons for this Presentation• Fr
Page 7 and 8:
Oct. 7, 2008Types of Arthritis
Page 9 and 10:
Osteoarthritis• “Wearing off”
Page 11 and 12:
Rheumatoid Arthritis• Progresses
Page 13 and 14:
Knee Injuries• Knee Sprain•Medi
Page 15 and 16:
Meniscus Tear• Sudden, sharp pain
Page 17 and 18: Hip Injuries• Tendonitis• Bursi
Page 19: Trochanteric Bursitis• Very commo
Page 22 and 23: Hip Fractures• Several different
Page 24 and 25: Arthritis Prognosis• Generally pr
Page 26 and 27: Treatments for Arthritis
Page 28 and 29: Nonoperative Treatments• Activity
Page 30 and 31: Nonoperative Treatments• Ice/Heat
Page 32 and 33: Nonoperative Treatments• Physical
Page 34 and 35: Aquatic Therapy• Early, aggressiv
Page 36 and 37: Viscosupplementation• Synvisc, Hy
Page 38 and 39: Surgical Treatments forArthritis
Page 40 and 41: Oct. 7, 2008
Page 42 and 43: Oct. 7, 2008New Techniques
Page 44 and 45: Oct. 7, 2008MIS Total Hip Replaceme
Page 46 and 47: MIS Contributions• More aggressiv
Page 48 and 49: Oct. 7, 2008Worn Components and Ost
Page 50 and 51: Oct. 7, 2008Hip Resurfacing
Page 52 and 53: Hip Resurfacing• Younger, more ac
Page 54 and 55: Oct. 7, 2008X-Ray Evaluation
Page 56 and 57: Oct. 7, 2008Recent Advances
Page 58 and 59: MIS-Lessons Learned• Quadriceps m
Page 60 and 61: Navigation in TKA• Not robotics
Page 62 and 63: Navigation Goals• Standard surger
Page 64 and 65: Inpatient Rehab• Rarely required
Page 66 and 67: Oct. 7, 2008ROM Requirements
Page 70 and 71: Operative TreatmentSummary• Total
Page 72 and 73: Living With Arthritis72
Page 74 and 75: What to Do• STAY ACTIVE!!!• Tal
Page 76 and 77: Oct. 7, 2008Questions?
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Arthritis: How Do I Know and What Do I Do?

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