What sports can you do following total hip replacement?
Knee joint replacement is intended for use in individuals with joint disease resulting from degenerative, rheumatoid and post-traumatic arthritis, and for moderate deformity of the knee. Joint replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure or complications in postoperative care, compromised bone stock, skeletal immaturity, severe instability of the joint, or excessive body weight.
Total Hip Replacement -OrthoInfo - AAOS
In comparison, the Direct Anterior Approach requires an incision that may be 3-4 inches in length and located at the front of the hip.2 In this position, the surgeon does not need to detach any of the muscles or tendons.2 The table below illustrates the key potential benefits between traditional replacement and the Direct Anterior Approach.
Once the hip is exposed, the very important step of removing the old hip replacement is begun. When the reason for the revision hip replacement surgery is mechanical loosening, otherwise known as aseptic loosening, with extensive osteolysis of the bone, one or all components are not well-fixed to the supporting bone and can be removed with relative ease. Unfortunately, when this is the case, there will be large cavitary bone defects that will need to be reconstructed in some manner to fill in these holes in the bone with either bone cement or bone graft.
Revision Total Hip Replacement - OrthoInfo - AAOS
Finally, revision hip replacement surgery has a less predictable longevity. Typically a revision hip surgery done for loosening or instability is secured to less healthy bone and as such will not bear up as well to the stresses of living as well as when the bone was of better quality when the patient was younger and more active. Additionally, if the revision was done for an infected hip replacement, the risk of a re-infection is high with studies that indicate that in 10 – 15% of the joints the infection is not cleared and they become infected again . Re-infected joint replacements are particularly difficult challenges for the patient and the surgeon.
What Type of Hip Replacement Implant is Best? - …
From the patient’s perspective, the recovery from a revision hip replacement can take much longer than what the patient remembers from the original hip surgery. In fact, it can take up to a year after surgery before the patient finds routine daily activities easy to do. Some patients will require some form of walking assistance in the form of a cane or walker for the rest of their lives. The final maximum range of motion achieved is often less than what the patient remembers their first hip replacement had reached and in fact, stiffness is quite common with revision joints. In addition, leg length discrepancies are more common with revision hip replacement surgery than with primary hip replacements and patients may need a lift in a shoe or have many of their shoes fixed with lifts to compensate for a shorter or longer leg.
Total Hip Replacement Complications & Surgery Recovery
Revision hip replacement surgery is significantly more challenging to perform and fraught with many more complicating events than is found with primary hip surgery. It is truly more art than science to successfully complete some of these very difficult revision surgeries and achieve a stable, flexible and functional hip in the end. Many surgeons who feel comfortable doing primary joint replacement surgery will not tackle revision surgery because of these added challenges and risks.
Hip Replacement - Procedure Types, Recovery Time, & …
Dislocation is one of the most common complications that occurs after revision hip replacement surgery and is a result of many adverse forces at work. Sometimes weakened musculature fails to keep the hip together. Other times the position of the components is not optimal. Still other times, the patient does not follow the instructions given and puts the hip at repeated risk through early over activity. There are a variety of techniques known to the surgeon to improve the chances that the ball will stay in the socket after surgery, but dislocation is still a common event for the revision hip replacement patient.