FAQ

Frequently Ask Question About Total Knee Replacement

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This Operation is as painful as any other operation. Your pain will be kept under control by a team of pain management consultants (anaesthetists) with the help of oral or intravenous medicines. On special occasions nerve blocks will be used to reduce the pain.

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Your progress after going home will be roughly as follows:-

— After going home on the 4th day after surgery you will be advised to walk in the house for 4-5 times a day.
— The stitches on the operative wound will be removed 14-16 days after surgery.
— Other activities like swimming, driving a car or a two wheeler and kitchen work are permitted after 4-6 weeks.
— If your office work is sedentary you may start working 4 weeks after your operation.

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You can take short flight, 4 days post surgery, long flight can take post 15 days.

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You may play golf, walk briskly or swim. Light weight lifting is Allowed.

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You should not sit on a floor. You may sit cross legged, but on a bed or a surface which is at a higher level than the floor.

Frequently Ask Question About Total HIP Replacement

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After a hip replacement, the pain due to arthritis usually subsides in 4-6 weeks. Thereafter, there may be occasional reminders of pain after unaccustomed activity. If however, the pain re-appears after a prolonged pain free period; or the pain tends to worsen progressively, there is a definite cause for concern. This requires an urgent evaluation by the Orthopedic surgeon

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As regards hospital stay, the usual duration is 1 week. The timing of going back to previous level of activity depends upon the type of Hip replacement – Cemented/ Un-cemented; and the quality of bone stock. Usually patients may resume office and sedentary work after 4-6 weeks.

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The typical longevity of a Hip replacement depends upon- quality of bone/ level of physical activity/ Age/ body weight/ technique of surgery. Most hip replacements survive an average of 15-20 years. However, a large number of variables affecting longevity prevents accurate survival analysis. Individual patient assessment should be done carefully, and the risk- benefit analysis should be explained to the patient before surgery.

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The most important of all, are the precautions to be taken by the patient himself. Dislocation of the new joint is a potential risk. extreme of movements should be avoided under all circumstances. The soft tissue healing takes approximately 6 weeks, however, if the hip joint is structurally unstable, or the soft tissue tension is not adequate, precautions need to be taken for a longer time.

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Total Hip Replacement Surgery involves a change of both Femoral head & neck, and Acetabular socket. There are several bearing options which are available depending on the patient requirements.
Common Bearing Options include, – Metal on Polyethylene/ Ceramic on Polyethylene/ Ceramic on Ceramic.
Partial hip replacement involves a change of only the femoral head and neck region; acetabular socket is usually preserved. This is preferred in cases of Femoral neck fracture with healthy acetabular cartilage.

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