What is Arthroplasty?
Orthopedics and Traumatology

What is Arthroplasty?

    What is Arthroplasty?

    Arthroplasty is a surgical procedure performed to restore joint mobility by either completely or partially removing or reshaping the joint. Arthroplasty can be performed to remove or reshape the damaged or worn portion of the joint, and is typically used in large joints such as the knee, hip, shoulder, elbow, wrist, ankle, and finger joints. Arthroplasty is performed to reduce pain, improve joint function, and enhance the patient's quality of life.


    What are the Types of Arthroplasty?

    Since arthroplasty can be performed for different joints and for different reasons, there are several different types.

    The most common types of arthroplasty include:

    Total joint replacement: The removal of the entire joint surface and the placement of an artificial prosthesis. It is commonly used for hip and knee joints.

    Partial joint replacement: The removal of only the damaged or worn portion of the joint and the placement of an artificial prosthesis. It can be applied especially to knee, wrist, and hip joints.

    Revision arthroplasty: The replacement of a previously implanted prosthesis. It is also known as a prosthesis replacement surgery.

    Shoulder arthroplasty: A type of arthroplasty performed for the shoulder joint. It involves the removal of the damaged or worn portion of the shoulder joint and the placement of an artificial prosthesis.

    Ankle arthroplasty: A type of arthroplasty performed for the ankle joint. It involves the removal of the damaged or worn portion of the ankle joint and the placement of an artificial prosthesis.

    Wrist arthroplasty: A type of arthroplasty performed for the wrist joint. It involves the removal of the damaged or worn portion of the wrist joint and the placement of an artificial prosthesis.

    Each type of arthroplasty is selected based on the patient's specific needs and joint problems.


    Why is Arthroplasty Performed?

    Arthroplasty is a surgical procedure performed to alleviate problems such as pain and limited mobility caused by damage, injury, or wear and tear in the joints. Arthroplasty may be performed for the following reasons:

    Osteoarthritis: Arthroplasty is performed in cases where the joint becomes painful and mobility is reduced due to wear and tear and damage to the cartilage and bones in the joint.

    Rheumatoid arthritis: Rheumatoid arthritis is an autoimmune disease that causes joint inflammation and damage, leading to pain and stiffness in the joints and possibly requiring arthroplasty.

    Trauma: Damage or fracture to the joint can affect its normal function and may require arthroplasty.

    Bone necrosis: Bone necrosis, which causes the death of bone tissue that feeds the joint, can lead to deterioration and painful conditions in the joint, requiring arthroplasty.

    Congenital disorders: Congenital joint disorders can cause pain and limited mobility and may require arthroplasty.

    Arthroplasty is a surgical procedure performed to improve the patient's quality of life, reduce pain, and restore the normal function of the joint.


    How is Arthroplasty performed?

    Arthroplasty is performed by completely or partially removing a damaged or worn joint and replacing it with an artificial prosthesis. The procedure is performed under general anesthesia and usually takes a few hours. The arthroplasty procedure typically consists of the following steps:

    The surgeon makes an incision to examine the damaged or worn joint.

    The damaged or worn parts of the joint are removed, and a site for the artificial prosthesis is prepared by properly preparing the bones while preserving the natural shape of the joint.

    The artificial prosthesis is placed in the bones in a manner that fits the bones. Nails, screws or adhesives may be used to secure the prosthesis.

    The incision is closed with sutures and a bandage or dressing is applied.

    An appropriate rehabilitation program is created for the patient to recover. Physical therapy or rehabilitation programs help restore joint mobility and reduce pain after arthroplasty.

    Arthroplasty can be performed on different joints and for different reasons, so the procedure can be tailored to the patient's specific needs and joint problems. After arthroplasty, patients may have certain restrictions for a few weeks or months during the recovery process and it is important for them to continue with rehabilitation programs by following the doctor's instructions.


    What are the benefits of Arthroplasty?

    Arthroplasty is a surgical procedure performed to reduce joint pain, restore mobility, and improve the quality of life of patients. The benefits of arthroplasty include:

    Pain reduction: Arthroplasty reduces pain caused by joint wear, damage, or other factors. The artificial joint is created by removing and replacing the painful surfaces of the bones, thus relieving the pre-existing pain in the joint.

    Restoration of mobility: Arthroplasty is performed to restore joint mobility and flexibility. The artificial joint replaces the worn or damaged joint and allows normal movement.

    Improved quality of life: Arthroplasty reduces joint pain and restores mobility, allowing patients to perform daily activities, work, and hobbies more comfortably, which improves their quality of life.

