Friday, July 29, 2016
The number of replacement surgery in India has increased in the past few years. Due to the complication related to hip joints and knee joints patients are visiting doctors for the replacement surgeries. Hip joint replacement becomes important in case you suffer from arthritic hip or face an accident. In order get a long lasting relief from the arthritic pain, patients usually go for hip replacement surgeries. However, there is very little chance of error in this operation but still as like any major surgery it has also certain risks. In the post, I am going to discuss about the risks and the complications related to common hip replacement surgery in India that patients must be aware off.
The complications can be divided into two different categories such as general complications and specific complications. The general complications are such as allergic to the given medication, loss of blood during transfusion, heart attack, organ failure or nerve blocking etc. These are very general complications, which are related with most of the major operations. However, there are certain specific complications are related with the hip replacement surgeries. These are discussed below.
Blood clots: During or later the surgery it has been seen that patient can come up with the complication of the blood clotting in deep veins of leg that resulting into pain or swelling. If the clot will not be cleared off, it can causes future complications also. In different ways, these complications can be handled. Doctors can give medications or in case of emergency can go for another operative process to get the clot out.
Pulmonary embolism: Sometimes it happens that the clots of blood passes through the veins and reach the lungs through the veins and can be stuck. In such cases, the patient can be detected with breathlessness, chest pain that may result into collapse. In order to get rid of these, doctors prescribe blood thinning medicines or oxygen therapy.
Infection: Infection can happen at any major operations. In order to avoid the infections operation theatres are especially equipped with systems that pump fresh air within it. The infection in case of hip replacements can be dealt with the medicines but the replaced joints have to be removed until that. After an interval of 6 to 12 weeks, new hip components are being planted again.
Dislocation: A study suggests that one in a 20 cases it has been found that the artificial joint may get dislocated. In such cases, the patient has to go through the operations again in order to put the joint back in the position. In case, it is occurring for more than once, the patient may have to gone through surgeries again or has to put and braces in order to stabilise the joints. Thus in order to stay protected it is necessary that the patient must not bend the joints more than 90 degree. It is also advised to them that not to cross the legs more than the midline of the body.
Wear: It has been seen that people operated and replaced with the plastic socket are facing the problem of inflammation and the worn plastic eat away hipbones. In order to get rid of the problem people are more often prone to the ceramic on ceramic or metal on metal joints. The reason is that these joints are wear less. However, it comes with the risk as metal on metal joints releases metal ions, which can have other adverse effects on the bones. Advanced hard wearing plastics are also developed and used in order avoid this risk.
Inequality in leg length: Due to the artificial replacement sometime, an inequality of leg length is recorded within the patients after operation. However, doctors take ample precautions in order to avoid the problem. Due to the muscle weakness it is also been found that the height of the leg gets unequal. However, in order to resolve the issue a shoe raise is necessary in the shorter part.
Loosen replacement: One of the common causes of the failure of hip replacement is found due to the loosen up of the artificial replacement. However, it can occur at any point of time but generally, it has been seen to occur after the 10 or 15 years of the operation. In case the bone got thinner, the artificial joint may get loosen. In these cases, the only option is to undergo the surgery again in order to fix the problem.In order to conclude I can say that surgery at any age is not a pleasant experience for anybody. However, at some point of time we have to choose between living a normal life and life in a incapacitating conditions. Therefore, we have to choose the surgical process in order restore the normal functionalities our life.
Wednesday, July 27, 2016
In a long medical career I have found that people faces a lot of trouble in the post surgery period. However, most of the knee replacement surgeries are recorded as successful one. There are only few cases where it has been found that there are some complications related with the knee replacement operations. Broadly, the complication can be classified into two different categories. These are short-term complication and long-term complications. We will discuss both the problems on by one.
Short terms problems are the problems, which are negligible one and are settled within a few weeks. Here are certain examples of the following:
Pain: Once the patient comes out of the anaesthesia, he or she may feel some amount of sore around the place of operational scar. In order to keep the pain in control doctors usually give pain relief medicines. It is always advisable to follow the medications that are prescribed by the doctors and not to manage anything except that. In order to keep the pain in control the patients can do the lighter exercises also. However, within few week patients likely to feel better as they do not have to fight with arthritis anymore and can move the knees freely.
Numbness: Patients often feels numb around the scar. The reason is that due to operation few of the nerves that are related with feeling are being cut. It takes nearly a year or more to heal the nerves completely. Thus until it will be completely solved the patient may feel the numbness in that area.
Swelling: It is one of the very common problems faced by the patients. In the post operative period swelling around the knee is usually happens and to reduce it the bandages are tied around it. Once the operative bandages are removed, the patient can use the tubigrip compression bandages around the knee to support it. Keeping the leg elevated helps to drain the excess fluid from the knee and reduce the swelling. Applying the ice therapy can be another effective measure to get rid of the swelling. There are different types of ice therapy that can be used such as cryo cuffs generally used in hospitals.
