Your knee has a deformity or wear (called gonarthrosis) that requires replacement. In general, the entire knee is replaced, i.e. both the femoral and tibial parts. The principle of the operation is to cut away the worn cartilage covering the femoral and tibial (and sometimes patellar) bones and replace it with solid surfaces, while respecting the local anatomy. Unicompartmental prostheses are available to replace only the worn half of the knee when osteoarthritis is limited. This possibility will be discussed with you, if your situation allows. However, from your point of view, management remains the same, and this document will be of interest to you too.<\/p>\n
Knee deformity is often accompanied by reduced joint amplitude (stiffness) and, above all, pain and\/or swelling (edema, effusion).<\/p>\n
In the case of infra-radiological wear, i.e. wear that is not visible or only slightly visible on X-rays, surgery may be indicated after the failure of various medical treatments, such as the test of time, painkillers or infiltrations. An MRI or CT scan completes the radiographic assessment.<\/p>\n
The aim of the operation is to halt stiffening and deformation, and even to restore the knee's functional axis. Reducing or even eliminating pain is often the patient's main motivation for undergoing surgery.<\/p>\n<\/div>\n<\/div>\n
[\/et_pb_blurb][et_pb_blurb title=\"L'Intervention \" use_icon=\"on \" font_icon=\"\uf7e6||fa||900\u2033 icon_color=\"#FFFFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|24px|20px|24px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone \" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone \" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n
The procedure is carried out in hospital, in the operating theatre, under general anaesthetic or spinal anaesthetic, i.e. with a shot in the back that puts only the lower limbs to sleep. The advantage of spinal anesthesia is that the patient remains conscious, and is therefore less affected by the consequences of general anesthesia, which can sometimes cause nausea, vomiting or a slowdown in higher functions lasting a few hours. The disadvantage of spinal anaesthesia is the need for passive participation in the procedure, which may appear noisy to some.<\/p>\n
You are positioned on your back with a tourniquet at the root of the limb, which is only inflated at the end of the procedure, for around ten minutes, during the cementing phase. An anterior incision is made, allowing access to the knee joint. Using tools to guide the various stages of the procedure, the worn parts of the cartilage and bone are resected with a saw, in line with the axes of the thigh and leg, while respecting the soft tissues, i.e. the vessels, nerves, ligaments, muscles and tendons surrounding the knee joint.<\/p>\n
The prosthesis is fitted with the help of guides to optimize its placement, chosen by the surgeon according to the difficulty of the operation, the age of the wear or the extent of the deformity. These may be custom-made cutting guides based on preoperative MRI planning or a navigation system used intraoperatively, or simpler, mechanical guides using the bony axis of the femur and tibia.<\/p>\n
Once the trial implants have been placed, the surgeon decides on the size of the final implants, which vary between the sexes and from one person to another. The implants are then impacted into the bone to the nearest millimetre. They are made of a metal alloy (mainly chromium and cobalt) and cemented in place. The patella, the third part of the knee joint, is only exceptionally replaced. However, osteophytes (bone outgrowths that appear with wear) are removed from around the kneecap.<\/p>\n
At the end of the procedure, an anesthetic is injected into the synovial and capsular tissues to optimize immediate post-operative pain relief. The skin is closed with staples and a pressure dressing is applied for 24 hours.<\/p>\n
[\/et_pb_blurb][et_pb_blurb title= \"l'Hospitalisation \" use_icon=\"on \" font_icon=\"\uf0f8||fa||900\u2033 icon_color=\"#FFFFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone \" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone \" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n
You arrive at the clinic the day before your operation. On the day of the operation, which usually takes place in the morning, you will be able to get up for the first time in the afternoon. Most of the time, you will be able to walk under your own power, with the help of a pair of walking sticks, accompanied by a caregiver.<\/p>\n
On the first day, general analgesia (via the veins) and local analgesia (anaesthetic injected into the knee at the end of the operation) enable you to spend the first 24 hours in almost complete indolence. After that, post-operative hematoma gradually sets in, and tension in the operated lower limb contributes to pain, which should always remain moderate. Pain control is one of the criteria for discharge.<\/p>\n
The day after the operation, your independence will be assessed by the department's physiotherapist and nurses. Various criteria will be used to validate your return home. Pain and bleeding control, autonomy in washing and dressing, and ability to climb stairs are the main criteria. You may be discharged home on the 1st post-operative day, but this takes an average of 48 hours. You can stay longer if you don't feel ready to go home. The length of your hospital stay is discussed on a case-by-case basis between you and your surgeon, but it has been shown that the shorter your stay, the lower your risk of complications.<\/p>\n
The entire duration of your hospital stay is governed by a Rapid Recovery protocol, established within the department, with the aim of enabling you to return to your autonomy in a participatory manner. This recovery is based on motivation, which begins pre-operatively and leads to a voluntary, uncomplicated recovery. Indeed, immediate post-operative standing reduces the complications associated with bed rest, such as digestive, urinary, appetite and sleep disorders, as well as the risk of phlebitis. It has been demonstrated that a rapid return to daily life leads to a statistically proven reduction in medical complications, particularly those linked to phlebitis and therefore to the occurrence of pulmonary embolism, the most dreaded complication after any surgery on the lower limbs.<\/p>\n
