Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal device., plastic or ceramic called a prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint.
Hip and knee replacements are the most common joint replacements., but replacement surgery can also be performed on other joints, including ankle, the doll, shoulder and elbow.
A joint is formed where the ends of two or more bones meet. There are different types of joints within the body. For example, the knee is considered a joint of “hinge”, due to its ability to bend and straighten like a hinged door. The hip and shoulder are joints of “ball joint”, in which the rounded end of one bone fits into a cup-shaped area of another bone.
La cirugía de reemplazo de articulaciones es un procedimiento al que se someten muchas personas para aliviar el dolor articular crónico y mejorar la movilidad articular cuando otros tratamientos no quirúrgicos no han tenido éxito. Si está lidiando con un dolor articular persistente y un rango de movimiento limitado, entonces puede valer la pena considerar la cirugía de reemplazo articular para restaurar su calidad de vida en general y hacer que vuelva a hacer las cosas que disfruta, sin dolor.
Hay muchas cirugías articulares diferentes disponibles y, según sus síntomas y la articulación afectada, determinará el mejor tipo de cirugía para usted. Su cirujano ortopédico podrá discutir con usted todas las opciones. Los tipos más comunes de cirugía de reemplazo de articulaciones incluyen:
El reemplazo total de la articulación (una artroplastia) es un procedimiento que implica extirpar parte o la totalidad de la articulación dañada y reemplazarla con implantes artificiales. La cirugía de reemplazo de articulaciones puede mejorar la movilidad y proporcionar un alivio significativo del dolor. Puede ser necesario para la artritis avanzada o como resultado de una lesión. Los reemplazos de rodilla, cadera y hombro son un tipo común de cirugía de reemplazo de articulaciones. La cirugía de reemplazo de articulaciones a menudo se puede realizar como un procedimiento mínimamente invasivo, que utiliza incisiones más pequeñas, tiene estadías hospitalarias más cortas y tiene un tiempo de recuperación más corto que los procedimientos de reemplazo de articulaciones tradicionales.
Reemplazo anterior de cadera: un reemplazo anterior de cadera es una nueva forma de implantar un reemplazo de cadera utilizando técnicas mínimamente invasivas. Esto permite preservar los músculos en lugar de dividirlos y permite una recuperación más rápida y menos restricciones en la actividad después de la cirugía.
Reemplazo parcial de cadera: un reemplazo parcial de cadera (una hemiartroplastia) implica reemplazar la cabeza femoral (la bola) solamente y no el acetábulo (cavidad). Este procedimiento se usa más en pacientes mayores que sufren una fractura de cadera y es una opción cuando el encaje está sano.
Reemplazo parcial de rodilla : la articulación de la rodilla se divide en tres compartimentos (los compartimentos lateral, medial y femororrotuliano). Si el daño solo afecta a uno o dos compartimentos de la rodilla, se puede recomendar un reemplazo parcial de rodilla. Un procedimiento de reemplazo parcial de rodilla implica la remoción de tejido dañado, la renovación de áreas existentes e implantación de partes artificiales en los compartimentos afectados de la rodilla.
Cirugía robótica de rodilla: procedimiento quirúrgico de última generación que utiliza el sistema NAVIO para la cirugía de reemplazo total o parcial de rodilla. La cirugía se adapta a su anatomía personal mediante la creación de una representación en 3D de la forma y el perfil únicos de su rodilla y no requiere una tomografía computarizada. La representación 3D personalizada de su rodilla combinada con la asistencia robótica durante la cirugía permite un ajuste más preciso y un mejor resultado a largo plazo. La cirugía se realiza con asistencia robótica para reemplazar parte o la totalidad de la articulación de la rodilla con implantes protésicos. Los instrumentos robóticos se doblan y giran mejor que la mano humana para mejorar la precisión, la visión y el control durante este procedimiento mínimamente invasivo y las estructuras sanas que rodean el área permanecen ilesas.
