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"Joint Replacement" (the term orthopaedic surgeons use) is usually reserved for patients who have severe arthritic conditions. Most patients who have artificial knee joints are over 55 years of age, but the operation is being performed in greater numbers on younger patients thanks to new advances in artificial joint technology. Circumstances vary, but generally patients are considered for total joint replacement if:
Total joint replacement is a surgical procedure in which certain parts of an arthritic or damaged joint, such as a knee joint, are removed and replaced with a prosthesis, or artificial joint. The artificial joint is designed to move just like a normal, healthy joint. In total knee replacement, the artificial joint is composed of metal and polyethylene to replace the diseased joint. The artificial joint is most commonly anchored into place with bone cement. In some applications, it is covered with a porous coating that allows bone tissue to grow into it.
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Serious complications may occur with any surgical procedure. These include but are not limited to: problems with anesthesia, cardiovascular problems including heart attack, vascular problems including thrombus, bronchopulmonary problems including emboli, genitourinary problems, and gastrointestinal problems. Certain additional complications related to joint replacement surgery in particular may include but are not limited to: bleeding problems, blood clots in the legs and/or lungs, wound healing problems, damage to nerves and blood vessels, limb length discrepancy, bone erosion or abnormal bone formation, dislocation, infection, pain, bone fracture or non-union, component wear or fracture, component loosening. Complications may require medical intervention including additional surgery and, in rare instances, may lead to death. Your doctor should discuss these potential complications with you.
As successful as most of these procedures can be, over the years, the artificial joints can become loose and unstable or wear out, requiring a revision (repeat) surgery.