Quit Smoking Before Surgery

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“Doctor, I’m ready to have my knee replacement surgery, but I’m a smoker. Is it safe for me to continue smoking and have my surgery?”

Joint replacement surgeons often hear this question in their offices. Quitting smoking is one of the most critical things to do in preparation for hip or knee replacement surgery so that your surgery will be successful.

Preparing for Joint Replacement Surgery

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Joint replacement can help relieve pain and enable you to live a fuller, more active life. If you and your orthopaedic surgeon have decided that you are a good candidate for joint replacement, you are in good company: In 2016, almost 1.25 million hip and knee replacement surgeries were performed in the United States, making it one of the most common orthopaedic procedures performed today.

Partial Joint Replacements

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Arthroplasty means the surgical repair of a joint. Orthopaedic surgeons performing an arthroplasty use metal and/or plastic parts to reconstruct degenerative, damaged, or arthritic joint surfaces in patients with severe arthritis who have failed nonsurgical treatment and have disabling function, limitation of activities of daily living, and severe pain.

Outpatient Joint Replacements

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You may know someone who had hip or knee replacement surgery and went home the same day. In the past, hip and knee replacement surgery required a hospital stay lasting several nights. With advances in procedural techniques, anesthesia medications, pain management and rehabilitation, some people can now have a joint replacement surgery without spending a night in the hospital.

Obesity Weight Loss and Joint Replacement Surgery

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If you need total knee or total hip replacement surgery—and your weight is significantly higher than it should be—your doctor may advise you to lose weight before your procedure. Even though you may feel fit and healthy at your current weight, studies show that a patient with a BMI greater than 40 is more likely to experience serious complications both during and after surgery than a patient of normal weight. Your doctor wants you to be aware of these risks so that you can take steps to minimize them before your procedure.