Reemplazo inverso del hombro : donde la posición de la bola y el encaje en la articulación se cambia y se reemplaza con partes artificiales. Se coloca quirúrgicamente una “bola” protésica en el omóplato y luego se construye una “cavidad” artificial en la parte superior del hueso del brazo. Al invertir la ubicación de la rótula, permite que el hombro pase por alto los músculos y tendones dañados y utilice los músculos de la parte superior del brazo y el hombro. Esto estabiliza la articulación del hombro y restaura el movimiento y la función sin dolor.
La preservación de la articulación ayuda a restaurar la función normal y sin dolor de la articulación de la rodilla, la cadera y el hombro. Se logra mediante el uso de diferentes métodos de tratamiento que incluyen modificaciones de la actividad, medicamentos, fisioterapia , inyecciones y, a veces, cirugía. Las estrategias de conservación articular son personalizadas para cada paciente, teniendo en cuenta su edad, nivel de actividad, expectativas y grado de disfunción articular.
Joint replacement surgery is generally recommended for patients with advanced end-stage joint disease (usually of the knee or hip) who have tried a non-surgical treatment, but still experience functional impairment and disabling pain. Joint replacement is an extremely effective surgery when performed at the right time and indication..
Modern joint replacement surgery involves the removal of worn cartilage from both sides of the joint., followed by joint resurfacing with a metal and plastic replacement implant that looks and works very similar to your normal joint. Although almost all joints in the body can be replaced, most replacement surgeries involve the hip or knee.
Knee and hip replacements are two of the most common and successful surgeries performed today. Arthroplasty, by equipping the patient with a new mobile joint, offers patients a long-term positive outcome. With innovative and effective implant solutions we can meet the high expectations of the patient both today and in the future., as we face growing economic challenges in the healthcare sector.
We understand that the quality of treatment is linked to patient satisfaction, especially in the case of arthroplasties. Our solutions for implants and instruments, together with offers of other products and services, support the patient during the different phases of the process, which increases safety and effectiveness in daily practice.
During the last 30 years, improved surgical techniques and new implant materials have been developed, making total joint replacement one of the most reliable and long-lasting procedures in any area of medicine.
The skeletal structure of the human body is made up of many different types of joints., the point where two bones meet. The knee joint is called “hinge”, as it can be bent and straightened. The hip and shoulder joints are “spherical” where the rounded end of one fits into the hollow of another bone, allowing a rotational movement.
Normal joints have “articular cartilage” and are lined with synovial fluid that allows them to move smoothly.. When this cartilage is eroded or damaged due to disease, trauma or age, or the liquid is reduced, the joints become stiff and painful. This condition with symptoms such as pain and stiffness is called arthritis..
Your doctor will first suggest non-surgical treatments to reduce pain and help you move better., often with the use of walking aids, exercise or medications. If these don't work, the joint may be too compromised to resolve with any other treatment and surgery becomes necessary.
In joint replacement , abnormal bone and lining structures are surgically removed and replaced with new parts made from metal implants, plastic or carbon coated. These new parts restore joint mobility and, as usual, they are painless.
Improves appearance and alignment
Improve the overall function
The most common joint surgeries are performed on the hips and knees . Nevertheless, replacement surgery can also be done and is done on other joints:
Hip replacement can be total or hemi (half). A total hip replacement targets both the acetabulum and the femoral head. Hemiarthroplasty only replaces the femoral head.
The knee is the largest and most complex joint that connects the main limbs and supports the total weight of the body.. It is susceptible to multiple injuries and ailments. Knee surgery options depend on the part that needs to be treated, from an anterior cruciate ligament tear to a partial or total knee replacement or microfracture surgery.
Shoulder joint replacements include the deltopectoral approach to save the deltoid. And the transdeltoid approach, a nivel glenoideo. Reverse total shoulder replacement is an option in severe cases.
The bones of the elbow are replaced with an artificial joint made of implants that are attached to the bones of the arm.. A metal and plastic hinge joins the implants.
In wrist joint replacement surgery, damaged parts of the wrist bones are removed and replaced with artificial components.
