1. BY: Robby Rusch

2.  Surgical procedure in which the diseased part of the knee is replaced  Replaced with artificial substances  Can be partial or total  More abundant in the elderly  Considered last resort  Very commonly done procedure

3.  Arthritis breaks down connective tissue and articulating membranes between femur and tibia  Causes extreme pain and discomfort  Those affected have hard time walking  Surgery will help to restore homeostasis and allow patient to walk and move without pain

4. http://www.physioadvisor.com.au/8040950/knee-arthritis-knee-oa-knee- osteoarthritis-k.htm Knees that are affected have no visible spaces

5. http://arthritis.about.com/od/rheumatoidarthritis/ss/pictures_photos_6.htm Diagram Of Knee Replacement Surgery Diagram Of Knee Replacement Surgery

6.  A curved incision is made  Patella is removed  Posterior cruciate ligament is cut and reflected  Bottom of Femur affected by arthritis is cut off  Top of Tibia affected by arthritis is cut of  Parts removed are sized up  The Femur end is covered by metal

7.  Plastic covering attached to a metal rod covers the Tibia’s end  Depending on the Patella condition, a plastic button may be added underneath  Patella is connected to connective tissue covering the knee  Posterior cruciate ligament either sacrificed, retained, or substituted  Skin is sutured back together

8. Video

9.  Relatively new  Smaller Incision (4-6 inches compared to 8-12)  Less damage to the tissue around the knee  As a result 1) Shorter hospital stay 2) Shorter recovery 3) Smaller scar

10.  Released out of hospital after they can prove to get out of bed and walk to the bathroom  80% recover six weeks after surgery  Full recovery should be made from about three to six months from surgery date  Physical therapy is required multiple times per week

11.  Blood clots moving to the lungs ◦ Could also stay in legs and cause poor circulation  Nerve damage- loss of leg movement  Infection of incision ◦ Antibiotics are given post surgery  Blood transfusion may be required  All surgeries have risks

12.  Arthritis: Knee Replacement Surgery, WebMD, Copyright 2010, http://www.webmd.com/osteoarthritis/guide /knee-replacement-surgery http://www.webmd.com/osteoarthritis/guide  Cluett Jonathen, Considering Knee Replacement Surgery?, Jan. 24 th 2010, http://orthopedics.about.com/od/hipknee replacement/tp/kneereplacement.htm http://orthopedics.about.com/od/hipknee  Shiel C. William, Total Knee Replacement, Medicinenet.com, copyright 2010, http://www.medicinenet.com/total_knee_r eplacement/article.htm http://www.medicinenet.com/total_knee_r