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Total Knee Replacement

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Tibial Component Placement

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The placement of the tibial component at the top of the tibia to serve as a new weight-bearing surface for the knee.

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Femoral Component Placement

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The attachment of the femoral part of the prosthesis to the distal end of the femur.

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Preoperative Planning

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Assessing patient medical history, current health status, and imaging to strategize the surgical approach.

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Bone Resection

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The precise cutting and removal of the damaged surfaces of the femur, tibia, and sometimes the patella.

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Trialing of Components

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Temporary placement of implant components to check for proper fit, alignment, and knee function before permanent fixation.

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Incision

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A strategic cut made to access the knee joint while minimizing damage to surrounding tissues.

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Component Fixation

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Permanent attachment of the prosthesis to the bone, either with bone cement or through a press-fit cementless technique which allows bone to grow into the implant.

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Soft Tissue Handling

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Careful manipulation of muscles, ligaments, and other tissues to prevent damage and reduce postoperative pain.

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Implant Selection

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Choosing the appropriate size and type of prosthesis components based on patient anatomy and bone quality.

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Anesthesia Administration

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Application of general or regional anesthesia to ensure patient comfort and immobility during surgery.

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Wound Closure

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The process of suturing or stapling the incision site to promote proper healing and reduce the risk of infection.

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Application of Dressing

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Securing sterile materials over the incision site to provide a barrier against infection and to absorb fluid.

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Drain Placement

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Insertion of a surgical drain to prevent accumulation of fluid and reduce swelling post-surgery.

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Pain Management

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Postoperative protocols to manage pain including medication, ice application, and potentially nerve blocks.

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Postoperative Imaging

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Acquiring radiographic images to confirm the correct placement and alignment of the implanted prosthesis components.

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Physical Therapy Initiation

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Starting rehabilitation exercises soon after surgery to promote joint mobility, strengthen muscles, and decrease the risk of thrombosis.

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Blood Clot Prevention

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Methods to reduce the risk of postoperative deep vein thrombosis (DVT), including medication, compression devices, and early mobilization.

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Patellar Resurfacing

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Optionally resurfacing the patella's surface with a polyethylene component for better articulation with the femoral prosthesis.

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Ligament Balancing

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The adjustment of tension in surrounding ligaments to ensure stability and proper kinematics after the knee components are in place.

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Follow-up and Monitoring

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Regular postoperative checkups and monitoring for complications such as infection, implant loosening, or DVT.

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