Your overall health is important and can have a major impact on how well you do after hip or knee replacement surgery. It is important to discuss your health with your physician so they can help you prepare in the time leading up to surgery. Your surgeon will want to know your health history, surgical history, medicines you are taking, allergies you may have, family history and social activities. You will also likely have a discussion about optimizing your health before surgery.
The first step when making the decision about knee replacement is to meet with your surgeon to see if you are a candidate for total knee replacement surgery. Your surgeon will take your medical history, perform a physical examination, and X-ray your knee. Even if the pain is significant, and the X-rays show advanced arthritis of the joint, the first line of treatment is nearly always non-operative. This includes weight loss if appropriate, an exercise regimen, medication, injections, or bracing. If the symptoms persist despite these measures, then you could consider surgery.
Computers have been assisting surgeons in the operating room since the 1980s. Today approximately 7% of all joint replacement surgeries are completed with the aid of computer navigation technology. Similar to the GPS in your car, these devices guide surgeons to precisely position the components of a hip or knee replacement. These tools can help surgeons decide what thickness of bone to remove and how to improve limb alignment. In theory, a well-balanced and properly aligned joint replacement should, like your new car tires, last longer if in acceptable alignment. The number of joint replacements done with this technology may grow over the next decade as it continues to improve.
Infection is a difficult problem that affects one out of 100 people after joint replacement surgery. If your joint becomes infected after surgery, it usually means additional surgery will be needed to treat the infection. It also means, your results will not be as good as they could be.
Choosing the right surgeon to perform your joint replacement is important, and it can be a daunting task. There are several ways to find a surgeon who is right for you. A personal referral from your primary care doctor or friends and family that have experience with joint replacement are a few possibilities. Another form of referral would be through your medical insurance provider who may list preferred surgeons in their network. A third and powerful referral tool is the Internet.
The first step when making the decision about hip replacement is to meet with your surgeon to see if you are a candidate for total hip replacement surgery. Your surgeon will take your medical history, perform a physical examination and X-ray your hip. Even if the pain is significant, and the X-rays show advanced arthritis of the joint, the first line of treatment is nearly always non-operative. This includes weight loss if appropriate, an exercise regimen, medication, injections, or bracing. If the symptoms persist despite these measures, and with corroborating X-rays, then you may consider surgery.
If you are allergic or sensitive to metal, then it is important to alert your surgeon prior to having joint replacement surgery. The most common metal allergy is nickel, which is found in very small quantities in knee implants and in some hip implants. While up to 14% of people will have some reaction to certain metal allergy tests, metal allergy is a very rare cause of failure in knee replacements.
After orthopaedic surgery, your doctors and nurses will make every effort to control your pain. While you should expect to feel some discomfort, advancements in pain control now make it easier for your doctor to manage and relieve pain.
During a dental procedure, it is possible for bacteria from the mouth, teeth or gums to travel through the bloodstream and settle in an artificial joint.