In routine when patient comes on OPD with complaint of knee pain , swelling ,deformity from long time with depend on pain killers . Many patients complaint about back pain due to mall alignment of knees .
For such patient we do radiology evaluation ,grade 3 & 4 arthritis category with above complaints is considerable for knee replacement but after systemic evaluation the patient must be infection free, no neurovascular gross deficiency , no muscles pathology & with optimum function of heart ,kidney & liver is than suggested for knee replacement
Routine work up before joint replacement
pre Aneasthestic checkup
evaluation by physician
after clearance from all then patient enrolled for surgery