Total ankle arthroplasty (TAA) is a surgical procedure used by foot and ankle orthopedic surgeons to treat ankles affected by severe arthritis.
A finger joint replacement (PIP) and the knuckle joint (MP) involves removal of the damaged joint and replacement with an artificial implant. This replicates normal joint function.. The specific goals are to relieve pain, restore joint stability and mobility.
TJR is an orthopedic procedure in which an arthritic or dysfunctional joint surface, usually on the hip or knee, is replaced with a prosthesis. Joint replacement is an option when severe pain or dysfunction does not respond to less invasive therapies.
Joint replacement or joint replacement is surgery where a bad joint is replaced, painful or fractured by metal and plastic elements that improve or eliminate pain and reactivate function. This prosthesis is not appreciated outside the body; only an external scar remains on the skin. With this surgery the movement of the joint and the general function of that limb can be improved.
This technique consists of repairing tears in the soft tissues around the knee., the hip, shoulder and other joints. Damaged cartilage is repaired and broken pieces of cartilage are removed.
An arthritic joint surface is replaced by an orthopedic prosthesis.
For knee joints, it is a unicompartmental or partial knee replacement. Implants are inserted into only one of the three compartments of the knee: the medial compartment (interior), lateral (exterior) o femororrotuliano (frontal). In the rejuvenation of the hip joint, a metal cup replaces the hip socket while the damaged hip ball is reshaped and finished off with a metal prosthesis.
A bone is cut and removed, or a piece is added near a damaged joint. In the knee, an osteotomy shifts weight from an arthritic area to a healthy area. In the hip it is used to correct hip misalignment or dysplasia.
Inflammatory arthritis affects the lining of the joints, synovium, and damages the cartilage and surrounding joints. In this procedure the affected synovium is removed.
Hardware such as pins are used, plates or rods to fuse two or more bones in the affected joint to create a continuous joint. As the bones grow together, stabilize the joint and hold it in place.
The damaged joint is replaced with an implant constructed of plastic components, metal, ceramic or carbon coated. The implant works like the original joint.
Like in TJR, this technique also replaces damaged joints, but with smaller incisions. It's about less cutting and reattachment of muscle.
The life of an implant is 15 a 20 years. Those who acquire them at a young age may eventually need a second replacement, known as revision.
The relatively long-term efficacy of a joint replacement procedure provides a better quality of life. Painless movement, increased strength of the joints, easier management of daily activities and independence are possible.
Joint replacement means removing part or all of a damaged joint and installing hardware to allow the limb to move without pain or limitations.. The replacement hardware is called a prosthesis. These are made of plastic, metal, ceramic or a combination of these materials. Most joint replacements are done to treat arthritis damage to the knees or hips.. Orthopedic surgeons perform the procedure under general anesthesia.
The decision to replace a joint depends on several factors:
Like any major operation, joint replacement surgery carries the risk of possible complications. For example, there are small risks that you may have a reaction to the anesthesia, develop a blood clot or get an infection.
Joint pain is disruptive and disabling to a person's lifestyle. Joints can be damaged as a result of aging, the wear, injuries and conditions such as osteoarthritis, which is the most common type of arthritis and causes pain, joint degeneration and disability. Osteoarthritis affects more than 21 millions of americans. As the cartilage that lines the joints continues to wear away, blood flow within the joint is restricted. If a joint is damaged, the pain and disability that accompany this degenerative process can become quite excruciating, accompanied by a host of other problems.
Total joint replacement surgery has progressed by leaps and bounds in the last two decades and is considered one of the most successful surgeries in the field of orthopedics.. How there are millions of people around the world who suffer from joint disorders, This form of surgical treatment has truly come as a savior and remedy for patients who have long suffered from chronic hip pain., knee or shoulder.
As surgical and technological advances have continually evolved, nowadays, has made it possible for surgeons who specialize in joint replacement, restore the injured or degenerated joint, so that the individual can return to their normal active and productive lifestyle after surgery, with optimal function and range of motion. More than ever, joint replacement surgery is more advanced, with a better understanding of human anatomy, refined surgical techniques, technological advances in implant precision and design to ensure pain relief, faster recovery and less risk of complications.
