![]() ![]() Alterations and modifications in the pre-, per-, and post-TKR techniques are other moves to improve surgical outcomes. ĭespite the advancement of surgical techniques for treating arthritis patients, the possibility of postoperative complications has also been reported worldwide. Many institutes do not accept patients for knee replacement with a BMI above 40 kg/m 2 due to their high complication rates. Obesity is among the other contributory factors associated with both the intraoperative complications and the postoperative complications of joint replacement, including stroke, MI, malpositioning, hospital readmissions, revised surgery, infections, poor functional outcomes, and decreased 10-year survival. Prevention of deep venous thromboembolic (DVT) events is another task for TKR surgery, as it is the most common cause of cardiovascular events and re-admissions to the hospital within 90 days postoperatively that also required prophylactic use of aspirin or other anticoagulants. It further helps to reduce undue admissions related to other medical conditions by 38% to 66%. Moreover, pre-admission testing is another strategy that minimizes post-operative complications by 60%, post-anesthesia care by 50%, and mortality by 5%. ![]() Preoperative patient education about their self-care is one of them that improves compliance as well as postsurgical outcomes and fall injuries postoperatively. ĭifferent strategies are developed to minimize post-TKR complications. Several complications associated with surgical procedures, including venous thromboembolisms, wound infections, etc., are responsible for hospital readmissions. Different factors, including aging and obesity, are the major contributing elements for arthropathies leading to knee and hip arthroplasty, which have seen a 300% increase in a decade. Globally, the number of TKR surgeries is expected to rise to 3.48 million by the end of 2030. TKR is one of the most common orthopedic operations and is the largest reconstruction market for the knee worldwide, which is increasing markedly with the passing of time. Milder to moderate cases of OA respond well to the conservative management modalities, but the end-stage arthritis of the knee joint is a definitive indication of surgical management, thus requiring total knee arthroplasty or total knee replacement (TKR) . It causes intense pain and functional compromise, affecting the quality of life. Osteoarthritis (OA) is among the most common causes resulting in disability among the elderly population worldwide. None of our patients developed deep venous thrombosis (DVT) or an infection.Ĭonclusion: A sequential use of sets of techniques is observed to be associated with improved outcomes in terms of blood loss, wound infection, mobility, and patient satisfaction, leading to the ultimate end point of dry Aquacel wound dressing. Only two patients needed a change of Aquacel wound dressing for ooze. The mean preoperative Hb% was 13.07+1.6 g/dl, while the mean postoperative Hb% was 12.58+1.9 mg/dl with a p-value of 0.28, which was non-significant statistically. ![]() Most patients were morbidly obese 13 (30.95%). The mean BMI in our patients was 30.57+10.5 kg/m 2. The mean age of the study population was 60.5+10.3 years (48 to 88 years). Results: A total of 110 cases were included, of which 81 (73.6%) were females and 29 (26.4%) were males. ![]() Preoperative minimal use of a tourniquet and release prior to arthrotomy closure intravenous tranexamic acid, no drains capsule infiltration with local anesthetics without adrenaline tight closure with barbed sutures up to the skin in three layers skin glue Aquacel dressing adductor canal block and continuation of oral anticoagulant for four weeks. Routine investigations and fitness evaluations of patients were carried out preoperatively. Patients of both genders underwent knee replacement surgery due to primary knee osteoarthritis, Kellgren-Lawrence grades 3 and 4. Sulaiman Al-Habib Hospital, Suwaidi, Riyadh, KSA. Material and methods: A prospective study comprised of 110 consecutive unilateral total knee replacements was conducted at the orthopedic department of Dr. Sulaiman Al-Habib Hospital, Riyadh, Saudi Arabia. Objective: To evaluate surgical outcomes using sets of techniques to achieve single dry dressing for two weeks post total knee replacement (TKR) at Dr. ![]()
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