Total Joint Replacement Surgery

What is total joint replacement?

An arthritic or damaged joint is removed and replaced with an artificial joint, called a prosthesis...

What is a joint?

A joint is formed by the ends of two or more bones that are connected by thick tissues. For example, the knee joint is formed by the lower leg bone (tibia and fibula) and the thighbone (femur). The hip is a ball and socket joint, formed by the upper end of the femur (the ball), and a part of the pelvis, called the acetabulum (the socket)...

Why is total joint replacement necessary?

The goal is to relieve the pain in the joint caused by the damage done to the cartilage. The pain may be so severe, a person will avoid using the joint, weakening the muscles around the joint and making it even more difficult to move the joint...

How is a total joint replacement performed?

You will be given an anesthetic and the surgeon will replace the damaged parts of the joint. For example, in an arthritic knee the damaged ends of the bones and cartilage are replaced with metal and plastic surfaces that are shaped to restore knee movement and function.

In an arthritic hip, the damaged ball (the upper end of the femur) is replaced by a metal ball attached to a metal stem fitted into the femur and a plastic socket is implanted into the pelvis, replacing the damaged socket....

What is the recovery process?

In general, your orthopaedic surgeon will encourage you to use your "New" joint shortly after your operation. After total hip or knee replacement, you will often stand and begin walking the day after surgery. Initially, you will walk with a walker, crutches, or a cane.

Most patients have some temporary pain in the replaced joint because the surrounding muscles are weak from inactivity and the tissues are healing. This will end in a few weeks or months....

What are the possible complications?

Tell your orthopaedic surgeon about any medical conditions that might affect the surgery. Joint replacement surgery is successful in more than 9 out of 10 people. When complications occur, most are successfully treatable...

Possible complications include the following.

Infection

Infection may occur in the wound or deep around the prosthesis. It may happen while in the hospital or after you go home. It may even occur years later.

Blood Clots

Blood clots result from several factors, including your decreased mobility causing sluggish movement of the blood through your leg veins. Blood clots may be suspected if pain and swelling develop in your calf or thigh.

Loosening

Loosening of the prosthesis within the bone may occur after a total joint replacement. This may cause pain. If the loosening is significant, a revision of the joint replacement may be needed. New methods of fixing the prosthesis to bone should minimize this problem.

Dislocation

Occasionally, after total hip replacement the ball can be dislodged from the socket. In most cases, the hip can be relocated without surgery. A brace may be worn for a period of time if a dislocation occurs. Most commonly, dislocations are more frequent after complex revision surgery.

Wear

Some wear can be found in all joint replacements. Excessive wear may contribute to loosening and may require revision surgery.

Prosthetic Breakage

Breakage of the metal or plastic joint replacement is rare, but can occur. A revision surgery is necessary if this occurs.

Nerve Injury

Nerves in the vicinity of the total joint replacement may be damaged during the total replacement surgery, although this type of injury is infrequent...

Is total joint replacement permanent?

Most older persons can expect their total joint replacement to last a decade or more. It will give years of pain-free living that would not have been possible otherwise.

Younger joint replacement patients may need a second total joint replacement. Materials and surgical techniques are improving through the efforts of orthopaedic surgeons working with engineers and other scientists....

Recent Advances in Total Joint Replacement

As successful as most of joint replacement procedures are, over the years, the artificial joints can become loose and unstable, requiring a revision (repeat) surgery.

These issues— together with the fact that increasing numbers of younger and more active patients are receiving total joint replacements, and older patients are living longer— have challenged the orthopaedic industry to try to extend the life cycle of total joint replacements....

Joint Replacement Services include

• Joint Preserving procedures
• Minimally Invasive Approaches
• Revision Hip & Knee Replacement
• Joint Replacement Patient Education Classes

                                                                                                And many more...............

Conditions Treated

• Osteochondritis dissecans
• Femoro-acetabular impingement
• Osteonecrosis
• Problem joint replacements/revision joint replacements

                                                                                                And many more...............

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