The Good and Bad of the Hip and Knee Replacement

When I speak with other orthopedic doctors, onetime, it is important not to push your body too hard.
thing is clear-hip and knee replacement surgeries areIn fact, one-third of hip patients and one-quarter of
on the rise. As the baby boomer generation growsknee patients were unable to walk half a mile one
older, demand is growing for these increasinglyyear after their surgeries. While most people have
common surgeries, according to a study presented atsuccess with replacement surgery, there is a small
the American Academy of Orthopaedic Surgeons'chance of infection, and complications, like weakened
2006 annual meeting.muscles and legs of unequal length, can occur.
It's obvious that the baby boomers are not so willingAre There Less Drastic Alternatives?
to give up their active lifestyle and leisure pursuits, soIt is true that a standard replacement gives most
hip and knee replacement is going to be morepeople the best possible results, but some
prevalent as time goes on! So the question for manyalternatives are available:
over the age of 55 is:Hip resurfacing - This procedure can help even
Is Surgery For You?severe arthritis sufferers by employing a smaller
When people suffer from severe osteoarthritis, hipimplant and removing less of the bone than standard
or knee replacement is often the best option to stayreplacement surgery.
active longer. In over 70% of patients, implantsKnee Osteotomy - Best for young, active patients,
replace joints that are damaged or worn out due tothis surgery shifts pressure off of the weakest part
osteoarthritis. But many also have the same surgeryof the joint. It is an option for people whose arthritis
performed due to fractures, injury trauma oris located on only one side of the knee.
rheumatoid arthritis. Although the average age ofPartial knee replacement - This is a choice if you
patients is 71 years old, the trend seems to behave limited osteoarthritis and involves resurfacing
leaning toward younger and younger patients.only one compartment of the knee.
Undergoing a hip or knee replacement is a majorAlthough hip or knee replacement-or the
decision for you and your doctor, so it may help toalternatives-is a big decision, it is important not to
know that 82% of 1,001 patients surveyed bywait too long. If you have pain that makes it difficult
Consumer Reports were "very satisfied" orto sleep and perform everyday tasks, and doesn't
"completely satisfied" with their results.respond to pain medication, you should see an
As I tell my patients, however, recovery doesn'torthopedic surgeon who will help you decide what
happen overnight and may be painful. Of the peoplecourse of action to take.
surveyed, the majority was able to cease taking painThe good news is that joint replacements are
medication after two months, but 12% were stillimproving, so chance of success is high, and patients
taking it one year after surgery.can enjoy many years of freedom from aches and
It is encouraging to know that 90% of patients couldpains. There is no reason why you shouldn't make
do everyday activities after one month. At the sameyour golden years as active and fulfilling as possible.