Can Hip Joint Pain Delay Knee Replacement Surgery? - Orthopedics

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Hip joint pain and artificial knee joint?


I have severe nerve compression pain in my hip joint (grade 4), and both of my knees also hurt, making it difficult to walk.
I have recently scheduled surgery for a hip joint replacement.
Is it possible to replace the knee joint while addressing the hip joint pain? Would this cause any conflicts or increase discomfort? Thank you.

Weiwei, 70~79 year old female. Ask Date: 2021/03/16

Dr. You Dianqi reply Orthopedics


Hello: You have recently scheduled a knee joint replacement, but you are currently experiencing significant pain in your hip joint.
As a personal recommendation, I suggest discussing the cause of your hip pain with your attending physician before making any further decisions regarding the surgery.
Thank you for your attention to this matter.

Reply Date: 2021/03/16

More Info


When considering whether hip joint pain can delay knee replacement surgery, it's essential to understand the interconnectedness of the body's joints and how pain in one area can affect overall mobility and quality of life. In your case, with severe hip pain that is compressing nerves and causing significant discomfort, it is crucial to evaluate the timing and necessity of both surgeries carefully.

Firstly, hip joint pain can indeed influence the decision regarding knee replacement surgery. If the hip is causing significant pain and functional limitations, it may be advisable to address the hip issue first. This is because the hip joint plays a critical role in overall lower limb function, and if it is not functioning optimally, it can complicate recovery and rehabilitation from knee surgery.
In many cases, orthopedic surgeons will assess the patient's overall condition, including the severity of pain, the degree of functional impairment, and the potential for recovery from each joint's surgery. If the hip joint is severely compromised, it may be more beneficial to perform a hip replacement first. This could alleviate pain and improve mobility, which in turn may enhance the recovery process for subsequent knee surgery.

Moreover, performing both surgeries simultaneously is an option in some cases, but it is not without risks. The combined stress of two major surgeries can lead to longer recovery times and increased complications. Therefore, it is crucial to have a thorough discussion with your orthopedic surgeon about the potential benefits and risks of simultaneous versus staged surgeries.

In your situation, where you are experiencing significant pain from both the hip and knees, it is advisable to have an open dialogue with your healthcare provider. Discuss the following points:
1. Pain Management: Address how the hip pain is impacting your daily life and mobility. If the pain is severe, it may be necessary to prioritize the hip replacement to improve your quality of life.

2. Functional Assessment: Your surgeon may perform a functional assessment to determine how well you can move and whether addressing the hip first could improve your ability to participate in rehabilitation after knee surgery.

3. Surgical Risks: Understand the risks associated with each surgery, including the potential for complications and the recovery timeline.

4. Long-Term Goals: Discuss your long-term mobility goals and how each surgery fits into achieving those goals.

In conclusion, hip joint pain can indeed delay knee replacement surgery, especially if it significantly affects your mobility and quality of life. It is essential to work closely with your orthopedic surgeon to determine the best course of action tailored to your specific situation. Prioritizing the surgery that will provide the most immediate relief and functional improvement is often the best approach. Remember, the ultimate goal is to enhance your overall mobility and reduce pain, allowing you to return to your daily activities with greater ease.

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