Knie-artrose

Fietsen verstandig?

Feit

Bij hardlopen wordt de knie belast met 6x uw lichaamsgewicht bij elke stap

Máxima Medisch Centrum

Value-Based Health Care

ESSKA Accredited Teacher

Orthopedie Groot Eindhoven

Goede uitleg is essentieel voor juiste keuze behandeling

Meniscus-scheur

Voorste kruisbandreconstructie

Achterste kruisbandletsel

Zorg op maat

YouTube kanaal dr RPA Janssen

Internationaal wetenschappelijk onderzoek

Kruisbandoperaties knie

RPA Janssen MD PhD

Kruisbandoperaties

Waardegedreven zorg

Last van knie-artrose?

Spreekuur / Policlinique / Outpatient clinic

Nederlandse Vereniging voor Arthroscopie

Máxima Medisch Centrum

Kruisbandoperaties bij kinderen

Veel pijn bij ernstige knie-artrose?

Samen met uw arts gekozen voor een knie-operatie?

Eenzijdige knie-artrose knie en actief leven?

Máxima Medisch Centrum Eindhoven-Veldhoven

Kwaliteit van leven

Samen kiezen voor de beste behandeling

Sporten met plezier

Oplossingen voor de lange termijn

Associate Professor Knee Reconstruction

Fact

Kneecap pain is a regular occurrence in fitness knee rehabilitation

Knee osteoarthritis

Cycling wise?

Fact

When running, the knee is loaded with 6x your body weight with each step

Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trial

Abstract OBJECTIVE: To compare outcomes from...

Sabine J A van der Graaff, Susanne M Eijgenraam, Duncan E Meuffels, Eline M van Es, Jan A N Verhaar, Dirk Jan Hofstee, Kiem Gie Auw Yang, Julia C A Noorduyn, Ewoud R A van Arkel, Igor C J B van den Brand, Rob P A Janssen, Wai-Yan Liu, Sita M A Bierma-Zeinstra, Max Reijman
British Journal of Sports Medicine. E-pub ahead of print - 8 Jun 2022. http://doi.org/10.1136/bjsports-2021-105059
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A tailored intervention does not reduce low value MRI’s and arthroscopies in degenerative knee disease when the secular time trend is taken into account: a difference-in-difference analysis

Abstract Purpose: To evaluate the effectiveness...

T. Rietbergen, P.J. Marang-van de Mheen, J. de Graaf, R.L. Diercks, R.P.A. Janssen, H.M.J. van der Linden-van der Zwaag, M.E. van den Akker-van Marle, E.W. Steyerberg, R.G.H.H. Nelissen, L. van Bodegom-Vos (Corresponding author), P. Pander, D.J. Hofstee, R.C.I. van Geenen, K.L.M. Koenraadt, J. P.A.H. Onderwater, Y. V. Kleinlugtenbelt, T. Gosens, T.V.S. Klos, P. C. Rijk, B. DijkstraShow lessA.V.C.M. Zeegers, R.A.G. Hoogeslag, M.H.A. Huis in't Veld, A.A. Polak, N.R. Paulino Pereira, T.M.J.S. Vervest, H.C. van der Veen, N. Lopuhaä
Knee Surgery, Sports Traumatology, Arthroscopy, E-pub ahead of print - 7 Apr 2022. https://doi.org/10.1007/s00167-022-06949-w
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Knee Prosthesis: frequently asked questions

1. When is there an indication for a knee prosthesis?

Osteoarthritis of the knee may lead to pain. Osteoarthritis is caused by knee or sport injuries in the past. If all other treatments for osteoarthritis fail to provide pain relief, a knee prosthesis may be indicated. Pain at night and a walking distance inferior to 19 minutes are good indications for surgery. 

2. What is the survival of a knee prosthesis?


This varies between 10-20 years. Overuse by sports or overweight may shorten the life cycle of the prosthesis.  In case of loosening of the knee prosthesis, a revision knee prosthesis may be indicated. 

3. How long is the hospital stay?

Hospital stay is 3 days on average. The KNAP (KNee Active Program) leads tot predictable and faster recovery after surgery. 

4. What can I do to improve the rehabilitation after surgery?

A good knee function before surgery improves the recovery after the operation. Cycling and extension exercises may be useful. After surgery, you need to pay close attention to your gait pattern and extension of the knee. The physiotherapist will assist you during the hospital stay. You will need to exercise the knee extensively in the first months after surgery. Patience is a good virtue: the knee will tell you if periods of rest are required during the rehabilitation. The final result can be judged 1 year after the operation.   

5. Are sports allowed after a knee prosthesis?

A knee prosthesis a an “artificial joint”. It is made of special materials which may slowly deteriorate in the long run. A knee prosthesis is meant for daily use. Sports such as cycling, walking and golf are permitted,. Heavy duty sports such as running, football, contact sports shorten the life cycle of the prosthesis. For this reason, these sports are not advisable.

6. Does a knee prosthesis have limitations?

Scientific research has demonstrated that the correct expectations are key for patient satisfaction after a knee prosthesis operation. Success rate is high: 90% of patients no loner experiences the osteoarthritic pain after surgery. The knee function is dependent on your muscle and joint motion. Kneeling is frequently experienced as troublesome and deep bending of the knee often limited. Pre-operative better motion of the knee leads to better knee motion after surgery. RPA Janssen uses a MIS High Flexion Knee Prosthesis to optimize knee function. The surgical results have been published in high quality peer reviewed journals (see Publications). 

7. What are possible complications?

Complications after knee prosthesis surgery are uncommon (1%). These may be a joint infection, nerve or vascular injuries or venous thromboembolism. It is important to report any previous thrombosis to your treating physician. All patient s receive thromboembolic prophylaxis after a knee prosthesis operation. 

8. How many knee prosthesis surgeries are performed?

The Orthopaedic Center Máxima is a specialized center for the treatment of knee osteoarthritis. More than 400 knee prosthesis operations are performed annually. The insurance companies in the Netherlands have awarded the Center with their Topcare certificates for knee surgery.