Hip and Knee Surgery in Guadalajara

Orthopedic Traumatologist in Guadalajara

Cirugía de hombro - Traumatólogo y Ortopedista
Esteban Castro Contreras - Doctoralia.com.mx
Orthopedic Traumatologist in Guadalajara

Hip and knee surgery

The most advanced techniques worldwide to provide the total resolution of your injury

Orthopedic Traumatologist in Guadalajara

Treatment for hip and knee injuries

The best treatments for a faster and more efficient recovery

Orthopedic Traumatologist in Guadalajara

Hip and knee physical therapy

The most precise Rehabilitation for specific pathologies

Orthopedic Traumatologist in Guadalajara

Medical evaluation and hip and knee studies

Physical check-up and better imaging studies (MRI, CT SCAN, X-RAYS) at the best price

Orthopedic Traumatologist in Guadalajara

Hospitalization and emergencies

The fastest attention to those problems that cannot wait

Orthopedic Traumatologist in Guadalajara

Hip and knee orthopedic prostheses

The most advanced technologies in prosthetics worldwide for your specific problems


Hip and knee surgery

Both are load-bearing joints, and that, in addition to providing us with movement, allow us to stand upright (hip surgery). They are frequently affected by trauma (both in young people and adults) as well as cartilage wear. They have complicated systems of ligaments, muscles, and tendons that make their work possible.


Knee and hip injuries

As of today, their injuries can be successfully treated in all patients and reintegrate them into their daily activities, with a wide choice of management both by surgery (prosthesis, Arthroscopic Surgery, Fracture Repair, Physical Therapy, Cartilage Protection , Ligament Reconstruction).


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Most common knee and hip injuries

Osteoarthritis


It occurs due to the wear of the hip cartilage, becoming a degenerative disease. In addition to age and sex, it is caused by other factors such as overload, obesity, trauma, little physical activity, among others.

Fractures


Although the hip and shoulder are very stable joints, which allow a large amount of movement without any problem, but when you suffer a very strong blow, it can cause a shoulder or hip injury.

Necrosis


This occurs when the bone does not receive blood, causing the bone to die. When this happens, the bone begins to deform and lie flat, causing persistent pain leading to surgical intervention.

Synovitis


Synovitis is inflammation of the soft tissues, causing lameness and limited mobility. This is associated with trauma or genetic predispositions.

Trochanteritis


This condition is characterized by chronic pain located on the lateral side of the hip, which is increased by walking, sitting on the side, or climbing stairs.

Bursitis


As in other joints, we have a bag called the bursa, which contains synovial fluid that serves to cushion the shock between bones and tendons. But when this bag becomes inflamed, bursitis occurs.

Dislocations


A dislocation is said to have occurred when the bones that are embedded in the joints move out of place. This is also known as dislocation.

Rheumatism


This injury occurs when the lubrication between the muscles and tendons is decreased, causing them not to slide smoothly, causing rubbing. Giving rise to deformity, inflammation and pain.

Gluteal tendonitis


It is the degeneration and inflammation of the muscles located in the gluteus medius or minimus, this is a very frequent injury among athletes who participate in impact sports.

Orthopedic Traumatologist in Guadalajara

Q&A about knee replacements

If you are reading this because you have doubts about what it is and what are the steps or results when placing a knee prosthesis, then you should read this text, as we summarize many of the general concerns of patients or family members when they are close to knee surgery.


A knee prosthesis is a biomedical engineering product that replaces the articular surfaces of the patient's natural knee (or any other joint in the respective cases) when they show wear that causes pain, deformity, or affects their function. Contrary to what most people may think, only the SURFACE of the joint is replaced, something like rebuilding the "shell" where movement occurs between the three bones that make it up, and not the entire segment of the knee as if it were a "block".

knee prosthesis surgery is undoubtedly the most widely performed Orthopedic surgery in the world and with the highest rate of patient and physician satisfaction. Statistics vary from country to country, but for example, in Spain went from around 12,500 replacement surgeries in the 1990s to 25,000 in the following decade, with a knee survival greater than 95% at 10 years (the knee remains unchanged in 95 of every 100 patients operated at 10 years).

The indication for TAR (Total Knee Arthroplasty or Knee Prosthesis) is based on pain, marked functional impotence, and radiological signs of severe joint injury in a relatively sedentary patient, which cannot be controlled with alternative treatments. (oral and injected medications, infiltration into the knee of medications, rehabilitation and physical therapy, etc.).

To establish the indication, it is necessary to integrate multiple variables such as age, associated pathologies (diabetes mellitus, arterial hypertension, kidney diseases, etc.), functional demands (whether the patient is very active or not in his daily life), attitude psychological and technical considerations. It is also important to identify patients at risk of failure (smokers or poor adherence to medical treatment).

