Our Summary

This research paper discusses different treatment methods for severe injuries that can occur after a total knee replacement surgery. These injuries, which involve the damage of the muscles that help extend the knee, can be quite complicated to manage and have a high rate of further complications after surgical treatment.

The paper discusses various treatment options. In some cases, a simple repair might be enough. However, in other instances, it may be necessary to use a tissue graft (donor tissue from another person) to repair the damaged area. Synthetic grafts, or man-made materials, are also being explored as a treatment option and are showing promising results.

The authors provide a guide to help doctors decide the best course of treatment for these challenging injuries and give detailed instructions on how to perform each surgical technique. They hope this guide will help improve outcomes for patients who experience these unfortunate complications after knee replacement surgery.

FAQs

  1. What are extensor mechanism disruptions following total knee arthroplasty?
  2. What are the complication rates following surgical intervention for extensor mechanism disruptions?
  3. What are the different approaches and surgical techniques used to treat extensor mechanism disruptions following total knee arthroplasty?

Doctor’s Tip

One helpful tip a doctor might tell a patient about knee replacement is to diligently follow the post-operative rehabilitation plan provided by their healthcare team. This may include physical therapy exercises to strengthen the muscles surrounding the knee, as well as proper wound care and pain management techniques. By actively participating in their recovery process, patients can optimize their outcomes and potentially reduce the risk of complications.

Suitable For

Patients who are typically recommended for knee replacement surgery are those who have severe knee pain, stiffness, and limited mobility that does not improve with other treatments such as medication, physical therapy, or injections. Common conditions that may lead to knee replacement surgery include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and other degenerative joint diseases. Additionally, patients with severe knee deformities, instability, or previous failed knee surgeries may also be candidates for knee replacement.

Timeline

Before knee replacement surgery:

  1. Patient meets with orthopedic surgeon to discuss options for knee replacement surgery.
  2. Patient undergoes pre-operative testing and evaluation to ensure they are a suitable candidate for surgery.
  3. Patient may undergo physical therapy to strengthen the muscles around the knee in preparation for surgery.
  4. Patient receives education on what to expect before, during, and after surgery.

After knee replacement surgery:

  1. Patient undergoes surgery to replace the damaged knee joint with an artificial implant.
  2. Patient is monitored closely in the hospital for pain management and to prevent complications such as infection or blood clots.
  3. Patient begins physical therapy soon after surgery to regain strength and range of motion in the knee.
  4. Patient may need to use assistive devices such as crutches or a walker during the initial recovery period.
  5. Over time, patient gradually increases their activity level and returns to normal daily activities with reduced pain and improved function in the knee.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with knee replacement surgery?
  2. How long is the recovery process and what can I expect in terms of pain and mobility during recovery?
  3. Will I need physical therapy after the surgery, and if so, for how long?
  4. How long can I expect the knee replacement to last?
  5. Are there any restrictions or limitations on activities I should be aware of after the surgery?
  6. What type of anesthesia will be used during the surgery?
  7. What steps can I take to prepare for surgery and optimize my recovery?
  8. How will the surgery affect my daily life, including work, hobbies, and exercise routines?
  9. Are there any alternative treatments or therapies that I should consider before opting for knee replacement surgery?
  10. What is the success rate of knee replacement surgery and what factors can impact the outcome of the procedure?

Reference

Authors: Bisogno MR, Scuderi GR. Journal: Orthop Clin North Am. 2022 Jul;53(3):277-286. doi: 10.1016/j.ocl.2022.02.003. Epub 2022 May 27. PMID: 35725036