at MMC Eindhoven (Netherlands)
Various treatment options
Minimal invasive surgery
PAMI Center of Expertise
Good therapy with active lifestyle
Tertiary referral center for the Netherlands
Center of Expertise for Knee Instability
depends on cartilage and meniscal condition
Great succes with right expectations
after Knee Active Program
Fontys University of Applied Sciences
Biking is recommended
The secret for best clinical practice
Read patient experiences at Cases
Anatomy is important
Anterior knee pain is common during fitness knee rehabilitation
Hamstring tendons regenerate after cruciate ligament surgery
A joint with multiple facets
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Dutch Arthroscopy Society 2011-2014
Eindhoven University of Technology
Rapid diagnosis important in sports
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Diagnosis determines prognosis
State of the Art
Teamwork with orthopaedic surgeon
Maxima Medical Center
Orthopaedic Center Maxima Eindhoven and Veldhoven
Orthopaedic Associates Eindhoven Greater Area
may be indicated with cruciate ligament surgery
injuries also occur in children
France, Netherlands, USA
Mednet Top Orthopaedic Surgeon 2011-2013
Women suffer more anterior cruciate ligament injuries than men
Remain active with your knee
Adequate tracking important
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ACL Injury Guidelines
Running causes 6x body weight load on your knee
Medial collateral ligament heals if diagnosed and treated early
Maxima Medical Center (Eindhoven)
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Risk of arthrofibrosis is least if knee has good function before surgery, with limited swelling and adequate gait pattern
For instability and osteoarthritis
surgery with your own hamstring tendons
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Center of Expertise for posterior cruciate ligament injuries
Only if really necessary
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Rapid diagnosis may prevent surgery
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that MMC is a tertiary referral center for complex knee disorders?
between physiotherapist and orthopaedic surgeon is essential for your rehabilitation
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Essential for good patient care
Prof RPA Janssen MD PhD is a faculty member of the Post-Master B&SIS...
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Knee osteoarthritis may lead to severe limitations in daily function. A knee prosthesis (knee arthroplasty) may be an adequate solution for pain and improvement of life, especially if the pain occurs day and night with a limited walking ability despite pain medication. A case report of a 50 year old woman with knee osteoarthritis treated by a total knee arthroplasty is illustrated.
As a relatively young woman of 50 years of age, I was referred to dr Janssen due to incapacitating knee pain. Dr Janssen takes ample time during the consultations and outlined all possible methods of treatment of my diagnosed knee osteoarthritis. After the X-rays and scans as well as various consultations, we both agreed on an operation of my knee: a total knee prosthesis. The subjects of our conversations were: my (relatively young) age at time of surgery; the benefits and risks of a knee prosthesis; the limited survival of a knee prosthesis; eventual limitations after surgery; my own expectations of the surgery.
Dr Janssen was honest and sincere in all our consultations. He has a clear and professional opinion and will consult colleagues if deemed necessary. He will only decide to operate until he is fully assured that the surgery will help to solve the problem and if no other alternatives are available.
Before surgery, I was also informed on the procedure and rehabilitation by the physiotherapist as well as orthopaedic assistants at a meeting organised by the Orthopaedic Center Máxima twice a months. This provides ample information for one to know what to expect during the hospital stay and period thereafter at home. The hospital stay at the Máxima Medical Center Eindhoven was a very positive experience for me. The nursing staff took good care of me from day of admittance till the day of discharge (5 days). The doctors visit daily and I felt very safe.
The joint care project (all patients rehabilitate in a comfortable room once they can leave bed) was a pleasurable experience for me. Patients stimulate one another in their healing process and rehabilitation. Rehabilitation exercises start as soon as possible, usually the second day after the operation. The physiotherapist of the Máxima Medical Center was of great assistance to me. Rehabilitation takes place individually or in the joint care setting with other patients.
After hospital discharge, I was accompanied in the rehabilitation by physiotherapist, mr Frans Brooymans. Mr Brooymans and dr Janssen cooperate closely in the treatment of patients with knee disorders. Mr Brooymans is also specialized in the treatment of knee problems. Primary focus in the beginning is leg extension, followed by knee bending exercises and restoration of an adequate gait pattern. This sounds easier than it is in practice. In the final phase of rehabilitation, knee training is done to increase the load capacity of the knee. The physiotherapy treatment starts individually. Later on, training is done in groups of patients with similar rehabilitation. The rehabilitation after a knee prosthesis is hard work but the result is worth all the effort.
In retrospect, I am very happy with the decision to operate my knee osteoarthritis with a knee prosthesis. I am pain free and regained all my life's energy. It feels great. I am back to work and can make long walks and bicycle tours. I am convinced that this is largely due to the expertise of my orthopaedic surgeon and physiotherapist, not to forget also my own efforts and perseverance.