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Doctor insights on: Indication Of Total Knee Replacement

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What is the cost of total knee replacement surgery?

What is the cost of total knee replacement surgery?

KNEE REPLACEMENT $$$: Us has the highest cost of knee replacement surgery, from 45000$to70000$ the insurance will cover most, but there are some deductibles and out of pocket expences as well. ...Read more

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Dr. John Michalski
421 doctors shared insights

Total Knee Replacement (Definition)

Total knee replacement: a surgical procedure in which damaged parts of the knee joint are replaced with artificial parts. They cap the end of the thigh bone , under surface of the knee cap and the top surface ...Read more


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What are the risks of total knee replacement surgery?

What are the risks of  total knee replacement surgery?

Short and long-term: Anesthesia reactions including heart attack, stroke, allergy, etc. Infections, early about 1% of the time, and possibility of late infections years later. Blood clots and pulmonary embolus. Blood loss, only 5-10% will need transfusion. Persistent pain, swelling, and stiffness. 95% of patients have good to excellent results 3 months after their replacement. Late failure of implant from wear. ...Read more

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What is the typical physical therapy protocol for total hip and total knee replacement?

What is the typical physical therapy protocol for total hip and total knee replacement?

Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...Read more

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What is involved in knee manipulation after total knee replacement surgery?

What is involved in  knee manipulation after total knee replacement surgery?

Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read more

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What are the causes of stiffness after a total knee replacement?

What are the causes of stiffness after a total knee replacement?

Depends: Causes of stiffness following knee replacement include scar tissue formation, component size and position among many factors. However, the most important factor is the patient's preoperative motion (i.e. Preoperative stiffness is likely going to lead to less than optimal postoperative motions). ...Read more

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What are the causes of loos femoral component after total hip replacement?

What are the causes of loos femoral component after total hip replacement?

Wear debris: The most common cause of loosening is from the reaction of the bone to the wear particles from the metal and plastic implant. All mechanical devices produce wear particles and your hip is no exception. These particles case a resorption of bone called "lysis". Loosening can also be caused by infection. Sometimes a fall can cause a fracture around an implant and this may loosen the component. ...Read more

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Which is the physical therapy protocol for treatment of total hip replacement?

Which is the physical therapy protocol for treatment of total hip replacement?

Post THA PT protocol: It depend on the type of approach you had for your total hip. You should consult with your surgeon and physical therapist to determine the correct protocol. ...Read more

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What is the typical physical therapy protocol for treatment of total hip replacement?

What is the typical physical therapy protocol for treatment of total hip replacement?

Lots of exercise: You will need to strengthen the muscles around your hip. You will lift it in multiple directions, and walk on it ("weight bear") to get used to the new conditions. You may get on a stationary bike to aid in motion. You may have some motion precautions in the early stages, depending on the surgeon's approach to the hip. ...Read more

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What is the difference between a hip replacement and total hip replacement?

What is the difference between a hip replacement and total hip replacement?

They are the same: A total hip replacement involved putting in a cup fixed to the pelvis, and a stem with a ball on top, into the femur. This creates an artificial ball and socket joint. Other types of hip replacement include partial hip (same type of stem) with a large ball that articulates with the native socket in the pelvis, used often in hip fractures. Hip resurfacing is another form of hip replacement. ...Read more

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Dr. Allen Lu Dr. Lu
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What is involved in recovery from? A total hip replacement?

Dr. Allen Lu Dr. Lu
2 doctors agreed:
What is involved in recovery from? A total hip replacement?

Rest: More of the hip replacement is about time and healing. There are certainly hip precautions and learning how to take care of the hip, therapy to be able to get in/out if bed, and general strengthening and conditioning to return to activity. However, it is more about resting and allowing the surgery to heal than anythig else. ...Read more

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What are the exercises after total knee replacement surgery?

Strength and motion: Patients lose 30-50% of muscle strength after tka and have to exercise to regain that strength. Leg raising, walking, and progressive exercises to improve the quadriceps function will help. Motion exercises include bending the knee to regain flexion and full extension (straightening). These should be done 3-4 times/day. Bending, biking, and pulling on the leg in flexion will help. ...Read more

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How common is end of stem pain post total hip replacement?

Depends: Cemented or non-cemented stem? Loosing of the prosthesis will cause pain at the bottom. ...Read more

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When is a total knee replacement needed?

When is a total knee replacement needed?

Total knee needed: The most concise answer is when arthritic knee pain is not relieved any longer by nsaids, therapy, cortisone injections, hylauronic acid injections, knee braces, ice, nutritional supplements or arthroscopy and x-rays show advanced arthritis and cartilage loss or spurs. When function is impaired and activity declines from pain. Or, when start subtracting things you enjoy from your life due to pain. ...Read more

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What is the physical therapy protocol in treatment of a total hip replacement?

Walking and more: Physical therapy is central to recovery. Standing and walking, with assistance, is usually started within 24 hrs. Beyond that, specific therapy protocols are tailored to the individual patient. In general, exercises are chosen to strengthen and stretch muscles like stair climbing and bending. Cycling and swimming, not running, are often introduced within months. Talk with your doctor for specifics. ...Read more

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Please help! what is the physical therapy protocole for total hip and total knee replacement?

Activity progression: Recovery from hip replacement is straight forward. The pain is easily managed with medications and rapidly eases. Most patients can walk with a walker or crutches within hours of the surgery. The muscles in the hip will rapidly regain their function. Specific exercises strengthen the abductor and flexor muscles and can be done at home or with pt. Gait will improve over the next few weeks. ...Read more

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What is the cost of hip replacement surgery, rehab aside?

What is the cost of hip replacement surgery, rehab aside?

10.000?: Complex question.Are you asking for the doctor's fees, hospital cost?Dr's fees are independent of the hospital bill that usually icludes:hospital stay, any diagnostic test such as x-raysw, lab work, pt, the use of the operating room, anesthesia fees and the cost of the prosthesis used, those cost are very variable from hospital to hospital.Dr's fees are between2.500 to 5.000 thousand dollars. ...Read more

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What movements are contraindicated following a total hip replacement?

What movements are contraindicated following a total hip replacement?

Anterior total hip: No specific hip precautions for a direct anterior approach hip replacement. Patient can bend over immediately to tie his/her shoes. ...Read more

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How are total and partial hip replacement different?

As the name indica -: Tes, in total hr, both the socket and ball parts of the hip joints are replaced; while in partial hr, only the ball part is replaced (and not the socket). The thr is done for the arthritis mainly while partial hr is mainly done for the fractures of the hip. ...Read more

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Is fixation of hip fracture is better than total hip replacement?

Is fixation of hip fracture is better than total hip replacement?

It depends: It depends on many things. What is the age of the patient? Is there pre-existing arthritis? What is the type of fracture? Most of the time, if you can preserve the normal bone and cartilage it is better than metal and plastic. For elderly, they already have arthritis or the bone is too soft for screws, etc. So the best option is a replacement. ...Read more

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Dr. Frederick Buechel, jr. md
464 doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone(femur), the upper end of the shin bone(tibia) and the undersurface ...Read more