Abstract: Background: Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic or ceramic device called prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint. The goal of orthopedic treatment is to relieve pain and restore function.
Aim and Objective: To diagnose and manage the damaged joints by Total joint replacement presented to department of Orthopaedics, BPKIHS, Dharan.
Materials and methods: This is retrospective interventional study done at the department of Orthopaedics, BPKIHS, Dharan, Nepal over a period of 4 years from 2010 to 2014. A total of 25 patients with problems of either knee/Hip joint were treated by toal joint replacement. The patient’s age ranged from 30 to 65years and the mean follow-up was 24 weeks. Results: The study comprised of 65 patients with problems of either knee/Hip joints were treated by total joint replacement. The age incidence in this series ranged from 30 years to 65 years. Among 65 patients, 15 cases were knee and 50 cases were hip. Among 15 cases of knee, 1 case was bilateral. 47 patients were males and 18 were female.
Discussion: Several conditions can cause joint pain and disability and lead patients to consider joint replacement surgery. In many cases, joint pain is caused by damage to the cartilage that lines the ends of the bones (articular cartilage)-either from arthritis, a fracture, or another condition. The majority of patients are able to perform daily activities more easily after joint replacement surgery. Most people can expect their joint replacement to last for many years, providing them with an improved quality of life that includes less pain, along with improved motion and strength that would not have been possible otherwise.
Conclusion: Total joint replacement is excellent treatment methods for damaged joints of knee and hip. Our early results show the same.
