Problemas de Repuesto del Caballete

Por el Dr. Ananya Mandal, DOCTOR EN MEDICINA

Como a todas las cirugías mayores, un procedimiento del repuesto del caballete se asocia a varias complicaciones y los riesgos, algunos de los cuales pueden incluso ser peligrosos para la vida. El riesgo de complicaciones es inferior, pero algunos ejemplos de problemas potenciales incluyen:

  • Dislocación de la junta
  • El Aflojar de la junta
  • Desgaste
  • El atiesarse Común
  • Coágulo de Sangre
  • Infección

Dislocación de la junta de caballete

La junta de caballete se disloca de su socket hacia adentro el alrededor 3% de casos. Después de un procedimiento del repuesto del caballete, puede tomar hasta doce semanas para los tejidos suaves alrededor de la junta para curar después de que se hayan cortado durante cirugía. Durante este período, la junta se utiliza mal y la carga femoral puede trabajar su manera libremente del socket, llevando a la dislocación. El riesgo de dislocación del caballete se reduce cuando se corta menos tejido, si se repara el tejido del corte o si la prótesis principal femoral tiene un diámetro grande. Cuando las cargas con un más de diámetro bajo se utilizan, tipos más inferiores de la dislocación también se consideran con el anterior bastante que la aproximación posterior a la cirugía, pero esto todavía no se ha demostrado para los procedimientos que implican las cargas con un diámetro más grande. Los Pacientes pueden disminuir su riesgo de dislocación evitando ciertas posturas durante las primeras varios meses que siguen cirugía. El uso del Alcohol en los pocos meses que siguen cirugía se asocia a un riesgo creciente de dislocación.

El Aflojar de la junta

Ésta es la complicación más común del repuesto del caballete y ocurre cuando el árbol de la prótesis llega a ser suelto en el socket del hueso del muslo o el hueso que rodea el implante comienza a enrarecer. Esto puede llevar para doler y una sensación que la junta es inestable. Si la junta afloja, suceso generalmente 15 a 20 años después de que ocurrió la cirugía, en cuya punta una cirugía de la revisión puede ser requerida.


El Desgaste de la junta de caballete artificial es otra complicación común de este procedimiento. El Desgastar de la prótesis puede hacer la junta convertirse flojamente, requiriendo cirugía adicional si el problema es severo. las prótesis del Metal-en-Metal se piensan para convertirse conforme a desgaste más pronto que preveído y el controlar anual de estos implantes se recomienda.

El atiesarse Común

Los tejidos suaves que rodean un implante pueden sentir bien al stiff y llevar a la movilidad reducida, aunque éste no cause generalmente dolor. El problema se puede prevenir usando radiotherpay o la medicación.

Sensibilidad al metal

Algunas personas pueden ser sensibles o alérgicas al metal en los implantes, haciendo la inflamación local convertirse o la cura demorada, por ejemplo. La cirugía puede también fallar en conjunto.

Síntomas Severos

Más tipos raros pero serios de complicaciones que pueden ocurrir después de que un procedimiento del repuesto del caballete incluya:

La formación de coágulos de sangre

Durante las primeras semanas después de la cirugía, hay un pequeño riesgo de convertirse de la trombosis. Los dos lugares principales que un coágulo de sangre puede formar incluyen la pata (trombosis profunda de la vena), o el pulmón, en este caso, el coágulo se refiere como embolia pulmonar. En caso de que se sospeche cualquiera, la atención médica inmediata debe ser buscada. El riesgo de formación del coágulo de sangre se puede reducir usando terapias del anticoagulante tales como warfarin.


Los pacientes de los repuestos del Caballete están en un pequeño riesgo de infección bacteriana que ocurre en la junta de caballete artificial. Los Pacientes deben buscar urgente la atención médica si desarrollan síntomas tales como fiebre, moldes, dolor o inflamación persistente del caballete/licenciamiento en el sitio de la cirugía.

Revisado por Sally Robertson, BSCA


[Lectura Adicional: Repuesto del Caballete]

Last Updated: Oct 16, 2014



  1. Linda Tipton Linda Tipton United States says:

    My mother had her first hip implant shortly after my father passed away. After which she developed a very small tremor, barely noticable, but is now to the point after 20 some yrs. of being very debilitating. She cannot Write or even feed herself . She has dealt with repreated and ongoing infections of the bacterial type for many years & cannot seem to fully get rid of them. She is currently in a nursing home & requires 24/7 care. She has had eight children & a hard life & we think she may have some kind of a metallosis reaction to her first hip implant as she has always been allergic to cheap jewelry. She is 80 yrs. old now & we just see her slippimg away more every day & doctors say she is too old to have any surgeries for anything. So what to do,when you think that removal of the old hip replacement could significantly improve her life? I am requesting a metal test for high levels of cobalt & chromium in the blood to see what that shows since I have just read this article on it here. THANKS! Wish us luck! Linda M. Tipton on behalf of mom Della M. Bevins  Defiance,Oh 43512 at TWIN RIVERS Nursing Home.

