Joint replacement surgery is typically recommended for patients with the advanced end-stage joint disease (usually of the knee or the hip) who have tried non-surgical treatment, but still experience functional decline and disabling pain. Joint replacement is an extremely effective surgery when done at the right time and indication. Modern joint replacement surgery involves removal of the worn cartilage from both sides of the joint, followed by resurfacing the joint with a metal and plastic replacement implant that looks and functions much like your normal joint. Although nearly every joint in the body can be replaced, most replacement surgeries involve the hip or knee. The definition of “appropriate” for total joint replacement surgery changes continuously. In general, there is no set upper age limit for joint replacement candidates. Instead, the decision is perhaps best made based on your general medical condition and fitness for surgery, and how much your arthritis affects your quality of life. While few patients are in perfect health, most people undergoing joint replacement must be sufficiently healthy or medically “tuned up” to allow their surgery to be performed safely. Before joint replacement surgery, talk to your primary care doctor to ensure your health is good enough to undergo the anesthesia and rehabilitation associated with the surgery.
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