Skip to main content

Arterial Vascular Complications after Total Knee Arthroplasty Decrease the Quality of Post-op Rehabilitation (A Case Report) | Chapter 11 | Modern Advances in Pharmaceutical Research Vol. 1

Introduction: Routinely patients with hip or knee arthroplasty are transferred from acute clinic to rehabilitation department at an ever earlier stage (one week post-op). The  most  frequent  complications  after  lower  extremity  arthroplasty  are:  local  pain,  edema, contracture,  tardive  calcification,  infection,  hemorrhage,  pulmonary  embolism  and  deep  vein thrombosis. Sometimes unexpected complications can provoke a delay or even suspension of the rehabilitation.
Aims of the Study: The principal objective of the current article is to remind to the wide public the possible presence (and subsequent care) of other complications, e.g. the lower limb arteritis.
Case Presentation: The presented patient is 77 years old male. Hospitalized in our PRM Department one  week  after  operation,  with  the  objective  of post-op  orthopedic  rehabilitation after total  knee arthroplasty (for advanced gonarthrosis - genu varum with angle 4°). Arterial  Echo-Doppler  of the lower extremities: Acute thrombosis of the left femoral superficial arteria, and the left popliteal supra-articular arteria (aneurysm of 30 mm), missing images of retro & supra-articular popliteal arteriae. Urgent operation was realized for the left leg diagnosed with Arteritis: Femoro-peroneal distal by-pass graft in the intern saphenous vein with angioplasty of the distal anastomosis. After the operation, the rehabilitation process was adapted to this tardive complication.
Discussion: In every case our goal is to prevent possible complications and to assure a high quality of the rehabilitation, respectively – an improvement of the patient’s quality of care and quality of life.
Conclusion: Vascular  complications  after  joint  replacement can  postpone  or  even  interrupt  the fluency  of  the  rehab  process.  In  every  clinical  case  the  PRM  &  OT  medical  doctors  must  be immediately alerted of any suspicion for complication or significant variation in expected progression / outcomes.

Author(s) Details

Prof. Ivet Borissova Koleva
Medical University of Sofia, Bulgaria.
Dr. Frederic Milvoy
Hospital ‘St Amand Montrond, France.
Borislav Radoslavov Yoshinov
Medical Faculty of Sofia University,Bulgaria.

Read full article: http://bp.bookpi.org/index.php/bpi/catalog/view/47/239/404-1
View Volume: https://doi.org/10.9734/bpi/mapr/v1
Labels:

Comments

Post a Comment

Popular posts from this blog

Greening Regional Airports: A Vision for Carbon Neutral Infrastructure | Chapter 12 | Contemporary Perspective on Science, Technology and Research Vol. 3

 This study provides an overview of the energy demand of a regional airport, divided into individual time horizons. The electrification of aircraft systems raises the question of whether airports will be among the largest electricity consumers in our infrastructure in the future. Sustainability and especially emission reductions are significant challenges for airports that are currently being addressed. The Clean Sky 2 project GENESIS addresses the environmental sustainability of hybrid-electric 50-passenger aircraft systems in a life cycle perspective to support the development of a technology roadmap for the transition to sustainable and competitive electric aircraft systems. This article originates from the GENESIS research and describes various options for ground power supply at a regional airport. Potential solutions for airport infrastructure with a short (2030), medium (2040), and long (2050) time horizon are proposed. In addition to the environmental and conservation benefi...
Post a Comment
Read more

Study on Processing Method Influences the Effect of Cassava (Manihot esculenta) Consumption on Blood Lipid Profile in Rats | Chapter 8 | Current Research and Development in Chemistry Vol.1

Cassava is consumed in many tropical countries and is fast becoming the major raw material of many diets, especially in the bakery, brewery and pharmaceutical industries. In a study to determine the effects of various formulations of Cassava feeds on blood lipid profile in rats. Forty adult Wistar rats weighing between 120 and 150 g were divided into 4 groups of 10 rats each. The rats were acclimatized for one week; fed with different formulations of Cassava feeds adlibitum, after which the rats were allotted into groups. Group 1 was fed on Garri; group 2 on Cassava flour; group 3 on Tapioca, and the control group (group 4) on normal chow. After 4 weeks, each animal was anaesthetized by exposure to chloroform vapour and blood samples collected by cardiac puncture. Group 1 diet (Garri) significantly increased HDL-cholesterol (HDL-C) concentration and significantly decreased LDL-cholesterol (LDL-C) concentration (p<0.05) compared with the control group. In Group 2 (Cassava flour), t...
Post a Comment
Read more

Ethnopharmacological Survey among Traditional Medicine Practitioners in Abidjan (Côte d'Ivoire) for the Management of Pathologies such as Malaria, ENT Diseases, Diarrhea, Typhoid Fever and Anemia | Chapter 05 | New Horizons in Medicine and Medical Research Vol. 8

 Traditional Medicine Practitioners (TMPs) of Côte d'Ivoire are familiar with the therapeutic herbs. Medicinal plants have been shown to be useful in the treatment of common diseases such as malaria (KROA, 2004) and diabetes (N'GUESSAN et al, 2013) in several studies and scientific study. In the Abidjan District, the current policy is to integrate traditional medicine and pharmacopoeia into the national health system in order to improve population health coverage, particularly in the management of commonly encountered diseases such as malaria, ENT diseases, diarrhoea, typhoid fever, and anaemia. This research aims to increase the use of traditional medicine and pharmacopoeia in the national health system. Over the course of three months, fifty (50) PMTs in the District of Abidjan participated in this study. Plant therapists accounted for 30 of the 50 PMTs polled at the end of the study, or 60%. Traditional medicine centres use 61 types of medicinal plants from 36 famili...
Post a Comment
Read more