When things start falling apart......Dislocation after a hip prosthesis is likely to occur within the first 10–12 weeks. The ball and socket joint, which are part of the prosthesis are sometimes smaller than the parts of the natural joint and can move out of place if the patient moves the hip in certain positions. This problem will require further more complicated surgery. Deep vein thrombosis (DVT)... Deep vein thrombosis is when a blood clot starts developing in the deep vein of the leg after hip replacement surgery because the blood supply is cut off due to the aggressive and invasive nature of the surgery .Blood-thinning medications and TED stockings used after surgery are intended to minimize the risk of Deep Vein Thrombosis.The Chronic use of Anti- inflammatory Medication...Many patients are treated for arthritis with anti inflammatory medications which can be very expensive and come with complications. Medication can cause stomach ulcers and small intestine damage after prolonged use. There’s a risk when taking anti inflammatory medication that it can cause cardiac failure and renal damage.Metal on Metal...Problems are occuring more than ever.There is now medical evidence to suggest that metal on metal implants have been failing after several decades. Click on this link for a list of articles related to the continuation of metal on metal problems.
From the first official hip prosthesis surgical implantation, then problems throughout the 1960s, which still remain, hip prosthesis surgery and the technology used has undergone a slow evolutionary process. The methods used today have only slightly modified since the 1970s. Prosthesis surgery still remains a very aggressive, invasive and costly surgical procedure which brings unnecessary suffering and long recovery times. Here is the short list from the long list of problems related to today’s Hip Replacement Surgery.
The innovative design and technology creating a better future for Hip Surgery
A Historic journey through Hip replacement surgery and the men behind the innovations.
Revision surgery is a procedure which replaces original prosthesis parts which have ceased functioning or no longer fit perfectly within joint sockets. Most times after hip prosthesis surgery, revision surgery is needed, especially in people under the age of 65 as younger patients remain active and are most at risk of wearing down joint parts. The pelvic bones that support the prosthesis deteriorate with either age, a bad reaction to foreign materials from the body, or from disease. Revision surgery involves longer operating times, increased blood loss and increases the length of hospital stay. When dislocation occurs after total hip replacement the patient will require surgery under general anaesthetic. Afterwards the patient will have to endure long times immobilisation in a hospital bed and the need of a hinged orthosis to prevent re-dislocation. There will also be out patient physiotherapy necessary to strengthen muscles. Small incision surgery is not possible for revision surgery. When revision surgery is performed it can be difficult for surgeons to remove the prosthesis. This can also depend on the quality and quantity of bone left behind after the implant has been removed. The trochanter bone may also need to be cut in order to remove the implant and wires are required to hold the parts together until the bone has fully healed.Revision surgery is a more complicated surgical procedure than the initial hip replacement surgery and requires a specialized prosthesis and extensive after care, adding to the list of problems of undergoing revision surgery.
Do We Need to Expend $83 Billion in Joint Prosthesis? In the ‘Journal of Arthritis’ Dr. J. Cabrera expresses how its become unnecessaryfor Joint prosthesis surgery and reveals exciting innovative solutions which will lead the new way forward