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Doctor insights on: Hip Resurfacing Vs Total Replacement

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How are total and partial hip replacement different?

How are total and partial hip replacement different?

As the name indica -: Tes, in total hr, both the socket and ball parts of the hip joints are replaced; while in partial hr, only the ball part is replaced (and not the socket). The thr is done for the arthritis mainly while partial hr is mainly done for the fractures of the hip. ...Read more

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Are there total knee replacement options, besides traditional artificial joint replacement surgery?

Are there total knee replacement options, besides traditional artificial joint replacement surgery?

Yes: Alternatives to total knee replacement include partial knee repalcement and osteotomy. Partial knee replacement is done if the arthritis is confined to only one part of the knee. Osteotomy is done if there is an angular deformity contributing to overloading of one side of the joint. ...Read more

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Hip osteotomy or hip replacement. Which is better?

Hip osteotomy or hip replacement. Which is better?

Replacement: There are very, very few indications for an osteotomy in this day and age. If the arthritis is bad enough, replacement is usually the most reliable choice. ...Read more

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What is the main difference between hip resurfacing and total hip replacement?

What is the main difference between hip resurfacing and total hip replacement?

Femur and bearing: A hip resurfacing and total hip both involve relining the inside of the socket. A resurfacing does not remove the entire head, but rather caps the head with a cemented metal piece. A total hip does replace the entire head, and the head is attached to a piece of metal that goes down inside the femur 5 - 6". A critical difference is that a resurfacing requires a metal on-metal bearing (bad idea). ...Read more

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What is the cost of total knee replacement surgery?

What is the cost of total knee replacement surgery?

KNEE REPLACEMENT $$$: Us has the highest cost of knee replacement surgery, from 45000$to70000$ the insurance will cover most, but there are some deductibles and out of pocket expences as well. ...Read more

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Is fixation of hip fracture is better than total hip replacement?

Is fixation of hip fracture is better than total hip replacement?

It depends: It depends on many things. What is the age of the patient? Is there pre-existing arthritis? What is the type of fracture? Most of the time, if you can preserve the normal bone and cartilage it is better than metal and plastic. For elderly, they already have arthritis or the bone is too soft for screws, etc. So the best option is a replacement. ...Read more

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What is hip replacement revision?

See details: The initial artificial hip or a component of the hip is replaced by a new hip or component. ...Read more

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Total hip replacement failure rate?

Total hip replacement failure rate?

Low: Patient factors, implant factors, and surgeon factors all contribute to the longevity of hip replacements. Based on european registry data, greater that 85% of hip replacements will still be functioning well 15 years after implantation. ...Read more

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Have scientists found total knee replacement options, other than traditional artificial joint replacement surgery?

Yes: Depending on the nature of the condition, there are several options. Cartilage repair surgery continues to develop for early knee damage. For more significant involvement of 1 side or compartment of the knee, a partial knee replacement may relieve pain and restore function. If the knee has severe damage, a total knee replacement is indicated. ...Read more

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What is the typical physical therapy protocol for total hip and total knee replacement?

What is the typical physical therapy protocol for total hip and total knee replacement?

Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...Read more

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What is the difference between a hip replacement and total hip replacement?

What is the difference between a hip replacement and total hip replacement?

They are the same: A total hip replacement involved putting in a cup fixed to the pelvis, and a stem with a ball on top, into the femur. This creates an artificial ball and socket joint. Other types of hip replacement include partial hip (same type of stem) with a large ball that articulates with the native socket in the pelvis, used often in hip fractures. Hip resurfacing is another form of hip replacement. ...Read more

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What is involved in knee manipulation after total knee replacement surgery?

What is involved in  knee manipulation after total knee replacement surgery?

Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read more

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What are the exercises after total knee replacement surgery?

What are the exercises after total knee replacement surgery?

Strength and motion: Patients lose 30-50% of muscle strength after tka and have to exercise to regain that strength. Leg raising, walking, and progressive exercises to improve the quadriceps function will help. Motion exercises include bending the knee to regain flexion and full extension (straightening). These should be done 3-4 times/day. Bending, biking, and pulling on the leg in flexion will help. ...Read more

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Would total knee replacement , elimminate my grade 3 chondromacia?

Yes: A total knee resurfaces the parts of the knee that rub together. Instead of having worn out cartilage (chondromalacia) or bone rubbing together, you would have artificial surfaces of metal and polyethylene rubbing together. As these materials have no nerve endings, there is no pain created where they are in contact. The worn areas of cartilage are replaced. ...Read more

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What is the difference between hip repair versus hip replacement?

What is the difference between hip repair versus hip replacement?

Hip replacement: Hip replacement is procedure to remove and insert new ball and socket. Hip repair implies fixing hip with hardware, such as im nail, screws, hemiarthroplasty, etc. ...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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Joint infection after total hip replacement surgery commone or negligent?

Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read more

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What are potential consequences from stalling total hip replacement surgery?

What are potential consequences from stalling total hip replacement surgery?

Pain and bone loss: In most cases, waiting is just a quality of life issue. Occasionally, I have had patients who waited so long that they ground down the roof of the hip socket, making the reconstruction more difficult. Check in with your surgeon yearly. ...Read more

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