    Accelerated recovery: Although there are certain restrictions during the recovery process, arthroplasty allows patients to regain their mobility and return to their normal lives. Physical therapy and rehabilitation programs help accelerate the recovery process.

    Correction of joint deformities: Arthroplasty can also be performed to correct joint deformities. The artificial joint mimics the natural shape of the joint and corrects deformities in the joint.

    Arthroplasty improves the quality of life of patients by reducing joint pain, restoring mobility, and correcting deformities. However, it is important to discuss the procedure with a doctor before undergoing arthroplasty, understand the procedure, and follow the doctor's instructions for the recovery process.


    What are the risks of Arthroplasty?

    Although arthroplasty is a successful procedure for most patients, it does come with some risks. These risks may include:

    Infection: There is a risk of infection following an arthroplasty procedure, which can originate from the wound or the artificial joint. Infection may require a longer hospital stay and may need to be treated with antibiotics or additional surgery.

    Blood clots: There is a risk of developing blood clots following arthroplasty, which can occur in the legs or lungs and can lead to serious health problems. Blood-thinning medications and regular exercise can help reduce this risk.

    Prosthetic loosening or dislocation: The prosthetic joint can become loose or dislocate over time, causing joint pain and limited mobility. Fixing a loose prosthetic joint may require additional surgery.

    Nerve or blood vessel damage: During the arthroplasty procedure, nerve or blood vessel damage may occur, leading to symptoms such as numbness, paralysis, loss of sensation, or bleeding. Although rare, repairing damaged nerves or blood vessels may require additional surgery.

    Anesthesia risks: Arthroplasty can be performed under general anesthesia or spinal anesthesia, which carry some risks, and some patients may experience complications related to anesthesia.

    Other complications: Rare complications may occur following an arthroplasty procedure, such as heart attack, stroke, bleeding, respiratory problems, or allergic reactions.

    Arthroplasty is a successful procedure for most patients and significantly improves their quality of life. However, like any surgical procedure, it comes with some risks. It is important to carefully follow the doctor's instructions to minimize these risks and prevent complications, and to contact the doctor when necessary.


    Post-Arthroplasty Recovery Process

    The recovery process after arthroplasty can vary depending on the individual's health status, lifestyle, and the type of procedure performed. However, it generally consists of the following stages:

    Hospital stay: Arthroplasty is usually performed in a hospital, and the length of stay can vary depending on the individual's health and the procedure performed. Hospital stays are typically between 1-5 days.

    Medication therapy: After arthroplasty, medications such as antibiotics and painkillers are given to relieve pain and reduce the risk of infection. It is important for the individual to take the medications as directed by the doctor.

    Physical therapy: Physical therapy plays an important role in the post-arthroplasty recovery process. It helps to strengthen muscles, increase joint mobility, and assist the individual in returning to their daily activities. The physical therapy program may vary depending on the individual's condition and the procedure performed.

    Wound care: Regular wound care is necessary during the postoperative period for wound healing. Keeping the wound clean, changing bandages, and removing stitches assist in the recovery process.

    Exercise program: Home exercises recommended by the doctor or physical therapist are also important during the post-arthroplasty period. Following the recommended exercise program helps to strengthen muscles and increase joint mobility.

    Diet and lifestyle: A healthy diet and lifestyle can assist in the recovery process. Drinking enough water, avoiding smoking, reducing alcohol consumption, and maintaining a healthy weight all contribute positively to the recovery process.

    The post-arthroplasty recovery process is generally successful if the individual follows the instructions carefully. However, the recovery process can vary from person to person, and it is important to follow the doctor's instructions carefully.


    When can I return to my normal activities after arthroplasty?

    The time frame for returning to normal activities after arthroplasty depends on the individual's health status and the type of procedure performed. However, the following factors are typically taken into consideration:

    Doctor's recommendations: The doctor's recommendations following the procedure can determine when an individual can return to normal activities. The doctor will advise the individual on which activities are safe to perform and which ones to avoid during the postoperative period.

    Type of procedure: The recovery time after arthroplasty varies depending on the type of procedure performed. Some procedures have a faster recovery time than others, while others may take longer.

    Lifestyle: An individual's lifestyle can impact their return to normal activities. Adopting a healthier lifestyle can speed up the recovery process.

    Recovery process: An individual's recovery process can determine when they can return to normal activities. The recovery process can vary from person to person.

    Generally, patients should wait 6-12 weeks before returning to normal activities after arthroplasty. However, this time frame can vary depending on the individual's age, health status, and the type of procedure performed. Following the doctor's recommendations closely can help speed up the recovery process and facilitate the return to normal activities.

    The content of the page is for informational purposes only, please consult your doctor for diagnosis and treatment.

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    Approved by on 31.03.2023

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