Hip and Knee Replacement
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Hip Replacement
What is Total Hip Replacement?
Total hip replacement is the name of the operation in which an artificial joint is placed in the place of the damaged joint in patients whose hip joint is damaged to such an extent that it affects their daily life.
Who are total hip prostheses applied to?
Hip calcification, Rheumatoid arthritis (inflammatory joint rheumatism), Hip fracture, Hip dislocation, and Avascular necrosis for reasons such as the structure of the hip joint is applied to patients in whom the design of the hip joint is impaired.
How are hip replacement surgeries performed?
In total hip replacement surgeries, the joint’s damaged knob and socket parts are replaced with an artificial knob socket made of metal, plastic, and ceramics. These parts can also be applied in a combined way.
How long is the life span of total hip replacement?
The life span of a hip replacement varies according to the patient’s age, weight, gender, and physical activity. Thanks to the developing technology and surgical techniques for hip prostheses, which used to have a life expectancy of 5-10 years, this period has been extended to 15-20 years.
What kind of problems can be seen during and after hip replacement operations?
The most common complication in this type of surgery is infection. At the preparatory stage before the operation, it is tried to prevent this problem by investigating the foci of disease that are likely to be present in the body and, if any, giving treatment. Strict adherence to the features and physical facilities of the operating room and sterilisation conditions is another important aspect in preventing this complication. Another possible problem is an embolism, defined as the formation of a clot in your veins due to the slowing of blood flow in your leg veins, and this clot breaks off and disrupts the blood flow to other organs. Early mobilisation after surgery, the use of blood thinners and the use of anti-embolism remedies reduce this compliance. A fracture may develop in the bone around the inserted prosthesis during or after surgery. To prevent this complication, it is aimed to accompany walking exercises and prevent falls by the professional physical therapy team during the period of stay in the hospital after surgery with the selection of the appropriate prosthesis. Apart from this, complications such as prosthesis dislocation and wound healing may also occur. Necessary interventions are made in terms of these problems in postoperative follow-up examinations.
What kind of anaesthesia is used in hip replacement surgeries?
Total hip protest operations can be performed successfully using general or regional anaesthesia methods performed from the waist.
How long is the operation time?
Although the duration of hip replacement surgery differs between surgeons, it generally takes about 2 hours.
How long does it take to be hospitalised in the hospital after surgery?
Patients undergoing hip replacement surgery can be discharged after 3-5 days if no postoperative complications are observed.
What to pay attention after operation?
After hip prostheses, movements such as crossing legs or sitting in low places like a squatting toilet should not be preferred. The medications should be used regularly, and the exercises should not be interrupted.
Knee Replacement
What is Total Knee Replacement?
A total knee prosthesis is an operation performed to remove the articular surfaces of the bones that make up the knee joint by cutting and reconstructing the joint with metal and plastic parts placed in the place of the removed characters.
Who are total knee prostheses applied to?
The knee prosthesis is successfully applied to patients who are thought to not benefit from knee arthroscopy and osteotomy operations around the knee or whose complaints continue despite having undergone these operations, and these complaints negatively affect their daily life in case of failure to respond to standard medical treatment, intra-articular injections and physical therapy in advanced knee calcifications.
How are Knee replacement surgeries performed?
In total knee replacement surgeries, the damaged surface forming the joint between the thigh bone and the shinbone is cut and removed from the body with the underlying bone tissue. Subsequently, metal parts suitable for the surface of the cut parts are attached to the bone with the help of bone cement to reconstruct the joint structure. The joint is rebuilt by supporting the two metals with a polyethene plastic structure.
How long is the life span of total knee replacement?
The life span of a knee replacement varies according to the patient’s age, weight, gender, and physical activity. In general, if no complications occur, knee prosthesis can function for 20-25 years if applied by experienced surgeons, using appropriate materials and up-to-date techniques.
What kind of problems can be seen during and after knee replacement operations?
The most common complication in total prosthesis surgery is infection. After the decision for surgery is made, it is tried to prevent this problem by investigating possible foci of disease in the body during the preparation stage for the operation and, if any, treatment is given. The preparation and use of the operating room features and physical facilities, as well as the sterilisation conditions of the equipment used in operation, is another critical issue in preventing this complication. Another possible problem is an embolism, defined as the formation of a clot in your veins due to the slowing of blood flow in your leg veins, and this clot breaks off and disrupts the blood flow to other organs. Early mobilisation after surgery, the use of blood thinners and the use of anti-embolism remedies reduce this compliance. A fracture may develop in the bone around the inserted prosthesis during or after surgery. To prevent this complication, it is aimed to accompany walking exercises and prevent falls by the professional physical therapy team during the period of stay in the hospital after surgery with the selection of the appropriate prosthesis. Apart from this, complications such as dislocation of the plastic parts of the prosthesis and wound healing problems may also occur. Necessary interventions are made in terms of these problems in postoperative follow-up examinations.
What kind of anaesthesia is used in knee replacement surgeries?
Knee replacement operations can be performed successfully using general or regional anaesthesia from the waist.
How long does it take to be hospitalised in the hospital after surgery?
If no postoperative complications are observed, patients undergoing knee replacement surgery can be discharged after 3-5 days.
What should be considered after the operation?
It can be laid so that your knee is straight and higher than your heart level during your hospital stay after surgery and discharge. The application of ice on the knee should not be disrupted. It can be walked freely with auxiliary devices. An elastic bandage or varicose stockings should not be removed for one month. Exercises should be performed as described, and the use of blood thinners should not be disrupted. You should urgently come to your doctor for a check-up in cases such as fever, redness of the legs, shortness of breath, blind smelling discharge at the surgery site.
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I deal with the treatment of diseases related to the locomotor system, that is, the musculoskeletal system, which is designed to move, which is needed by human beings to maintain this function.
