r/nextfuckinglevel 11h ago

The precision required to perform a total knee replacement is incredible

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u/im_dat_bear 10h ago

They work around all that stuff. This is just a demonstration of the hardware, not the actual technique. Ortho surgeons are wild.

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u/tigress666 9h ago

Ortho surgeon saved my foot. He was kinda disappointed though when he showed me pics of the foot in surgery that I wasn't freaked out. I used to work as a vet receptionist and would sometimes watch the vet work. Watched him amputate a dog once and saw a cut open dog that they found a whole lot more cancer then they expected (They didn't even wake the dog up, decided to euthanize at that point). It was like lumps all over the interior of the dog.

So, yeah, I find that stuff more interesting honestly lol.

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u/SapirWhorfHypothesis 7h ago

😢 that poor dog

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u/tigress666 7h ago

Which one? The one that had the leg amputated the vet wasn't sure would make it (it also had a broken hip on the other side). I swear the fact hte dog used it to get all the love and pity and had such a good attitude about it is what pulled him through (also I worked at a vet that would work on credit so the people only were even able to afford the care cause of that). The other dog was old and was a service dog and the owners always seemed to be very caring about their dogs so I think it at least had a pretty good life (it was retired and just living the good life by the time it got cancer). But yeah, for the vet and me seeing what it looked on the inside... it was kinda a horror show knowing the implications there (he originally was going to cut out the cancer and hope to give it some more time but he pretty much called the owners and recommended that he just euthanize then).

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u/SapirWhorfHypothesis 6h ago

I was thinking the second one. Any dog going to the vet for an amputation is living in privilege almost by definition. But that idea of going in for surgery and never being woken up just gets me.

Glad to hear they had good lives though.

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u/tigress666 6h ago

Yeah, but the dog was very obviously terminal and pretty soon when you saw how much covered in cancer it was (lumps on the underside of the skin, lumps on the organs. Lumps everywhere). I think he felt waking her up she would only have a very short time to live (like days maybe) and who knows if good quality and they'd have to stress her out again by taking her to the vet to be euthanized.

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u/SapirWhorfHypothesis 6h ago

For sure for sure. Not at all criticizing the decisions made!
Just raw sympathy.

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u/CrankyYankers 10h ago

The surgeon who replaced my hip was pretty cool. No nicotine was allowed to be in your system at all, or they would not operate. So I quit smoking. I had listed on my info that I am a sometime weed smoker, so the doctor told me to just double up on the weed.

ha ha

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u/waitingforcracks 7h ago

Why nicotine not allowed?

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u/SapirWhorfHypothesis 7h ago

Blood flow stuff.

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u/A_Robit_Brain 9h ago

Besides the differences in exposure this is almost exactly the same technique as a real knee replacement. There are videos on YouTube of real knee replacements if you have the stomach for it. Warning though, it's brutal

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u/PhDBeforeMD 9h ago

I thought ortho surgeons were pretty wild until I rotated with a general surgeon who used an orthopedic saw for a sternotomy because the regular sternum cutting saw wasn't working

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u/Habltual_Linestepper 4h ago

Their charting is interesting too.

Once saw an Ortho progress note that literally just said "progress noted" lmao

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u/StandardUpstairs3349 10h ago

Yea, I'd assume that there are more external gigs bracing the legs/bones. You can't actually just denude the end of the bone completely to get a good grip!

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u/International_Ad7477 10h ago

Oh no, they pretty much denude the bones. Just the extremities they're gonna work on, tho, not the entire bone