Surgical interventions

Total knee replacement

Using minimal invasive approach ( MIS)
and computer assisted Navigation (CAN)

The goal of limiting the surgical exposure (10 centimetres scare) with the MIS technique has been to reduce the pain associated with the procedure and to achieve a more rapid recovery.

The prosthesis used in this procedure is the same as a classical approach but to help the surgeon to improved alignment and implant placement while doing the surgery through this small incision the computer assisted navigation can be helpful (I use STRYKER system).
Small instruments are used to cut the bone and prepare the prosthesis

Total hip replacement

Using MIS approach

The goal is the same as with TKR with MIS approach (limiting the surgical exposure (10 centimetres scare) with the MIS technique has been to reduce the pain associated with the procedure and to achieve a more rapid recovery.)
The artificial implants used for the minimally invasive hip replacement procedures are the same as those used for traditional hip replacement. Specially designed instruments are needed to prepare the socket and femur and to place the implants properly.
The muscles and tendons are split or detached, but to a lesser extent than in the traditional hip replacement operation.

A posterior or an anterior approach is possible (depending of the patient morphology)
I often use cementless stem and cementless cup.
With young patient ceramic on ceramic or metal on metal prosthesis can be used (resurfacing is also possible)

Anaesthetic choices for hip or knee replacement

Informations for patient
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Post operative carves

The patient on this video is walking 8 days after her intervention :

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The bed

  • When you go to bed, please lift the operated leg first
  • Avoid sleeping on your side with the legs bent
  • Sleep on your back with a pillow between your knees
  • When you get up, put the operated leg down first

The chair

  • Avoid armchairs or low chairs
  • Never cross your legs

Toilet

  • Shower is better than bath (If you need bath, use a seat and a small stair to climb in the bath)
  • Use an anti-slip carpet

W.C.

  • Use a raiser on the toilet basin

Others

  • Never squat
  • If you need to pick up something from the floor,
    bend your god knee and keep the operated leg straight
    (as the small picture shows you)
  • To lace your shoes, never bend too much, it’s better to use a shoe horn
  • Never have an intra muscle injection
  • If you are ill with high temperature always phone to your doctor
  • Be carefull regarding teeth infection

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