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  Hip-Joint Replacement
 
     
  Hip Arthroscopy
   
Hip arthroscopy is a relatively new surgical technique that can be effectively employed to treat a variety of hip conditions.
     
  Femoro Acetabular Impingement FAI
   
Femoroacetabular Impingement FAI is a condition resulting from abnormal pressure and friction between the ball and socket of the hip joint resulting in pain and progressive hip dysfunction. This when left untreated leads to the development of secondary osteoarthritis of the hip.
     
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    Total Hip Replacement (THR)
      Total Hip Replacement (THR) procedure replaces all or part of the hip joint with an artificial device (prosthesis) to eliminate pain and restore joint movement.
       
    Hip Resurfacing
      Hip Resurfacing or bone conserving procedure replaces the acetabular (hip socket) and resurfaces the femoral head. This means the femoral head has some or very little bone removed and replaced with the metal component. This spares the femoral canal. Find out more about Hip Resurfacing from the following options.
       
    Revision Hip Replacement
      This maybe because part or all of your previous hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full.
       
  Knee- Joint Replacement
 
       
    Arthroscopy of the Knee Joint
      Arthroscopy is a surgical procedure in which an arthroscope is inserted into a joint. Arthroscopy is a term that comes from two Greek words, arthro-, meaning joint, and -skopein, meaning to examine.
       
      The benefits of arthroscopy involve smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is able to return home on the same day.
       
    Total Knee Replacement (TKR)
      A total knee replacement (TKR) or total knee arthroplasty is a surgery that resurfaces an arthritic knee joint with an artificial metal or plastic replacement parts called the ‘prostheses'.
       
    Anterior Cruciate Ligament ACL Reconstruction
      The anterior cruciate ligament is one of the major stabilizing ligaments in the knee. It is a strong rope like structure located in the centre of the knee running from the femur to the tibia. When this ligament tears unfortunately it doesn't heal and often leads to the feeling of instability in the knee.
       
      ACL reconstruction is a commonly performed surgical procedure and with recent advances in arthroscopic surgery can now be performed with minimal incisions and low complication rates.
       
    Uni Condylar Knee Replacement
      This simply means that only a part of the knee joint is replaced through a smaller incision than would normally be used for a total knee replacement. The knee joint is made up of 3 compartments, the patellofemoral and medial and lateral compartments between the femur and tibia (i.e. the long bones of the leg). Often only one of these compartments wears out, usually the medial one. If you have symptoms and X-ray findings suggestive of this then you may be suitable for this procedure.
       
    Revision Knee Replacement
      This means that part or all of your previous knee replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full.
       
  Preparing for Surgery
 
      Once you and your Doctor decide that surgery will help you, you'll need to learn what to expect from the surgery and create a treatment plan for the best results afterward. Preparing mentally and physically for surgery is an important step toward a successful result. Understanding the process and your role in it will help you recover more quickly and have fewer problems.
         
      Working with Your Doctor
      icon Before surgery you are likely to be referred to an investigation clinic at the hospital where you'll undergo routine tests, such as blood tests and x-rays together with a physical examination, and at that time you'll be provided with more detailed information regarding your in-patient stay, and your joint replacement generally.
      icon Discuss any medications you are taking with your doctor and your family physician to see which ones you should stop taking before surgery.
      icon If you are overweight, losing weight before surgery will help decrease the stress you place on your new joint.
      icon However, you should not diet during the month before your surgery.
      icon If you are taking aspirin or anti-inflammatory medications, you will need to stop taking them one week before surgery to minimise bleeding.
      icon If you smoke, you should stop or cut down to reduce your surgery risks and improve your recovery.
      icon Have any tooth, gum, bladder or bowel problems treated before surgery to reduce the risk of infection later.
      icon Eat a well-balanced diet, supplemented by a daily multivitamin with iron.
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Report any infections to your surgeon. Surgery cannot be performed until all infections have cleared up.

         
      Home Planning
      icon Arrange for someone to help out with everyday tasks like cooking, shopping and laundry.
      icon Put items that you use often within easy reach before surgery so you won't have to reach and bend as often.
      icon Remove all loose carpets and tape down electrical cords to avoid falls.
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Make sure you have a stable chair with a firm seat cushion, a firm back and two arms.

         
 

Preparing for Procedure

 

 
   

   If you are having Day Surgery, remember the following:

      icon Have someone available to take you home, you will not be able to drive for at least 24 hours.
      icon Do Not drink or eat anything in the car on the trip to home.
      icon The combination of anaesthesia, food, and car motion can quite often cause nausea or vomiting. After arriving home, wait until you are hungry before trying to eat. Begin with a light meal and try to avoid greasy food for the first 24 hours.
      icon If you had surgery on an extremity (leg, knee, hand or elbow), keep that extremity elevated and use ice as directed. This will help decrease swelling and pain.
      icon Take your pain medicine as directed. Begin the pain medicine as you start getting uncomfortable, but before you are in severe pain. If you wait to take your pain medication until the pain is severe, you will have more difficulty controlling the pain.
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If you need to find out more, please do not hesitate to call us during office hours.

         
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