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17. Surgical indications for total knee arthroplasty
function compared with the group receiving standard of care.26 Prehabilitation, completing physical therapy preoperatively, is also strongly supported as an effective intervention to improve psychosocial readiness and patient activation
4. Autoimmune disorders
activity, clinicians should also note any changes in a patient’s self-reported assessment and encourage patients who notice worsening symptoms to return to their rheumatologist. Overall, patients will benefit from open lines of communication between the rheumatologist and the orthopedic surgeon. Page 28Patients with AD undergoing
14. Biomechanics of the female knee
function in activities of daily living such as walking and standing.31 The hamstring muscles include the biceps
3. Nonsurgical options for management
function and pain symptoms compared with exercise or diet alone.14 Weight loss will be discussed more in-depth later in this chapter. Modification of activities
1. Epidemiology of osteoarthritis in female patients
activity modification, nonsteroidal antiinflammatory medications (NSAIDs), corticosteroid injections, bracing, and total joint arthroplasty (TJA).32,33 Major sex gaps are present in OA management related to operative and nonoperative treatment modalities. Exercise, weight management, and OA education provide reliable improvements in function
19. Postoperative considerations
activity levels and functional scores after TKA than females.4 A 2018 review article found that female patients
9. Surgical risk assessment
function, eliminates pain, and enables patients to resume an active, productive lifestyle. Although complication rates are low, TJA may lead
10. Obesity and malnutrition
activity levels. Sarcopenic obesity, characterized by reduced skeletal muscle mass, diminished strength, and impaired function, arises from
18. The female knee: Intraoperative considerations for the arthroplasty surgeon
function for females. • Fig. 18.3Example of posterior stabilized box cut sizing between larger and smaller femoral implants. Note the same size box cut for the second largest (size 7 of 8) and the second smallest (size 2 of 8) implants in this system. Note the difference in component width
30. Revision total hip arthroplasty
functional status. The surgeon should document whether the patient is a household and community ambulator, what distances they can walk, whether a walking aid is used, and what activities
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