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ARTHRITIS FOUNDATION OF VICTORIA
www.arthritisvic.org.au  ... (Copy reviewed 2005)

SURGERY FOR ARTHRITIS 

Arthritis can affect many joints in more than one area of the body. Fortunately, most people may never need surgery in these areas. But for others, surgery may be a consideration.

Surgery is a most effective means of treatment. It is generally indicated when other medications and therapies are unsuccessful.

The aims of surgery are to:

  1. relieve pain
  2. ease stiffness in the joint
  3. regain motion and mobility of the joint
  4. correct defomiities and other cosmetic malformations.

The sooner the surgery is performed - that is, the less damage there is - the better the results will be. It's not so much a question of time as of damage. In addition, as the disease progresses, surgery intended to preserve normal function becomes far more limited in what it can achieve.

Possible long-term damage to a joint can be avoided with surgery, e.g.. a diseased synovium (the lining of the joint), may not affect the wrist joint now, but may damage it in months or years to come.

Joint replacement surgery has an excellent success rate, with a low incidence of postoperative complications. Providing the follow-up procedures are complied with, marked improvement in all areas of comfort, motion and appearance will occur.

Questions to ask your surgeon or doctor.

Listed below are questions that will be important for you to have the answers to you will better understand what is involved in joint replacement surgery, and how it will affect you.

Most people find it difficult to remember all the questions that they want to ask their doctor or surgeon. It would be a good idea for you to write down the points you want to cover. Ask your doctor to draw diagrams for you, write things down and give you any information brochures he or she may have when answering your questions. That way, you will remember the answers.

General Points

Think about asking the doctor:

  • What exactly is done in the operation?
  • How long will the operation take?
  • How long will a new joint (prosthesis) last?
  • Will other operations be needed?
  • How long will I be in hospital?
  • How much pain will there be after the operation?
  • How much movement will a prosthesis give me?

Risks

Every operation has risks. Fortunately, in joint replacement surgery, less than 5 people in 101 have an operation that fails or has problems. Sometimes wounds can become infected, or a new joint can pop out of place (dislocation). It is essential that you talk to your doctor about this.

Think about asking the doctor:

  • What problems can occur with joint surgery? How likely are they?
  • Is there anything I can do before and after the operation to reduce the chances of these problems occuring?
  • What can be done if my prostheses fails?

After the operation

The operation itself is only part of the story. Afterwards you will require some physiotherapy, to get the new joint working correctly again. You also need to be taught what you can do with your new joint. This will take some time.

 Once again, think about asking your doctor:

  • What happens to me in hopsital, after the operation is over?
  • How long will I have to wait before I can exercise my joint?
  • What will my daily life be like once I get home?
  • Will I need to use crutches or a walking frame after the operation

 

 FURTHER INFORMATION

Depending on the type of joint replacement surgery you are thinking about, or have decided to go ahead with, you have a number of options.

  1. Ask your general practitioner or surgeon if they have any pamphlets.
  2. Local health care clinics.
  3. Libraries.
  4. Local support groups (check local newspapers).
  5. The Arthritis Foundation of Victoria has a  support network called the Arthritis Phone Link. They can put you in touch with other patients who have had similar operations. Talking to these people before and after your operation will be very helpful to you. There is also extra information that the Arthritis Foundation can send out to you.

 

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