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Commonly Asked Questions on Joint Replac |
 - What are the commonly used materials for joint replacement?
Commonly used materials for joint replacement are a stainless steel alloy called Cobalt Chrome Alloy and plastic called ultra high molecular Weight High Density Polyethylene.
- At what age can joint replacement be done? Can it be done for children?
Joint replacement is commonly done for patients above the age of 60 years. It may be done between ages of 40 to 60. It is occasionally done between ages of 20 to 40. It is never done in children.
- What is the average hospital stay recommended after joint replacement?
The hospital stay is for seven days after joint replacement.
- What is the average time taken for joint replacement surgery?
The average time taken for joint replacement surgery is 1-1.1/2 hrs.
- Can a person with diabetes, high blood pressure, or heart trouble undergo joint replacement?
Even a person with diabetes, high blood pressure, cardiac disorders can undergo joint replacement surgery under medical supervision. The diabetes or BP must be under control.
- What are the common complications after joint replacement?
The possible complications after joint replacement are general as in other operations and Deep Vein Thrombosis, dislocation for hips and infection. Long term complications are loosening and wear. These are easily preventable and in all cases preventive measures are taken.
- What is the role of physiotherapy and exercises after joint replacement?
Exercises called CPM - Continuous Passive Motion machine start within 1-2 days after joint replacement, while walking is started 2-3 days after joint replacement with full weight bearing, as tolerated.
- Does one need some support of a walker or a stick after joint replacement?
Yes, if only the knee is involved, then a walker for one week and a walking stick for 3 weeks. If both knees are replaced, then it takes twice the time. The same protocol is for hip replacement with cement. Non cemented hips - walking after 2-3 months with a walking stick and weight bearing.
- What precautions are taken to prevent these complications?
To prevent deep vein thrombosis, early exercises are started, and in some patients specialized medication, is administered. To prevent infection, surgery is carried out in a specialized operation theatre and antibiotics are given pre-operatively. Long term loosening is prevented by keeping the weight down and avoiding excessive activity and squatting.
- Can a patient be operated for two joint replacements at the same time?
Usually one joint is resurfaced at a time, but if the patient is fit, occasionally both knees and both hips may be resurfaced in one sitting. The blood loss and infection risk may be slightly higher.
- Can these operations be done in any Nursing Home or Hospital?
No. This is a specialized surgery which requires a special set up, including proper operation theatre, post-operative intensive care unit, trained nurses and technicians and expert physiotherapists to achieve desired results. If needs, special air conditioning with special dust filters (HEPA 0.3 micros) and multiple air changes and also a blood bank; It also requires well-trained doctors and nurses.
- What are the precautions to be used after joint replacement?
It is advisable to use a bedside commode for 3 to 4 weeks and a normal toilet after that avoid sitting on floor, jogging, running and fast sports after joint replacement surgery. Moderate speed walking, climbing stairs, and swimming are permitted.
- Is it covered under Insurance?
That will depend on your mediclaim policy and other insurance. More insurance companies are operating now and all cover these surgeries. The discharge summary will state the diagnosis and operation.
- After the knee replacement will the patient is able to squat?
It is difficult to do the traditional squatting. However, one can sit cross legged for a special occasions and can also sit in the sideways sitting position of the ground. For a hip replacement also, one should not squat on the floor, one can sit cross legged without full bending for special occasions, only and that also after 6 months - 1 year.
- Does one need plaster of Paris cast after surgery?
No, your knee is free, a brace is used for few days for comfort and support and, usually hinged knee cap is used for walking for a few weeks.
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