injuries also occur in children
A joint with multiple facets
ESSKA accredited teacher
after Knee Active Program
Adequate tracking important
Essential for good patient care
France, Netherlands, USA
depends on cartilage and meniscal condition
ACL Injury Guidelines
Hamstring tendons regenerate after cruciate ligament surgery
Risk of arthrofibrosis is least if knee has good function before surgery, with limited swelling and adequate gait pattern
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Women suffer more anterior cruciate ligament injuries than men
Rapid diagnosis may prevent surgery
Maxima Medical Center
State of the Art
The secret for best clinical practice
Remain active with your knee
may be indicated with cruciate ligament surgery
Biking is recommended
Anterior knee pain is common during fitness knee rehabilitation
ESSKA Congress 2020 Milaan
Minimal invasive surgery
Executive Education Program
Great succes with right expectations
Anatomy is important
See You Tube link
Rapid diagnosis important in sports
Medial collateral ligament heals if diagnosed and treated early
Revision surgery specialists
Running causes 6x body weight load on your knee
Orthopaedic Associates Eindhoven Greater Area
Diagnosis determines prognosis
surgery with your own hamstring tendons
PAMI Center of Expertise
Teamwork with orthopaedic surgeon
Center of Expertise for Knee Instability
Good therapy with active lifestyle
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For instability and osteoarthritis
Only if really necessary
Maxima Medical Center (Eindhoven)
Arthroscopy&Arthroplasty Courses Utrecht
Keyword in treatment
Various treatment options
that MMC is a tertiary referral center for complex knee disorders?
Tertiary referral center for the Netherlands
Expert center for posterior cruciate ligament injuries
Read patient experiences at Cases
Orthopaedic Center Maxima Eindhoven and Veldhoven
Dutch Arthroscopy Society 2011-2014
State of the Art
at MMC Eindhoven (Netherlands)
Mednet Top Orthopaedic Surgeon 2011-2013
between physiotherapist and orthopaedic surgeon is essential for your rehabilitation
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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!!!