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Is Total Joint Replacement Right for You?
 

You've been suffering with joint destruction or deformity for years. Alternative therapies such as anti-inflammatory drugs or supplements just aren't working anymore. While the idea of total joint replacement sounds, well total, it could be an opportunity to get rid of the pain and regain the lifestyle you once had.

Relieving pain as the goal
"The goal of total joint replacement is to relieve the pain in the joint caused by the damaged cartilage," said Kristaps Keggi, M.D., of the Orthopaedic Center at Waterbury Hospital and Clinical Professor of Orthopaedics & Rehabilitation at the Yale University School of Medicine.

The Waterbury Hospital Service performs more than 600 elective hip and knee replacements and revisions each year, earning it the distinction of one of the busiest orthopaedic centers in New England. Dr. Keggi's own career spans some 30 years, during which time he has pioneered a number of joint replacement techniques, including an early model of a ceramic hip in the 1980s. Ceramic is considered more durable for younger, active patients.

Choices for care
"Dr. Keggi and I are now using a new generation of ceramic hips that incorporate the latest technology of cup-and-stem design—materials and surfaces that lengthen the life of a hip replacement," added John Keggi, M.D., of the Orthopaedic Center and Clinical Instructor of Orthopaedics Rehabilitation at the Yale University School of Medicine. (Yes, they are related. John Keggi is Kristaps Keggi's nephew.)

Just like the joint you were born with
Joint replacement surgery is successful in more than 98 percent of the cases. Potential complications include infection or blood clot, but most are treated successfully, noted John Keggi.

Joint replacement for knees
Joint replacement for knees is also a burgeoning area of orthopaedics, and one that's meeting the needs of a younger crowd. For example, in the unicondylar procedure only part of the knee that is worn out is replaced. Should total knee replacement be warranted, a new alloy, oxidized zirconium, is offering younger patients the strongest prosthetic knee available to date. Both the partial knee, and the total knee using oxidized zirconium, are available at the Waterbury Hospital Center.

Who needs total joint replacement?
About 70 percent of patients who get hip and knee replacements are over age 65. In addition to osteoarthritis, which causes cartilage to deteriorate, sports related injuries and falls also create the need for surgery. It is up to you to decide when the pain becomes too much to handle. Some signs to watch for include:

  • night pain
  • constant fatigue
  • decreasing range of motion
  • pain while walking short distances
  • back pain
  • limited social life

To find out more about joint replacement surgery, contact your primary care physician. Or you may call Orthopaedic Services at Waterbury Hospital directly at 203-573-7635.

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