Complex Hip & Knee Replacements

Every hip and knee replacement is a major surgical procedure. However, some cases may be more complex and require additional precautions due to congenital deformities, injuries, and other conditions.

Patients that have these conditions often have difficulty finding a surgeon that will perform a hip or knee replacement. Dr. Linschoten has many years of experience in performing hip and knee replacements for these complex cases, and often sees patients with complex conditions in his practice.

Because these cases are not as straightforward as typical hip and knee replacements, it is important to set expectations before the procedure. In these more complex cases, there is typically a higher risk of complications. Patients with complex cases can achieve improved joint function with a hip or knee replacement, but they may not be able to achieve the same level of function that a typical total hip or knee replacement would provide. Dr. Linschoten and his team work with patients every step of the way to ensure the best possible results.

The following are some of the conditions that can make hip or knee replacements more complex. Dr. Linschoten is experienced in these complex cases and has helped patients with these conditions achieve satisfactory outcomes.

Hip Dysplasia

Hip dysplasia is a condition in which the hip joint is shaped abnormally or misaligned. This can cause abnormal or accelerated wear on the hip, and the hip is more prone to dislocation. Hip dysplasia is typically detected at birth, although it can also develop later in life.

Because hip dysplasia causes the cartilage in the hip to wear down more quickly, a hip replacement is often needed at a younger age than a typical hip replacement patient. A total hip replacement can also help to restore alignment in the hip to prevent dislocations.

Total hip replacement for hip dysplasia differs from a typical hip replacement due to the nature of this condition. In some cases, the hip socket may need to be deepened or lowered so that the “ball” portion of the joint can fit into it properly. Surgical implants are chosen based on the individual needs of the patient.

Patients with hip dysplasia tend to have a high revision rate for total hip replacement, due in part to the condition itself and also due to the fact that patients tend to be younger when they have the initial procedure.

Knee Misalignment

Sometimes, the knee joint can be misaligned, leading to inward or outward bowing of the knees. These deformities can put excessive pressure on the knee, leading to arthritis and knee pain. Knee misalignment can be genetic, presenting in both knees, or it can be caused by a prior injury.

A total knee replacement can help to restore proper alignment in the knee and relieve pain. During a total knee replacement, Dr. Linschoten can remove the damaged bone and position the implants to correct the deformity and allow for better function in the knees.

Fractures After Hip or Knee Replacement

If a fracture occurs after a hip or knee replacement, additional surgery is often required to repair the fracture and stabilize the joint. Bone fragments will need to be repositioned, and may need to be held in place with pins, rods, and screws. In some cases, bone grafts may be used to support the fractured bone and promote healing.

If the joint replacement becomes loose, the implant may need to be replaced, as well. As with a typical hip or knee revision procedure, the implants typically have a longer stem. The larger implants will help to stabilize the bone.

Complex Hip & Knee Replacements in Baton Rouge, LA

Dr. Niels Linschoten has many years of experience in performing hip and knee replacements for patients with complex cases, such as hip dysplasia, knee misalignment, and complex fractures. If you would like to schedule a consultation with Dr. Linschoten, or have any questions, please call our office at (225) 478-8722.