Understanding Hip Joint Swelling After Replacement Surgery
Hip joint swelling Hello, Dr. Shi. I had a right hip joint replacement in 2005 due to a car accident, and in February 2015, I underwent another replacement because the ceramic liner and ceramic femoral head fractured. Currently, in April 2017, I am experiencing swelling at the su...
Dr. Shi Guozheng Reply:
It is advisable to see a physician as soon as possible, as it may be related.[Read More] Understanding Hip Joint Swelling After Replacement Surgery
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
Post-Surgery Issues After Ceramic Hip Replacement: Infection and Recovery Concerns
Postoperative issues following left total ceramic hip arthroplasty infection? I was involved in a car accident in early January 2015, which resulted in a left femoral neck fracture and a left anterior cruciate ligament tear. I underwent a ceramic total hip arthroplasty at the end...
Dr. Shi Guozheng Reply:
It is possible that the presence of bone cement has caused this issue. After multiple surgeries, the surrounding soft tissue may also become hardened. If the infection cannot be controlled, ultimately, the artificial joint will need to be removed.[Read More] Post-Surgery Issues After Ceramic Hip Replacement: Infection and Recovery Concerns
Understanding Knee Pain After Joint Replacement: Causes and Relief Options
Pain in the artificial knee joint with changes in weather? Your partner had a knee replacement due to a car accident and did not undergo rehabilitation at that time. Now, nearly 10 years later, they are experiencing frequent knee pain and discomfort, especially due to physically ...
Dr. Shi Guozheng Reply:
After artificial joint surgery, regular follow-up is necessary. X-ray examinations should be performed in the first year, second year, and fifth year. The causes of pain may include overuse, inflammation, wear, or loosening of the joint. A physician's examination is essentia...[Read More] Understanding Knee Pain After Joint Replacement: Causes and Relief Options
Post-Operative Challenges After Knee Replacement Surgery: A Patient's Journey
Postoperative care for total knee arthroplasty? My mother is 65 years old and underwent total knee arthroplasty in July 2015, with the artificial joint being covered by health insurance. She opted to pay out of pocket for high-strength bone cement and a minimally invasive tibial ...
Dr. Shi Guozheng Reply:
After total knee arthroplasty, poor joint mobility may lead to some functional decline, but it should not result in an inability to walk. If the knee flexion is less than 90 degrees for more than three months, it becomes more challenging to achieve further bending. If there is pe...[Read More] Post-Operative Challenges After Knee Replacement Surgery: A Patient's Journey
Understanding Radial Fractures: Joint Replacement and Recovery Tips
Right radial bone fracture with artificial joint replacement? Hello, Director Shi. I sustained an injury while playing basketball, resulting in a comminuted fracture of the right radius and the need for a joint replacement. It has been three weeks since my surgery. I would like t...
Dr. Shi Guozheng Reply:
Are you referring to the artificial joint as the prosthetic radial head in the elbow joint? In that case, it is advisable to avoid intense physical activities, as prolonged use may lead to wear and tear. However, daily activities should generally not pose any issues.[Read More] Understanding Radial Fractures: Joint Replacement and Recovery Tips
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-Surgery Rehabilitation Challenges After Knee Joint Replacement
Rehabilitation Issues After Joint Replacement Surgery Hello, Doctor. My mother underwent a right knee arthroplasty and is currently two weeks post-surgery. On the second day after the surgery, her knee was bent, and the nurse informed us that it needs to be straightened. They ass...
Dr. Shi Guozheng Reply:
Are you referring to artificial joints, specifically that after total knee arthroplasty, it is important for the knee joint to achieve full extension for better mobility? If full extension is not possible, then it is essential to perform rehabilitation exercises to help straighte...[Read More] Post-Surgery Rehabilitation Challenges After Knee Joint Replacement
Can You Apply for Disability Benefits After Joint Replacement Surgery?
Can individuals who receive joint replacement surgery apply for disability benefits? Hello Doctor: My father had artificial joints implanted in both legs a few years ago, but in the past year or two, he has found that he cannot stand or walk for long periods without experiencing ...
Dr. Shi Guozheng Reply:
If the function of an artificial joint is still good, it may not meet the criteria for disability application. However, a professional evaluation by a physician is necessary to make a determination. After undergoing joint replacement surgery, glucosamine is ineffective. Glucosami...[Read More] Can You Apply for Disability Benefits After Joint Replacement Surgery?
Post-Hip Replacement Recovery: Balancing Caution and Progress
Postoperative Recovery After Hip Replacement Surgery My husband underwent hip joint replacement surgery before the Lunar New Year, and he has been feeling good during his recovery. However, he is quite anxious and fears damaging the artificial joint. It has been a month and a hal...
Dr. Hong Ximing Reply:
After hip replacement surgery, if recovery is good, normal functioning can resume after 8 to 10 weeks of protection. However, it is important to rest when needed, as maintaining muscle strength is essential for the stability of the artificial joint.[Read More] Post-Hip Replacement Recovery: Balancing Caution and Progress
Understanding Local Anesthesia for Hip Joint Replacement: Key Considerations
Could you please provide more details about Dr. Shi's concerns regarding the use of local anesthesia for joint replacement surgery? Hello, I am the person who consulted you the day before yesterday regarding my father's desire to change his artificial joint. Thank you v...
