Do I need hip or knee surgery?

The knees and hips are complex joints that bear the responsibility of supporting our entire body weight and facilitating an extensive range of motion we often take for granted. Joint functionality can be influenced by congenital factors, growth-related issues, injuries, or the common culprit—wear and tear, which frequently leads to joint pain and diminished mobility.

Before considering surgical intervention, Mr Sulaiman Alazzawi will explore several non-surgical alternatives with patients. These may include targeted physiotherapy exercises, pain management medication, and joint injections. If these measures prove ineffective, and daily activities become challenging, joint replacement surgery becomes a viable option.

How are joint conditions diagnosed?

Diagnosis primarily relies on X-rays, with the possibility of an MRI or CT scan for more detailed information in complex cases. Based on the findings, Mr Alazzawi will advise you on whether a total or partial joint replacement is the appropriate option.

What will happen before your knee or hip replacement operation?

You will be seen in a pre-assessment clinic at the hospital where you are having your operation. You will be seen by a nurse, who will check your general health, do some blood tests and an ECG if required. Occasionally, arrangements will be made to also see the anaesthetist if there are any issues. You will also be given information about what to expect when you come into hospital and how to best prepare yourself for the operation

How should you prepare for joint replacement surgery?

Pain and lack of mobility in the affected joint can make exercising challenging but keeping as active as possible before your operation can optimise your recovery. Strengthening the muscles around the knee and hip will help to support your new joint. If possible, lose excess weight as it will lessen strain on your new joint in the future.

You’ll be advised to stop smoking in advance of your operation as it puts you at more risk of anaesthesia-related complications, increases the chance of infection and slows down your healing.

Will I need revision joint replacement surgery in the future?

Hip and knee replacements are typically highly satisfactory procedures. Patients usually undergo a substantial reduction in pain, and within a few weeks post-operation, they can regain independent mobility, resuming normal activities in a matter of months.

While joint replacements have a limited lifespan due to the gradual production of wear debris, which may lead to loosening, advancements in materials give us confidence that most hip and knee replacements will endure for at least 20 years. However, an increasing number of younger, more active patients are seeking relief from wear and tear, and they are likely to require additional surgery in the future.

It’s crucial to acknowledge that joint replacement surgery is a significant and intricate procedure, carrying a risk of complications. These complications range from minor, temporary issues to more severe concerns like infection, occurring in less than 1% of cases. In the rare event of an infection, additional surgery is typically necessary for treatment.