All you need to know about a replacement prosthesis

Written by: Dr. Lluís Puig Verdié
Published:
Edited by: Top Doctors®

Unfortunately, prostheses that are placed on the joints do not last a lifetime; whether hip, knee or shoulder prosthesis. Despite advances in manufacturing and improvement of the materials used, experts in Traumatology estimate that after 15 or 20 years of being implanted prostheses must be changed. Why? Because friction areas of the implants degrade and generate small particles that slowly dissolve the bone that supports the prosthesis. In these cases, the implants must be replaced.

replacement prosthesis

Causes of prosthesis infection

The skin of humans colonized by bacteria is. During surgery it is possible that one of these bacteria reach contact with the prosthesis. Bacteria are able to engage very solid metal (adhesion) form and multiply forming biofilms. To avoid this situation, preoperatively to patients antibiotics administered intravenously and the skin is decontaminated with antiseptics. Nevertheless, it is estimated that 1% of all surgeries can be infected prosthesis.

 

Complications of prosthetic replacement surgery

When a surgeon operates a replacement prosthesis faces three major problems that do not appear in a first prosthesis surgery.

  • Remove the prosthesis. In many cases it can be very anchored in the bone
  • Solving bone loss
  • Balance the soft tissues (ligaments and tendons)

Currently, it has a modular prosthetic implants arsenal that are assembled in the same surgical procedure, which allows to solve these problems.

 

Care after replacement prosthesis

The replacement prosthesis is a complex surgical situation, but postoperative usually not very different from what is done after primary surgery. Moreover, in many cases, being more constrained prosthesis, ie, that do not require the patient to operate ligaments, patients once they sense a high security operated leg. This facilitates the recovery period.

*Translated with Google translator. We apologize for any imperfection

By Dr. Lluís Puig Verdié
Orthopaedic Surgery

Dr. Lluís Puig Verdié is Section Chief of Septic Pathology of the Locomotor and Traumatic Apparatus in the Orthopedic Surgery and Traumatology Service of the famous Hospital Parc de Salut MAR, he is also a member of the Department of Orthopedic Surgery and Traumatology in Dr. Quirón Barcelona, prestigious private hospital in Barcelona.

The combination of the academic training of Dr. Puig Verdié, with his professional experience makes him one of the best professionals in his field, which is why he has been awarded on numerous occasions.

On the other hand, he is a regular speaker at conferences related to his specialty and vice president of the Catalan Society of Orthopedic Surgery and Traumatology (SCCOT). Dr. Puig Verdié specializes in prosthetic surgery of the knee and hip, as well as in post-surgical prostheses due to infections; In addition to his professional practice, he is an associate professor at the Universitat Autònoma de Barcelona and guest professor at several Spanish and foreign universities.

 

*Translated with Google translator. We apologize for any imperfection

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