[The total knee prosthesis: indications and complications].
Severe pain, impaired movement, serious deformity and (or) instability of the knee due to osteoarthritis or another joint disease are indications for total knee replacement. Contraindications are a high surgical risk and poor function of the M. quadriceps femoris. The main problems immediately after the operation are: wound infection and prosthetic infection, palsy of the peroneal nerve and deep venous thrombosis. These occur in approximately 2% of the patients. After replacement and 3 months' rehabilitation the knee is usually free of pain and stable with a good range of movement. After 10 years, 93-98% of the operated knees are still satisfactory, and after 15 years, 85-95%. Reasons for revision are infection, mechanical loosening of components, wear of polyethylene and progressive instability.
Hamelynck
K J
KJ
Slotervaartziekenhuis, afd. Orthopedie, Amsterdam.
D019072:Antibiotic Prophylaxis / Q000379:methods; D000925:Anticoagulants / Q000627:therapeutic use; D001168:Arthritis / Q000150:complications / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects* / Q000379:methods; D001696:Biomechanical Phenomena; D005260:Female; D006801:Humans; D007720:Knee Prosthesis / Q000145:classification; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000517:prevention & control; D011655:Pulmonary Embolism / Q000209:etiology / Q000517:prevention & control; D012086:Reoperation; D013927:Thrombosis / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome
D000925:Anticoagulants
De totaleknieprothese; van indicatie tot complicatie.