Post-Operative Concerns After Hip Replacement Surgery in Osteoporosis
Postoperative care after total hip arthroplasty? Hello, doctor! My mother is 60 years old and has osteoporosis. Last year, she underwent a total hip arthroplasty on her left leg. However, less than two weeks post-surgery, she accidentally fell, causing the artificial hip joint to...
Dr. Chen Yongxue Reply:
Hello, if an injury occurs shortly after surgery, causing a change in the angle of the artificial hip joint, it is still recommended to undergo revision surgery. However, repeating surgery in a short period increases the risk of infection. Whether the revision surgery can restore...[Read More] Post-Operative Concerns After Hip Replacement Surgery in Osteoporosis
Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
After hip replacement, a clicking sound may occur during movement, and there may often be a sensation of misalignment without the ability to exert force? Hello, doctor. I had a hip replacement 10 years ago (made of metal). Since last year, I've been experiencing a clicking s...
Dr. Chen Yongxue Reply:
Hello, after ten years post artificial hip joint surgery, the noise may be due to bone proliferation or wear of the metal joint. Metal artificial hip joints were once very popular, but subsequent issues arose, primarily due to wear occurring at a greater extent than expected. Cur...[Read More] Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
Choosing the Right Artificial Hip Joint: Ceramic vs. Polyethylene Options
Surgical Issues Related to Artificial Hip Joints Hello, Doctor. About 2 to 3 years ago, I was on long-term corticosteroid medication due to skin issues. Recently, I experienced pain while walking and went to an orthopedic specialist for an X-ray, which revealed avascular necrosis...
Dr. Shi Guozheng Reply:
The two materials you mentioned have a similar lifespan, and both can be used. Please refer to the attached reference for additional information. Note that the success rate of bone grafting surgery is not very high, so it may be worth considering a direct total hip replacement su...[Read More] Choosing the Right Artificial Hip Joint: Ceramic vs. Polyethylene Options
Understanding Weakness After Hip Replacement Surgery: Is It Normal?
Lack of strength after hip joint surgery? Hello Doctor, I was in a car accident on January 28th of this year. I have undergone three surgeries, with the last one being a total hip replacement on March 27th. Additionally, I recently had surgery for a comminuted fracture of the kne...
Dr. Shi Guozheng Reply:
After multiple surgeries, recovery may be slower, but ongoing rehabilitation could potentially improve the situation.[Read More] Understanding Weakness After Hip Replacement Surgery: Is It Normal?
Can Orthopedic Splints Prevent Dislocation of Artificial Hip Joints?
Dislocation of the artificial hip joint? Hello, I would like to ask if a splint covered by health insurance can be used to create a device to prevent dislocation in the case of an artificial hip joint dislocation. I have seen splint devices used for hands and feet, but I haven&#x...
Dr. Shi Guozheng Reply:
You must see a rehabilitation specialist to inquire if there is coverage for such braces.[Read More] Can Orthopedic Splints Prevent Dislocation of Artificial Hip Joints?
Managing Chronic Osteomyelitis in Elderly Patients with Joint Replacements
Please consult a physician in Kaohsiung who specializes in the treatment of osteomyelitis? Hello, Director. My father is 78 years old. About two years ago, he experienced pain and acute inflammation due to wear and tear from a long-term artificial joint. He underwent debridement ...
Dr. Chen Yongxue Reply:
Once an artificial joint becomes infected, it turns into a nightmare. Debridement surgery, along with intravenous or oral antibiotics, may only help to control the infection but not cure it. To achieve a cure, the artificial joint should be removed, and antibiotic-impregnated bon...[Read More] Managing Chronic Osteomyelitis in Elderly Patients with Joint Replacements
Understanding Post-Op Sounds and Care for Hip Replacement Surgery
Artificial hip joint I underwent left total hip arthroplasty on January 5th of this year. However, on the third day post-surgery, I started to notice a sound of friction from the artificial joint (not constantly throughout the day, but it occurs occasionally). This happens every ...
