Joint Replacement FAQ's

What is osteoarthritis?
Osteoarthritis is the most common form of arthritis.  It is a wear and tear condition that destroys joint cartilage.  Cartilage is the part of the joint that cushions the ends of bones and allows easy movement. The breakdown of cartilage causes bones to rub against one another, resulting in pain and loss of movement.

What are the signs and symptoms of osteoarthritis?

• Decreased activity
• Joints warm to the touch
• Joint swelling
• Joint pain and immobility
• Joint stiffness
• Impaired lifestyle
• Joint deformities

Why do I have osteoarthritis?
The cause is not completely known and there is no cure. Many different factors may play a role in whether or not you get arthritis, including age, obesity, injury or overuse and genetics.  Your arthritis could be caused by any one or by a combination of any of these factors.

How is osteoarthritis treated?
Common non-surgical or conservative treatments can include exercise, weight reduction, medications (such as non-steroidal anti-inflammatories), supplements (such as glucosamine and chondroitin), walking aids, rest, ice and care provided by a physical  and/or occupational therapist.

When conservative treatments do not provide adequate relief from pain, it may be time to consider joint replacement.

You should discuss your treatment options with your physician, after he or she has made the diagnosis of osteoarthritis.

Why choose The Joint Replacement Center at the Springs?
Our joint center is a unique unit dedicated exclusively to the care of total joint replacement patients.  Our patient-centered approach to orthopaedic care is provided by a team of highly qualified clinical staff.  Our 10 bed unit, consisting of private patient rooms, allows us to deliver quality care in a healing environment that promotes wellness of body, mind and spirit.
Early interactions with patients, and their families, facilitate strong relationships that optimize patient outcomes. Early, and continuing, education gives our patients an opportunity to participate in their own care and recovery outcomes. Care goals are directed towards increasing patient mobility and independence, leading to a short recovery time and fewer complications.

What is a total hip replacement?
Total hip replacement, also called arthroplasty, involves removing the diseased bone and cartilage and resurfacing it with orthopedic implants. 

What happens during total hip replacement surgery?
The joint is exposed by making an incision on the side of your buttocks.  The affected portion of the “ball” or head of the femur is removed and replaced by a metal alloy “ball”.  The “socket” or acetabulum is shaped and a new “socket” pressed into place.

What happens during total knee replacement surgery?
The joint is exposed by making an incision down the front of the knee.  The damaged ends of the bones are replaced by metal and plastic implants that help re-create the natural contours of the knee.

How long does joint replacement surgery take?
The surgery itself takes 1 ½ to 2 hours.  Time spent in the recovery room can add an additional 1 to 2 hours before you are back to your hospital room. 

What are some complications that may occur after surgery?
While uncommon, complications may occur after any surgery.  Some complications include, but are not limited to; infection, blood clots, implant misalignment, implant breakage, premature wear

How long will the implant last?
No implant will last forever, and many factors play a role as to how long the implant will last.  A patient’s post-surgical activity level and body weight can affect longevity. 

When will I begin physical therapy after surgery?
It is important to start moving your new joint as soon as possible after surgery.  Generally on the day of surgery you remain in bed but may be allowed to sit on the edge of bed and “dangle”.  On the morning after surgery the physical therapist will begin working with you and take you for a walk with your walker.  Therapy promotes blood flow, helps regain range of motion and helps patients recover sooner. 

What if I have stairs at home?
The physical therapist will teach you how to climb stairs before you are discharged.  Generally you need a sturdy railing on at least one side unless the step is large enough to accommodate a walker.  

What will help speed my recovery?
Recovery time will vary for each patient.  Exercise is essential for proper healing.  Knee patients can expect 6 to 8 weeks of therapy, and hip patients around 4 weeks.  Diligent physical therapy and proper diet will help expedite the recovery process.

When can I drive?
Depending on which lower extremity you had surgery on, you may resume driving 3 to 6 weeks after surgery. 

What activities do I need to avoid after surgery?
Patients are typically advised to avoid high-impact or contact sports.  These activities place extreme amounts of pressure on the new joints, and can lead to premature wear of the new joint.