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.
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.
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.
Recalls of hip and knee replacement implants can cause understandable concern on the part of both patients and physicians. Those who have had joint replacement surgery with implants that were subsequently recalled may wonder if their health will be compromised or if they will need further surgery. If you are considering joint replacement surgery, you may be apprehensive about the longevity of the implants utilized.
After having a hip replacement, you may expect your lifestyle to be a lot like how it was before surgery—but without the pain. In many ways, you are right, but returning to your everyday activities will take time. Being an active participant in the healing process can help you get there sooner and ensure a more successful outcome.