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2.1
Replacement Arthroplasty
Arthroplasties Replacement

Presentation

The aim of the present study was to examine cementless humeral surface replacement arthroplasty as a treatment option for posttraumatic and nontraumatic osteonecrosis. [ncbi.nlm.nih.gov]

Entire Body System

  • Swelling

    When the deteriorated joint moves, bone rubs upon bone causing pain, swelling, limiting motion, and frequently causing a grinding or popping sensation. [medicinenet.com]

    Signs of infection include a fever, redness, swelling, bleeding, draining, or an increase in pain around the area of the operation. [medicalnewstoday.com]

    Less Pain Trauma caused by tissue damage causes pain and swelling as part of the healing process. Since anterior hip replacement requires a much smaller incision and dissection of normal tissue, the end result is less pain during recovery. [jointreplacementflorida.com]

    Long-Term Expectations It may take a full year to reach maximal medical improvement in regards to swelling and return to recreational activities. [medicine.umich.edu]

    The knee may swell or "give-way" because the joint is not stable. Other forms of arthritis, such as rheumatoid arthritis and arthritis that results from a knee injury, may also lead to degeneration of the knee joint. [hopkinsmedicine.org]

  • Weight Loss

    loss Physical therapy In some cases, surgical alternatives other than total hip replacement can be effective, especially in young patients with active lifestyles. [osmifw.com]

    First-line treatment options include: weight loss medications physical therapy assistive devices, such as a cane or a knee brace Key factors in determining if you’re a good candidate for knee joint replacement include: how much your knee pain interferes [healthline.com]

    Even if the pain is significant and the X-rays show advanced arthritis of the joint, the first line of treatment is nearly always non-operative, to include weight loss if appropriate, an exercise regimen, medications, injections, or bracing. [andersonclinic.com]

    Avascular necrosis (loss of blood supply) Infection Connective tissue disorders Inactive lifestyle- e.g., Obesity, as additional weight puts extra force through your joints which can lead to arthritis over a period of time Inflammation e.g., Rheumatoid [stefankreuzermd.com]

    loss, anti-inflammatory medications, modification of your activities, canes, or physical therapy. [sportsmedicinemiami.com]

  • Fatigue

    We suggest that destabilization and breakage of prostheses result from fatigue failure secondary to the torque generated at the distal radio-ulnar joint during repeated pronation and supination. [ncbi.nlm.nih.gov]

    […] is narrowed and irregular in outline; this can be seen in an X-ray image Bone spurs or excessive bone can also build up around the edges of the joint The combinations of these factors make the arthritic hip stiff and limit activities due to pain or fatigue [stefankreuzermd.com]

    The combinations of these factors make the arthritic hip stiff and limit activities due to pain or fatigue. [hipandknee.com.au]

    The combinations of these factors make the arthritic knee stiff and limit activities due to pain or fatigue. Diagnosis The diagnosis of osteoarthritis is made on history, physical examination & X-rays. [sportsmedicinemiami.com]

    The combinations of these factors make the arthritic knee stiff and limit activities due to pain or fatigue. [southbayortho.com]

Musculoskeletal

  • Hip Dislocation

    Hip dislocation: The risk of hip dislocation is usually less than 1 or 2%. Provided the components are placed correctly and the appropriate post-operative precaution measures adhered to, it is unlikely that the hip will dislocate. [hipandknee.com.au]

    Excessive valgus creates strain on the knee, can lengthen the leg and can lead to superior dislocation with adduction of the leg. A hip positioned in varus can cause increased loosening and stem failure and can also lead to dislocation. [radiopaedia.org]

    […] prosthesis where further reconstruction is not considered, 8 cerebral palsy or other chronic neurologic conditions with chronic hip dislocation and, rarely, certain tumor resections in the region of the hip joint. [link.springer.com]

    […] fractures Congenital hip dislocations and displasia Contraindications for surgery [20] Absolute Contraindications 1. [physio-pedia.com]

