alexa Modern Trends in Total Knee Arthroplasty
ISSN: 2161-0533

Orthopedic & Muscular System: Current Research
Open Access

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Review Article

Modern Trends in Total Knee Arthroplasty

Diana J Zhu and Ran Schwarzkopf*

Department of Orthopaedics Surgery, Joint Replacement Service, University of California Irvine, USA

*Corresponding Author:
Ran Schwarzkopf
101 The City Drive South, Pavilion III
Building 29, Orange, CA 92868, USA
Tel: 714-456-5759
Fax: 714-456-7547
E-mail: [email protected]

Received Date: November 04, 2013; Accepted Date: November 23, 2013; Published Date: November 30, 2013

Citation: Zhu DJ, Schwarzkopf R (2013) Modern Trends in Total Knee Arthroplasty. Orthop Muscul Syst 2: 138. doi: 10.4172/2161-0533.1000138

Copyright: © 2013 Zhu DJ et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Knee arthritis is a common disease that causes pain and disability. Non-surgical treatments include NSAIDs, lowimpact
exercise, physical therapy, ambulatory assist devices and intra-articular injections. When these treatments fail
to alleviate pain and restore knee function, such as in severe cases of knee osteoarthritis, total knee arthroplasty (TKA)
may be necessary. Modern TKA has evolved significantly from its first incarnation and success rates are high. Various
types of implants have the potential to allow more knee flexion and improved range of motion, but current studies show
high-flexion devices do not conclusively improve function. Computer-assisted navigation during surgery allows greater
accuracy in alignment, but may not ultimately improve survival rate or function. Complications during TKA surgery can
involve infection, pain, and blood loss; intra-articular tranexamic acid can be used to decrease blood loss, while wound
drains may increase blood loss. TKA patients under regional anesthesia appear to have fewer complications than
patients under general endotracheal anesthesia.

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