Patients who take prescription opioids for more than 60 days before total knee or hip replacement surgery are at significantly higher risk of being readmitted to the hospital and of undergoing repeat joint-replacement surgery, compared to patients with no preoperative opioid use, reports a study in the July 18 issue of The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.
Orthopedic surgeon Michael Salata, MD, Director, Joint Preservation and Cartilage Restoration Center at University Hospitals Cleveland Medical Center and Associate Team Physician, Cleveland Browns, is the first in Northeast Ohio to employ a new technique that lessens complications when performing hip arthroscopy.
If you are considering a total knee replacement, join the crowd. Joint replacement surgeries are among the most common elective surgeries.
Sultana Monira Hussain, M.B.B.S, M.P.H., Ph.D., from Monash University in Melbourne, Australia, and colleagues examined associations between female reproductive and hormonal factors (measured between 1990 and 1994) and incidence of total knee arthroplasty (TKA) for OA among 22,289 women participating in the Melbourne Collaborative Cohort Study. Analyses were adjusted for age, body mass index (BMI) at midlife, change in BMI from early reproductive age to midlife, country of birth, physical activity, smoking, and education level.
In a situation like yours, it's typically recommended that the joint causing the most symptoms be replaced first. If symptoms are similar, then it's usually best for the hip replacement to be done first. You'll need to allow about six weeks for recovery and rehabilitation after your hip replacement. Depending on your individual circumstances, you should be able to move forward with the knee replacement procedure any time after that.