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Joint Replacement Surgery and Its Future


Joint replacement surgery is a common procedure used to treat severe joint damage, most often caused by arthritis, injury, or wear over time. It is most frequently performed on the hip and knee, but other joints such as the shoulder, ankle, and elbow can also be replaced. The goal of the surgery is to relieve pain, improve function, and help patients return to everyday activities.


The process begins with a detailed preoperative assessment. This includes a physical examination, blood tests, and imaging such as X-rays or MRIs. These tests help the surgical team understand the extent of the joint damage and create a personalized surgical plan. Patients are also evaluated for any medical conditions that could affect the safety or success of the procedure.


On the day of surgery, the patient is given anesthesia. This may be general anesthesia, which puts the patient to sleep, or regional anesthesia, which numbs the area of the body being operated on. Once the patient is properly anesthetized, the surgeon makes an incision over the joint. The muscles and tissues around the joint are moved aside carefully to allow access to the damaged bone and cartilage.


Next, the damaged parts of the joint are removed using precise surgical instruments. The surfaces of the bone are then shaped to fit the artificial components. These implants are usually made of metal, plastic, or ceramic. Depending on the type of implant, the components are either cemented into place or designed to allow the bone to grow into them over time. After the artificial joint is securely in position, the surgeon checks the alignment and movement to ensure it is functioning correctly. The incision is then closed with stitches or staples, and a sterile dressing is applied.


Recovery begins almost immediately, often within 24 hours. Physical therapy is started early to help the patient regain strength, flexibility, and movement. Most patients are able to resume daily activities within a few weeks, although full recovery can take several months.

The future of joint replacement surgery is focused on making the procedure even more accurate and personalized. Robotic-assisted technology is helping surgeons place implants with greater precision. Custom implants made with 3D printing are being developed to better match each patient’s anatomy. In addition, researchers are exploring new methods such as tissue regeneration and stem cell therapy, which may one day allow doctors to repair joints without the need for artificial implants. These advancements are making joint replacement surgery safer, more effective, and longer-lasting.


by Ariela Okanta at Incisionary


References:


Foran, J. (2014). Total Joint Replacement - OrthoInfo - AAOS. Aaos.org. https://orthoinfo.aaos.org/en/treatment/total-joint-replacement/


Johns Hopkins Medicine. (2019). Knee Replacement Surgery Procedure. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/knee-replacement-surgery-procedure



Ma, B. (2013). Knee joint replacement: MedlinePlus Medical Encyclopedia. Medlineplus.gov. https://medlineplus.gov/ency/article/002974.htm


Mayo Clinic. (2022, December 21). Knee replacement - Mayo Clinic. Mayoclinic.org. https://www.mayoclinic.org/tests-procedures/knee-replacement/about/pac-20385276


Ray, L. (2024, February). Joint Replacement Surgery. Rheumatology.org. https://rheumatology.org/patients/joint-replacement-surgery

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