Complications range from 5 to 8% of all knee prostheses surgeries, which means that the rest (95 to 92%) of patients have good to excellent results, regardless of the technique or other factors to consider ( weight, previous diseases, surgical skill, type of implant, among others). The most common complications can be:
  • Infection, which is the most common of all complications and covers a spectrum as broad as superficial skin infections to osteomyitis (bone infection).
  • Thrombosis (obstruction by a blood clot of the venous flow).
  • Embolism around 1% (a blood clot breaks off to travel in the venous system and cause blood obstruction problems in another organ or system such as the lungs, brain or digestive system).
  • Infections (both in the skin or deeper, including the ligament graft).
  • Allergic reactions to medications (since if you've never had surgery, the medications being applied are new to your system.
  • Failure or loosening of implants: especially if an adequate rehabilitation program is not followed in the postoperative period, weight loss, etc.

Unicompartmental knee prosthesis: It is a very special type of prosthesis in which only a part of the knee is replaced and not its entirety, due to overload and wear in a single region (usually the internal region), the patient must be very well selected and the surgeon who performs the procedure must have experience in it, since this technique is much less tolerant of failures compared to the traditional total prosthesis.

Patelo Femoral resurfacing knee prosthesis:This is a prosthesis that treats wear exclusively in the Patelo-femoral region of the knee (front area), so the patient, by definition, will only be a candidate for it if the wear presented is solely and exclusively in the region of said area of the knee. The technique is very demanding in terms of the orientation and depth of the bone cuts, so its placement is indicated only by surgeons with great skill and experience in this technique.

Tumor knee prosthesis: These are the group of prostheses that are indicated for patients with large bone defects, either due to wear with a marked angulation or fractures or tumors that destroy a large part of the bone tissue of the knee. They are modular systems (interchangeable) that allow a great diversity of measures and components, therefore they solve cases in which previously no solution would be considered.

The materials with which the knee prosthesis are designed must meet certain standards to achieve the following objectives:
  • Avoid rejection of the organism: Friendly materials that avoid the normal immune response of the organism.
  • Allow the load to repeated and sustained cycles: Thereby tolerating the load, weight and march of the individual through the years.
  • Be economically sustainable over time: That its durability, design and application are feasible for the application of the population throughout the planet.

These materials are usually chromium, cobalt, molyubdenum alloys; The insert that goes between both metal parts is a polymer (plastic) which interlocks under radiation and provides a very high resistance to cycles of use. There are other materials such as Titanium, Zirconium Oxide (Oxinium), among others, which have indications in young patients or those allergic to the components of the usual prostheses.

The knee prosthesis surgery takes about 45 minutes from the start of the procedure to the end of the procedure (from the time the skin is opened until the wound is closed). In case of presenting a very severe knee injury, which sometimes requires more time to be handled with special prostheses or to carry out a very meticulous balance of ligaments and tendons, it can take an hour and 15 minutes or a little more depending on the case.

Normally, they are surgeries that, being elective (the day, time and place to carry out the surgery is chosen between the patient and the treating physician) hours before the surgical procedure for preparation at the assigned hospital and after knee prosthesis surgery, stay at least 1 night in the hospital, normally 2 nights and 3 days (from arrival to discharge home).

It is essential to understand that, unlike what is widely dispersed within the collective imagination, there is no absolute rest after knee prosthesis surgery. For example, once the surgery is carried out, that day is rested, but the next day the dressings are changed, the suction drain is removed, the patient is seated, stands and walks with the help of a walker.

The patient is only slower and slightly dependent on the care of family members or professional caregivers for a maximum of 2 to 3 weeks, a fact such that in the same period of time, the patient goes to his post-operative check-up in the office walking with a walker on his own. foot. The patient manages to become independent of the walker, cane or crutches in about 4 to 6 weeks, during which time he performs muscle strengthening of his extremities and is retrained to walk.

One of the most frequent questions in consultation prior to knee prosthesis surgery is this. The answer is always yes. You are not going to recover from surgery where function, strength, stability and gait were normal and were interrupted by a procedure, but rather, you are going to recover from a disease that wore out your joint for many years and little little by little it incapacitated him until surgery was chosen for its management.

Rehabilitation begins the day after your surgery, with the understanding that rehabilitating is not the same as going to a place where someone else does things for you, but muscles are recruited for simple but extremely important movements to avoid losing muscle mass. and later, re-educate the gait, recover strength, stability and proprioception respectively.

knee prosthesis. You must follow your doctor's instructions to the letter, among the most important we can point out that:
  • It is essential to continue with an eating plan that allows you to reach and stay as close as possible to your ideal weight. Remember that weight is the most important modifiable factor in patient survival and satisfaction after knee replacement.
  • Avoid smoking: tobacco (and therefore nicotine) is the substance most associated with failure in wound repair and surgical procedures of any medical specialty.
  • Carry out rehabilitation in a timely manner as indicated by your specialist doctor, periodic check-ups as well as x-ray controls by your treating physician.


