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From an interview on “Good Morning Pee Dee” Radio with Patrick Denton, MD, Pee Dee Orthopedic Associates
“Knee replacement is the end-all of a natural disease process,” says Orthopedic Surgeon Patrick Denton. “Obviously, we want to maximize any conservative treatment before we take people to surgery.”
Total knee joint replacement surgery has been performed for about 30 years. Over those years, incremental improvements in materials and designs have raised the expected life of the “new” knees to 10 to 20 years.
Two developments are causing a noteworthy change in patients and expectations. Where knee replacements had been reserved for patients over 65, because of the limited life of the replacements, now younger, more active patients are seeking relief from pain and limited mobility. Secondly, the FDA has approved a replacement that claims a 30-year lifetime of use.
Medically reviewed by Barry Clark, MD Pee Dee Orthopaedic Associates
“Total joint replacement is great. But it’s not magic,” says McLeod Orthopedic Specialist Barry Clark. “Patients return to many of the activities that they did – or were trying to do – before surgery. Range of motion is increased. Pain is reduced or alleviated. Quality of daily life returns. However, joint replacement doesn’t make you younger, run faster, or golf better than you did before your joints became a problem.”
Medically reviewed by: David Woodbury, MD McLeod Orthopaedics
“It is important that hip and knee replacement patients are informed of what is going to happen as they prepare for and recover from total joint replacement surgery,” says McLeod Orthopaedic Surgeon Dr. David Woodbury. "Preparing for surgery can be overwhelming. Therefore, it is important for patients to ask questions especially if they are unsure or do not understand what their doctor said."
Medically reviewed by David Woodbury, MD McLeod Orthopaedics
There’s no doubt about it. The number of hip joint and knee replacements is growing. Most total joint replacements are performed on patients over the age of 65, but in the 10 years before 2009, the number of knee and hip replacements tripled for those aged 40 - 50.
Medically reviewed by Eric Heimberger, MD
Hip Joint Replacements are one of the most successful procedures available today. Hundreds of thousands Americans will have a hip replacement just this year. The most common reasons you might need a hip replacement are arthritis (either Osteoarthritis from “wear and tear” or chronic Rheumatoid Arthritis) or an injury to the hip that triggers arthritis or causes bone damage. “We encourage patients to try medications, injections or physical therapy before moving to surgery,” says McLeod Orthopedic Specialist Eric Heimberger, MD. “People from age 50 can benefit from the total joint replacement if their hip pain limits everyday activities (as simple as walking), if pain continues after resting or at night, and if the non-surgical efforts don’t bring relief.”
Medically reviewed by David Lukowski, MD
Think about what medical professionals call your “activities of daily living. For the rest of us, this means brushing your teeth (ow!), tying a shoelace (ouch!), making a cup of coffee (argh!), starting your car (ache!), reaching for your wallet (uugh!)… Almost anything you do during the day requires use of your wrist, hand and thumb. Pain makes the entire day a struggle.
Medically reviewed by Pat Denton, MD Pee Dee Orthopaedic Associates
One-third of Americans age 65+ will suffer from Osteoarthritis, commonly caused by normal “wear and tear.” Most often, it significantly affects your hips and knees, the body’s weight bearing joints. Since the first total knee joint replacement in 1968, along with 1) better techniques, 2) longer-lasting materials, and 3) mature adults as young as 50 seeking to stay active longer, this procedure has become increasingly common. Some 700,000 knee replacements are performed annually in this country. And it may climb to more than 3 million a year by 2030.
Medically reviewed by David Lukowski, M.D. McLeod Orthopaedics Seacoast
The quarterly report was nearly finished… when they hit Margaret. Pins and needles in her hand. A dull ache in her arm. “It’s not as bad as last night,” she thought. “But it really hurts.” Margaret struggles with pain from Carpal Tunnel Syndrome (CTS) – a problem with the wrist that’s three times more likely to trouble women than men. “In the wrist, there is a small tunnel with the carpal bones forming the bottom and sides,” says McLeod Orthopedic Specialist Dr. David Lukowski, M.D. “Tendons and nerves run through the tunnel. And the top is covered with connective tissue called a ligament. The tendons can swell when irritated, squeezing the nerves. The result is Carpal Tunnel Syndrome.”
Medically reviewed by Eric Heimberger, MD McLeod Orthopaedics Seacoast
The fact that our hip or knee joints wear out shouldn’t surprise us. Consider this: forces 4 to 8 times our body weight are exerted millions of times each yearon our hip and knee joints. If you are considering hip or knee joint surgery, you may also be interested in learning more about the materials used in hip and knee joint implants, along with some advantages and disadvantages of each.
Medically reviewed by Adam Ploeg, MS, ATC
Ray loved weekend pick up football games. The competition. The excitement. The flashback to his high school football days. He’d stop, turn quickly and leap to catch a pass. Then… snap, pop. Ow! What happened? Ray fell to the ground with a stabbing pain in the back of his ankle. Ray’s not in high school anymore and his season is over. Like many 30 to 50 year-old recreational athletes -- who run, or play basketball and football – Ray has torn his Achilles tendon.
Medically reviewed by Dr. Michael Sutton
“Total Hip Joint Replacement remains one of the most common and most successful Orthopedic approaches for people with hip problems,” says McLeod Orthopedic Surgeon Dr. Michael Sutton of McLeod Orthopaedics Dillon. “Your surgeon replaces the injured or arthritic top of the leg (femur) with a stem and ball. A cup is set into the hip to complete the cup-and-ball joint.” Another lesser known, but occasionally discussed, repair for a bad hip is called resurfacing. In this procedure, a cup section is still set into the hip. However, rather than sawing off the top of the femur and replacing it with a metal stem and ball, the top of the leg bone is resurfaced and a cap is placed over it.
Medically reviewed by Adam Ploeg, MS, ATC McLeod Sports Medicine
A runner, a military recruit and a basketball player may be different in their type of activity but all can experience pain in their feet due to a stress fracture. It is a cross-section of the most common people who might suffer from the orthopedic issue of a stress fracture. Women seem to be more at risk than men.
Medically reviewed by Rodney Alan, MD McLeod Orthopedics
Three things to know about pain management following a knee or hip joint replacement: One, you WILL feel better after your total knee replacement or hip joint replacement when you are fully recovered. Two, your medical team will use advancements in postoperative pain management to control your pain while you are in the hospital. And three, you should expect some discomfort when you return home.
Medically reviewed by Pat Denton, MD Pee Dee Orthopaedic Associates
Your doctor lifts your arms up over your head. Then, you are asked to slowly drop your arms down by your side. Both arms slowly move until they are straight out from the shoulder. As you continue, one arm just falls quickly to your side. Sometimes a diagnosis does not require the use of diagnostic testing equipment. In this case, the simple (and simply named) “Drop Arm Test” can tell your Orthopedic Specialist if an important group of muscles in your shoulder – the rotator cuff -- is torn.