How to choose an artificial joint? At present, there are many manufacturers of artificial joints, including famous foreign brands such as Depuy (Johnson & Johnson), Zimmer (Zimmer), Biomet (Biomet), Streyker (Stryker), etc., all of which have a history of more than 20 years of application; there are also a number of domestic manufacturers, most of which are Sino-foreign joint-quality enterprises, and most of which have imitation products, which, despite the reliable quality of their products, have been used for a short period of time. Regardless of which company’s products, their design principles and materials are basically the same. When choosing artificial joints, the following points should be taken into consideration: one’s own expectations for the reconstruction of the joints: ordinary artificial knee replacement surgery can significantly improve the pain and function of severe knee diseases, and restore the basic ability to take care of oneself; some special design of artificial prosthesis can also meet some special requirements of the patient, such as kneeling, cross-legged; the age of the patient: more than 90% of ordinary artificial prosthesis can be applied for more than 15 years, and for the age of 65 years and above, it is not suitable for the patients. Patient’s age: more than 90% of ordinary artificial prostheses can be used for more than 15 years, which is enough for the age of 65 or above; the artificial knee prostheses with the latest design and materials can resist wear and tear for more than 30 years, which is suitable for younger patients; financial ability to pay: the more your requirements, the higher the cost you need to pay, although some requirements are not necessary. Surgical Costs Estimated cost of artificial knee replacement is made up of the following components 1. Artificial joint cost: the current cost of prosthesis ranges from 40,000 to 60,000 dollars. The reason for the price difference is as mentioned above. According to the Shanghai Medical Insurance Bureau, the medical insurance reimburses 15,000 yuan regardless of the type of prosthesis used. 2.Surgical cost: about 3 thousand dollars. 3.Anesthesia fee: 1~2 thousand yuan. 4, Medicine fee. 5, Blood product fee. 6.Ward treatment fee, bed fee, and nursing fee. 7.Other. The total cost of artificial knee replacement on one side is usually between 50,000~70,000 dollars. Medical insurance patients need to pay 30,000~40,000 out-of-pocket. Note: If the patient needs to be treated at the same time due to other diseases, the treatment cost will be increased. Some disposable items used during surgery (non-woven towels, irrigation guns, etc. that can prevent and significantly reduce the risk of post-operative infections) and medications used for post-surgical treatment (pain-relieving and anti-hemorrhagic medications) are important for the success of the surgery and the prevention of complications, but are not yet included in the reimbursement of medical insurance due to the approval process or policy, so you need to talk to your doctor about them. Medical Preparation for Surgery: Once you have decided to undergo surgery, you will need to go through a pre-surgical preparation process, which aims to have your doctor give you a thorough pre-surgical check-up of your whole body to see if there are any factors in your body that would hinder the surgery and your recovery after the surgery. These include: Examinations: such as blood sampling, electrocardiograms, X-rays, and urine samples; Skin Preparation: Protect the skin in front of the knee before the surgery, and do not use external treatments on it, such as acupuncture, small needles, closures, physical therapy, and topical medications. Preoperative skin to be sure that there is no infection and irritation, if so, as soon as possible and your doctor to discuss, before the operation to solve these problems; blood transfusion; sometimes according to the patient’s needs, the need to prepare blood; medication: tell your orthopedic surgeon what medications you are currently taking, the doctor will recommend that you, which need to be discontinued such as aspirin, antihypertensive medication, etc., which drugs can continue to take; lower extremity examination: such as previous lower extremity burns and infections, be sure to tell the doctor; the need for the lower extremity examination; the lower extremity examination: if the previous lower extremity burns and Lower Extremity Examination: It is important to tell your doctor if you have had previous burns and infections of the lower extremities; special attention needs to be paid to the treatment of athlete’s foot; Weight Reduction: If you are overweight, your doctor will advise you on how much weight you need to lose prior to your surgery in order to reduce the stress on your new knee; Dental Examination: Although the infection rate is very low after a TKR, infection can be caused by bacteria that get into your bloodstream. Because bacteria can enter the bloodstream during dental treatment, some dental procedures (including extractions and periodontal treatment) should be done carefully before surgery. A few weeks before the operation, to stop the routine dental cleaning treatment; treatment of chronic lesions: must be treated before the operation of chronic infection lesions in the body, such as chronic paranasal sinusitis, chronic bronchitis, etc.; urethral examination: such as the patient has often had recent urinary tract infections, the preoperative must be carried out before the operation of the urinary tract examination, the elderly have prostatitis disease, must be carried out before the operation of the urinary tract examination and treatment; preoperative suspension of smoking; preoperative crutches to use the Exercise. Personnel Care: Although you will be able to walk with crutches shortly after surgery, you will still need help with cooking, shopping, bathing and laundry. If you are single, you will need to be placed in a caretaker’s home for a short time after surgery. The following will help you in your home activities: daily necessities such as telephone, TV remote control, medicines, etc. should be placed in a more accessible place; handrails or safety chairs should be securely fitted where you shower or bathe; all stairs should be fitted with safety handrails; a sturdy chair with firm cushions at a height that keeps the knees below the hips when seated; a hard back and two armrests; a chair with a hard back and two armrests; and a chair with a hard back and two armrests. hard back and two armrests; a raised toilet seat; a stable shower chair or stool for bathing; a bath sponge brush and shower hose with a long handle; a dressing stick, sock puller, and a long-handled shoe puller to keep you from bending your new knees excessively when putting on or taking off shoes and socks; a gripper to help you reach objects without bending your knees excessively; and a pillow as a cushion every time you sit to keep your knees below your hips; and a chair with a firm seat with a firm cushion that is high enough to keep both knees below your hips. both knees under your hips; remove all loose carpeting and electrical cords from your home wherever you walk; and stay on the first floor for now (going up and down stairs can be difficult in the early stages of recovery). Perioperative period: includes pre-surgery after hospitalization, the day of surgery, and early post-surgery pre-surgery: you will usually need to be admitted to the hospital 2 days before your surgery. Items you need to bring with you when you are admitted to the hospital include: ID cardMedicare cardToiletries, including eyeglassesA small amount of cash (leave valuables at home) for miscellaneous purchasesNon-slip slippersMedications you need to takeComfortable underwearAfter you are admitted to the hospital, the surgeon in charge of the surgery will talk to you about prosthesis selection, post-operative precautions and so on; the surgeon in charge of the surgery is the one who will have the most contact with you during the hospitalization, and he will collect all of your medical evaluation information and He will collect all your medical assessment information and record it; if you have other medical problems such as diabetes, hypertension, etc., the doctor-in-charge will invite specialists from the relevant departments to consult you; members of the anesthesia team will examine you once. The most common anesthesia used for surgery is general anesthesia (you will be asleep during the surgery) or epidural anesthesia (you will be awake and anesthetized from the waist down), the anesthesiologist will discuss the choice of anesthesia with you and see which type of anesthesia is the most suitable for you; the ward will discuss with you the choice of anesthesia. The anaesthetist will discuss your anaesthetic options with you to see which type of anaesthetic is most suitable for you and the ward nurses will provide you with basic and specialist care.