ARTHROPLASTY
About Arthroplasty
Prostheses replace worn-away or destroyed cartilage and bone. They typically last 10 to 13 years. Some new ones have been promoted as being able to last 20 years or longer, but this has not been seen clinically yet.
More than 500,000 joint replacements are performed in the United States each year, according to the Arthritis Foundation. Pain and decreased quality of life are the two main reasons for undergoing arthroplasty.
The success of arthroplasty depends on patient selection, particularly with total arthroplasty. Because of the limited life of prosthetic devices, total arthroplasty is usually not performed in younger patients. However, waiting too long to deal with a joint problem may reduce the likelihood of a good outcome from arthroplasty years later.
Candidates for total arthroplasty are typically over the age of 60 years because physically active young people tend to wear out prostheses quickly. The joint of the candidate must have limited function that interferes with activity, such as chronic stiffness and swelling, difficulty walking (in a joint associated with the legs) or lifting/holding things (in a joint associated with the arms) and moderate to severe pain from osteoarthritis even when at rest. Deformity of the joint increases the likelihood that arthroplasty will be used in treatment.
Arthroplasty is typically not a chosen course of action until other methods (e.g., resting, weight loss, physical therapy, analgesics) have proven unsuccessful. Good candidates for this procedure are generally healthy, without infection or conditions that restrict blood flow, and preferably without diabetes or other endocrine disorders. They generally remain active and maintain a healthy body weight. Candidates for lesser forms of arthroplasty may have fewer and less serious conditions.
The prostheses that may be used in arthroplasty are finite (limited) in duration. New designs are allowing prostheses to last longer and longer. Regardless of the design, prostheses typically last longer in the older, less active population. Youthful activity levels generally wear out a prosthesis more quickly, requiring that it be replaced more often. Arthroplasty, hip arthroplasty, total hip arthroplasty, knee arthroplasty, total knee arthroplasty, Fahri Erdoğan, Fahri Erdogan, Fahri Erdogan MD, Ortopaedic Surgeon, Ortopaedic Surgeon Professor, Arthroplasty , Artroplasti.net, Orthopaedics and Travmatology, The Best orthopaedic surgeon professor, nişantaşı ortopedi merkezi, nomerk, istanbul üniversity, memorial hospital, cerrahpaşa medical faculty, osteotomy, trademark, arthroscopic surgery, osteoarthritic pain, prosthesis, joint replacement, quality of life, hip fractures, acute trauma, rheumatoid arthritis, cartilage, bone, Osteoarthritis, Fractures, osteoporosis, osteonecrosis, Hip dysplasia, Joint deformity, TMJ disorder, Psoriatic arthritis, Sports injuries, Total joint arthroplasty, x-ray, conservative therapies, Single-stage bilateral total joint arthroplasty, Unilateral total joint arthroplasty, Hemiarthroplasty, Unicompartmental joint arthroplasty, Minimally invasive surgery, Replacement arthroplasty, Polyethylene, Metal alloys, Chromium cobalt, stainless steel, titanium, metal ion levels, Ceramics, Alumina, Carbon, Pyrolytic carbon, graphite, small joints, Metal-on-polyethylene, Metal-on-metal, 20 years, Ceramic-on-ceramic, Silicone spacers, Bone cement, Polymethylmethacrylate, PMMA, Press fit, autologous blood donation, Arthrography, Magnetic resonance imaging, Bone scan, osteophytes, inflamed synovium, recovery room, limit weight bearing, immobilization devices, NSAIDs, Analgesics, Physical therapy, circulation and nerve function, occupational therapy, Antibiotics, restore function, Thromboembolism, deep vein thrombosis, Infection, Osteolysis, Ossification, Periprosthetic fracture, Prosthetic break, Aseptic loosening, Dislocation, Nerve damage, Vascular injury, Leg-length discrepancy, joint braces, Arthroscopy, osteotomy