Returning home is essential to reduce the rate of complications. It has been shown that the older the patient, the earlier they can return home. Post-operative hospitalization as a cure is becoming the exception rather than the rule, and should only be proposed in situations where autonomy was already very low pre-operatively, in a person living alone, with little support, and with serious associated defects or illnesses.<\/strong><\/p>\n [\/et_pb_blurb][et_pb_blurb title= \"After hospitalization \" use_icon=\"on \" font_icon=\"\uf70c||fa||900\u2033 icon_color=\"#FFFFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||73px||false|false \" custom_padding=\"60px|40px|74px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone \" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone \" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n When you return home, you will be taught to change the dressing yourself. The dressing is watertight, allowing you to wash without additional protection. The staples are removed on average in the 3rd post-operative week by a home care nurse or your GP. Post-operative haematomas become permanent around the 8th post-operative day. It can sometimes be impressive, making the skin tissues very taut and, in extreme cases, causing phlyctenes (large blisters) to appear on the skin. This hematoma is nothing to worry about; it's normal and necessary for healing. As long as it is not accompanied by unbearable pain, despite painkillers, or by paralysis of the limb, rehabilitation and walking should be continued. If this is not the case, you should contact your surgeon or attending physician to discuss your concerns.<\/p>\n You will be entitled to full support immediately. Canes are used on request, but you are encouraged to wean yourself off them quickly. Daily tasks must be able to be carried out as soon as you return home. It is possible to leave your home in the first few days.<\/p>\n It is advisable not to drive while the staples are in place. Remember that driving is generally resumed one month after surgery.<\/p>\n Medical treatments must be taken as prescribed on the discharge prescriptions. The first post-operative check-up takes place between the second and third month, but will be adapted on a case-by-case basis.<\/p>\n A return to leisure activities is possible between the 2nd and 3rd month, and to sporting activities after the 3rd month, although this resumption must be gradual and the pre-operative level is not reached immediately.<\/p>\n The return to work takes between 1 and 4 months, depending on whether the work is sedentary, requiring few car journeys, or physical, intense, standing work.<\/p>\n [\/et_pb_blurb][et_pb_blurb title=\"Long-Term Evolution \" use_icon=\"on \" font_icon=\"$||divi||400\u2033 icon_color=\"#FFFFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||73px||false|false \" custom_padding=\"60px|40px|74px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone \" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone \" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n In ideal situations, a total knee prosthesis allows the knee to be used without ever having to re-intervene.<\/p>\n The life of the prosthesis can be that of the patient, if the knee is used rationally. These are wearing parts, as in mechanics. Consequently, being overweight, carrying heavy loads or engaging in strenuous sporting activity can reduce the implant's lifespan. It is generally accepted that the average lifespan is 15 years. However, this average increases if the complications mentioned above do not occur.<\/p>\n A healthy lifestyle is essential to the longevity of implants.<\/p>\n Your surgeon will provide radioclinical monitoring, initially on an annual basis, then more frequently. Outside these scheduled periods, you should consult your doctor if you notice any change in the way your knee feels or functions.<\/p>\n Reading this document shows your commitment to your recovery. Your surgeon thanks you and wishes you a speedy recovery!<\/p>\n [\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbPossibles Complications\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb||divi||400″ icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1″ header_font=\u00a0\u00bb|800|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bbclip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_main_element_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbclip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb][\/et_pb_blurb][et_pb_accordion open_toggle_text_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb toggle_icon=\u00a0\u00bbL||divi||400″ icon_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb use_icon_font_size=\u00a0\u00bbon\u00a0\u00bb icon_font_size=\u00a0\u00bb30px\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb–et_global_body_font|||on|||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbInfection \u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb toggle_font=\u00a0\u00bb–et_global_body_font|||on|||||\u00a0\u00bb]<\/p>\n As with any surgery, the most feared complication is infection. Its risk is statistically estimated at 2 %, but is increased in the case of associated diseases, the most frequent of which are obesity and diabetes, as well as poor quality of the venous network or skin. Smoking and alcohol consumption are also risk factors. In the event of infection, secondary surgery may be required, in conjunction with antibiotic treatment.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_accordion_item][et_pb_accordion_item title=\"La phl\u00e9bite \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off \"]<\/p>\n The other dreaded complication, already mentioned above, is phlebitis. Related to bed rest and reduced mobility, in association with post-operative hematoma, it occurs as a result of poor circulation, and a history of phlebitis increases this complication. You will be given a preventive anticoagulant treatment, the dosage and duration of which will be adapted to your history. Phlebitis manifests itself as pain, most often in the calf, of secondary origin, which should always be suspected and investigated by a venous ultrasound scan of the lower limbs.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_accordion_item][et_pb_accordion_item title=\"La Fracture \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off \"]<\/p>\n After the operation, the bone is weakened, firstly by under-use of the limb due to pre-operative osteoarthritis, and secondly by the operation itself. As a result, in the event of a fall, the impact on the operated bone may lead to fracture around the prosthesis, or even loosening of the prosthesis (detachment of the prosthesis from the bone). It may then be necessary to re-intervene to repair the bone, or even replace the prosthesis.