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Arthritis
of the hip is extremely limiting.
As seen in the "Arthritic Hip"
x-ray, the ball of the hip is rubbing
bone on bone with the socket. This
causes pain with all activities and even
frequently will awaken the patient from
sleep with pain. Medications
may help for a while, but eventually
surgery is the only way to allow the
individual to maintain a reasonable
activity level. Total hip
replacement has proven very successful
to relieve this pain and maintain
patient function. Most patients
are able to return to a high level
of activity.
Hip replacements have improved
dramatically and now last for many
years--often greater than 25 years.
There have been many
advances in hip replacements, from
minimally invasive surgical approaches,
ceramics and the newest generation of
highly crosslinked UHMWPE.
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Patients with arthritis of the knee
complain of pain with walking, arising
from a chair and going up and down
stairs. They also notice a
deformity of their knee. The
"Arthritic Knee" x-ray above shows a
patient with severe arthritis of the
knee associated with a significant
bowing of the knee. After surgery,
the knee is aligned straight and the
prosthesis provides new smooth surfaces
to relieve the pain which was
experienced before surgery. The
patient enjoys a good range of
movement and is able to participate in
most activities without
limitation--golf, walking, swimming,
etc. Newer surgical techniques and
peri-operative pain control protocols
have drastically quickened recovery.
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