The issue of joint replacement (prosthetics), or arthroplasty, arises in the case of severe joint damage (traumatic or degenerative changes), in particular, in the context of conditions such as osteoarthritis, rheumatoid arthritis, trauma, including fractures around the joints, as well as due to bone necrosis that cannot be cured in any other way, etc.
Joint replacement (arthroplasty) is usually performed using specialized tools and technologies, with a wide range of instrumental and laboratory tests as needed. This allows the doctor to accurately determine the nature of the disorder and provide appropriate medical care. Special equipment allows performing medical interventions with minimal damage to the surrounding tissues.
Timely and correctly performed joint prosthetics (replacement) allows patients to return to normal life and maintain or restore its quality.
If needed, our doctors provide consultations not only in Ukraine but also worldwide, both at our clinic in Kyiv and online through prior appointments. Comprehensive diagnostics, treatment, and prevention are offered.
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You should promptly consult regarding joint replacement if you experience the following symptoms:
An emergency consultation includes:
interview (the doctor asks about complaints, learns about medical history and life);
external clinical assessment (the patient will be thoroughly examined, palpated, all altered areas and the condition of each organ system will be examined)
laboratory examination (both general clinical tests and special tests);
instrumental examination (to determine both the general condition of the body and those areas where changes have developed);
in case of taking any medications, inform the doctor and agree with him/her (it may be necessary to limit them or change the dosage, regimen)
for several days before the operation, follow a sparing diet, water and drinking regimen; if you have constipation, take laxatives, use enemas and do not drink alcoholic beverages - so that the body reacts more adequately and predictably to anesthesia and other drugs
refrain from eating for 6-12 hours before the surgery, and 2-4 hours before the surgery do not drink, chew gum, smoke - to protect against the ingestion of stomach contents into the respiratory system during anesthesia
on the day of surgery, take a shower, cleanse the intestines with an enema to prevent spontaneous passage of feces during anesthesia due to sphincter relaxation
immediately before the operation –
- removable objects (piercing jewelry, dentures) are removed from the mouth and face so that they do not accidentally get into the respiratory system or interfere with the surgical intervention during the operation
- remove other items (contact lenses, hearing aids, jewelry.) to prevent accidental injury to the body and to prevent them from getting damaged
- remove cosmetics (makeup, nail polish, false nails) from the body to facilitate visual assessment of the body's condition and automated registration with medical equipment
- empty the bladder and, if necessary, the intestines to prevent spontaneous bowel movements during anesthesia
- change into special clothes provided by the clinic.
other preparatory measures can be taken in addition, taking into account individual characteristics of the body and the specifics of the surgical intervention
The main stages:
on a gurney or escorted on foot. At the gateway, they put on a medical cap and shoe covers (to protect against microorganisms in the air of the operating room).
of a certain composition, taking into account the specifics of each operation.
(depending on the specifics of the operation, the body position may differ), and fixed to it with special straps to prevent accidental involuntary movements that would interfere with the operation, as well as to prevent accidental falling of the body from the table.
punctures a vein in the arm, installs a catheter to administer the necessary drugs, places electrodes on the body to monitor the electrical activity of the heart, puts a blood pressure cuff on the shoulder and a sensor on the finger to determine the oxygen content in the blood. All this is necessary for continuous monitoring of the body's condition during anesthesia and surgery.
the area of the body where the intervention is performed, and the specifics of the chosen surgical tactics, technique, etc.
After the operation, the patient wakes up in the ward for postoperative observation. If necessary, oxygen may be administered through a thin tube to ensure that the body has enough oxygen. The nurse will carefully monitor the patient’s condition and, if necessary, use medications agreed with the doctor.
Before returning home, the doctor will examine the postoperative sutures, agree on the tactics of further rehabilitation, and give additional advice.
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Journalist, presenter of the programs "Applies to everyone", "Coolest of all" on the "INTER" TV channel.
A pediatrician and anesthesiologist, he works at the Shriners Hospitals for Children Boston clinic, which belongs to Harvard University. Is a leader in the field of children's medicine.
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The advantages of joint replacement (arthroplasty) are that it reduces or completely eliminates pain, restores mobility and an active lifestyle. Preserving the natural ligamentous apparatus, hypoallergenic materials are used, which makes such an operation possible even for allergy sufferers. Minimally invasive methods can reduce the recovery time and hospital stay to 4-5 days. Modern endoprostheses are characterized by high strength, reliability and long service life, providing natural mobility and no foreign body sensation.
The following symptoms indicate the need for joint replacement crunching in the joints during movement, enlargement and deformation of the joint, including abnormal position of the limbs or fingers, limitation of mobility or instability of the joint, deformities of the bones around the joint, constant pain in the joint, especially during movement or exertion, severe discomfort that interferes with daily activities decreased quality of life due to pain and limited mobility, ineffective conservative treatment and physiotherapy, worsening of symptoms over time without response to medications, chronic pain, sleep and general health problems due to joint problems, loss of joint functionality that limits normal activities, and other signs of degenerative joint disease.
After a joint replacement, the recovery period in the hospital usually lasts from 3 to 5 days, although individual recovery time may vary. After discharge from the hospital, you will need home care, the use of a walker or crutches. A physiotherapist will develop an exercise program to strengthen the operated joint. Usually, light activity or returning to office work is possible after 6 weeks, but the rate of recovery varies for each person, so it is important to discuss an individualized plan for returning to normal activities with your doctor or physiotherapist. Full recovery, including scar tissue healing and muscle recovery, can take up to two years with regular exercise.
The warranty for joint replacement (endoprosthetics) covers implants and other medical consumables and equipment. It guarantees the provision of surgical treatment services in accordance with modern medical advances, the high level of qualification of the clinic’s specialists and the technical equipment of the clinic. The final clinical effect is influenced by many factors that depend not only on the doctor and the clinic, such as individual characteristics of the body, lifestyle, environmental circumstances, and stress factors.
Preparation for facial surgery includes a preliminary examination and consultation with a surgeon, a comprehensive examination with photo and video analysis of appearance, anthropometry, consultation with related specialists (if necessary), etc. Immediately before surgery, the principles of preparation do not differ significantly from those generally accepted in surgery.
Possible complications after joint replacement surgery include general surgical complications (bleeding and thrombosis, infectious and inflammatory conditions) and more specific to this particular area (stiffness in the joint, infections of the wound or the joint itself, unexpected bleeding in the joint, damage to ligaments, arteries or nerves around the joint, persistent joint pain, bone fracture during or after surgery, joint instability, etc.) Careful preparation for the operation, highly qualified and experienced medical staff, modern high-tech equipment, and well-coordinated work of the team of doctors and other clinic staff minimize the risks of complications.
Contraindications to joint replacement (arthroplasty) surgery are conditions whose severity critically increases the risks of surgical treatment, such as infectious, mental, gastrointestinal diseases.
