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Sim is a woman from Cambodia who needs $1,025 to fund a knee replacement.

Sim
63%
  • $653 raised, $372 to go
$653
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$372
to go
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January 9, 2018

Sim is a rice farmer from Cambodia. She has four children and four grandchildren. She likes watching Cambodian comedy TV shows in her free time.

Two years ago, she started experiencing pain in her knee. She can only walk about 15 meters, and it’s causing pain and discomfort.

Fortunately, Sim learned about our medical partner, Children’s Surgical Centre. At CSC, surgeons can perform a total knee replacement to relieve Sim of her pain and allow her to walk easily. Treatment is scheduled for January 10, and Sim needs help raising $1,025 to pay for this procedure.

She says, “I hope I can help the pain on my knee and take care of my grandchildren.”

Sim is a rice farmer from Cambodia. She has four children and four grandchildren. She likes watching Cambodian comedy TV shows in her free t...

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Sim's Timeline

  • January 9, 2018
    PROFILE SUBMITTED

    Sim was submitted by Christine Jacobson, Stakeholder Relations Officer at Children's Surgical Centre, our medical partner in Cambodia.

  • January 10, 2018
    TREATMENT OCCURRED

    Sim received treatment at Kien Khleang National Rehabilitation Centre. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • January 11, 2018
    PROFILE PUBLISHED

    Sim's profile was published to start raising funds.

  • January 12, 2018
    AWAITING UPDATE

    Awaiting Sim's treatment update from Children's Surgical Centre.

  • TODAY
    AWAITING FUNDING

    Sim is currently raising funds for her treatment.

Funded by 22 donors

Funded by 22 donors

Treatment
Total Knee Replacement
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $1,025 for Sim's treatment
Hospital Fees
$160
Medical Staff
$517
Medication
$0
Supplies
$340
Labs
$3
Radiology
$5
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

Patients typically experience severe knee pain and difficulty walking or standing for months by the time our medical partner will perform a total knee replacement (TKR). A TKR treats knees that are severely damaged and therefore not amenable to any other form of treatment.

​What is the impact on patients’ lives of living with these conditions?

Patients may not be able to walk, and physical activity is extremely restricted, making any movement painful. This prevents patients from being able to carry out daily life.

What cultural or regional factors affect the treatment of these conditions?

Cambodia's population is about 16 million people, and the median age is only 24.2 years. While some patients' arthritic joints are caused by old age, younger patients may also develop arthritic joints from congenital, infectious, and traumatic causes. Traumatic causes include motorbike accidents, which are common. Motorbikes are the main form of transportation in Cambodia, but traffic laws are rarely followed and weakly enforced. Often, patients injured in motorbike accidents cannot afford to seek proper treatment in local clinics or hospitals. They visit Khmer traditional healers or simply take pain medications. Their injuries never heal.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

During a knee replacement procedure, surgeons remove the damaged cartilage and bone from the ends of the femur and tibia. The removed portions are replaced with metal components that recreate the surface of the joint. The under-surface of the patella (kneecap) is cut, and a plastic button is placed. A medical-grade plastic spacer is then inserted between the metal components to create a smooth gliding surface.

What is the impact of this treatment on the patient’s life?

The patient will be able to walk without pain, improving his or her quality of life.

What potential side effects or risks come with this treatment?

There are very few risks posed by a TKR. Blood clots are possible, as they are with most orthopedic surgeries. However, common preventative measures have reduced their risk, and now less than 2% of patients develop them. Osteolysis, which occurs when fragments are released from the knee implant into the body and cause inflammation, is possible but uncommon. Scar tissue or other complications can sometimes affect motion in the knee, but these can be resolved with special exercises or physical therapy.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

No other hospital or organization in Cambodia is currently doing TKRs, and there are many people with painful, arthritic knees who cannot live their lives comfortably. CSC is the only center that provides this procedure free of charge. Patients travel to CSC by bus, taxi, or motorbike.

What are the alternatives to this treatment?

A patient may undergo a knee fusion at another facility. This procedure will reduce his or her pain, but will leave the patient with a stiff knee that does not bend.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Meet another patient you can support

100% of your donation funds life-changing surgery.