Juvenile Idiopathic Arthritis: Total Joint Replacement - Topic Overview
Total joint replacement may be considered as a last resort for joints that have been so badly damaged by juvenile idiopathic arthritis (JIA) that walking is very hard or impossible. The hip and the knee joints are the most commonly replaced. Results can be very good in teens who have total joint replacement.
In general, it is best to delay total joint replacement until your child's bones have stopped growing. But the possible risks of waiting must also be considered. Waiting may lead to worsening of the joint and surrounding tissues.
Juvenile Arthritis at School: 504 Plans, IEPs, and Pain Issues
Sam Williams and his parents knew something was wrong when it hurt for the 8-year-old to grip a baseball bat, but they never considered juvenile arthritis. It hurt to write, giving Sam a sound excuse for not wanting to do his homework -- or even his work at school. After several weeks, Sam's pain grew worse -- and moved into his knees. He also had pain in his jaw and had trouble walking. "His brother had to carry him piggyback up the stairs," says Rose Williams, Sam's mother. After several months,...
Read the Juvenile Arthritis at School: 504 Plans, IEPs, and Pain Issues article > >
Joint replacement surgery can relieve pain and restore function, but it will not restore the joint to a normal condition.
If both hips and knees need to be replaced, hips are done first because it is hard to rehabilitate the knee if there is not good function in the hip.
See the topic Osteoarthritis for more information on total knee and hip replacement surgery.
WebMD Medical Reference from Healthwise
