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Doctor insights on: Hip And Knee Replacement Surgery

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How safe is hip and knee replacement surgery?

How safe is hip and knee replacement surgery?

Both have become : Very common and routine procedures. These have the best outcomes done by surgeons who do a lot of them. However, a lot also depends on the status of the patient with obesity, malnutrion, diabetes, peripheral vascular disease, osteoporosis, presence of autoimmune diseas such as lupus, clotting disorders, prior blood clots or dvt, varicose veins and deformities in legs all having an impact. ...Read more

Dr. Frederick Buechel, jr. md
453 doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone(femur), the upper end of the shin bone(tibia) and the undersurface ...Read more


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If one has initial stages of OA in the hip or knee, is it inevitable that hip or knee replacement surgery will happen? How can I avoid it?

If one has initial stages of OA in the hip or knee, is it inevitable that  hip or knee replacement surgery will happen?

How can I avoid it?

Not inevitable : Hip and knee OA are very frequent and is OA in the weight bearing joints, thus weight loss and exercise to strengthen the muscles surrounding this joints is key. The x-ray can showed bone on bone OA but what matters is if you are having pain. If pain and had tried lose weight and PT, then try medications first, even injeccions. If nothing works then consider surgery if your lifestyle is affected. ...Read more

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What things have to be taken care of for a person wishing for a knee replacement surgery?

What things have to be taken care of for a person wishing for a knee replacement surgery?

Find a surgeon: You would need to see an orthopedic surgeon who would arrange this /you would need to be medically evaluated as to you general health and ability to undergo anesthesia and surgery this usually means a visit with a medical doc like an internal med doc and some lab testing maybe an ekg ( usually done for those with ^ blood pressure/ then it takes a good bit of "paper work" most pts do well. ...Read more

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What are the risks of total knee replacement surgery?

What are the risks of  total knee replacement surgery?

Short and long-term: Anesthesia reactions including heart attack, stroke, allergy, etc. Infections, early about 1% of the time, and possibility of late infections years later. Blood clots and pulmonary embolus. Blood loss, only 5-10% will need transfusion. Persistent pain, swelling, and stiffness. 95% of patients have good to excellent results 3 months after their replacement. Late failure of implant from wear. ...Read more

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What is the popping I hear after knee replacement surgery?

What is the popping I hear after knee replacement surgery?

Normal: As it is a man-made device, it is not unusual to hear/feel painless clicking in your knee after a successful knee replacement. If concerned, have your surgeon re-evaluate your knee. ...Read more

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How can you sleep on side after total knee replacement surgery?

How can you sleep on side after total knee replacement surgery?

Pillow: There is no physical reason preventing you from sleeping on your side. You might try a pillow between your legs if you find it uncomfortable while your knee recovers. ...Read more

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What happens to torn ligaments during knee replacement surgery?

What happens to torn ligaments during knee replacement surgery?

Balanced: The acl is sacrificed. If the PCL is torn a posterior stabilized prosthesis is used. The mcl & lcl are balanced. ...Read more

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My mom has her knee replacement surgery soon. What can I do to help?

My mom has her knee replacement surgery soon. What can I do to help?

Be supportive!: Joint replacement surgery is significant surgery with a prolonged, and sometimes arduous, recovery. The best thing you can do to help is be supportive, both emotionally as well as physically. She will need physical assistance upon returning home, and if you can be there to help that will be very beneficial. But she will also have days where she will need your emotional support. Good luck! ...Read more

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Will a person be able to walk normally after knee replacement surgery?

Will a person be able to walk normally after knee replacement surgery?

Yes much better: Total knee replacement is made to reduce pain and improve function. Patients walk much better after recovering from a total knee than they did before total knee surgery. Most walk close to normal or normal once they have fully recovered. ...Read more

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What is the difference between an osteochondral surgery and partial knee replacement?

What is the difference between an osteochondral surgery and partial knee replacement?

Preservation vs repl: Bone preservation vs bone replacement. Based on your age each has an advantage over the other. After 40 years of age replacement is a more predictable procedure. ...Read more

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For what length of time do I have to wait to drive a car after a total knee replacement surgery?

For what length of time do I have to wait to drive a car after a total knee replacement surgery?

Driving after TKA: I usually have patients wait until they are walking without assistive devices and when they are not taking pain medicines. ...Read more

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Had total knee replacement 5 months ago knees tingle and hurt had symptoms before surgery also?

Had total knee replacement 5 months ago knees tingle and hurt  had symptoms before surgery also?

Possibly radicular: There are multiple potential causes. One possible source is known as a radiculopathy, which occurs when a nerve is pinched in the back causing pain in the legs. There are many other potential causes as well. I would not hesitate to be seen for a specific diagnosis. ...Read more

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Had knee replacement 4 weeks ago and my body is itching uncontrollably. Does it have anything to do with surgery?

Had knee replacement 4 weeks ago and my body is itching uncontrollably. Does it have anything to do with surgery?

Healing?: When the skin is healing, it is common to have symptoms of itching but they are usually local. Visit your doctor for an evaluation to rule out any reaction to medication or local surgical incision/scar skin problems. ...Read more

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When will i be able to walk after knee replacement? How soon after knee replacement surgery will i be able to walk on my own. .

When will i be able to walk after knee replacement? How soon after knee replacement surgery will i be able to walk on my own.

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6 weeks: All depend of the surgeon protocol and what kind of total knee was done.In general you should be able to start walkink with a walker 2d day after surgery with partial wb.You could be walking on your own probably after 4 to 6 weeks. ...Read more

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Hello, I have an Injury to my knee replacement. Swelling, pain instability. From car accident 2 days ago. Any thoughts on avoiding another surgery?

Hello, 
I have an Injury to my knee replacement. 
Swelling, pain instability. 
From car accident 2 days ago.
Any thoughts on avoiding another surgery?

See your Orthopedist: Once a joint replacement is in, the bone is thin around that site. A smaller amount of trauma might crack (break) that thin bone. When you have continued pain after injury, go get more tests to see if that could have happened. The ER could do the test, but your "Bone Dr." should be consulted. ...Read more

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R Knee replacement surgery 5/21 & have pain outer side and stiffness back and left of knee. Normal? What to do improve pain,stiffness.weaknesdo walk,

R Knee replacement surgery 5/21 & have pain outer side and stiffness back and left of knee. Normal?  What to do improve pain,stiffness.weaknesdo walk,

Knee replacements: There are multiple causes of post-operative knee pain/stiffness after knee replacement. Your pain seems to be located mostly in the outside of the knee. This could be from impingement of the knee replacement components on the soft tissues. Recommend getting new x-rays and consulting with an orthopedic surgeon ...Read more

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How serious is a knee replacement surgery?

Moderate: General or spinal amethesia 200cc of blood loss risk of infx. And blood clots pulmonary embolis pain 2-5days hospital stay. ...Read more

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How to reduce swellig after knee replacement surgery?

How to reduce swellig after knee replacement surgery?

Lots of things: Ice it a lot. Get a knee sleeve ice machine and use it when ever you are sitting down or resting for the first 6-12 weeks. I can't stress how much these ice machine sleeves help. Bregg makes a great machine. I believe it is called polar tec. Do lots of isometric quadriceps contractions. Elevate it when your not walking around. Ice after any activity for 10-20 minutes. Where a compression sock. ...Read more

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