How to define the surgical approach?

You planned with your surgeon a prosthetic surgery to restore the function of your painful joint.

Implants are customized to your measurements (evaluated before and checked during your surgery).

Your surgeon needs to carry out the passage of the prosthesis, from its sterile protective envelope to its future seat in your body.

For this, it is necessary to create the surgical approach. This includes:

  • skin incision
  • division or section of musculo-ligamentous elements
  • protecting the vascular-nervous elements
  • opening and eventual resection of the articular capsule.

The surgical approach will be presented to you by your surgeon during the preoperative consultation.

Risks and complications:

Risk related to anesthesia: there is the inherent risk of any surgical procedure for an adverse event during anesthesia. Their risk of occurrence will be evaluated before the operation with your specialists and some examinations or preventive measures may be necessary.

Risk related to any surgery:

  • vascular injur: fortunately rare but still possible: it requires vascular surgical treatment.
  • post-operative infection: it can be observed from the first days after surgery until years later. Infections require different assessments and treatments depending on their stage, but there is often the need for a new surgical procedure. This risk is evaluated around 1% in elective joint replacement surgery.
  • neurological lesion: it may be the lesion of a small sensitive nerve branch, sometimes inherent to the surgery: the surgical approach is designed to minimize this risk. Risk of motor neurological deficit (inability to perform some limb movements due to a neurological lesion) is rare but it is a troublesome complication whose recovery is slow and sometimes incomplete.

Risk related to joint replacement surgery:

  • bone fracture during the operation: it may require a complementary treatment and may late the return to activities.
  • mechanical problems can occur at the implant: wear of prosthetic parts, loss of contact between them (case of dislocation, which requires urgent reduction by a specialist) or loosening of the prosthesis from the bone walls. Surgical treatment is sometimes necessary for each of these complications.

Postoperative follow-up and expected results:

The goal is to help you get back to your daily activities as quickly as possible.

The hospitalization will be as short as necessary to relieve postoperative pain, in accordance with your personal needs.

Rehabilitation is considered the day of the intervention when medical conditions allow. The articular function is encouraged: automatic exercises with an arthro-motor, physiotherapy sessions to accompany your return to walking and plan your muscular reinforcement, self-reeducation exercises.

The follow-up is closer initially, to ensure the achievement of the preoperative objectives, without complication and your full satisfaction. Then, follow-up is performed every year.

The primary objective is return to painless and full daily activity, with the ability to perform some physical and sport activities.

This objective will be discussed during the preoperative consultation, after your preoperative condition being assessed.

Contact SOSVC to discuss with a doctor about your personal interest and risk with joint replacement surgery.

Dr. Benjamin Fedida, MD

Orthopedic Surgeon