Joint Replacement: Challenges and Solutions After Surgery

Joint replacement surgery

Hello, Doctor.
I would like to ask for your advice.
My mother underwent joint replacement surgery due to bone cancer, but post-surgery, she has been unable to bend her knee like a normal person.
She experiences soreness and coldness in the area, and while she can walk, she cannot bend her knee.
Is this a normal situation after joint replacement? Can it be improved? Or is it possible to undergo a revision surgery? It has already been over three years! Thank you for your guidance.

Lü, 30~39 year old female. Ask Date: 2013/12/04

Dr. Shi Guozheng reply Orthopedics

After joint replacement surgery, patients typically regain the ability to bend the joint.
It is unclear whether the surgery was performed on the knee or hip joint.
Generally, if patients actively participate in rehabilitation therapy post-surgery, their functional outcomes are usually favorable.
If further intervention is necessary, it should be preceded by a careful evaluation by a physician.
Additional surgery is only required if there are complications such as infection or loosening of the artificial joint.

Reply Date: 2013/12/04

More Info

Joint replacement surgery, particularly for patients with underlying conditions such as bone cancer, can present a variety of challenges during the recovery process. In your mother's case, the inability to fully bend her knee and the accompanying pain and cold sensation are not uncommon after such a significant surgical intervention. However, it is essential to understand the potential reasons behind these symptoms and the options available for improvement.

Firstly, after joint replacement surgery, it is typical for patients to experience stiffness and limited range of motion in the affected joint. This stiffness can be attributed to several factors, including scar tissue formation, muscle weakness, and the body's natural healing process. In some cases, the pain and cold sensation may indicate issues with circulation or nerve involvement, which can occur post-surgery.

The fact that your mother has been experiencing these symptoms for over three years suggests that there may be underlying issues that need to be addressed. While some patients do regain full range of motion and function over time, others may require additional interventions to improve their condition. Here are some potential solutions and considerations:
1. Physical Therapy: Engaging in a structured physical therapy program can significantly help improve range of motion and strength in the knee. A physical therapist can provide tailored exercises that focus on flexibility, strength, and functional mobility. It is crucial to be consistent with therapy and to follow the therapist's recommendations closely.

2. Pain Management: If your mother is experiencing persistent pain, it may be beneficial to consult with a pain management specialist. They can explore various options, including medications, injections, or alternative therapies, to help alleviate discomfort.

3. Assessment of Joint Function: A thorough evaluation by an orthopedic surgeon is essential to determine the current state of the artificial joint. Imaging studies, such as X-rays or MRIs, can help assess the alignment and integrity of the joint replacement. If there are signs of loosening, wear, or other complications, the surgeon may recommend revision surgery.

4. Revision Surgery: In cases where the artificial joint is not functioning correctly or if there are significant complications, revision surgery may be necessary. This procedure involves removing the existing prosthesis and replacing it with a new one. However, revision surgeries are more complex and carry additional risks, so a thorough discussion with the orthopedic surgeon is essential.

5. Lifestyle Modifications: Encouraging your mother to engage in low-impact activities, such as swimming or cycling, can help maintain joint mobility without placing excessive strain on the knee. Additionally, weight management can reduce stress on the joints and improve overall function.

6. Monitoring for Complications: It is essential to monitor for any signs of complications, such as infection, deep vein thrombosis (DVT), or issues related to the prosthesis itself. If your mother experiences any new or worsening symptoms, she should seek medical attention promptly.

In conclusion, while some degree of stiffness and discomfort is common after joint replacement surgery, persistent issues warrant further evaluation and intervention. Engaging with healthcare professionals, including orthopedic surgeons and physical therapists, can provide a comprehensive approach to managing your mother's symptoms and improving her quality of life. It is essential to remain proactive in addressing these challenges to achieve the best possible outcomes.

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