dawid mrozik m.d., ph.d . hand & reconstructive surgery orthopaedic & trauma
DESCRIPTION
Is the orthopaedic operation necessary ... ? Ortopedik operasyon gerekli mi ? Orthopaedic problems in the hip and knee arthroplasties in Elderly. DAWID MROZIK M.D., Ph.D . Hand & reconstructive surgery Orthopaedic & Trauma Medical Practice , Gdańsk, POLAND. - PowerPoint PPT PresentationTRANSCRIPT
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Is the orthopaedic operation necessary...?Ortopedik operasyon gerekli mi ?
Orthopaedic problems in the hip and knee arthroplasties in Elderly
DAWID MROZIK M.D., Ph.D.Hand & reconstructive surgery
Orthopaedic & Trauma Medical Practice, Gdańsk, POLAND
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The most commonly orthopaedic problems
• hip and knee artritis• hip fractures• radius fractures• spine arthritis• Hallux valgus• RZS
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The most commonly performed orthopaedic operations
knee arthroscopy
total hip endoprothesis
total knee endoprothesis
ORIF/CRIF of distal radius
I metatarsal bone
osteotomy
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What do You need when You're going to orthopaedist?
• Tell me what's wrong – When did the symptoms start?– Did You have any trauma...?
• X-rays pictures important• CT or MRI scans• What kind of medications do You take? important
e.g. aspirin (antitrombotic drugs)
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DIAGNOSIShip arthrosis:
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DIAGNOSIShip fractures:
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DIAGNOSISknee arthrosis:
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DIAGNOSISknee arthrosis:
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AFTER DIAGNOSISchoice of procedure:
leave itNSAID
physiotherapy injection of hialuronic acids, kolagens, PRP
steroidal injection arthroscopy
endoprothesis
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Minimally invasive procedures
• injection of hialuronic acids, kolagens, PRP (1-5x)– restoration of structures– restoration of the articular surface– improve the slip– elimination of pain
• steroidal injection (1-3x)– elimination of pain– anti-inflammatory– temporary solution
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Minimally invasive procedures
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When You need an operation:
• hip fractures (fractures of colli femoris)• pain wakes you up at night• you need to take 4 or more painkillers per
day• injection of steroids, collagen, hyaluronic
acid do not work• you can't no longer walk
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HIP ENDOPROTHESIS
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HIP ENDOPROTHESIS
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HIP ENDOPROTHESIS
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HIP ENDOPROTHESIS
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HIP ENDOPROTHESIS
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HIP ENDOPROTHESIS
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HIP ENDOPROTHESIS
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HIP ENDOPROTHESIS
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KNEE ENDOPROTHESIS
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KNEE ENDOPROTHESIS
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KNEE ENDOPROTHESIS
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KNEE ENDOPROTHESIS
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KNEE ENDOPROTHESIS
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KNEE ENDOPROTHESIS
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KNEE ENDOPROTHESIS
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KNEE ENDOPROTHESISWhat after operation?
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AFTER hip nad knee operation:
fast rehabilitaction (think about it before operation)
14 days after operation remove the sutureswound healingAntitrombotic injection
6 weeks walking with sticks
X-ray pictures 6 week after operation
fast rehabilitation
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COMPLICATIONS during operation
loss of blood (hemorrhage) -> stroke
hip fracture (pelvis & femur)
knee fracture (femur & tibia)
bacterial infection
nerves dysfuntions
intestine perforation
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COMPLICATIONS AFTER OPERATION
Pain (6 weeks) 50% -> after
15%
Leg lengthening or shortening
10%
It can be worse stiffness
10%
hematoma 5-10%
Bacterial infection
2-10%
Implant dislocations
5%
Periprostetic fractures
5%
Nerves dysfuntions
5%
Bad wound healing
2%
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IMPORTANT
• Knee replacement is more bigger operation than hip replacement
• 2-3 months before operation you can give your blood to the Bank of blood for future for you if it will be necessary
during/after operation:
Your blood is better for You than blood from other people
• Time: waiting for operation in our city:2-6 years depent of the hospital
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IMPORTANT
• Take your medication with yourself to the hospital e.g. HA drugs
• Don’t forget about stick which help you walking after operation
• Find good rehabilitation department• Go to pharmacy and buy:– Sterile dressings– Disinfectants (need after operation)
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IMPORTANT before operation
• You must be healthly:– No bacterial infection (14days prior operation)– No viruses infection– Normal blood pressure– No renal failure– Good glucose levels– Skin before operation must be clean, dry without
any changes e.g. (scratches, bruises)
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THINK ABOUT?
Rehabilitation
Bacterial infection
Your disorders: HA, renal failure, diabetestry to lose weight
Hialuronic or steroidal injection to prevent your joint before operation
Find a good orthopedic hospital
Go there and check how much time you must wait for this operation
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QUESTION?
Do I really need the hip or knee endoprosthesis?
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THANK YOU for attention