Surgery for Total Joint Replacement
This
article provides an overview of total joint replacement. Separate articles on
distinct types of joint replacement, such as those for the hip, knee, shoulder,
or wrist, provide comprehensive information on these procedures.
A total joint replacement is a surgical
procedure in which a metal, plastic, or ceramic prosthesis is used to replace
parts of an arthritic or damaged joint. The prosthesis is made to move like a
normal joint in good health.
The most common types of joint replacements are
those for the hip and knee, but other joints like the ankle, wrist, shoulder,
and elbow can also be replaced with surgery.
Anatomy: When the ends of two or more bones
meet, joint forms. The body has many different kinds of joints. Because it can
bend and straighten like a door with hinges, the knee is one example of a
"hinge" joint. The hip and shoulder are examples of
"ball-and-socket" joints, in which one bone's rounded end presses
against the cup-shaped portion of another bone.
When Should I Get a Total Joint Replacement?
Joint replacement surgery may be an option for
patients with a number of conditions that result in joint pain and disability.
Joint pain is frequently brought on by arthritis, a fracture, or another
condition that has damaged the articular cartilage, which lines the ends of the
bones.
Your doctor may recommend total joint
replacement if nonsurgical treatments like medication, physical therapy, and
activity modifications do not alleviate your pain and disability.
Preparing for Surgery Your primary care
physician and the surgical team will spend time getting you ready for your
upcoming procedure in the weeks leading up to it. For instance, your general
health may be checked by your primary care physician, and your surgeon may need
several tests, like a cardiogram and blood tests, to help plan your surgery.
You can also prepare in a number of ways. Talk
to your physician and inquire. Make physical preparations by exercising and
eating well. Obtaining assistive items, such as a shower bench, handrails, or a
long-handled reached, and arranging for assistance will help you manage the
first few weeks you spend living at home. You can help ensure a quick recovery
and smooth surgery by planning ahead.
Getting Ready for Joint Replacement Surgery
More Information to Help You Get Ready:
Replacement of all joints: Prior to undergoing
surgery, patients should ask their surgeon the following: Checklist for Health
Conditions Before Surgery: Medication Safety Checklist Before and After Total
Joint Replacement (Video) Surgery A few hours are required for total joint
replacement. In a hospital or outpatient surgery centre, the procedure is done.
Your joint's damaged cartilage and bone are
replaced with prosthetic components made of metal, plastic, or ceramic during
the procedure. The prosthesis is designed to look and move like a natural
joint. In an arthritic hip, for instance, the damaged ball (the upper end of
the femur) is replaced with a metal ball attached to a metal stem that is
inserted into the femur, and the damaged socket is replaced by a plastic socket
implanted into the pelvis.
Complications Your doctor will talk to you about
the risks and potential problems that can come from having a total joint
replacement. These problems can be related to the surgery itself or they can
happen later.
The majority of problems can be fixed with
success. Infection, blood clots, nerve damage, and prosthesis issues like
loosening or dislocation are some of the more typical complications of joint
replacement surgery.
More information on how to avoid problems:
Deep Vein Thrombosis Preventing Infection
Following Joint Replacement Surgery (Video) Preventing Blood Clots Following
Orthopaedic Surgery (Video) Recovery Each individual's recovery and
rehabilitation will differ. In most cases, your doctor will tell you to start
using your "new" joint as soon as possible after your surgery. Your
recovery will be accelerated if you follow your doctor's instructions, even if
it is sometimes difficult.
Because the body is adjusting to the new joint,
the surrounding muscles are weak from inactivity, and the tissues are healing,
most patients will experience some temporary pain in the replaced joint. Within
a few months, the pain should go away.
Exercise plays a crucial role in the recovery
process. You will be given specific exercises to help strengthen the joint and
restore movement by your doctor or physical therapist.
Please speak with your doctor if you have any
concerns about the restrictions on your activities following total joint
replacement.
Long-Term Effects Following joint replacement
surgery, the majority of patients are able to carry out activities of daily
living with greater ease. The majority of people can anticipate that their
joint replacement will last for many years, enhancing their quality of life
with reduced pain, enhanced motion, and strength that would not have been
possible otherwise.
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