Dr. Shi Guozheng Reply:
Some patients with all-ceramic artificial hip joints may experience a grinding noise as long as there is no pain and the hip joint is properly positioned, it is not a significant concern. The surgical area can be treated with heat therapy.[Read More] Understanding Post-Op Sounds and Care for Hip Replacement Surgery
Post-Operative Hip Replacement: When to Seek Further Medical Evaluation
Postoperative hip joint care Hello, doctor. My grandmother had a hip replacement surgery on her left leg about seven months ago, just before the Lunar New Year. Normally, she should be able to walk independently without using a cane within two to three months, but she still needs...
Dr. Shi Guozheng Reply:
There are two types of artificial hip joints: total hip replacement and hemiarthroplasty (artificial femoral head). It is common to experience pain within the first three months after surgery; however, if pain persists after six months, it may indicate a problem that needs to be ...[Read More] Post-Operative Hip Replacement: When to Seek Further Medical Evaluation
Types and Materials of Artificial Hip Joints: Key Considerations and FAQs
Types and Materials of Artificial Hip Joints Hello, Dr. Shi. I have a few questions to ask. 1. When I searched for ceramic artificial hip joints on Google, I came across some contraindications, one of which states, "Ceramic heads are prohibited for use in revision surgery ...
Dr. Shi Guozheng Reply:
1. The two materials may not be compatible, so replacing the femoral stem together will ensure better compatibility. 2. Essentially, the femoral stem is similar but tends to be longer, and the acetabular component has more fixed holes. 3. There will be no impact on leg length...[Read More] Types and Materials of Artificial Hip Joints: Key Considerations and FAQs
Understanding Revision Hip Replacement: Key Concerns and Insights
Revision of total hip arthroplasty Hello, Doctor, thank you for your previous response regarding the materials used in artificial hip joints. I later realized that you had addressed similar questions before, and I apologize for the repetition. I am a patient with systemic lupus e...
Dr. Shi Guozheng Reply:
The test results indicate a high likelihood of infection. The materials you mentioned are usable. However, your hip joint may require a complete set, but the prerequisite is to effectively control the infection issue.[Read More] Understanding Revision Hip Replacement: Key Concerns and Insights
Why High Carbon Steel is No Longer Used in Hip Implants
Artificial hip joint made of high carbon steel material? Previously, artificial hip joints were made from high-carbon steel, but I recently inquired with an orthopedic surgeon and learned that high-carbon steel is no longer used. I would like to know if there are any issues with ...
Dr. Shi Guozheng Reply:
All metallic materials have wear issues, which may be related to their material properties. Additionally, if new materials emerge that are superior, the older materials will gradually be phased out.[Read More] Why High Carbon Steel is No Longer Used in Hip Implants
Understanding Hip Replacement: Options, Recovery, and Costs Explained
Artificial hip joint I have been experiencing pain in both hip joints for over ten years. In recent years, my doctor has recommended a hip replacement surgery, stating that I would be hospitalized for seven days post-surgery. Currently, I have a noticeable leg length discrepancy ...
Dr. Shi Guozheng Reply:
The materials used in health insurance can last for several years, typically ranging from 5 to 10 years, provided that they are used correctly (avoiding excessive forceful movements). They can be durable and will not cause leg length discrepancies during surgery if measurements a...[Read More] Understanding Hip Replacement: Options, Recovery, and Costs Explained
Can X-rays Distinguish Between Ceramic and Metal Hip Implants?
Artificial hip joint Hello, doctor. My father had a ceramic hip joint replacement three months ago. The surgery was performed in the northern part of Taiwan, and we live in Taichung, so we went to a local hospital in Taichung for an X-ray to check the healing status of the bones ...
Dr. Shi Guozheng Reply:
Some commonly used artificial hip joints can be roughly identified by their material and brand from X-rays, and experienced physicians can often recognize them at a glance. However, the quality of the material cannot be determined solely from X-rays.[Read More] Can X-rays Distinguish Between Ceramic and Metal Hip Implants?
Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Avascular necrosis of the femoral head Hello, Doctor: I was diagnosed with avascular necrosis of the femoral head in early February this year at the Penghu Naval Hospital, affecting both legs, with a smaller area of necrosis in the right leg. I will undergo a decompression surger...
