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Joint Replacement Surgery Tips

Partial Knee Replacement Surgery - Questions To Ask Before Undergoing It!

Partial Knee Replacement Surgery - Questions To Ask Before Undergoing It!

Lack of proper mobility due to stiffness and significant pain can be due to a number of bone and joint problems. Osteoarthritis, arthritis, rheumatoid arthritis, as well as injuries, trauma and inflammation of the knees are only some of the reasons why a patient may be experiencing joint pain. Apart from rest and medication, various surgical procedures may be considered as an option for, particularly severe cases. Partial knee replacement surgery is one such option. So, here are the five questions that you must ask an orthopaedic specialist about partial knee replacement surgery.

  1. What is partial knee replacement surgery: This kind of surgery usually seeks only to replace the damaged part of the knee where the movements of the patient get restricted to a great degree. With the help of this surgery, the orthopaedic surgeon can replace the medial or inner part of the knee; or the lateral or outer part of the knee. When the surgeon conducts a surgery to replace the entire knee, this is called knee replacement.
  2. How to prepare for the procedure: The doctor will advise you to stay away from any medication and dietary supplements that may hinder the work of the anaesthesia that will be administered before the surgery. Before the surgery, the orthopaedic specialist will understand your medical history.
  3. What is the procedure: The surgical procedure for partial knee replacement surgery usually involves keeping the knee in a bent position so that all the joint surfaces are well exposed. The surgeon will start by making an incision that is about six to ten inches in length, before removing the knee cap in order to remove the joint surfaces that have faced damage. Once this has been done, the surgeon will attach artificial joint pieces and close the knee. Then, the doctor will bend and rotate to test for balance and proper functioning of the knee. This procedure usually takes close to two hours.
  4. How long does recovery take: The recovery process usually takes about three to four weeks following the surgery.
  5. What to do after the surgery: Pain medication will help the patient in coping with the initial discomfort and after effects of the surgery. Right after the surgery, the patient will be shown exercises before he or she is put onto a graduated walking program where walking indoors and then outdoors will be practiced. The patient will be required to take on physiotherapy for four to six months following this procedure so as to recover in a better manner and have a better functioning knee.

Get a complete check-up done in case you are facing persistent knee problems.

Knee Replacement - Know Exercises After It!

Knee Replacement - Know Exercises After It!

Disorders that affect the knee like severe arthritis or trauma do not allow you to utilize the full range of motion of your knees. Since you use your affected knees very sparsely, they become stiff and this condition persists even after you have undergone a knee replacement surgery. You can, however, get back the normal range of motion of a healthy knee by doing the following exercises post knee replacement surgery.

  1. Take a stroll around the house after surgery: Walking helps your knees get back to normalcy. Initially, you need to walk using the support of crutches or canes as instructed by your therapist. Make sure that your heels and toes are perfectly aligned while you walk. Walk for 20 minutes at least twice at the initial stage and increase your pace gradually, so that, eventually you can walk freely without any support.
  2. Exercises to reduce swelling: Your legs or foot can become inflamed after the operation. This is not an uncommon sight. In order to reduce swelling, you need to lie flat and rest your legs on a stack of pillows, one at a time. While your leg is elevated you can apply a cold compress at the surgical site.
  3. Pumping exercises: Swelling will be ameliorated and your knees will be revived if you perform ankle pumps and circles. Ankle pumps are done by holding your foot and bending them up and down, whereas, circles are done by moving your feet in a clockwise and an anticlockwise direction. Both these exercises strengthen the knee muscles and reduce swelling.
  4. Stretching exercises: There are two very effective methods of stretching that you can perform by sitting on a chair. The first exercise involves the placing of your leg on a chair opposite to the one you are sitting on. Put pressure on your knee till you can feel a light stretch at the back of your knee. The second exercise is performed by sitting straight on a chair with the feet touching the ground. You need to push your feet outward and inward as far as possible. These exercises reactivate the motion of the knees.
  5. Lying kicks: This is an advanced exercise that one must perform post knee replacement surgery after some warm-up exercises like walking, ankle pumps and stretching. You need to lie flat on a mat with a blanket rolled under your knee. Now slowly raise your leg, hands-free, or using your hands. Keep the leg elevated for at least five seconds before bringing it down slowly on the blanket.

