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Frequently Asked Questions

What is protocol Fast Track?

It is a protocol that was developed based on the most recent scientific study regarding the use of spinal anaesthesia as well as pain-relief and inflammatory therapies customized for the patient. Furthermore, specific drugs are used during the surgery to reduce postoperative pain and bleeding, such as, for example, local infiltration of anaesthetic and tranexamic acid. In the postoperative phase, pain is controlled with the administration of drugs specifically dosed based on the patient’s characteristics. They are promptly corrected when required and re-evaluated to minimize postoperative pain and promote rapid functional recovery.

What are the risks that may occur during an operation?

The risks that might occur during any type of operations are usually related to the general conditions of the patient (severe heart disease, respiratory failure, decompensated diabetes, renal failure, immunodeficiency, etc.). In the presence of pre-existing pathologies, the surgeon evaluates each case individually to minimize any risk. In general, complications related to a generic risk and post-operation are Deep Vein Thrombosis (DVT), injury to blood vessels and nerves, and the appearance of hematomas. However, each risk will be counter-measured with an adequate and specific preventive list of actions.

During minimally invasive posterior and anterior arthroplasty of total hip replacement, what is the percentage of failure rate?

A very insignificant number because it is a rate of less than 1%. They consist of cases such as a dislocation or a displacement of the femoral head from its socket (acetabulum), or an infection of the joint.

Can there be complications from a hip revision surgery?

Only a minimal percentage. In addition to the general risks, complications such as intra-operative fractures, difficulty in removing components and during post-operation, instability of the new implant might occur but at a very small rate.

After a total knee replacement, what kind of risks is there?

Despite the precautions, there is the possibility that the patient will develop a joint infection. In this case, which is quite rare, it is necessary to return to the hospital for immediate treatment and in which most cases might also require re-surgery. The first signs are fever, redness of surgical wounds, swelling and the gradual increase of pain.

Is unicompartment robotic surgery safe?

The complication rate following unicompartmental surgery is low. More severe risks such as infection of the wound or around the prosthesis are very rare and can be verified immediately after surgery but also after several years. In this case, new surgery or replacement of the prosthesis is necessary. Other possible complications may include blood clots, excessive scar tissue formation and fibrous adhesions (which can cause joint movement limitations), neurovascular injuries or continuous pain.

What are the intra- and postoperative risks in patellofemoral prosthesis?

The complications of this surgery are very low. During surgery, problems such as intra-operative fractures at the thigh bone (femur) level and the hip socket (acetabulum) level, injury to the nerves due to crushing/compression, strain or ischemic suffering may arise (eg. lesions of veins or arteries). Post-operative risks may include dislocations, that is the exit of the femoral head from its socket, mainly linked to inappropriate movements performed too early, superficial infections of the hip prosthesis, and, more generally, thromboembolism. After many years, the prosthesis can wear out, damage, break or loosen which requires a new operation.

Is osteotomy surgery risky?

There are usually no major risks in osteotomy surgery, but statistically, risks such as the formation of emboli (something that blocks the bloodstream), knee fibrosis (when the joint becomes stiff), neurovascular lesions (problems that affect the blood vessels in the brain and spinal cord) and, in rare cases, failure to consolidate the osteotomy do occur.

Is it possible that ligament repair and cartilage reconstruction operations fail and why?

This surgery type has minimal risks. If they occur, then it is the possibility of developing a joint infection (septic arthritis). It may also happen that the reconstruction of the cruciate fails, but this happens if the neo-ligament has succumbed to too much stress or force, especially in the first post-operative period. The new ligament can rupture following sports injuries with a 1% risk in the first year. There may also be knee stiffness and instability.

Are there any complications in arthroscopy, a minimally invasive operation?

In fact, knee arthroscopy is a safe procedure and complications are very rare indeed. When they occur, these can include knee joint bleeding, infections, knee stiffness and blood clots.

What are the postoperative issues associated with knee revision surgery?

Among the complications that may occur in this surgery, albeit low, there is one where the patient develops a joint infection despite all precautions. In this rare event, the patient must return to the hospital for immediate treatment, which in most cases is a new surgery. The first signs are fever, redness of surgical wounds, swelling and the gradual increase of pain. There may also be some stiffness in the knee (when in flexion or extension), or problems related to wound healing as well as pain.

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