Post-surgery appointments are usually carried out according to this scheme:
  • Appointment 15 days after your surgery: probably all or part of the staples or patches will be removed from your surgical wound.
  • At 4 weeks: The remaining staples or sutures will be removed if they are still present, the compression stockings or bandage will be removed, they will be sent to Physical Rehabilitation
  • 2 months: Rehabilitation progress will be assessed, by which time you have to use at most a cane (depending on the case) to walk and you will be able to be self-sufficient for 100
  • your daily needs at home.
  • 4 months: At this point the rehabilitation has been completed and occasionally there may be discomfort in the knee opposite to the one operated on (remember that in almost 99% of patients the wear is on both knees albeit to different degrees).
  • 6 months: At this time the patient is close to 100% of his recovery and has reintegrated without pain, with full mobility and proper functioning, as he did not have for many years before surgery of his knee. It is time for your postoperative discharge.

The best tips to have a good knee prosthesis surgery and a good result are:
  • You should be seen by a doctor who inspires you confidence and security.
  • It is good to discuss with your doctor each and every one of the ailments of the last 5 to 10 years that have occurred in your body, although you may consider them minimal, they can acquire medical importance.
  • Avoid smoking or taking medications not prescribed or authorized by your specialist doctor.
  • Avoid heavy digestion foods 10 to 7 days prior to your surgery.
  • Avoid looking for opinions from people who are not specialists in the subject, instead, go to more evaluations.
  • Never enter without being convinced of your surgery, it is your body and absolutely no one but you can know what is happening or take responsibility for your decisions.
  • Be patient, we don't all recover at the same time, in the end, the goal is the same for everyone, but the path is different for each person.
  • Always bring any concerns or concerns to the attention of your doctor either before or after your procedure.

Normally there are several factors to consider when we talk about prices in knee prosthesis surgeries, among which are:

Hospital: Large hospitals cost more (much more) than small or medium-sized hospitals.

Type of prosthesis: There are state-of-the-art prostheses, which are more expensive, but offer important advantages.

In general, an EXCELLENT prosthesis in a very good hospital costs around 100,000 pesos (partnered hospitals) including, hospital, prosthesis, medicines during your hospital stay, healing material, anesthetics, fees of a medical team (surgeon, assistants, instrumentalist, circulator, anesthesiologist).

You can have more detailed information in consultation. We're at your service.

Read more knee surgery frequently asked questions


Frequently asked questions about hip surgery


It is recommended that patients stay in bed for a short time after hip surgery, usually a few hours to a day.

After this, patients usually begin physiotherapy and mobilization exercises, although they are advised to avoid strenuous activity or heavy lifting for several weeks after the operation.

Like any surgery, hip surgery carries certain risks and complications.

Most people can begin to walk with the help of a walker or cane within the first 24 hours after hip surgery..

And most patients can walk without assistance in about 4 to 6 weeks after surgery, although this can also vary depending on the complexity of the surgery and the patient's ability to recover.

Below are some of the cares that a person who has undergone hip surgery should take into account:
  • Limited motion: Your doctor may recommend that you limit the amount of movement in your hip while you recover from surgery. This may include avoiding excessive flexion, rotation, or extension of the hip for a set period of time.
  • Medications: Your doctor may prescribe pain relievers to help control pain after surgery. You may also be prescribed anticoagulant medication to prevent blood clots.
  • Rehabilitation: Rehabilitation is an important part of recovery after hip surgery. Your doctor or physical therapist will teach you strengthening and flexibility exercises that will help restore hip mobility and prevent stiffness.
  • Rest: It is important to rest and avoid strenuous physical activity during the recovery period. However, it is important to stay active with light exercise to prevent stiffness and promote healing.
  • Personal Hygiene: Following surgery, it is important to maintain good personal hygiene to prevent infection. Keeping the incision area clean and dry is essential to prevent infection.
  • Balanced diet: Maintaining a balanced and healthy diet is important for healing and recovery after surgery. Be sure to eat foods rich in nutrients and vitamins to help your body heal faster.
  • Avoid certain activities: Avoid activities that can put pressure on the hip, such as heavy lifting, sitting on low surfaces, or high-impact activities like running or jumping, until cleared by your doctor.

Most patients stay in the hospital 1 to 3 days after hip replacement surgery. However, some patients may require a longer hospital stay if they have medical complications or require more intensive rehabilitation before discharge.

Read more hip surgery frequently asked questions


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Orthopedic traumatologist near you

Athrocentral Guadalajara Centro

Calle Calderón de la Barca 29 Arcos Vallarta

Tel: +52 33 1025 9669

Athrocentral Guadalajara Sur

Av. Lopez Mateos Sur Plaza Provenza Center

Tel: +52 33 1025 9669

Centro Médico Valle Real

Av Aviación 4075 Plaza Porta Real

Tel: +52 33 1025 9669

Hospital Terranova

Av. Terranova 556 esq. Manuel Acuña

Tel: +52 33 1025 9669

Tijuana

Calle 4ta (Díaz Miron) #7201 Entre Calles G y H, Zona Centro

Tel: +52 33 1686 5184