![\"knee](\"https:\/\/toc-stl.com\/wp-content\/uploads\/knee_replace_l-260x300.gif\")
<\/p>\n[et_pb_section fb_built=”1″ _builder_version=”4.17.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.17.4″ _module_preset=”default” z_index=”5″ custom_padding=”0px||0px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.17.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][dsm_button button_one_text=”View Surgical Animations” button_one_url=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI1NSJ9fQ==@” button_two_text=”Download Patient Forms” button_two_url=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjIzIn19@” button_alignment=”right” button_alignment_phone=”right” button_alignment_last_edited=”off|phone” _builder_version=”4.23.4″ _dynamic_attributes=”button_one_url,button_two_url” _module_preset=”default” custom_button_one=”on” button_one_text_size=”18px” button_one_text_color=”#FFFFFF” button_one_bg_color=”#2B636D” button_one_border_width=”0px” button_one_icon=”$||divi||400″ button_one_on_hover=”off” custom_button_two=”on” button_two_text_size=”18px” button_two_text_color=”#FFFFFF” button_two_bg_color=”#2B636D” button_two_border_width=”0px” button_two_icon=”$||divi||400″ button_two_on_hover=”off” custom_margin=”||-4rem||false|false” custom_margin_tablet=”||2rem||false|false” custom_margin_phone=”||2rem||false|false” custom_margin_last_edited=”on|phone” hover_enabled=”0″ global_colors_info=”{}” button_one_bg_color__hover_enabled=”on|hover” button_one_bg_color__hover=”#1A4247″ button_one_bg_enable_color__hover=”on” button_two_bg_color__hover_enabled=”on|desktop” button_two_bg_color__hover=”#1A4247″ button_two_bg_enable_color__hover=”on” theme_builder_area=”post_content” button_one_bg_enable_color=”on” sticky_enabled=”0″ button_two_bg_enable_color=”on”][\/dsm_button][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.17.4″ _module_preset=”default” z_index=”1″ custom_padding=”0px||0px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.17.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][dipl_tabs tab_trigger=”click” tab_orientation=”vertical” active_tab_background_color=”#1A4247″ tab_alignment=”left” icon_alignment=”left” tab_background_color=”#f5f5f3″ tab_max_width=”285px” image_width=”45px” tab_max_width_tablet=”285px” tab_max_width_phone=”100%” tab_max_width_last_edited=”on|phone” _builder_version=”4.23.4″ _module_preset=”default” active_title_text_color=”#FFFFFF” title_text_color=”#000000″ custom_margin=”||||false|false” hover_enabled=”0″ global_colors_info=”{}” tab_background_color__hover_enabled=”on|hover” tab_background_color__hover=”#dbdbd9″ theme_builder_area=”post_content” sticky_enabled=”0″][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”779″ title_type=”text_image” title=”Total Knee Replacement” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/knee.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.23.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” hover_enabled=”0″ module_alignment_last_edited=”off|desktop” border_width_bottom_tab=”1px” border_color_bottom_tab=”rgba(0,0,0,0.4)” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]<\/p>\n
<\/p>\n
A knee replacement involves removing a thin layer of bone from the damaged surface of the femur (thigh bone), using special instruments which remove the correct thickness of bone. The removed bone is then replaced by a thin layer of metal, approximately the same thickness as the bone which was removed.<\/p>\n
In a similar fashion the upper end of the tibia (shin bone) is removed and is replaced with a wafer of plastic. The back part of the knee cap (patella) may also be resurfaced with a piece of plastic.<\/p>\n
In most cases, the three parts are attached to the bone by means of a bone cement. When this cement is first mixed it develops a dough-like consistency. This dough is pressed into the bone and the parts of the Prosthesis are pressed into the dough. The cement then hardens over 10 to 15 minutes into a plastic-like consistency.<\/p>\n
After the knee has been replaced, the metal “cap” covering the end of the femur rubs against the plastic covering on the end of the tibia, preventing bone from rubbing on bone and giving relief from pain. The plastic is high density polyethylene a material which has a very low wear-rate and a very low frictional resistance when rubbing against the highly polished metal surface.<\/p>\n
[\/dipl_tabs_item][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”793″ title_type=”text_image” title=”Total Hip Replacement” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/hip.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.17.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” border_width_bottom_tab=”1px” border_color_bottom_tab=”rgba(0,0,0,0.4)” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n
![\"hip](\"https:\/\/toc-stl.com\/wp-content\/uploads\/hip_l.gif\")
<\/p>\n
A hip replacement uses the combination of metal gliding on plastic, and cement to attach the artificial components to the bone. The arthritic head of the femur is removed and replaced with a metal ball which is attached to a metal stem. The stem is cemented into the hollow marrow space of the femur. The worn out hip socket is lined with a plastic cup, which is also cemented in place.<\/p>\n
The painful parts of the arthritic hip are thereby completely replaced with metal and plastic surfaces. The plastic socket has a very low frictional resistance, and a very low wear rate against the metal ball.<\/p>\n
