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HelloMD.com: ORTHO PAEDICS (BONE AND JOINTS)

Orthopaedics is concerned with bones, joints, muscles, tendeols and nerves - the skeletal system and all that makes it move.

ARTHOPLASTY (JOINT REPLACMENT - KNEE, HIP AND ELBOW JOINT REPLACEMENT)

Arthioplasty is an operation to restore motion to a joint and function to the muscles, ligaments and other soft tissue/structures that control the joint. Arthroplasty had its inception in the mid nineteenth century when surgeons attempted to produce extra articular Pseudoartherosis (creating a false joint) by simple resection (cutting) of stiff joints. The goals of total joint replacement are simple - to relieve pain, to provide motion with
stability and to correct deformity. This procedure is indicated in individuals with a painful disabling arthritic joint that is no longer responsive to conservative treatment.

FREQUENTLY ASKED QUESTIONS
 

At what age can joint replacement be done?

Can it be done for children? - Commonly done for patients above age of 60 years. It is occasionally done between ages of 20 & 40 is very severe arthritis only. It is never done in children.

What is the average hospital stay re-commended after joint replacement

The average hospital stay is for seven days.

What is the average time taken for joint replacement surgery ?

The average time taken for joint replacement surgery is one to one and half hours.

Can a person with diabetes, high blood pressure or heart trouble undergo joint replacement?

A person with said problems can undergo joint replacement surgery under medical supervision.

Does one need some support of walker or stick after joint replacement ?

Yes, if only one knee joint is involved then a walker for one week and a walking stick for three weeks. If both knees are replaced then twice the time. The same protocol is for hip replacement with cement.

What are common complications after joint replacement ?

The possible complications are deep vein thrombosis (clotting of blood in the veins) and infection. Both these complications are preventable. Long term complications are loosening and wear & tear of the prosthesis. This depends on quality of the prosthesis and strength of the bones holding the prosthesis.

Can a patient be operated for both the joints at the same time?

Usually one joint is replaced at one time but if patient is fit both knees or hips may be replaced in one sitting.

What are the precautions to be followed after joint replacement ?

Since it varies from patient to patient, it is better discussed with surgeon before surgery.

How long does that replacement last ? and then what ?

The life of implant depends on weight of the person, type of arthritis, the alignment of the leg and the surgical technique. Mostly it lasts for a life time. In rare cases revision surgery may be required when one or more components are removed or replaced.

NOTE: SINCE ORTHOPEDICS IS A VERY VAST FIELD, IT IS NOT WITHIN THE SCOPE OF THIS WEBSITE TO DISCUSS EACH AND EVERY PROCEDURE IN DETAIL, SO A BRIEF OUTLINE OF VARIOUS PROCEDURES IS GIVEN BELOW. IT MAY BE STATED THAT ALMOST EVERY KIND OF PROCEDURE IS BEING SUCCESSFULLY UNDERTAKEN BY THE TEAM OF DOCTORS OF AMS. PLEASE LET US KNOW IF YOU HAVE ANY SPECIFIC QUERY.

  

 
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