from
a
full
load
until
adequate
fixation
and
healing
have
occurred.
The
patient
should
not
have
unrealistic
functional
expectations
regarding
to
activities
or
occupations
such
as
running,
lifting
weights
and
walking
for
long
periods.
Excessive,
unusual
and/or
awkward
movement
and/or
activity,
trauma,
excessive
weight
and/or
o besity,
c ould
b e
i mplicated
w ith
p remature
f ailure
o f
t he
i mplant.
POSTOPERATIVE
P RECAUTION
The
p atient
s hould
b e
v isited
p eriodically
a fter
s urgery
a nd
h e
h as
t o
b e
w arned
a bout
t he
l imitations
o f
t he
postoperative
process.
The
patient
has
to
follow
postoperative
instructions,
including
those
arising
from
follow-‐up
visits,
and
he
has
to
be
aware
that
a
correct
rehabilitation
is
essential
for
the
implant
success.
In
fact,
in
restoring
all
the
functions
of
the
joint,
collaboration
is
needed
to
overcome
the
pathological
state
and,
as
required
by
the
bio-‐mechanical
specifications,
the
device
must
be
integrated
in
such
a
way
as
to
facilitate
t he
n ormal
p rocesses
o f
b one
g rowth.
To
do
this,
it's
important
that
the
patient
returns
to
a
controlled
normal
activity,
through
exams
and
radiological
analysis,
in
order
to
manage
the
loads
that
can
be
applied
to
the
joint
and
to
the
medical
device.
Except
initially,
our
devices
do
not
create
any
particular
problems
for
the
patient
in
everyday
life.
Should
any
p roblems
a rise,
p lease
i nform
i mmediately
t he
p atient.
Periodic
p ostoperative
X -‐ray
t esting
i s
r ecommended.
POSSIBLE
A DVERSE
E FFECTS
The
possible
adverse
effects
of
the
K-‐MOD
system
are
similar
to
those
occurring
with
any
total
knee
replacement,
b oth
r evision
a nd
p rimary
s urgeries,
a nd
i nclude
t he
f ollowing:
1. General
Complications
related
to
surgical
interventions,
medications,
other
instruments
used,
blood
e tc.
2. Particulate
wear
debris
from
metallic
and
polyethylene
components
may
be
present
in
adjacent
tissue
or
fluid.
It
has
been
reported
that
wear
debris
may
initiate
a
cellular
response
resulting
in
osteolysis
w hich
c an
l ead
t o
t he
i mplant
l oosening;
3. Early
o r
l ate
p ostoperative
i nfection
a nd
a llergic
r eaction;
4. Intraoperative
bone
fracture
may
occur,
particularly
in
the
presence
of
poor
bone
stock
vaused
by
osteoporosis,
b one
d efects
f rom
p revious
s urgery,
b one
r esorption,
o r
w hile
i nserting
t he
d evice;
5. Loosening,
migration
or
fracture
of
the
implants
can
occur
due
to
trauma,
loss
of
fixation,
malalignment,
m al
p osition,
b one
r esorption,
u nusual
a nd/or
a wkward
m ovement
a nd/or
e xcessive
activity;
6. Periarticular
c alcification
o r
o ssification,
w ith
o r
w ithout
i mpediment
o f
j oint
m obility;
7. Inadequate
r ange
o f
m otion
d ue
t o
i mproper
s election
o r
p ositioning
o f
c omponents;
8. Variation
i n
t he
l eg
l ength;
9. Dislocation
or
subluxation
due
to:
inadeguate
fixation,
malalignment
or
mal
position,
unusual
and
or
e xcessive
m ovement,
t rauma,
o besity,
w eight
g ain.
M uscle
a nd
s oft
t issue
l axity;
10. Fatigue
f racture
o f
a
c omponent
c an
o ccur
a s
a
r esult
o f
l oss
o f
f ixation,
s trenuous
a ctivity,
t rauma,
malalignment,
o r
e xcessive
w eight;
11. Corrosion
a t
t he
i nterfaces
b etween
c omponents;
12. Wear
a nd/or
d eformation
o f
a rticulating
s urfaces;
13. Varus-‐valgus
d eformity;
14. Patellar
t endon
r upture
a nd
l igamentous
l axity;
15. Intraoperative
o r
p ostoperative
b one
f racture,
a nd/or
p ostoperative
p ain.
16. Hematomas
a nd
d elayed
w ound
h ealing;
17. Temporary
o r
p ermanent
n europathies;
18. Venous
t hrombosis
a nd
p ulmonary
e mbolism;
19. Cardiovascular
d isorders;
20. Occasional
a nd
p ermanent
n erve
d ysfunction.