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_accordion_item][et_pb_accordion_item title=\"La Raideur \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off \"]<\/p>\n Joint stiffness may be a consequence of pre-operative stiffness. In fact, when the wear is long-standing and the knee has not had its natural range of motion for several years, it is difficult, if not impossible, to regain full mobility. In such cases, you'll have to accept a certain amount of sequelae stiffness.<\/p>\n Regular post-operative re-education will be prescribed in order to recover maximum joint amplitude. Early mobilization of the knee is a key factor in restoring mobility. Stiffness may manifest itself as a lack of full knee extension or insufficient flexion. Satisfactory joint mobility should enable you to walk without limping, sit comfortably and cycle.<\/p>\n If you do not recover your mobility sufficiently, mobilization under general anesthesia may be necessary in the weeks following your operation.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_accordion_item][et_pb_accordion_item title=\"Algodystrophy\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n This is a neuro-psychological disease, consisting of an exaggeration of post-operative pain in terms of intensity and duration, which can lead to disability due to associated stiffness and edema. This condition often arises when the operation is experienced as stressful, or when the patient presents a pre-operative psychological fragility (depressive syndrome, anxiety, etc.). It prolongs post-operative convalescence, which can last up to two years. However, this complication remains rare in prosthetic surgery, and is statistically estimated at less than 1 %.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_accordion_item][et_pb_accordion_item title=\"Allergie \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n Finally, any anesthetic procedure can theoretically lead to a massive allergic reaction called anaphylactic shock, with cardio-respiratory arrest and death. However, you will be under constant surveillance by monitors and caregivers during and even after the procedure, so this fatal risk remains purely theoretical and has become extremely rare.<\/p>\n An allergy to metals can lead to prosthetic loosening. This complication is difficult to anticipate or even detect, but if you have any known allergies, you should report them.<\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=\"Incidents \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n The post-operative course may be marked by disturbances that are not considered complications, but rather post-operative incidents. These include edema of the operated lower limb, which can last up to a year, and joint effusion (fluid in the knee), which can last several years as a result of local inflammatory reactions.<\/p>\n Residual pain may also persist. It is important to know that only 20 % of patients undergoing total knee replacement surgery will eventually have a \"forgotten\" knee. There may still be some background pain, but it will always be less than it was pre-operatively, without any malfunction or complication. This pain is assessed with the surgeon and treated according to its intensity, which may lead, in extreme cases, to re-intervention if abnormalities are found that could explain it.<\/p>\n In the shorter term, scarring incidents with delayed healing, or even scar disunion, can mar recovery, although in the absence of an infectious syndrome, healing is always achieved in the end.<\/p>\n But don't let these complications frighten you. They do exist and you should be aware of them, but they are rare, and your surgeon will be happy to discuss them with you, reassure you and support you should they arise.<\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][dipi_before_after_slider _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/dipi_before_after_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbProduct\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb0deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.18) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb 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header_4_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_4_font_size=\u00a0\u00bb20px\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb header_4_font_size_tablet=\u00a0\u00bb16px\u00a0\u00bb header_4_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb header_4_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n [\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n You can make an appointment with the Doctor directly on Docolib from the Contact page.<\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n [\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n Visit Consulib to book a teleconsultation appointment with Dr Paul Mielcarek.<\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n [\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n 5 Rue de la Coop\u00e9rative, HALL 1, 67000 Strasbourg, welcomes you Monday to Friday, 8am to 12pm and 2pm to 6pm.<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":" InterventionsTotal knee replacementYour knee is deformed or worn out (called gonarthrosis) and needs to be replaced. In general, the entire knee is replaced, i.e. both the femoral and tibial parts.Consultation<\/h4>\n
<\/span><\/span>Make an appointment with
Dr. Paul MIELCAREK<\/span><\/h2>\nMake an Appointment<\/h4>\n
Teleconsultation<\/h4>\n
Cabinet<\/h4>\n
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\r\n\t\t\t\t\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\r\n \r\n \r\n \r\n <\/div>\r\n <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","two_page_speed":[],"footnotes":""},"dipi_cpt_category":[],"class_list":["post-24844912","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages\/24844912","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/comments?post=24844912"}],"version-history":[{"count":11,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages\/24844912\/revisions"}],"predecessor-version":[{"id":24845171,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages\/24844912\/revisions\/24845171"}],"wp:attachment":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/media?parent=24844912"}],"wp:term":[{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/dipi_cpt_category?post=24844912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}