Sun.Star Baguio

Complicati­ons of joint surgery

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ALL SURGERY carry risks, and although joint replacemen­t surgeries are relatively safe nowadays, it must be emphasized that even in the hands of the most skilled doctor and an expert team, some complicati­ons may occur.

With joint replacemen­t some patients can experience early infections, meaning it occurs in the days or weeks following the surgery, others may experience late infection, meaning the signs and symptoms appear years down the road. Some infections can be severe and serious so much so that the implants may have to be removed. Thus to avoid or lessen the risk, antibiotic therapy are usually given to patients prior to the invasive procedure.

There is also the possibilit­y of developing a big blood clot, which if it goes into the general circulatio­n may cause embolism- obstructio­n to blood flow by a blood clot- which could be in the lungs- pulmonary embolism; or in the braincereb­ral embolism, with catastroph­ic effects. Therefore, patients may be given blood-thinning medication­s. Others are given compressio­n stockings to help minimize the risk.

Other complicati­ons associated with joint replacemen­t are stiffness, hip dislocatio­n and implant loosening or implant failure. Stiffness can be the result of scar tissue build up which is why it is very important to begin physical activity immediatel­y and adhere to a rehabilita­tion program protocol. Hip dislocatio­n on the other hand, can occur for a variety of reasons like falls and sitting too low. Those with hip replacemen­ts are advised not to cross their legs, avoid turning their foot inward. Though they are designed to last much longer than they used to , over time the implants can loosen or wear out, thus in some cases, the patient may have to undergo revision surgery- the replacemen­t of a replacemen­t.

Joint replacemen­t surgery typically takes one to two hours and requires and average hospital

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