The rodilla prothesis, scientifically called rodilla arthroplasty or rodilla replacement, consists of placing an artificial pieza to replace the joint in cases of arthritis, arthrosis or trauma, thus relieving the intense pain that these situations cause.
This surgery is usually indicated when there is serious impairment of the joint or when improvements are not achieved with the use of medications and physiotherapy sessions.
How is prosthesis surgery performed?
Rodilla prosthesis surgery is performed through the replacement of worn cartilages by metallic, ceramic or plastic devices; returning the patient to a functional, aligned and painless joint. This replacement can be partial when only some of the components of the joint are removed, the total when the entire original joint is removed and replaced by a metallic device.
Generally speaking, the surgery for the placement of a rodilla prosthesis lasts for 2 hours and is performed under spinal anesthesia. After the surgery, it is recommended to get out of bed for 12 hours and, for this reason, the doctor can place a urinary catheter to prevent the person from having to put on their feet to use the bathroom. This probe is normally removed the next day.
The hospitalization time is from 3 to 4 days and the physiotherapy can be started the next day of the surgery. Generally, the doctor recommends medication with analgesics and anti-inflammatories for the first few days; y luego, the patient may have to return to the hospital to collect the points between 12 and 14 days after the surgery.
How is the recovery after the surgery
The recovery period for rodilla arthroplasty can vary from 3 to 6 weeks. Depending on the case, the patient will be able to move the wheel 2 to 3 days after the surgery and will start walking at the time of regaining muscle control, usually guided by a physical therapist and with assistance from a walker in the first days.
It is possible to gradually resume most of your daily activities, and it is important to avoid certain positions such as putting on your knees or lifting a lot of your wheels. Similarly, you should avoid the practice of exercises that exert a high impact on the joint or force the flexion of the rodilla. Learn more about recovery and exercises after a rodilla surgery.
Physiotherapy after prosthesis placement
Physical therapy for rodilla prosthesis should be started before surgery and resumed after the first day of the post-operative period. The objectives are: to relieve pain, reduce swelling, improve movements of the rodilla and strengthen muscles. The program must be indicated by a physical therapist and must include exercises to:
- Improve breathing;
- Strengthen the muscles of the legs;
- Improve the movements of the rodilla;
- Learning balance and proprioception;
- Practice walking, without support or with the use of crutches;
- Stretch the leg muscles.
After being discharged from the hospital, the patient must periodically consult the orthopedic surgeon for post-operative controls and radiography to evaluate that everything is in good condition. In addition, certain precautions must be taken, such as: avoiding falls, carrying out light walks and regular physical exercises to maintain strength and mobility on the wheel; which must be carried out at the physiotherapy clinic or at the gymnasium under the orientation of the trainee.
See some advice on how to relieve pain from the rodilla in the video below:
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