With the development of the Cementless Hip Replacement the surface of the metal parts is porous, and looks like coral, hence bone can grow into the metal pores and lock the implant into place without the use of cement.<\/p>\n
[\/dipl_tabs_item][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”797″ title_type=”text_image” title=”The Elbow” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/elbow.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.17.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” border_width_bottom_tab=”1px” border_color_bottom_tab=”rgba(0,0,0,0.4)” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n
![\"elbow](\"https:\/\/toc-stl.com\/wp-content\/uploads\/elbow_l.gif\")
<\/p>\n
The elbow is a hinge joint made up of the humerus, ulna and radius.<\/p>\n
The unique positioning and interaction of the bones in the joint allows for a small amount of rotation as well as hinge action. This rotation is easily noticed during activities such as hand-to-mouth eating motions.<\/p>\n
One of the most common injuries to the elbow is called Lateral Epicondylitis, or Tennis Elbow.<\/p>\n
[\/dipl_tabs_item][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”801″ title_type=”text_image” title=”Hand & Wrist” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/handandwrist.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.17.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” border_width_bottom_tab=”1px” border_color_bottom_tab=”rgba(0,0,0,0.4)” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n
![\"habd](\"https:\/\/toc-stl.com\/wp-content\/uploads\/handandwrist_l-300x170.gif\")
<\/p>\n
The hand is composed of numerous small bones called carpals, metacarpals and phalanges. The two bones of the lower arm — the radius and the ulna — meet at the hand to form the wrist.<\/span><\/p>\n [\/dipl_tabs_item][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”806″ title_type=”text_image” title=”The Shoulder” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/shoulder.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.17.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” border_width_bottom_tab=”1px” border_color_bottom_tab=”rgba(0,0,0,0.4)” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n Shoulder Anatomy:<\/b><\/p>\n The shoulder provides more flexibilty than any other part of the body. The two main bones of the shoulder are the humerus and the scapula (shoulder blade).<\/p>\n The top portion of the scapula, the acromion, attaches to the clavicle, or collar bone. The end of the scapula, called the glenoid, holds the ball-like head of the humerus in place and acts as a flexible ball-and-socket joint.<\/p>\n Four short muscles originate on the scapula and pass around the shoulder where their tendons fuse together to form the rotator cuff.<\/p>\n [\/dipl_tabs_item][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”810″ title_type=”text_image” title=”The Spine” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/spine.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.17.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” border_width_bottom_tab=”1px” border_color_bottom_tab=”rgba(0,0,0,0.4)” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n A knee replacement involves removing a thin layer of bone from the damaged surface of the femur (thigh bone), using special instruments which remove the correct thickness of bone. The removed bone is then replaced by a thin layer of metal, approximately the same thickness as the bone which was removed.<\/p>\n In a similar fashion the upper end of the tibia (shin bone) is removed and is replaced with a wafer of plastic. The back part of the knee cap (patella) may also be resurfaced with a piece of plastic.<\/p>\n In most cases, the three parts are attached to the bone by means of a bone cement. When this cement is first mixed it develops a dough-like consistency. This dough is pressed into the bone and the parts of the Prosthesis are pressed into the dough. The cement then hardens over 10 to 15 minutes into a plastic-like consistency.<\/p>\n After the knee has been replaced, the metal “cap” covering the end of the femur rubs against the plastic covering on the end of the tibia, preventing bone from rubbing on bone and giving relief from pain. The plastic is high density polyethylene a material which has a very low wear-rate and a very low frictional resistance when rubbing against the highly polished metal surface.<\/p>\n [\/dipl_tabs_item][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”814″ title_type=”text_image” title=”The Knee” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/knee.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.17.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” border_width_bottom_tab=”1px” border_color_bottom_tab=”rgba(0,0,0,0.4)” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n A knee replacement involves removing a thin layer of bone from the damaged surface of the femur (thigh bone), using special instruments which remove the correct thickness of bone. The removed bone is then replaced by a thin layer of metal, approximately the same thickness as the bone which was removed.<\/p>\n In a similar fashion the upper end of the tibia (shin bone) is removed and is replaced with a wafer of plastic. The back part of the knee cap (patella) may also be resurfaced with a piece of plastic.<\/p>\n In most cases, the three parts are attached to the bone by means of a bone cement. When this cement is first mixed it develops a dough-like consistency. This dough is pressed into the bone and the parts of the Prosthesis are pressed into the dough. The cement then hardens over 10 to 15 minutes into a plastic-like consistency.