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Joint replacement is done to remove the damaged or diseased parts of the joint by replacing them with artificial devices or man-made parts. Mostly hips and knees are replaced in the joint replacement surgery. Others include the replacement in the fingers, ankles, elbows, and shoulders, etc. At Bharath Orthopaedics, we use the most advanced techniques to help you relieve the pain and discomfort to restore to the normal life.
Total hip replacement is used to treat osteoarthritis or degenerative arthritis using prosthesis to eliminate pain. It is considered as one of the most successful and common surgical procedures in orthopaedic surgery.
Incision or cut is made to expose the hip joint over the posterior lateral hip. A special instrument called reamer is used in the acetabulum. The surgeon removes the femur or the thighbone and reams away the socket’s surface which secures in a socket made of polyethylene. Then, the surgeon uses a metal head and stem into the thighbone by press fit or using a bone cement. After which, the ball is placed into the cup. So that, a new hip ensures proper stability and mobility. Then the muscles and soft tissues are closed gently.
Revision Hip Replacement is a complex procedure where it takes too long time and has more complications requiring larger wounds using specialist equipment. It is nothing but a part or all of your previous hip injuries or replacements need to be revised. The minor adjustments and massive operations depend on the significant amounts of bone that gets replaced.
Knee replacement also known as arthroplasty is a surgical procedure done to resurface the knee for patient’s arthritis or a bad knee injury. It resurfaces the damaged part of the knee to reduce acute knee discomfort
Incision is made to the damaged part of the knee and resurfaced with prosthesis. The prosthesis may be cemented or un-cemented depending on the patient’s requirement. Then the incision is closed using the surgical dressings.
Shoulder replacement is done to reduce pain and restore mobility in patients with end-stage shoulder arthritis or suffering from severe shoulder fracture.
The shoulder replacement surgery is done by replacing the damaged humeral head with a metal ball, and the glenoid cavity is replaced with a smooth plastic cup. The prosthesis may be metal or plastic implant system.
Hip joint replacement is done to replace the damaged ball-and-socket with artificial synthetic parts that mimic the ball and the socket.
A cemented prosthesis is attached to the hip with bone cement for quicker adhesion. Uncemented joints takes a long time to get attached to the bone. Both the prosthesis used have differences regarding recovery. Another option is a muscle sparing hip replacement to spare cuts through the muscles to reduce pain.
They are commonly performed through anterior or posterior based on the location of the incision. Anterior incisions are made in the front of the upper thigh, while posterior incisions are made in the hip’s back.
An appropriate orthopaedic evaluation is very much necessary by getting treatment from a qualified orthopaedic surgeon to share his/her opinion. The orthopaedist will gather information regarding your general health-related problems, and then performs physical examinations. Other tests like x-ray, blood tests, etc. will be done to complete the evaluation. After which, your orthopaedic surgeon will review the results and discuss the details with you to relieve your pain and improve your joints’ function.
All procedures require medical clearance by an internist at HSS which must be done within 28 days prior to your surgery date. We will coordinate these appointments as well as an educational class.
We recommend stopping use of all anti-inflammatory, fish oil supplements, and other blood thinning medications one week prior to surgery. Your clearing doctor will make recommendations regarding other prescription medications.
Your hospital course will entail admission from 1-2 days. Once you are cleared by therapy you can be discharged to home with provided visiting nurse services and physical therapy services at home. This will be followed by outpatient Physical Therapy. Your initial follow-up will be six weeks postoperative.
On average your return to work recovery will be approximately six to eight weeks, depending on individual recovery. The majority of patients will be able to resume most sporting activities in twelve weeks post op.