Joint replacement replacement or a hemi (half) replacement. A total hip replacement consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is currently the most common orthopaedic operation, though patient satisfaction short- and long-term varies widely. Knee replacement involves exposure of the front of the knee, with detachment of part of the quadriceps muscle (vastus medialis) from the patella. The patella is displaced to one side of the joint, allowing exposure of the distal end of the femur and the proximal end of the tibia. The ends of these bones are
Tibia (video game) "Tibia". Once a character has reached level 8 it can leave Rookgaard, through the Island of Destiny, for the mainland. Once a character leaves Rookgaard it can never return, unless it is lowered to level 5. If this happens characters are completely reset. After the summer update of 2008 two new areas were added to Rookgaard, a tutorial island, and a vocation island. When Tibia was released in 1997, there was only one city and that one city was called "Tibia". Since the addition of other cities, the city of "Tibia" was renamed "Thais", and the name "Tibia" has since