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This week, Dr. Borgini wrote an informative overview of joint replacement surgery including information on the most common types of joint replacement surgery , the various materials used for the replacement joints, and the benefits and risks of joint replacement surgery. Though ankle replacement surgery is less common, it was the recent topic of a question on the RA message boards . The following is an overview of ankle replacement surgery.
Although total ankle replacement surgery has been in existence and researched since the 1970s, it has never progressed to the same level of use as hip and knee replacemen t. This may be because of technical design difficulties related to the weight, pressure and motion that the ankle joint must bear. In the 1980s, there was a very high long-term failure rate for pain control and joint function, and the procedure was basically shunned in favor of ankle arthrodesis (joint fusion). Since then, researchers have been working to develop more succes...
If you are getting older, then you might want to read about how to prevent knee pain. Since none of us are getting any younger, I guess everyone should read this; our knees are just getting older like the rest of our parts. Here are a few tips to help you avoid knee pain.
Keep Your Legs Strong: Those big thigh muscles really do support the knee when you’re walking, lifting, climbing and squatting. A simple but effective exercise is simply doing a short-arc knee extension while your knee is supported on a pillow; ankle weights are optional.
Be Kind to Your Knees: The days of old when you could pound the pavement are gone. Now, as you are getting older, there is less cushioning in your knees. Runners might need to switch to biking or swimming. Tennis players might need to switch to playing doubles or find a different more knee-friendly sport.
Wear Good Shoes: Time and time again, someone complaining of knee pain is wearing flip-flops, a shoe that is in the Hall of Sham...
How do you know when it's time for a knee joint replacement? When pain is not relieved by any other means. Quite often, the patient has severe arthritis as seen on X-ray. A 75-year old woman with a leg amputation below the knee is presented in this report. Her case is unusual because most people with an amputated leg have less arthritis in that leg. They tend to use the "good" leg more and favor the amputated side, putting less stress on the joint. In this case the patient had severe arthritis in both knees. At first she had the knee replaced on the nonamputated side. When she could no longer move the knee on the amputated side, that knee joint was replaced. A joint replacement on an amputated leg has more than the usual risks. For this woman, decreased blood flow led to the amputation in the first place. A joint replacement increases her risk of a second amputation further up the leg (mid-thigh). Physical therapy started the day after surgery. She went home on the eighth day, when she c...
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