Question 1

What does the orthopaedics and joint replacement department treat?

Accepted Answer

This department treats bone and joint conditions in adults, focusing particularly on arthritis-related joint damage, joint injuries, and conditions requiring joint replacement surgery, most commonly of the hip and knee, but also shoulder, elbow and ankle in select cases. Treatment ranges from conservative management with medication and physiotherapy to surgical joint replacement (arthroplasty) for advanced joint damage that significantly limits mobility and quality of life.

Question 2

When is knee or hip replacement surgery recommended?

Accepted Answer

Joint replacement surgery is generally recommended when joint pain and stiffness, most commonly from severe osteoarthritis, significantly limit daily activities and quality of life, and conservative treatments like medication, physiotherapy and injections no longer provide adequate relief. The decision isn't based on age alone but on how much the joint damage is affecting your function and wellbeing, and your orthopaedic surgeon will discuss whether you've reached the point where surgery's benefits are likely to outweigh conservative management.

Question 3

How long do knee and hip replacement implants typically last?

Accepted Answer

Modern joint replacement implants typically last 15 to 20 years or longer for most patients, with advances in implant materials and surgical techniques continuing to improve durability over time. Factors like activity level, body weight, and how well post-surgical rehabilitation guidance is followed can influence how long an implant lasts. If an implant does eventually wear out, revision surgery to replace it is possible, though it's generally more complex than the original replacement surgery.

Question 4

What is the recovery process like after joint replacement surgery?

Accepted Answer

Recovery typically involves a hospital stay of two to four days, with physiotherapy usually starting within a day of surgery to promote early mobility. Most patients use a walking aid for the first few weeks, gradually reducing dependence as strength improves, with many returning to light daily activities within six weeks and continuing to see improvement in strength and mobility for several months. Following your prescribed physiotherapy programme closely is one of the most important factors in achieving a good outcome.

Question 5

What are the risks of joint replacement surgery?

Accepted Answer

Risks of joint replacement surgery include infection, blood clots, implant loosening or wear over time, and, less commonly, nerve or blood vessel injury during surgery. Choosing an experienced surgical team, along with careful pre-surgical health optimisation, such as managing weight and blood sugar levels if diabetic, and diligently following post-surgical precautions like blood clot prevention measures, significantly reduces these risks. Your orthopaedic surgeon will discuss your specific individual risk factors during your pre-surgical evaluation.

Orthopaedics & Joint Replacement