RESOURCES2017-04-28T13:22:43+00:00

Orthopedic Resources

Dr. Gregory Lauro provides important resources for patients and their families…

Frequently Asked Questions

Knee

A new joint, called a prosthesis (praas-THEE-sis), can be made of plastic, metal, or ceramic parts. It may be cemented into place or not cemented, so that your bone will grow into it. Both methods may be combined to keep the new joint in place.

A cemented joint is used more often in older people who do not move around as much and in people with “weak” bones. The cement holds the new joint to the bone. An uncemented joint is often recommended for younger, more active people and those with good bone quality. It may take longer to heal, because it takes longer for bone to grow and attach to it.

New joints generally last at least 10 to 15 years. Therefore, younger patients may need to have the same damaged joint replaced more than once.

Joints can be damaged by arthritis and other diseases, injuries, or other causes. Arthritis or simply years of use may cause the joint to wear away. This can cause pain, stiffness, and swelling. Diseases and damage inside a joint can limit blood flow, causing problems in the bones, which needs blood to be healthy, grow, and repair themselves.

Joint replacement is becoming more common. More than 1 million Americans have a hip or knee replaced each year. Research has shown that even if you are older, joint replacement can help you move around and feel better.

Any surgery has risks. Risks of joint surgery will depend on your health of your joints before surgery and the type of surgery done. Many hospitals and doctors have been replacing joints for several decades, and this experience results in better patient outcomes. For answers to their questions, some people talk with their doctor or someone who has had the surgery. A doctor specializing in joints will probably work with you before, during, and after surgery to make sure you heal quickly and recover successfully.

Hip

The success of your surgery depends a lot on what you do when you go home. Follow your doctor’s advice about what to eat, what medicines to take, and how to exercise. Talk with your doctor about any pain or trouble moving.

Joint replacement is usually a success in most people who have it. When problems do occur, most are treatable. Possible problems include:

Infection. Areas in the wound or around the new joint may get infected. It may happen while you’re still in the hospital or after you go home. It may even occur years later. Minor infections in the wound are usually treated with drugs. Deep infections may need a second operation to treat the infection or replace the joint.
Blood clots. If your blood moves too slowly, it may begin to form lumps of blood parts called clots. If pain and swelling develop in your legs after hip or knee surgery, blood clots may be the cause. The doctor may suggest drugs to make your blood thin or special stockings, exercises, or boots to help your blood move faster. If swelling, redness, or pain occurs in your leg after you leave the hospital, contact your doctor right away.
Loosening. The new joint may loosen, causing pain. If the loosening is bad, you may need another operation to reattach the joint to the bone.
Dislocation. Sometimes after hip or other joint replacement, the ball of the prosthesis can come out of its socket. In most cases, the hip can be corrected without surgery. A brace may be worn for a while if a dislocation occurs.
Wear. Some wear can be found in all joint replacements. Too much wear may help cause loosening. The doctor may need to operate again if the prosthesis comes loose. Sometimes, the plastic can wear thin, and the doctor may just replace the plastic and not the whole joint.
Nerve and blood vessel injury. Nerves near the replaced joint may be damaged during surgery, but this does not happen often. Over time, the damage often improves and may disappear. Blood vessels may also be injured.
As you move your new joint and let your muscles grow strong again, pain will lessen, flexibility will increase, and movement will improve.

General

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