Rehabilitation after knee replacement.

Реабилитация после эндопротезирования коленного сустава.

Instead of the destroyed joint in the knee put metal artificial implants

Joint replacement (arthroplasty) is a surgical operation in which the patient to replace damaged or destroyed a joint prosthesis. Replacement of joints with artificial prostheses is recommended for patients who have conservative treatment (use of anti-inflammatory and analgesic drugs, physical therapy, wearing braces, etc.) did not produce results, and the damaged joint is able to function properly.

Most often, the prosthesis is carried out in severe forms of osteoarthritis or after trauma to the joint. The cartilage padding between the bones of the joint, allowing the knee to operate normally, wear. Other causes of osteoarthritis: rheumatism, metabolic disorders in the body, chronic infections, etc.

The goal of surgery is pain relief and restoration of joint function. The structure of the denture is virtually identical to the natural structure of the joint in the human body. Modern prostheses made of ceramics or metal, able to serve 15-20 years, when worn joint, it can be replaced. To return to normal activities after hip replacement or knee joint, not just a successful operation. An important factor on the road to recovery supports post-operative rehabilitation.


The first few days after a successful operation

If the prosthesis is successful and there are no individual contraindications, then a few hours after surgery, the patient is allowed to sit, but his legs dangling from the bed will be possible only on the 2nd day and to get up. You should be prepared for the fact that the whole rehabilitation period sanimet not less than 3 months. This period is individual and depends on factors such as age, weight, General health, etc.

To avoid the formation of thrombus, the patient should be required to wear special elastic stockings or use an elastic bandage. For speedy recovery you must comply with all recommendations of the doctor and perform a set of exercises, which is specially designed for people after knee replacement.

Реабилитация после эндопротезирования коленного сустава.In order to first get out of bed after surgery, you must follow some rules:

  • be sure to take the side of the healthy leg;
  • before you get out of bed with total knee replacement, leg stretched forward and not bent;
  • when getting out of bed need to rely on your good leg and crutches (first time better this procedure is carried out under the supervision of a doctor and stand up, leaning on the other person);
  • it is important that the floor was not slippery (to eliminate the possibility of falling and damaging the operated leg).
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The first steps should be as careful as possible. You can not rely on the operated leg, it may only slightly touch the floor. With each passing day the load on the joint is gradually increased.

After knee replacement the patient is still a few days in the hospital.

At this time, doctors monitor the General condition of the patient and teach him the necessary gymnastic exercises, which in the future will need to perform independently at home. Besides individual exercises, the patient is prescribed a course of physical therapy (health care gymnastics).


Exercise after joint replacement

Restoration of normal functioning of knee requires daily exercise. After surgery, the patient a few days prescribe pain relievers, and the development of the legs is engaged first by a doctor. In the future, any gym should be performed without the use of painkillers. Their action reduces the sensitivity, and this can lead to involuntary damage to the knee.

Реабилитация после эндопротезирования коленного сустава.

A set of exercises:

  • Flexor-extensor movements of the ankle joint. The amount of exercise start with 5 repetitions and gradually increase them to 20 (as the recovery).
  • Front thigh muscles strain and keep in good shape for 2 to 5 seconds. Do the same with the back of the thigh muscles.
  • For 5 seconds hold in tension gluteus Maximus.
  • In the supine position, lift straight legs at an angle of 45 degrees and hold for 5 seconds.
  • Abduction of the hip to the side.
  • Abstraction straightened legs (protezirovanie) ago.
  • It should be noted that all procedures are aimed at restoring knee joint, including physical therapy, will be accompanied by discomfort and painful sensations. But this should not be a cause of a failure from them. Sometimes exercise can cause the appearance of swelling of the operated leg, shoot it will help a cold compress.

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    As you recover physiotherapy is supplemented by other physical activities such as Biking, Hiking, swimming and massage. All this will stimulate the muscles and to enrich the blood with oxygen, which promotes rapid healing of tissues. But not also much to overtax prosthetic leg.


    Contraindications and prohibitions

    Реабилитация после эндопротезирования коленного сустава.

    After knee replacement and complete rehabilitation course most people life is returning to normal. The main thing — to follow some rules that will help you recover quickly and extend the life of the implant.

    It is recommended soon after surgery return to usual activities: drive a car, perform light housework, taking the stairs, and the like.

    Despite the fact that the key to a speedy recovery are considered gymnastic exercises, walking, and physical therapy, are strictly prohibited these types of physical exertion, like jumping, running, aerobics, playing some sports (skiing, tennis, soccer, etc.). In any type of arthroplasty, whether the knee or hip joint, the patient is prohibited to lift heavy objects.

    Pain after knee replacement is quite normal. In the postoperative period is not recommended to abuse painkillers, the pain will help to remove light relaxing massage or a compress. The main thing to remember that the development of the knee joint is the best way to ensure that the body is accustomed to the prosthesis.

    Leg will stop hurting only when the body will fully restore muscle function.


    Complications after prosthetics

    Every body is different, so it is possible that after the joint replacement complications can occur. There are situations when, after the replacement joint is still unstable and requires further surgery for its correction. After surgery possible infection of the wound, in such cases, the patient is prescribed antibiotics.

    Реабилитация после эндопротезирования коленного сустава.

    Within 6 weeks after surgery and the risk of blood clots and swelling, so you need to wear special stockings and to use drugs to thin the blood. Physical therapy after surgery will make it possible to normalize the blood circulation in the extremities, and a special massage will relieve swelling.

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    After the operation, possible fracture or fracture of the bone around the artificial implant. In the process of healing may form excess scar tissue that will cause limited mobility of the joint. It is removed surgically.

    There is a risk of displacement of the patella, which can be put in place only by surgery. In addition to the above, there is a risk of damage to the implant. It is expected that the postoperative scar and the skin around it is a period to be insensitive, numb.

    Knee replacement and rehabilitation is a serious and long process, but if you follow all doctor’s recommendation and faithfully perform their assigned exercises, the prosthesis will allow for a full life (no pain in the joint and the ability to move independently), although it will impose some limitations in the movements.


    Disability after hip replacement

    In diseases that destroy bone tissue and joints, patients supposed disability. To obtain it you need to provide all the necessary documents, pictures and medical report which confirms that the person is not capable of full independent travel.

    Rehabilitation after knee replacement may also be a reason for receiving disability benefits in the event if the patient is not able to move in such a degree that it is necessary to perform the required work from him. Social assistance for a year. To extend through the year need to undergo re-examination and provide all the necessary documents of the Commission on disability.

    Disability after joint replacement will not be extended if the person is able to stay standing up for 2 hours a day. It is believed that this indicator allows the person to perform a sedentary job without compromising their health.