Dr. Hong Ximing Reply:
Bilateral femoral head necrosis is best supported by X-ray evidence. Before the acetabulum is damaged, a hemiarthroplasty can be performed, but ultimately a total hip arthroplasty will be necessary. Decompression surgery is a procedure performed prior to joint replacement. Curren...[Read More] Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Cost of Minimally Invasive Hip Replacement Surgery Explained
Minimally invasive surgery costs? The cost of minimally invasive hip replacement surgery typically ranges from $30,000 to $50,000, excluding medical expenses. Thank you!
Dr. Wang Zikang Reply:
The minimally invasive surgery for artificial hip joint replacement is no different from the standard insured artificial hip joint replacement. This procedure simply involves a smaller incision, utilizing fluoroscopy during the surgery to achieve a smaller wound. The artificial j...[Read More] Cost of Minimally Invasive Hip Replacement Surgery Explained
Understanding Titanium Alloy in Artificial Hip Joints: Metal Type and Pregnancy Impact
Materials for artificial hip joints? Is titanium alloy used in artificial hip joints classified as a metal, or what type of material is it? Additionally, does it have any effects on pregnancy? Thank you!
Dr. Luo Zhongwei Reply:
Dear Ms. Chen: Titanium alloy is a type of metal that provides greater flexibility and does not affect pregnancy.[Read More] Understanding Titanium Alloy in Artificial Hip Joints: Metal Type and Pregnancy Impact
Understanding Hip Joint Surgery: Insurance Coverage vs. Out-of-Pocket Costs
Hip joint surgery Is it true that the hip joint surgery covered by health insurance can only be used for 10 years? Is it really necessary for the out-of-pocket option to cost over 70,000 NTD (for one side)? For a 53-year-old middle-aged man considering this surgery, would you rec...
Dr. Shi Guozheng Reply:
The artificial hip joint materials covered by health insurance consist of a metal and polymer interface. The polymer has a certain wear rate, which results in gradual wear each year. Younger patients or those with higher activity levels tend to experience a greater wear rate. Gen...[Read More] Understanding Hip Joint Surgery: Insurance Coverage vs. Out-of-Pocket Costs
Managing Post-Surgery Pain in Elderly Patients with Hip Injuries
My father-in-law is 78 years old and has undergone surgery for a second fracture? Hello Dr. Zhou, my father-in-law is 78 years old and lives in Penghu. He used to be a fisherman, and around the age of 40, he underwent surgery on his hip joint. Unfortunately, early last year, he h...
Dr. Li Wenlin Reply:
Hello, addressing your concerns is similar to maintaining a vehicle; regular check-ups are necessary, and any issues should be examined (preferably at the original facility). Since your father-in-law has already undergone surgery, please return to the original hospital to consult...[Read More] Managing Post-Surgery Pain in Elderly Patients with Hip Injuries
Understanding Hip Replacement Materials and Longevity: Key Insights
Artificial hip joints... materials inquiry? Hello, Doctor... Thank you for taking the time to address my questions... 1. I had a total hip arthroplasty at Linkou Chang Gung Memorial Hospital in January 2008, using a metal ball head and a polyethylene (PE) liner. Could the plastic...
Dr. Zhou Lizhi Reply:
Dear netizens: 1. Generally, artificial hip joints consist of metal balls and polymer liners, and there are also ceramic balls and liners. The ultra-durable liners cannot be identified through X-rays; this information will be documented in the surgical records. 2. Typically, ...[Read More] Understanding Hip Replacement Materials and Longevity: Key Insights
Choosing the Right Surgeon for Hip Replacement: Key Considerations
Artificial hip joint Dear Dr. Shi, I am the patient who consulted you last year on August 1st. I underwent surgery to have an artificial hip joint implanted due to avascular necrosis of my right hip joint in early June of last year. Later, at the end of June, I discovered that m...
Dr. Shi Guozheng Reply:
There is generally no particular issue with consulting different physicians, as long as the doctors are meticulous in ensuring that the legs are as equal in length as possible. The materials for artificial joints are available at various hospitals, but it is still important to co...[Read More] Choosing the Right Surgeon for Hip Replacement: Key Considerations