Total Knee Replacement Research Paper

Superior Essays
Total Knee Arthroplasty

My emotions were all over the place the night before preparing for the OR. I was worried about getting there on time, being able to find the OR, and most of all what surgery would I be observing. The morning of came very quickly and I was up and ready to go. When I first arrived to the OR tunnel my anxiety had come down a lot, and I seemed eager and ready to go. Once I got changed out into the OR scrubs, I then had the option to pick which surgery I wanted to observe. My decision was a TKA or total knee replacement. A total knee replacement is a surgical procedure where the joints in the knee is replaced with artificial metal plate in place of the knee joint, and a cement like base to hold the metal piece or prosthetic in place. The surgeon marks the incision across the knee for the procedure. After the cut is made the surgeon gets down to the bone, and remove what is no longer needed or the diseased part of the bone. With this being done the surgeon can place the metal piece where it fits. The cement base is used to hold this in place. The patella is then replaced, and any adjustments that may be needed are done. Before the incision is closed the surgeon will flex, bend, and extend then knee to
…show more content…
The patient was covered up with only the affected leg exposed. While the procedure was ongoing the circulation nurse was responsible for documenting everything going on with the patient in regards to what medications was used, the patient’s vitals, and the supplies being used to perform the surgery. The nurse was responsible for documenting the client’s status from beginning to end. Casie was very careful with documenting because she explained that this was one of the most important parts of the procedure, because if it was not documented it did not

Related Documents

  • Decent Essays

    Strengths: Patients that did not qualify were removed from the study. External Validity: Threats: There were more autograft patients than allograft patients, which could potentially increase the number of patients that complained of pain. Autograft patients were younger than allograft patients. Some of the patients had other knee pathologies.…

    • 442 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    New York based shoulder and knee specialist and founder of Manhattan Orthopedic Care, Dr. Armin Tehrany, MD, was sworn in as a NYPD Honorary Surgeon on Thursday, September 15th. The official ceremony took place at the One Police Plaza, the Headquarters of the New York City Police Department. Dr. Tehrany was sworn in by the outgoing Police Commissioner William J. Bratton, thereby, he joined the Society of Honorary Police Surgeon. The Society is comprised of elite surgeons who display remarkable knowledge and experience in one of the following specialties: Cardiology, Neurology, Neurosurgery, Orthopedics, Internal Medicine, and Vascular Surgery.…

    • 249 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Cruciate Ligament Case

    • 514 Words
    • 3 Pages

    Case Study #3 With the given information about the blow to the tibial tuberosity causing displacement of the tibia posteriorly relative to the femur, the structure most likely injured is the posterior cruciate ligament because it is located on the posterior side of the patella and posterior displacement of the tibia on fixed femur is restricted by the posterior cruciate ligament. The posterior cruciate ligament is the strongest ligament in the knee joint and helps with stability. Once the posterior cruciate ligament is torn or stretched, it loses its stability. There are many ligaments that make up the knee joint, also known as a hinge type joint which perform tasks such as flexion and extension. The tibiofemoral and patellofemoral are joints of the knee which aid in flexion and extension of the knee.…

    • 514 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    On 2/6/17 I met Mr. Abraham at the office of Dr. Yacisen. Mr. Abraham said he just wanted to make sure everything was going okay. He reports he walks with a limp, he has an ache in the knee, and the knee is stiff when he gets out of bed or out of a car. He denied any locking or giving out. He reports he wears his brace when he is at work or doing any strenuous work at home.…

    • 255 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Joint replacement lawyer California Surgery for joint replacement is big business in the United States, and California is leading the way. More and more people need relief every year from the joint pain and stiffness of aging, disease and damage due to an accident. Not all joint replacements are successful. If you're having complications after surgery, you may be entitled to compensation. Joint Replacements Most of the joints in your body can be surgically replaced with a prosthetic device.…

    • 694 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Patella Bone Procedure

    • 525 Words
    • 3 Pages

    (Healthline) The surgeon’s first step is to clean the area before making any incision, if not the patient with have to deal with infections to the body. Once the area is clean, make the incision about 8 to 10 inches across the front of the knee to view the patella bone. After the knee is cut open, the next step is to rotate the fractured patella outside the knee area. This rotation method allows the surgeon to clearly view the area to see any broken pieces of the bone and torn ligaments.…