  • Foot Disease

    J Foot Ankle Res. 2010;3:24. Epub 2010/10/21. pmid:20959016; PubMed Central PMCID: PMC2967518. View Article PubMed/NCBI Google Scholar 3. Farrow SJ, Kingsley GH, Scott DL. Interventions for foot disease in rheumatoid arthritis: a systematic review. [journals.plos.org]

Neurologic

  • Confusion

    In recent years, these technologies have been marketed directly to patients which has increased the awareness as well as confusion on what these different designs mean. [andersonclinic.com]

    When performed by a skilled surgeon, this approach is compatible with a rapid recovery Much of this material may be confusing and it can be controversial among surgeons. [rushortho.com]

    Heart Attack Stroke Venous Thromboembolism Pneumonia Increased confusion Urinary Tract Infection (UTI) Intra-operative risks [ edit ] Mal-positioning of the components Shortening; Instability/dislocation; Loss of range of motion ; Fracture of the adjacent [en.wikipedia.org]

    Several samples should be taken to minimize confusion caused by skin contaminants. Infections up to one year after the insertion of the prosthesis are acquired during implantation. [radiologyassistant.nl]

Treatment

First popularized for the treatment of late-stage rheumatoid arthritis and other debilitating forms of joint disease, the current indications have expanded to include primary treatment of elbow trauma. [ncbi.nlm.nih.gov]

Prognosis

Prognosis Editor's note Dr Sarah Jarvis, February 2019. A new systematic review and meta-analysis in the Lancet, involving 13,212 patients, reveals that prognosis for hip replacement has improved. [patient.info]

Etiology

The etiology is generally of a traumatic nature and symptoms include painful, limited range of motion of the joint. If untreated, destructive joint changes may lead to a painful degenerative arthritis requiring surgical intervention. [ncbi.nlm.nih.gov]

Contributory factors and etiology of sciatic nerve palsy in total hip arthroplasty. Clin Orthop. 1987;218:136–141. PubMed Google Scholar 39. Nercessian O, Piccoluga F, Eftekhar NS. [link.springer.com]

Epidemiology/Etiology Total hip replacement is a frequently done procedure. [8] [9] [10] [11] Although mostly done electively, it is also used to in the management of hip fractures (mostly displaced neck of femur fractures) caused by trauma (e.g. fall [physio-pedia.com]

Epidemiology

Epidemiology of instability after total hip replacement. Orthop Clin North Am. 2001;32:543–52, vii. 14. Hull RD, Pineo GF, Stein PD, Mah AF, MacIsaac SM, Dahl OE, et al. [revistas.fucsalud.edu.co]

Epidemiology The number of hip arthroplasties is increasing with 76,500 in 2012 in the UK, a 7% increase compared to 2011 [ 4, 5 ]. The percentage of total hip arthroplasties being performed on patients younger than 60 is increasing steadily [ 6 ]. [patient.info]

Epidemiology/Etiology Total hip replacement is a frequently done procedure. [8] [9] [10] [11] Although mostly done electively, it is also used to in the management of hip fractures (mostly displaced neck of femur fractures) caused by trauma (e.g. fall [physio-pedia.com]

Pathophysiology

This is mainly due to technical advances and better understanding of knee pathophysiology and functions. Knee arthroplasty involves removal of the damaged, worn or diseased knee joint with an artificial joint or a prosthetic implant. [news-medical.net]

Prevention

Statins, a class of drugs used to lower cholesterol levels, have been reported to help prevent the development of DVT. [ncbi.nlm.nih.gov]

[…] or wire is inserted into the bone to align and immobilize fracture - weights range from 2-20 kg - increased risk of infection due to pin site and prolonged immobility - pin sites are a portal of entry of microbes and they require fastidious care to prevent [quizlet.com]

Additional information on preventing complications: Joint Replacement Infection Deep Vein Thrombosis Preventing Infection After Joint Replacement Surgery (video) Preventing Blood Clots After Orthopaedic Surgery (video) Recovery and rehabilitation will [orthoinfo.aaos.org]

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