In addition there are certain long-term complications are also there of knee replacement surgery. There are following:
Wearing the prosthetics can be one of the long-term problems that people usually faces. It has been seen that the knee replacement surgery last nearly 20 years from the operation. However, the timing may differ from patient to patient depending on the age and other specifications.
It has found that there are nearly 1.4% of the people have to do a total replacement which is known as revision knee replacement. Else, people can be relived through the partial knee replacement surgery also.
Another long-term complication of knee replacements is any kind of infection at the knee joints. Fortunately, the chance of infection in case of the knee replacement is very rare. There are three different classification can be done of the knee infection based on the time from the surgical period. These are Early that occurs within a timeframe of three months from the operation, Delayed that occurs within three months to less than a year and Late, that are happened after a year from the surgery.
Early infection mostly occurs due to microorganisms that enter the body during operation. The common traits of the infection is swelling, fever effusion etc.
Delayed infections have the same symptoms as of the early infections. It is also caused of the microorganisms while doing the operation.
Late infections are mostly happens due to haematogenous situation means are infected from the other parts of the body. Ion this kind of infection the bacteria come from the other places such as dental area, pneumonia, urinary infections etc that travel through the blood. In order avoid such kind of infection doctors generally advice the patient to take antibiotics at the pre operative stage. However, doctors test the infected blood and culture that to heal the problem.
In addition to these complications, there can be other complications also such as forming clots of blood in the vain, damage of blood vessel or the nerves etc. Other common complications are congestive heart failure, hyperglycaemia, haemorrhage, Edema etc. Instability of ligaments, stiffness of joints, problems related to track the platella are some of the other complications that can rise at the post operation period. Therefore, it is advisable to the patients that if they found anything unnatural after the operative period they must visit their doctor without loosing any time further.
Saturday, July 23, 2016
In my long-term career, I have seen that most of the people come with the problems of arthritis or joint pains after the age of 50 years or more. However, I am sure that if those people would take proper care of the bones from an earlier age they could avoid such issues. Joints usually connect two bones such as knee joint, shoulder joints or hip joints and take the weight to allow you move in a fluent manner. Trauma, strains and sprains, bursitis are some of the causes of the joint pain. Here I am going to mention certain tricks, following which they can avoid arthralgia in the later age.
Ice Therapy: In order to reduce the tissue from swelling, the flow of blood is needed to be reduced. Ice temperature helps to decrease blood flow thus whenever you feel pain you must put an ice pack on the place in an interval of every hour for duration of 15 minutes time. Apply the same process even on next day at least for four or five times for the same duration. The process helps you to heal the pain. The process is also known as cryotherapy. However, in order to shun the ice burn it is advised to not place the ice directly on skin rather to apply it by wrapping it in wash clothes or towels.
Hydrotherapy: Pouring warm water can also does wonder in case of getting relieved from joint pains. Having a bath in mild warm water or immersed the area in the water can bring relief to you by stimulating the flow of blood.
Massage: Giving a proper massage to the area of pain can also help you in order to get relieved from pain and further knee joint replacement. Proper massage can help you to get over the joint pain of knee and hips. You can go for it by both own or professional. If you are doing it by own remember to keep the direction of the stroke to the upward. A topical menthol rub massage can also help to reduce the pain.
Medication: However, it is the least option that is suggested, but in case the pain is acute, ibruphen can be a good relief for the joint pain. Non-steroidal drugs can help to relieve from the joint swelling as well as stiffness of the muscle. However, it is recommended that to visit the doctor before you take the medicines.
Exercise: Doing regular exercise helps you to avoid the joint pains and later to avoid the joint replacing surgeries. Therefore, it is important to choose the proper exercise, which let you to stay within the limit and not cause further pain. Exercise extends the limits of you muscle and strengthens the joints thus it prevents the joint aches. Further doing the exercise helps you to control body weight. It helps the joints such as knees and the joints to get relieved from taking the extra burden. As example you are 10kg weighing extra it put pressure equivalent to 30 kg extra on your knee joints.
Adapting right technique: it is always advisable that you must sit, work or lift heavy things in the proper technique as it helps your joint to be protected from the external injuries. People who are associated with the sports must use different protecting gears that would help them from being injured or hip joint replacement.
Finally, the best possible way to keep the joint pain away is by having a plenty of time by taking rest. It helps you to reenergise yourself and to repair the body damages in a natural way.These few tricks can be used in order to avoid the joint related problems. However, causes like aging or family history cannot be avoided all the time. Thus, it is advisable to stay in touch of the doctor to avoid the joint problems. Keep the joint pains away and stay happy.