Strictly perform these routines regularly and you will start walking in no time following the knee replacement surgery.

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Joint Replacement Surgery - Everything You Should Be Knowing!

Joint Replacement Surgery - Everything You Should Be Knowing!

Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints. These surfaces closely replicate the original anatomy.

When do you need a knee replacement?

When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when having pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery:

  1. Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
  2. Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
  3. Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
  4. Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
  5. Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.
2759 people found this helpful

Knee Replacement - Know Procedure Of It!

Knee Replacement - Know Procedure Of It!

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. Perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with an artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred to as prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.

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Hip Replacement Surgery - The Many Benefits Of It!

Hip Replacement Surgery - The Many Benefits Of It!

Human bones are continuously being removed and formed which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips which may become worn due to age or other problems within the body. 

Hip replacement surgery 
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.

Benefits of hip replacement surgery:

  1. Lessening hip pain - This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.
  2. Correction of bone deformity - When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.
  3. Return to normal activities and resumption of normal activities - This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain free life.
  4. Ability to have painless sleep - Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.
  5. Leg strength increase - Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.
  6. In most cases a lifelong solution to hip problems - As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again.
5564 people found this helpful

Knee Replacement - All You Need To Know About It!

Knee Replacement - All You Need To Know About It!

Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.

Why do you need knee replacement?

Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.

If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.

Some of the common reasons why you may opt for this particular surgery are:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.

The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.

3596 people found this helpful

Knee Preserving Surgeries (High Tibial Osteotomy, Cartilage Repair) - All About Them!

Knee Preserving Surgeries (High Tibial Osteotomy, Cartilage Repair) - All About Them!

Surgery for joint preservation is used to repair damaged articular cartilage because of osteoarthritis and malalignment. High Tibial Osteotomy is a medical or surgical method to realign the knee joint. This surgery especially helps people with knee arthritis to avoid knee replacement surgery, either partial or total, by maintaining injured joint tissues.

People suffering from degenerative arthritis or osteoarthritis encounter a high crushing of the articular cartilage and menisci that can result in their tearing. Unbalanced forces lead to unwarranted pressure on the knee resulting in mal-alignment.  

High Tibial Osteotomy as an Alternative to Knee Replacement:

High Tibial Osteotomy is usually performed on younger people suffering from mal-alignment or arthritis. The plastic and metal parts used in the total knee transplant surgery have a life expectancy of 15-20 years that might result in another knee transplant surgery for a younger patient. That is why high Tibial Osteotomy is referred to the younger patients until knee replacement becomes unavoidable.

Through High Tibial Osteotomy, the knee is re-aligned to take the pressure off the injured side of the knee. One will have to go through some medical tests before the surgery to know the actual condition of the injury. If the mal-alignment of the knee is not treated, it can make difficult for the patients to perform their daily tasks even walking.

Who Are Eligible for High Tibial Osteotomy?

HTO or High Tibial Osteotomy of the knee is more appropriate for young, active people. Patients who do not feel pain under their knee cap and only on a single part of the knee are permitted for knee osteotomy. They should be able to bend and straighten their knees completely. One should consult their doctor before confirming the type of surgery they will be going for as not everyone is suitable for High Tibial Osteotomy depending upon the severity and overall health of the patient.

Types of Osteotomy Surgeries:

  1. Closed Osteotomy Surgery: The most commonly osteotomy procedure used is a closed wedge osteotomy where the wedge bone is replaced through guide wires. The bones are then closed to fill the gap with the removal of the wedge.