    • 525 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    I thoroughly enjoyed the surgery field trip, both the live knee surgery aspect of it and the Body World, as both parts allowed me to view the body through a new lens. A lot of information we’re taught in class has to do with theory using pictures straight from a coloring book, consequently meaning that we rarely ever get to see the real thing. For many of us, including me, our conception of reality regarding the body, muscles, bones, and our lifestyle in general is twisted. Going to Telus Spark helped clear up some misunderstandings, especially after being able to ask the surgeon and medical staff questions. I do regret not being able to ask questions, however I’m the type of person who takes time to process information and absorb it.…

    • 337 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    They call them “Tap-taps,” the brightly painted open back trucks that transport passengers through the dusty streets of Haiti. A traveler taps the side of the vehicle to board, pays, rides and then taps to jump off at a desired destination. For one particular man who sat with his face covered by a towel, that destination was the Diegue clinic in Port-au-Prince. All I knew from intake was that this patient was here for a foot issue. I noticed the adult sitting uncomfortably, a towel wrapping his foot, as his eyes scanned around the room.…

    • 627 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Total knee replacement is also known as total knee arthroplasty (Scott, 2015). The reasons for having this arthroplasty (reconstruction of a joint) done include severe knee pain, and stiffness that limits the patient’s ability to walk (Phillips, 2013; Scott, 2015). This procedure relieves pain and helps the patient regain function of the knee by replacing three knee joints, the medial and lateral femorotibial joints, and the patellofemoral joint (Scott, 2015). When the patient is supine, the knee is kept at a flexed position (Phillips, 2013). A pneumatic tourniquet cuff is placed on the thigh before prepping and not inflated until the thigh is elevated and exsanguinated in order to provide a blood free area and to prevent blood clots (Phillips,…

    • 537 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Knee Arthroplasty (TKA)

    • 553 Words
    • 3 Pages

    Background: Obesity is associated with increased perioperative complications, risk of infection and need for early revision after total knee arthroplasty (TKA). There is conflicting evidence regarding the risk factors for weight change after TKA or its influence on outcomes. Objectives: The paucity of literature on change in BMI in patients after simultaneous bilateral total knee arthroplasty (SB-TKA) prompted this study to evaluate: 1) the prevalence of patients who lost or gained weight; 2) if postoperative change in BMI influences functional outcome; 3) the predictive factors associated with weight change after surgery. Study Design & Methods: We reviewed prospectively collected registry data of all 560 patients (1120 knees) undergoing…

    • 553 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The benefits for having the partial knee is to having slim to none damage to the 4 ligaments, patients have said that the knee replacement feels almost like a real knee, and there is also a shorter recovery time. Patients will have less soft tissue damage and also will have more range of motion versus having the complete replacement (orthoinfo.aaos.org, 2010). The main goals for this procedure is to resurface the knee joint that has damage and to also most importantly relieve the pain for the patient that cannot otherwise be treated with any other forms of treatment. Some other treatments to treat this degenerative disease is to give the patient anti- inflammatory medication, pain medicine can be administered, cortisone shots, viscosupplementation injections for lubrication and for obese patients weight loss could resolve the problem (hopkinsmedicine.org,…

    • 804 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Introduction “As defined by The American Nurses Association (ANA), delegation is the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome” (Kelly, 2012 p. 369) Delegation occurs when a task is assigned based on job description and matching the staff to patient needs (NCSBN, 2005). Decisions on delegation are based on principles according to the individual’s scope of practice. Before any task is delegated, it is important to ensure the education, skill, knowledge, and judgment levels of the personal being assigned the task. The RN is accountable for assessing, diagnosing, implementing, and evaluating the patient’s plan of care (NCSBN, 2005). Nurses are legally…

    • 841 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    DOI: 4/1/2016. Patient is a 32-year-old female receiving clerk who sustained injury to her left knee resulting to a tear in the anterior cruciate ligament (ACL) and medial collateral ligament. Per OMNI entry, he underwent surgery on 07/13/16. Per the PT daily note dated 10/20/16, IW has attended 5 sessions for the knee.…

    • 395 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Essay On Hip Replacement

    • 545 Words
    • 3 Pages

    WHY IS THE PROCEDURE DONE? A total hip replacement is a surgical procedure where the diseased/damaged cartilage and bone of the hip joint is replaced with artificial materials called implants. This surgery may be considered following a hip fracture or for someone who has severe pain due to arthritis. INDICATIONS FOR SURGERY: When osteoarthritis (also known as degenerative arthritis) is not curable by medical therapy and the patient continues to experience pain while walking, climbing stairs and even getting up from sitting position, the doctor may advise for a hip replacement surgery.…

    • 545 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Knowing that this involved the total removal of the head, neck and part of the shaft of the femur, I expected the patient to be in a lot of pain. I was also unsure of how she would be able…

    • 904 Words
    • 4 Pages
    Improved Essays