total joint arthroplasty


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Related to total joint arthroplasty: Total Joint Replacement, Total Knee Arthroplasty

arthroplasty

 [ahr´thro-plas″te]
plastic repair of a joint; called also joint replacement.
total hip arthroplasty replacement of the femoral head and acetabulum with prostheses (femoral and acetabular components) that are anchored to the bone, done to replace a severely damaged hip joint.
A, Total hip arthroplasty. A cementless prosthesis allows porous ingrowth of bone. B, Total knee arthroplasty using a tibial metal retainer and a femoral component. The femoral component is chosen individually for each person according to the amount of healthy bone present. From Polaski and Tatro, 1996.
Called also total hip replacement.
Patient Care. The most frequent complications to guard against in these patients are infection and dislocation. An interdisciplinary team helps the patient with recovery and rehabilitation after surgery. Before surgery patients are given instruction to assure that they understand the nature of the surgery, its expected outcome, procedures and exercises that will be done postoperatively, and the correct use of aids to ambulation such as a walker, crutch, or cane.

In addition to routine postoperative care to avoid respiratory and circulatory complications, special care must be taken in positioning the patient. In order to prevent subluxation (dislocation) of the prosthesis, an abduction wedge is secured between the legs (usually in the operating room) and left in place until removed by the surgeon. The head of the patient's bed should not be raised more than 45 degrees.

Patients usually are allowed to stand at the bedside the first postoperative day, supported by a walker and two persons. Specific written permission for weight-bearing on the affected joint should be obtained from the surgeon before this is allowed. Patients often need additional instruction and help in transferring from bed to chair, wheelchair, and commode. Whenever a sitting position is assumed, the chair seat should be raised so that the hips are not flexed beyond a 90-degree angle.

Discharge planning should include instructions that will enable patients to care for themselves safely at home. These include: (1) It is safe to lie on your operated side. (2) For three months you should not cross your legs. (3) Place a pillow between your legs when you roll over on your abdomen or lie on your side in bed. (4) It is safe to bend your hip, but not beyond a right (90-degree) angle. (5) Faithfully continue the exercise program started in the hospital. Patients who need assistance in self-care are referred to a home health agency, social worker, or community health nurse.
total joint arthroplasty arthroplasty in which both sides of a joint are removed and replaced by artificial implants anchored to the bones; the most common joints treated are the hip, knee, elbow, and shoulder. Called also total joint replacement.
total knee arthroplasty arthroplasty of both sides of the knee joint, with tibial, patellar, and femoral components.

to·tal joint ar·thro·plas·ty

arthroplasty in which both joint surfaces are replaced with artificial materials, usually composed of metal and high-density plastic; currently being performed for hip, knee, shoulder, and elbow.

total joint arthroplasty

n.
Arthroplasty in which both joint surfaces are replaced with artificial materials, usually metal and high-density plastic.

to·tal joint ar·thro·plas·ty

(tō'tăl joynt ahr'thrō-plas'tē)
Arthroplasty in which both joint surfaces are replaced with artificial materials, usually metal and high-density plastic.
References in periodicals archive ?
Total joint arthroplasty: When do fatal or near-fatal complications occur?
Long-term suppression of infection in total joint arthroplasty. Clinical Orthopaedic Related Research, 414(414), 55-60.
Macgibeny et al., "In hospital complications after total joint arthroplasty," The Journal of Arthroplasty, vol.
Di Cesare, "Antibiotic susceptibility of bacteria infecting total joint arthroplasty sites," Journal of Bone and Joint Surgery A, vol.
Improving outcomes in elective orthopaedic surgery: A guide for nurses and total joint arthroplasty patients.
The role of intraoperative frozen sections in revision total joint arthroplasty. J Bone Joint Surg Am.
The text is presented in 18 chapters discussing such topics as cell-based strategies for bone regeneration; gene transfer approaches to enhancing bone healing; the biology of spinal fusion; total joint arthroplasty; biophysical stimulation using electrical, electromagnetic, and ultrasonic fields; and craniofacial repair.
Various items contribute to the overall cost of total joint arthroplasty: implant cost, (10) operating room costs, inpatient costs, surgeon's fees, and so forth (Table 1).
Blood management and transfusion trategies in 600 patients undergoing total joint arthroplasty: an analysis of pre-operative autologou blood donation.
Trends in in-hospital major morbidity and mortality after total joint arthroplasty: United States 1998-2008.
This is described for total joint arthroplasty, as these surgeries are fairly consistent in the wound size and the number of drain holes.
Cost effectiveness of total joint arthroplasty in osteoarthritis.

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