by Dr. Benigno A. Agbayani Jr.

If you are like most potential patients, you have many questions about total joint replacement. As you explore the possibility of joint replacement surgery, your orthopedic surgeon is your best resource. Below are answers to the most commonly asked questions:

1. What are some of the more common causes of arthritis or joint damage?

kneepainOsteoarthritis is the most common cause of joint destruction. This often begins after the age of 50 and is mainly due to degenerative or age related and gradual wear of joint surface tissues or cartilage. Other common causes joint destruction include rheumatoid arthritis, avascular necrosis of bone and post-traumatic or injury caused arthritis, all of which lead to pain and difficulty in moving the affected joint.

2. Can arthritis be treated without having surgery?

Presently, osteoarthritis and many other diseases of the joint cannot be cured. The disease process in degenerative joint problems can be slowed down or modified and the pain can only be temporarily alleviated with various analgesics, anti-inflammatory medications, joint injections, viscosupplementation, physical therapy, and even acupuncture. Eventually these forms of treatment are not going to be helpful anymore and a joint replacement may then become necessary.

3. What is total joint replacement?

Total joint replacement is a surgical procedure in which certain parts of an arthritic or damaged joint, such as a hip or knee joint, are removed and replaced with a plastic or metal device called prosthesis. The prosthesis is designed to enable the artificial joint to move just like a normal, healthy joint.

hip replacement2kneeprosthesis2

Hip & Knee Prosthesis

4. How long will joint replacement last?

Advancing technology has significantly increased the life of total joint implants. Still, just as your original joint wore out, a joint replacement will wear over time as well. The life expectancy of your implant will depend on your age, weight, activity level and medical condition. Every patient is different, and we cannot guarantee that any implant will last for any specific length of time.

5. How will I know if I am candidate for joint replacement surgery?

Total joint replacement is usually reserved for patients who have severe arthritic conditions. Most patients who have artificial hip or knee joints are over 55 years of age, but the operation is being performed in greater numbers on younger patients thanks to new advances in artificial joint technology.

Circumstances vary, but generally patients are considered for total joint replacement if:

    • Functional limitations restrict not only work and recreation, but also the ordinary activities of daily living
    • Pain is not relieved by more conservative methods or treatment, such as those described above, by the use of a cane, and by restricting activities
    • Stiffness in the joint is significant
    • X-rays show advanced arthritis or other problems

6. What are the kinds of joint surgery available to me at the moment?

Joint surgeries include arthroscopic surgery a minimally invasive method of looking inside a joint and repairing cartilage or removing foreign bodies from the joint. Corrective Osteotomy is also another option, which helps to correct the alignment of a joint and delay if not prevent the need for a joint replacement. In some cases, partial or only some part of a joint need to be replaced or resurfaced. In the more severe cases, total joint replacement may be the only option.


=>FAQs page 2

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This 2015 AOJR wants to talk to you and your community about arthritis. Take part and join us in  promoting awareness about the social, emotional and health impact of arthritis as well as its evidence based treatments. Help us improve lives by creating awareness. You can contact us by calling 710-8292 or email us at 













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Who else but our patients can testify to AOJR’s expertise in joint replacement surgery and how we helped improve their lives. Here are what some of our patients have to say:


Alcera" After the operation, I thought I wouldn't be ableto enjoy the same lifestyle as I had before. I was wrong, It's amazing how I can still enjoy activites likes dancing and aerobics."

Doris Alcera, 63y.o. Total Knee Replacement, February 2011

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