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Nusing care plan total knee replacement

Written by ncp nursing care plan on May 11th, 2011

Knee Replacement, Total

A total knee replacement (arthroplasty) is a surgical procedure in which the articular surfaces of the tibia, femur, and patella are replaced with prosthetic devices. It is performed to relieve joint pain that has not been controlled by conservative management and/or improve joint mobility in persons with severe arthritis, congenital knee deformity, hemophilic arthropathy, or severe intraarticular injury.

There are a variety of prostheses available. The type most frequently used is the tricompartmental prostheses that has separate femoral, tibial, and patellar components. Fixation of the prostheses is accomplished by using a cement-like agent called polymethylmethacrylate or, if left uncemented, by bone ingrowth into the porous outer surface on the prostheses.

Preoperative
Deficient knowledge

Postoperative
Risk for peripheral neurovascular dysfunction: operative extremity
Acute pain: knee
Actual/Risk for impaired tissue integrity
Impaired physical mobility
Risk for infection: operative knee
Risk for falls
Potential complications
dislocation of knee prosthesis(es) or stress fracture of tibia or femur
thromboembolism
fat embolism syndrome (FES)
Deficient knowledge, Ineffective therapeutic regimen management, or Ineffective health maintenance

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Source Credits: Nursing Care Planning Guides: For Adults in Acute, Extended and Home Care Settings by S. P. Ulrich and S. W. Canale BSN MSN / Nursing Care Plans by M. Doenges MF Moorehouse Alice Murr