Arthroplasty is a method of replacing a painful, non-functioning joint with an artificial one. It is commonly used in the hip and knee. Indications for joint replacement include osteonecrosis, comminuted fracture dislocation that cannot be reset, osteoarthropathy with pain and mobility disorders, rheumatoid arthritis with stiffness or difficulty in movement, and bone tumors. Complications of replacement include loosening, wear and tear or fracture of the prosthesis, deep infection, foreign body reaction, and soft tissue calcification that hinders movement.
After reading the two descriptions above, I guess the ones who should be fainting are fainting. By and large, arthroscopy is a device that performs minimally invasive surgeries, with proven technology and little damage to the patient. Joint replacement, uh, needless to say, replacing a joint, that's no small feat!
Although I've always been in the medical profession, the barriers between specialties in the medical community are close to the same (as anyone who's ever been to a hospital will understand). The field I'm in (more on that later) is largely unrelated to bone and joints, so what does arthroscopy and joint replacement have to do with me, and why would I care? This brings me to my mother.
One day, about two months ago, my mother's left knee had an attack (I was told that it was caused by the fact that she had a baby in my house in the morning, which made me feel guilty), and she couldn't straighten her knee, so she could go up and down the stairs, and her normal walking was affected. She didn't care much about it because it was an old problem, and she told us that she would be fine in four or five days. Of course I trusted my mom, so four or five days passed, she still walked with a limp, and then said, at most half a month will certainly be fine! I believed her again, so half a month passed~~~My dad couldn't help himself and took her to the community hospital for an X-ray, the doctor prescribed some ointment and said to go home and rest, and after two or three days, it still didn't work. So I made an appointment online with the director of orthopedics at a tertiary hospital near my home, and the doctor still recommended conservative treatment, but if it's not possible to go for arthroscopic surgery, which costs about 20,000 yuan. I'm not sure how much I'm going to be able to get out of this, but I'm sure I'll be able to get out of this, so I'm sure I'll be able to get out of this.
Speaking of which, I'd like to add a few words about my mom's condition.
From the lateral view of the picture, you can clearly see that in the middle of the femur (thigh bone) and tibia (calf bone) joints, there is an elongated foreign body. Let me give you an example of the relationship between this foreign body and the joint, and why it affects joint function.
How do people eat walnuts? Generally is smashed open (a variety of tools, knives, guns, sticks and rods are not limited), civilized some of the use of professional clips, of course, more simple and brutal and effective is directly with the door clip, yes, you did not read it wrong, with the door! Since I was a child, I have countless times with the door clip walnuts, placed in the latch opening and closing places, a closed, click walnuts on the broken, tried and true quite a sense of accomplishment. The most profound memory is in the West China University of Medical Sciences graduate school, the girls dormitory in disrepair, after the Wenchuan earthquake and a few more cracks. My sister on the bunk character straight, one evening, when I was in the dormitory to the computer hammering the paper, only to hear a click, I turned my head to see, she held a walnut in one hand, one hand holding the door tilted in half, helplessly said "the door fell off ~ ~ ~". I was stunned, and have never opened a walnut this way since.
The purpose of this example is to illustrate that my mom's current situation is between the door bolts more than a "walnut", the terminology is called "free body". Baidu Encyclopedia explains: in the knee or elbow and other joints, some pressure epiphyses of the convex surface can be repeated under the action of the external forces of ischemic necrosis, exfoliation, in the joints of the free, known as exfoliative osteochondritis dissecans (joints of the free body). The free body moves within the joint, also known as arthrogryposis. Will there be people who think, then force to straighten the leg, the "walnut" pinch broken, not OK Well, this idea is very rough, but ineffective. Even if the patient has strong willpower, but based on the structure of the body, it is not feasible. Here is a concept Meniscus, Baidu wiki explains: Meniscus is 2 crescent-shaped fibrous cartilage, so that the stability of the spherical femoral condyle and tibial plateau increased. I'm sure you've heard a lot of talk about the meniscus, running will wear and tear and so on. Then if the consequences of hard straight leg, may free body not broken, meniscus was damaged first, repair meniscus is very expensive oh!
Mom's left knee problem, the earliest onset of about more than 10 years ago, local massage recovery on their own, the longest onset of four years ago, in Changzhi home, has been admitted to the hospital to prepare for the operation, blood sugar has been poor control of the doctor did not dare to do it, so the hospital two days after the hospital tour was discharged, and returned home in a few days to recover on their own. In the following years, she still occasionally touched this free body, and it was indeed palpable when it traveled to the superficial skin. Because she had experienced repeated episodes and recoveries, my mom was convinced that she could recover without surgery this time. So on May 1 I took her to do acupuncture, a friend recommended a Chinese medicine, and that day acupuncture also met two groups of patients from out of town airplane, but he told the acupuncture three times can walk normally prophecy, anyway, my mom did four times still how to what. She was getting nervous after that, after all, it had been dragging on for over a month. So I took her for another MRI and consulted with a friend's classmate (an associate orthopedic surgeon at another tertiary care hospital), who determined that my mom's surgery was inevitable. After that, I began to consult the issue of medical insurance reimbursement for off-site medical treatment, inquired about hospitals with strong orthopedic departments, made an appointment with a specialist, and registered for treatment.
Writing this concludes. Let's summarize the whole process and analyze what was done right and what was done wrong in the process.
Brief history: onset in early April, community hospital X-rays recommended conservative treatment, A tertiary hospital visit recommended conservative treatment, private clinic acupuncture 4 times, hospital MRI, B tertiary hospital consulting recommended surgery, off-site medical insurance consultation, C tertiary hospital appointment
Right
1. a number of hospitals to consult with, the treatment has a comprehensive Understanding, easy to make a choice
2. In advance of the imaging tests, X-rays (mandatory) and MRI (non-mandatory), to facilitate the use of medical treatment
3. In the booking of the expert number, the network, telephone and hospital appointments are different systems, all need to try, usually more than three days in advance, the big names of specialists need to be more time to make an appointment.
Wrong
1. The patient's complaints interfered with the judgment (constantly emphasizing that he had an attack and recovered on his own), which led to a delay of nearly 50 days before surgery. On the one hand, the patient's own quality of life is affected, and on the other hand, the delay may make it more difficult to remove the free body encapsulated by the localized inflammatory tissue. The development of the disease is an evolutionary process, each time will not be exactly the same as the last.
2. Conservative treatment also depends on the condition, especially organic lesions (belonging to the structural changes. Distinguished from functional lesions), acupuncture is not necessarily suitable, and even increase the risk (will be introduced in the next article)
Note: non-special note, the pictures are from Baidu images. The principle of selection, simple and clear, does not cause discomfort in the picture
(unfinished)