The knee is called a hinge joint, because of how it bends and straightens. The knee is made up of the thigh bone (femur), the shin or bone of the lower leg (tibia), fibula and patella (ball joint). Various ligaments also support and accompany the knee joint., including ACL, PCL, MCL y LCL. This joint is complex, which makes her very prone to injury. Knee problems are the most common reason people visit an orthopedic surgeon.
The knee contributes to stability, balance and mobility. If the knee is injured or degenerates, it can be very difficult to navigate your daily life without chronic pain. Knee cartilage, that acts as a cushion or buffer between the bones, starts to wear out, causing painful friction between the bones and making it difficult to perform everyday activities such as running, walking and playing sports.
During a total knee replacement, the entire knee joint is replaced with an artificial prosthesis. The end of the femur is replaced with metal, with the tibia lined with a metal and plastic tray, known as polyethylene. Friction in the joint is reduced, relieving pain and allowing a greater range of motion.
Arthritis severe or in “terminal stage” can be caused by a variety of problems including osteoartritis , rheumatoid arthritis and other inflammatory joint problems, previous joint injuries and fractures, joint infections and other rare conditions such as osteonecrosis (also called avascular necrosis). All of these problems result in damage to the different structures in the joint and eventually lead to significant irreversible damage and a dysfunctional joint..
Certain types of arthritis, such as rheumatoid arthritis and other inflammatory types of arthritis, can be better treated by a rheumatologist, who specializes in treating these disorders. The most common joint problems, like osteoarthritis, are usually treated by a primary care physician, a rheumatologist or orthopedic surgeon. When the medical treatment for arthritis recommended by your doctor becomes less effective, joint replacement surgery may be an option for you. These professionals are best qualified to determine if joint replacement therapy is an appropriate treatment option for you..
The definition of “appropriate” for total joint replacement surgery changes continuously. Usually, there is no set upper age limit for joint replacement candidates. However, perhaps the best decision will be made based on your general medical condition and suitability for surgery, and how much your arthritis affects your quality of life.
While few patients are in perfect health, most people who undergo joint replacement must be healthy enough or medically "in tune" to allow the surgery to be performed safely. Before joint replacement surgery, talk to your primary care doctor to make sure your health is good enough to undergo the anesthesia and rehabilitation associated with the surgery.
Joint replacement surgery, arthroplasty, replaces the injured or diseased parts of the joint and replaces them with new, artificial parts.
Joint replacement surgery can relieve pain and help you move more easily and feel better.. The hips and knees are the most frequently replaced joints. Other joints that can be replaced are the shoulders, finger joints, ankles and elbows.
For almost all patients, arthritis or other joint problems that are usually treated with joint replacement surgery can be diagnosed with plain x-rays. Other causes of hip or knee pain should be considered, as referred back pain can easily be mistaken for pain associated with arthritis of the hip or knee, and pain from an arthritic hip can occasionally refer to the knee. Inflammation of the soft tissue structures around the joint can also cause tendonitis or bursitis which can be mistaken for pain associated with arthritis.. A careful examination by your doctor and routine X-rays can usually determine the actual cause of your pain..
Knee joint replacement is a procedure that involves replacing an injured or diseased knee with an artificial joint or prosthesis..
The prosthesis is made of metal alloys, plastics and polymers. Mimics the function of a knee. According to American Academy of Orthopedic Surgeons (AAOS) , replacement knees can be tailored to your needs and specifications. When selecting a knee replacement, your doctor will consider your:
The procedure to remove the old knee and replace it with a prosthesis generally takes less than two hours., but recovery and rehab can take months.
Another name for this procedure is knee replacement.. Knee replacements are a very common surgery. The AAOS points out that each year more than 600.000 knee replacements
Arthritis damage is the most common reason for knee joint replacement. This includes both osteoarthritis and rheumatoid arthritis..
