Maxima Medical Center (Eindhoven)
Tertiary referral center for the Netherlands
Risk of arthrofibrosis is least if knee has good function before surgery, with limited swelling and adequate gait pattern
depends on cartilage and meniscal condition
that MMC is a tertiary referral center for complex knee disorders?
Teamwork with orthopaedic surgeon
Maxima Medical Center
Hamstring tendons regenerate after cruciate ligament surgery
after Knee Active Program
Biking is recommended
Minimal invasive surgery
Great succes with right expectations
may be indicated with cruciate ligament surgery
Only if really necessary
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Adequate tracking important
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injuries also occur in children
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Essential for good patient care
Rapid diagnosis may prevent surgery
Center of Expertise for posterior cruciate ligament injuries
Anatomy is important
at MMC Eindhoven (Netherlands)
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Eindhoven University of Technology
Women suffer more anterior cruciate ligament injuries than men
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between physiotherapist and orthopaedic surgeon is essential for your rehabilitation
Center of Expertise for Knee Instability
Remain active with your knee
Anterior knee pain is common during fitness knee rehabilitation
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Running causes 6x body weight load on your knee
Medial collateral ligament heals if diagnosed and treated early
PAMI Center of Expertise
The secret for best clinical practice
Orthopaedic Associates Eindhoven Greater Area
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Diagnosis determines prognosis
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Revision surgery specialists
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Rapid diagnosis important in sports
For instability and osteoarthritis
Various treatment options
Orthopaedic Center Maxima Eindhoven and Veldhoven
State of the Art
ACL Injury Guidelines
Dutch Arthroscopy Society 2011-2014
surgery with your own hamstring tendons
State of the Art
Good therapy with active lifestyle
A joint with multiple facets
Keyword in treatment
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Knee osteoarthritis causes invalidating pain and limitations in daily living. A total knee prosthesis (arthroplasty) can solve these limitations. The KNee Active Program (KNAP) at the Máxima Medical Center in Eindhoven (The Netherlands) allows rapid recovery and return home after 3-4 days. This case describes the experiences of a 59 year old lady after total knee arthroplasty (MIS Knee).
The pain increased gradually in the years prior to the surgery: pain started in the morning and my walking distance decreased. I had to climb stairs foot by foot, and woke up frequently at night due to knee pain. Both dr RPA Janssen and I wanted to review all treatment options available before doing an operation (specialized physiotherapy, injections in the knee).
After some time, the operation became necessary. The intake (all appointments with the anaesthesiologist, orthopaedic assistants, blood examinations) took place on a single afternoon. That's nice, no hassle. Specific information brochures were provided and an afternoon information session was organised. During this information meeting, all aspects of the surgery, rehabilitation and procedures were well explained and questions may be asked freely.
The hospital stay as well as the operation went according to the descriptions in the information brochures. The orthopaedic ward is fully adapted to patients with total knee and hip replacements including special chairs and highly trained personel. They are often present and extremely helpful. I did not notice much of the operation: I felt no pain and often fell asleep thanks to the medication. In my moments of being awake, I was well informed on the surgical developments by the anaesthesiological assistant. She was very comforting and gave me a feeling of security. After surgery, the feeling that I experienced was much different from the pain of the osteoarthritis; my leg did not hurt but felt very heavy. Exercises started on the first day after the operation. This is a very pleasant experience: your knee bends without the osteoarthritic pain. First time out of bed (second day after the operation) is scary at first, but you adapt rapidly.
It is surprising to see how fast you can get back on your feet and walk with 2 crutches. Once you leave the hospital, exercises need to be continued with a physiotherapist as well as a home exercise program. Leg extension is very important: I frequently put my foot on a footrest and put a bag of magazines on top of my knee. In the beginning, you sense a feeling of slight giving way of the knee. This feeling dissapears gradually. I planned a vacation 3 months after the operation and was able to walk decent distances without crutches. I had a feeling of having my normal life back again. At this time- 6 months after the operation- I feel great, just like 5 years ago. I am no longer dependent on anything nor anyone and am really enjoying life. Long live the knee prosthesis and dr Janssen!!!