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Sunday, 20 November 2011

The new joint

6


EVERY human is blessed with a pair of knee cartilage in his lifetime. Until a time when the cartilage that acts as a soft layer that prevents friction and launched a movement and comfort between the two ends of bones in the knee, will start to decline.
When the affected cartilage, joints become stiff and painful joints cause several diseases such as osteoarthritis, rheumatoid arthritis and gout.
This technology is used in this country since the 1970s. Over the past 10 years, various changes and progress made in strengthening the procedure. - Dr Tai Cheh Chin, Consultant Orthopaedic Surgeon, Sime Darby Medical Centre, Subang Jaya, Selangor According to Consultant Orthopaedic Surgeon, Sime Darby Medical Centre Subang Jaya, Selangor, Dr Tai Cheh Chin, joint pain is a natural deterioration of joints in which all people will experience it depends on age. Real people aged under 45 years of joint pain is less 5 percent, 45 to 65 years (30 percent), 65 and over 60 per cent and 100 per cent 85 years. In terms of gender, this joint problems commonly affects women than men. Joints formed at the end of two or more bones connected by thick tissues. Eg knee joint is formed by the lower leg bones (tibia and fibula) and the thigh bone (femur). Hips are the joints that formed the top end of the femur and the pelvis called the acetabulum part (socket). The end of each bone covered with a soft layer called cartilage. The role of normal cartilage allows movement without friction and pain free. When the affected or diseased cartilage such as arthritis, joints become stiff and sore. Each joint or capsule of fibrous tissue covered the bottomless soft tissue called synovium 'that produces fluid to reduce friction and joints wear out. However, not only arthritis that destroys joints. Many other factors such as trauma, exercise, infection and inflammation (rheumatoid arthritis and gout). On a serious level, the patient began to experience cramps, pain, deformed feet, knees 'read' when walking and began to bend. When a patient is at this stage, not much can be done to reduce the prolonged pain and suffering for them but do replacement procedures full joints (total joint replacement) to enable the patient pain free and able to walk again. What is meant by this joint replacement procedures? "This technology is used in this country since the 1970s. Over the past 10 years, various changes and progress made ​​in strengthening the procedure. Before, the knee can only bend 90 to 100 degrees, now it reaches 120 to 140 degrees. "The material is also now hold 15 to 20 years, better design and practical as well as surgical wound no more than six inches. In fact, there is now a computer navigation technology to ensure accuracy when the procedure took place, "he said, who admitted the patient will return to normal during the period 6 to 12 weeks after surgery. Dr Tai said, also better pain management through partial anesthesia. This reduces the complications after surgery, but it reduces the pain that may be continued 36 to 40 hours after surgery. What about age? According to Dr Tai, age is not an issue because most older patients who have undergone this procedure for both 93-year-old knees, "said Dr. Tai is handling more than 2000 procedures during the 15 years of service. What is to be regretted, although the success of this procedure reached 90 to 97 percent, the misconception among people in the cause they would rather suffer in silence. Compared to Australia, which recorded 60.000 replacement procedures per year hip and knee joints, only 6.000 procedure in Malaysia a year, not because the number of patients are not many, but the fear of pain, lack of confidence in the success of the procedure and are not sure they can run again. The people of Europe This problem will be willing to do the procedure immediately opposite the proposed expert in Malaysia, most patients who come too late for treatment only after suffering severe joint problems. Clearly, Dr Tai, criteria for eligible patients undergoing this procedure already suffer from them for so long, had a variety of early treatment (conservative, nutritional supplements, physiotherapy, lifestyle changes, lose weight), leg had begun to change shape or defective. "he added. "Why am I so stressed this procedure is preferred because we have the expertise and the patient need not suffer long time and the fact that the treatment and procedures that can give them hope to return to live a happy, normal, active and free from pain.

Post-procedure
1.Knee patients had begun moved back upright and bend a few hours after surgery.
2.More movements a day after the procedure.
3.Able to get up and walk a few steps two days after the procedure.
4The third day be able to walk better.
5.Discharged on the fourth day.
6.The knee procedures - take three to four days.
7.Procedures sides of the knee - five to seven days.

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