Doctors generally only recommend knee replacement after other less invasive treatments have failed.. First-line treatment options include:
Key factors in determining if you are a good candidate for knee joint replacement include:
Knee surgery is a typical treatment for people over the age of 55 years. Younger people who have their knee replaced can survive their artificial knees and may need a revision.
Doctors evaluate each candidate for knee replacement surgery individually.
And. Joint replacement surgeries can be hip, knee, shoulder, ankle, elbow and fingers. Joint replacement surgery involves removing a damaged joint and replacing it with a new one.. This can help restore movement and relieve pain.. Sometimes, the surgeon may choose to remove part of the damaged joint (partial joint replacement), while at other times you can remove it completely (total joint replacement). This depends on the extent of the damage. Surgery for a completely artificial knee is known as total knee replacement. (TKR), for example.
Knee replacement surgery is done to treat advanced and end-stage arthritis. When arthritis in the knee joint (s) has progressed to the point where medical management is no longer effective, or the deformity has become very severe and debilitating, knee replacement surgery may be recommended.
Knee joint surgery is the result of damage to the sliding layer or surface called the articular cartilage.. Depending on the amount of damage, normal activities like walking and going up or down stairs can be difficult. Damage to the cartilage of the knee joint or the bone under it can result in deformity. Deformities such as bowlegged and unusual knee sounds (crepitus or crepitation) may become more obvious as degeneration worsens. Knee replacement surgery is designed to replace damaged cartilage or slippery surface in addition to any loss associated with supporting bone or ligament structure.. The materials used for a knee replacement are similar to those already mentioned for hip replacement..
Total shoulder joint replacement is often needed by those with severe forms of osteoarthritis or rheumatoid arthritis, but rarely, is for those who have had severe trauma due to a shoulder fracture.
The shoulder is a hollow and head joint. The first indication that a total shoulder replacement is needed is that the pain is not relieved by therapy or any other treatment.. Pain can be caused by abnormalities and changes in the joint surface as a result of arthritis or fractures.. The first goal of total shoulder replacement surgery is pain relief, and the secondary objectives are to improve mobility, the force, and the function.
Most patients who have had total knee replacement surgery have dramatic improvement over the 3 months of operation. Pain caused by damaged knee is relieved when a new sliding surface is built. Patients who have knee replacement surgeries are usually on their feet and moving the joint the day after the operation.. After 6 weeks, most patients are walking comfortably with minimal support, Nevertheless, taking of 6 months to 1 year before achieving optimal benefits. After regaining strength in muscles, patients who have had knee replacement surgery can enjoy most activities (except run and jump).
When the first knee replacement procedures began in the early years 1970, the total knee implant was expected to last on average approximately 10 years. It is now known that approximately the 85 percent of knee implants will last 20 years. Improvements in surgical techniques, in prosthesis designs, on supporting surfaces and fixation methods can allow these implants to last even longer.
Having a successful result with your total shoulder replacement depends a lot on meticulously doing the exercises that have been recommended and prescribed.. Through this structured exercise program, your muscles will be stretched progressively and methodically and will also get stronger over the course of a year. The desired effect is the optimal function of the shoulder replacement.
In certain situations, formal physical therapy may be needed for a long time after you are discharged from the hospital. This therapy can be done during outpatient therapy at home. Nevertheless, most patients do not need any form of formal outpatient therapy.
Your rehabilitation will be continuous and progressive. Can take you from 6 months to 1 year to achieve optimal benefits. It is important that you realize that progress is sometimes slow and not always constant.. You must continue doing your therapy program without getting discouraged. Your doctor will monitor your progress during visits at six-week intervals for the first four to five months., and then less frequently for a year.
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Schedule your Appointment with him Dr. Danilo Velandia to be able to provide you with information and guidance about our Procedures. All the necessary information will be explained to you from: how to prepare for surgery, what will happen to you at the Clinic or Hospital, how you should take care of yourself at the end of the Procedure, as well as the changes that must occur in your lifestyle.
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