Dr. Shi Guozheng Reply:
Most cases can be applicable; if there is no bleeding tendency, local anesthetics can be administered for nerve block anesthesia. In our team, this can be done in almost 95% of cases. You can search online for "regional nerve block" to find more information. This techni...[Read More] Understanding Local Anesthesia for Hip Joint Replacement: Key Considerations
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
Concerns After Ankle Surgery: What to Do About a Broken Screw?
During the ankle surgery to remove the metal screw, the head of the screw broke off, making it difficult to extract. I am feeling very anxious about this situation? Hello Doctor, on December 25, 2014, I fractured my ankle and underwent surgery to have three metal screws inserted....
Dr. Shi Guozheng Reply:
Patients with metal implants, such as those with artificial joints, typically do not experience significant adverse effects from having metal in their bodies. Generally, these individuals do not suffer from long-term complications.[Read More] Concerns After Ankle Surgery: What to Do About a Broken Screw?
Managing Complications After Joint Replacement Surgery: What to Do Next
Artificial joint Hello Dr. Wang: My mother-in-law had a joint replacement surgery five years ago. The leg with the artificial joint has two wounds that have not healed and continue to bleed. We have been applying medication, but there has been no improvement. Should I consult the...
Dr. Wang Shouji Reply:
Hello: If there is a suspicion of infection, you should consult an orthopedic specialist first, rather than a general surgeon, because there is an artificial joint involved. The orthopedic specialist will have a better understanding of how to treat this condition. Thank you![Read More] Managing Complications After Joint Replacement Surgery: What to Do Next
Post-Surgery Guidelines for Hip Joint Replacement: Sports Activities and Recovery Time
Postoperative hip joint care? Dear Dr. Wang, Due to the use of steroids, I have developed avascular necrosis of both hip joints (I had a partial hip replacement on my right leg in January, and I will also have a partial hip replacement on my left leg in July). I am very passiona...
Dr. Wang Shouji Reply:
Hello: After hip joint replacement surgery, normal activities can gradually resume within two to three months. However, it is recommended to wait six months before engaging in vigorous exercise, as excessive high-impact activities can affect the longevity of the artificial joint....[Read More] Post-Surgery Guidelines for Hip Joint Replacement: Sports Activities and Recovery Time
Understanding Radial Head Resection: Risks, Recovery, and Alternatives
Excision technique Dr. Shi, 1. It has been 4 months post-surgery. Two physicians have recommended: 1. Resection of the radial head. 2. Insertion of a prosthetic radial head. Follow-up X-rays show no bone growth, so careful consideration is needed. 2. What is the norma...
Dr. Shi Guozheng Reply:
Experienced specialists can perform surgeries regardless of the type of medical school they graduated from. The usage duration of artificial joint implants is generally similar, ranging from five to ten years. Continuous monitoring of the nerve pathways during surgery is essentia...[Read More] Understanding Radial Head Resection: Risks, Recovery, and Alternatives
Understanding Knee Replacement Longevity and Revision Surgery for Seniors
Artificial knee joint Hello, my mother-in-law had bilateral knee arthroplasties 10 years ago, and she has been experiencing significant pain recently. I would like to ask the doctor... What is the lifespan of a prosthetic joint, and at the age of 75, is it possible for her to und...
Dr. Shi Guozheng Reply:
Artificial knee joints have a certain lifespan, typically exceeding ten years, after which they may become unstable, wear out, or loosen. If pain persists, it is possible that the artificial joint is damaged, and it is necessary to consult a physician to assess whether any of the...[Read More] Understanding Knee Replacement Longevity and Revision Surgery for Seniors
Knee Cannot Straighten Three Weeks After Knee Replacement Surgery
Three weeks after knee replacement surgery, the knee is unable to straighten? Hello: My mother is unable to fully straighten her knee three weeks after her knee replacement surgery. Is this due to a dislocation of the artificial joint or tightness in the muscles?
Dr. Shi Guozheng Reply:
The likelihood of dislocation or misalignment after total knee arthroplasty is extremely low. Inability to stand straight is usually due to joint stiffness or flexion contracture, which requires rehabilitation therapy to gradually improve extension. Sometimes, pain can also preve...[Read More] Knee Cannot Straighten Three Weeks After Knee Replacement Surgery
Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Avascular necrosis of the femoral head due to fracture of the wide joint? Is it necessary to replace the hip joint with an artificial joint for avascular necrosis of the femoral head due to closed fracture? If detected and treated early, will a replacement still be needed? How lo...
Dr. Shi Guozheng Reply:
Avascular necrosis of the femoral head requires assessment of its severity; only severe cases necessitate surgical intervention. In the early stages, surgery is not required, but close monitoring is essential. Typically, recovery from a total hip replacement takes about 6 to 12 w...[Read More] Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Understanding 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 whil...
Dr. Shi Guozheng Reply:
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 us...[Read More] Understanding Joint Replacement: Challenges and Solutions After Surgery