After a total knee replacement it is
often found that the patients will be able to rotate their knee only from 120
to 135 degrees. This degree is a measurement of the extent up to which your
knee can be bent backwards. This rotation capacity up to 120 to 135 degrees is
enough for carrying out routine activities like standing, sitting, walking etc.
But for carrying out high energy activities like, running, taking part in
sports and other activities involving rapid and powerful movements of the leg,
you should have a flexibility of about 155 degrees.
High flexibility as said above can be
obtained only if the patient undergoes a surgery known as high flex knee
replacement surgery which provides the knee a flexibility of about 155 degrees.
It is usually done as a second surgery after carrying out the ordinary knee
replacement surgery. The expertise of the orthodontic surgeon who carries out the
surgery and the keenness shown by the patient in regularly practicing physiotherapic
exercises play a crucial role in
regaining more flexibility to the knee
joint.
For whom this surgery is suited:
1.
This
procedure is applicable only to patients with osteoarthritis. For rheumatic
arthritis patients this surgery can be done only if the bone destruction is
minimal.
2.
For
patients who had already under gone full knee replacement surgery and still
want to increase the flexibility of the knee.
3.
This
surgery is not suitable for obese
persons.
4.
For
patients who have a post operative knee bent of minimum 90 degrees.
- High
flex knee replacement is a blessing to people with osteoarthritis who want
not only relief from pain and disability, but also
wants to lead a normal life with activities like running, squatting,
taking part in sports activities, dancing etc.
The knee
joint consists of three bones and forms a hinge. The upper part of the leg bone
forms the upper part and the lower bone tibia forms the bottom portion of the
hinge. In the bending action the femur rolls and slides over the tibia. The
patella also known as the knee cap glides over the end of the femur.
The damaged
cartilages and the bone surfaces are removed by the doctor. With the help of
precision instruments, the surgeon makes sure that the necessary cuts are made
in the bones so that they are in correct angles and the bones align perfectly
after implanting the prosthesis. The
bone pieces produced during the preparatory works are removed. The amount of
bone so removed is decided by the damage caused to the bone by osteoarthritis. A
small part of the top of the tibia is removed so that top of the bone becomes
flat. Some bone material is removed from the knee cap also. This helps the knee to function with more
flexibility after the prostheses is fitted.

No comments:
Post a Comment