  2. Open Osteotomy Surgery: In this type of osteotomy surgery, the bone wedge is opened to add a bone graft to block up the space with the removal of the wedge.

Advantages:

  1. An effective osteotomy postpones the need for knee replacement surgery.

  2. No physical restrictions have been posted for the surgery.

Disadvantages:

  1. Unpredictable pain post surgery

  2. Longer healing time than partial or total knee replacement surgery

  3. Difficulty in bearing weight on the operated knee

Post-Operative Care:

  1. Physical joint exercises

  2. Protective weight bearing exercises

  3. Use of crutches or walkers as assistive devices

  4. Radiography to correct maintenance of bone  

  5. Pain medications

Take Away:

High Tibial Osteotomy Surgery is performed to avoid Total or Partial Knee Replacement Surgery. This type of surgery is mostly performed on young patients. For most sufferers, this alternative has proven to be working to relieve pain. However, it is always advisable to consult a doctor before opting for this surgery.

All You Must Know About Hip Joint Replacement!

All You Must Know About Hip Joint Replacement!

Damaged hips can cause great distress in carrying out daily activities, such as walking, getting dressed and many more. If you have damaged one or both of your hips, and it causes you great pain, you may require a hip replacement. It is a common form of surgery in which a damaged hip joint gets replaced with an artificial one. This is known as a prosthesis.

Conditions which lead to hip replacement

  1. Osteoporosis where the cartilage inside a hip joint gets worn out and the bones rub with each other as a result
  2. Rheumatoid arthritis, which is caused when the immune system attacks the hip joint lining by mistake
  3. If the hip joint gets damaged severely during an accident or fall

The purpose of a replaced hip joint is to provide pain relief, improve the hip’s function, improve your ability to carry out day-to-day activities and improve your overall quality of life.

Procedure-
A hip replacement is usually carried out under general anesthesia. An incision is made in the hip by the surgeon and the damaged hip joint is removed through it. It is replaced with an artificial metal alloy or a ceramic joint. The surgery takes approximately 60 to 90 minutes for completion.

Recovery-
After the surgery, a walking aid such as crutches is required for up to four to six weeks. You may enroll for an exercise program, which aims at regaining and improving the new hip joint functions. Regular activities can be restored within two to three months. A year is required for utilizing the new hip joint normally.

Risks of hip replacement-
There may be several complications as a result of a hip replacement. They include:

  1. Dislocation of the hips
  2. Infection at the surgery wound
  3. Injury to nerves and blood vessels
  4. Difference between the lengths of two legs
  5. Fractures

Alternative
Hip replacement surgery has an alternative type of surgery, which is called hip resurfacing. During this surgery, the damaged surfaces of the bones within the hip joint are removed and replaced with a metal surface. Less bone is removed in this surgery. However, the metal surface may cause complications and health hazards.

Hip replacement is being improved upon with the advent of technology. Stronger and newer materials are being developed for prosthetics, which will allow enhanced joint mobility and longer wear. New cement-less implants are also being developed. Also, surgery assisted by computer is being used for generating an image of the hip joint.

2299 people found this helpful

Hip Joint Replacement Surgery - Know More About It!

Hip Joint Replacement Surgery - Know More About It!

Human bones are continuously being removed and formed which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips which may become worn due to age or other problems within the body. 


Hip replacement surgery-
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.​

Benefits of hip replacement surgery:
a. Lessening hip pain -
This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.

b. Correction of bone deformity - When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.

c. Return to normal activities and resumption of normal activities - This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain-free life.

d. Ability to have painless sleep - Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.​

e. Leg strength increase - Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.


f. In most cases, a lifelong solution to hip problems - As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again.

2600 people found this helpful

Knee Replacement - Know Procedure Of It!

Knee Replacement - Know Procedure Of It!

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. Perfect alignment and balance are achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with an artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in the backward and forward swing of the legs.

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.

4065 people found this helpful
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