<\/p>\n After the knee has been replaced, the metal “cap” covering the end of the femur rubs against the plastic covering on the end of the tibia, preventing bone from rubbing on bone and giving relief from pain. The plastic is high density polyethylene a material which has a very low wear-rate and a very low frictional resistance when rubbing against the highly polished metal surface.<\/p>\n [\/dipl_tabs_item][dipl_tabs_item content_type=”dipl_content_layout” select_content_layout=”818″ title_type=”text_image” title=”Foot & Ankle” tab_image=”https:\/\/toc-stl.com\/wp-content\/uploads\/foot.gif” tab_custom_padding=”1rem|1rem|1rem|1rem|true|true” _builder_version=”4.17.4″ _module_preset=”default” background_enable_color=”off” custom_margin=”4rem||||false|false” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n A knee replacement involves removing a thin layer of bone from the damaged surface of the femur (thigh bone), using special instruments which remove the correct thickness of bone. The removed bone is then replaced by a thin layer of metal, approximately the same thickness as the bone which was removed.<\/p>\n In a similar fashion the upper end of the tibia (shin bone) is removed and is replaced with a wafer of plastic. The back part of the knee cap (patella) may also be resurfaced with a piece of plastic.<\/p>\n In most cases, the three parts are attached to the bone by means of a bone cement. When this cement is first mixed it develops a dough-like consistency. This dough is pressed into the bone and the parts of the Prosthesis are pressed into the dough. The cement then hardens over 10 to 15 minutes into a plastic-like consistency.<\/p>\n After the knee has been replaced, the metal “cap” covering the end of the femur rubs against the plastic covering on the end of the tibia, preventing bone from rubbing on bone and giving relief from pain. The plastic is high density polyethylene a material which has a very low wear-rate and a very low frictional resistance when rubbing against the highly polished metal surface.<\/p>\n [\/dipl_tabs_item][\/dipl_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" A knee replacement involves removing a thin layer of bone from the damaged surface of the femur (thigh bone), using special instruments which remove the correct thickness of bone. The removed bone is then replaced by a thin layer of metal, approximately the same thickness as the bone which was removed.<\/p>\n In a similar fashion the upper end of the tibia (shin bone) is removed and is replaced with a wafer of plastic. The back part of the knee cap (patella) may also be resurfaced with a piece of plastic.<\/p>\n In most cases, the three parts are attached to the bone by means of a bone cement. When this cement is first mixed it develops a dough-like consistency. This dough is pressed into the bone and the parts of the Prosthesis are pressed into the dough. The cement then hardens over 10 to 15 minutes into a plastic-like consistency.<\/p>\n After the knee has been replaced, the metal \u201ccap\u201d covering the end of the femur rubs against the plastic covering on the end of the tibia, preventing bone from rubbing on bone and giving relief from pain. The plastic is high density polyethylene a material which has a very low wear-rate and a very low frictional resistance when rubbing against the highly polished metal surface.<\/p><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>Total Knee Replacement A knee replacement involves removing a thin layer of bone from the damaged surface of the femur (thigh bone), using special instruments which remove the correct thickness of bone. The removed bone is then replaced by a thin layer of metal, approximately the same thickness as the bone which was removed. In a similar fashion the upper end of the tibia (shin bone) is removed and is replaced with a wafer of plastic. The back part of the knee cap (patella) may also be resurfaced with a piece of plastic. In most cases, the three parts are attached to the bone by means of a bone cement. When this cement is first […]<\/p>\n","protected":false},"author":1,"featured_media":483,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/pages\/25"}],"collection":[{"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/comments?post=25"}],"version-history":[{"count":2,"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/pages\/25\/revisions"}],"predecessor-version":[{"id":1164,"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/pages\/25\/revisions\/1164"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/media\/483"}],"wp:attachment":[{"href":"https:\/\/toc-stl.com\/wp-json\/wp\/v2\/media?parent=25"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}The Shoulder<\/h2>\n
![\"shoulder](\"https:\/\/toc-stl.com\/wp-content\/uploads\/shoulder_l-300x259.gif\")
<\/p>\nTotal Knee Replacement<\/h2>\n
<\/p>\nTotal Knee Replacement<\/h2>\n
<\/p>\nTotal Knee Replacement<\/h2>\n
<\/p>\n\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\tView Surgical Animations<\/span><\/a>Download Patient Forms<\/span><\/a>\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\t\r\n\t\t\t\t<\/div>\r\n\t\t\t\t\r\n\t\t\t\t\t\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\r\n\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tTotal Knee Replacement<\/h2><\/div>\n\t\t\t<\/div>
<\/div><\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t![\"Knee](\"https:\/\/toc-stl.com\/wp-content\/uploads\/knee_l.gif\" "\\"knee_l\\"")
<\/span>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t