Doctor insights on:
Joint modification: An arthroplasty is usually a replacement of a joint with metal and plastic. The most common arthroplasties are hip and knee replacements. In the thumb, the arthritic joint is usually replaced with soft tissue. There are replacements for most joints when they wear out. ...Read more
A disc replacement: Certain individuals with lumbar or cervical disc disease can qualify for a disc replacement. Somewhat similar to hip and knee replacements done today. The purpose of this procedure is to maintain motion at the level with the disc pathology. This helps to prevent further degeneration of the disc that are adjacent to the level operated on in the future. ...Read more
Pro-: Joint replacement or arthroplasty, when performed correctly with the proper indications, is a true success story in that it can return patients to many of their previous activities. There are some risks which should be reviewed with your board-certified orthopaedic surgeon prior to proceeding with the surgery. ...Read more
What are potential complications after arthroplasty? What complications should I be aware of before agreeing to have arthroplasty? .
Complications: Most common are wound problems, infection, clot formtion, hematoma, stiffness, loosening of components, patellar pain or maltracking, misalignment and sometimes fracture. The surgeon takes all precautions against such complications and they are rare & treatable. ...Read more
Short term pain: Obviously you need the surgery to improve your quality of life, and help. Be prepared for several day of moderate to severe pain that may be treated with pain medications. After 2-3 weeks you may still notice mild pains but should completely resolve over 2-3 months. In the end, the goal is to be better off after surgery than you are now. Hang in there!! ...Read more
Hard to Say: If you are looking for alternative to surgery, you may be candidate for stem cell therapy. This may at least give you several years of relief before hip replacement may be an option. The issue at your age is that joint replacement surgery has a shelf like of about 10 years if you are relatively inactive. If you are active the joint spacer will wear out requiring a new hip replacement again. ...Read more
Good result: Most of the time those two producers are combined together to achieve good result because most of the time there is involvement of both. ...Read more
Debating to have arthroplasty done on thumb. Dr. Says may loose mobility of thumb. Need advice to do or not to do.
Let me explain: When you arthroplasty, that should decrease your mobility of the thumb, if you have in a lot of pain in the thumb, do it, it will help. ...Read more
Can arthroplasty implants become loose? Is it possible that my arthroplasty implant will loosen? If so, what happens? .
Yes: Loosening is one of the most common problems after a joint is replaced. Certain joints are glued in. The cement can break with time. Other implants rely on bone growing into the metal to support it and some people can not do this effectively. Signs of loosening are increasing pain on using the jointandswellig. X-rays can show loosening when compared to the original x-ray. Bone scan are helpful. ...Read more
Many Possible: There are quite a few possible complication from a knee arthroplasty. This is best discussed with your surgeon. But in general, for the right patient, it is a good procedure. ...Read more
Assume thumb: Involves removal of the trapezium, suspension of the metacarpal base to recreate effect of supportive ligaments, and often a soft tissue interposition to fill the space created by removal of the bone, most commonly with tendon transfered from wrist. Seek care with hand surgeon. ...Read more
Variable recovery: Recovery from a hip replacement surgery will vary patient to patient. We routinely perform the direct anterior total hip replacement and it is not unusual for the patients to be up and walking within several days with minimal pain. "Total" recovery can vary between 6 weeks and 6 months depending on circumstances. ...Read more
I am now having my trapeziectomy with suspension arthroplasty next week and I'm allergic to pain meds.?
Discuss it with the:
Surgeon so a few drugs you are not allergic to, can be identified, so they can be used for you.
Maybe the help of an allergist might be fruitful, to identify the drugs you are not allergic to. There are different class of drugs, so I am sure they'll find some you have no allergies to.
Good luck. ...Read more
How long after hip arthroplasty until I can resume normal activity? When can I expect to resume normal activity after my hip arthroplasty? .
Variable: Every patient will recover at their own pace after a total hip replacement. Your recovery will be influenced by multiple variables, including your pre-op condition, severity of your arthritis, stiffness of your hip, the type of surgical approach used, and your motivation and active participation in your recovery process. For most patients, "normal" activities can gradually be resumed by 4-6 weeks. ...Read more
It Depends: Any surgery has associated risks. Knee arthroplasty is a big procedure. It is very helpful when indicated, however. Risks vary depending upon your overall health, medical conditions, level of fitness. Medical issues such as diabetes and heart disease increase the risk of any surgery. It is best to talk these risks over with your primary care physician as well as your orthopedist. ...Read more
See your surgeon:
If the object of surgery was to fuse a joint to straighten it and/or relieve pain and it now is hyper flexible to "rotate 180 degrees " there maybe something wrong with the fusion. Nerve pain after a foot procedure is common but usually resolves within a few months.
See your doctor for evaluation. ...Read more
Sure: Iv for general anethesia if your going to let someone resurface your knee with metal amd plastic why worry about the needle? ...Read more
No: A hip hemiarthroplasty does not include lining the socket with metal and a new bearing. It only replaces the femoral head. A total hip does both. ...Read more
Yes: I usually give one for three to six months. ...Read more
I had cmc arthroplasty 2 weeks ago still having alo of pain taking oxycodone every 4hrs while awake is this normal?
CMC: Check with operative surgeon. May need x-ray to check position. Also check for possible infection, etc. ...Read more
Where is the incision located for hip arthroplasty? With hip arthroplasty, where is the incision made and how large is it? .
How long after arthroplasty until rehab or physical therapy can begin? How soon does physical therapy begin after arthroplasty? .
Within days: This varies based on your orthopedist, however most surgeons start physical therapy within days. This is because the small incisions used to perform arthroplasty help minimize tissue trauma. The reason there is variability however, is because each persons surgey is different. The more extensive the repair, for example if it involved key ligaments in your knee, the longer your orthopedist may wait. ...Read more