  2. kneeandjointsurgery hosp kneeandjointsurgery hosp India says:

    Knee replacement, or knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for knee diseases such as rheumatoid arthritis and psoriatic arthritis. In patients with severe deformity from advanced rheumatoid arthritis, trauma, or long standing osteoarthritis, the surgery may be more complicated and carry higher risk.

  3. Geoffrey Hughes Geoffrey Hughes Belgium says:

    I  have had BOTH hips replaced. One 12 months ago and the other six months ago . Twelve month hip is 85% ok. The other hip the knee has become stiff. Can not find information for people who have had BOTH hips replaced.. Thank you Geoff Hughes.

    • Karen Lupinetti Karen Lupinetti United States says:

      I've had both hips replaced; the right one in 2012, and the left one a year later. The surgeries were fine, I had a super easy recovery and was back to work in 6 weeks after each one. I honestly believe that my positive attitude about needing to have them done, as well as a fantastic surgeon were the keys to my success.

      Two days ago, the right hip dislocated,  which put me in excruciating pain until it accidentally went back into place by itself. I'm being careful the last two days, and am planning to see the ortho surgeon soon to see if anything may be wrong. The X rays showed no damage, but I'm just being proactive. The ER doc Friday said Zumba may be out for a while, but not to cancel my gym membership yet!

      I'm in my early 60s, and this isn't going to slow me down or stop me from teaching part-time.

      See what's going on...and hang in there!

  4. Cathy Simmons Thorn Cathy Simmons Thorn United States says:

    I am having a very strange symptoms.  Eleven months after having a hip replacement, I am having a faint redness (circular) on the incision with bruising that has followed the incision line starting at the bottom of the incision toward the foot and moving up the incision line to the top.  This is very puzzling.  Anyone else out there ever had this situation?

  5. Barbara Rodriguez Barbara Rodriguez United States says:

    Was curious... has anyone else feel like where the bone in your leg meets the metal from your new hip does it feel like its going to snap?does anyone else have extreme amounts of pain after your total hip replacement and lots of problems? I want to know if this is normal ?

  6. Veronica Ralston Veronica Ralston United States says:

    i had hip replacement last May 2015 after i went home after 2weeks, my hip popped out of joint. This kept happing  every 2-3 weeks my doctor said i have loose joints. I had never heard of this.  He finally went and put a collar on the hip.  It has not popped out of joint any more but it makes a lot of noise.  Have you ever heard of this or is he trying to cover up for something he done wrong.

  7. Robin Smith Robin Smith United States says:

    In July 2013 I had left hip replacement.  Over the last 2-3 weeks I am experiencing pain very similar to what I had before the hip was replaced.  The hip is especially painful at night again. I have no difficulty walking or standing from seated position.  "Sometimes" I feel like the hip is going to give out climbing stairs.  I had absolutely no complications after surgery.  My right hip was replaced last Sept. 2015 with no complications immediately after surgery or to this day  I have a one year check up appointment with my surgeon in a couple weeks.  I definitely plan on discussing the left hip pain with him at that appointment.  In the meantime, what could be causing the pain?

    • Ellen Wise Ellen Wise United Kingdom says:

      Yes, me too.  Hip operation about same time as you Robin.  No complications, BUT from day one, it never felt right.  I think the 'wrong' mattress in hospital does not help, but there are not enough of the right ones to go round.  Also, the folk who shout the loudest get them!  Cannot sit comfortably for longer than 15 minutes and travel in a car is excruciating.  I can walk, but when I rise I have to hold the front of the hip and groin to get up at all!  Not happy one bit.  Surgeon?  Nice man, shame about the attitude - "I don't make mistakes" - really?......

  8. Linda Jones Friedel Linda Jones Friedel United States says:

    I fell in 2012 and broke (shattered) my right hip. Went to the ER, had to lay there for 13 hours before a surgeon finally came.  He did the surgery, not a total hip replacement. That only lasted a couple of months before it became unattached.  I went back for a total hip replacement, and have had pain ever since, also I loose my balance a lot. I can walk for about a half hour, then the pain starts.
    I've always slept on my right side, but when I do this, I wake up in extreme pain.  I've gone to see other doctors, but they say it's just fine!!!  No one wants to clean up someone else's mess, it seems.
    The pain goes down to my foot.   I also have Osteoporosis.
    My scar is 13 inches long, and the muscle never grew back, like the doctor said it would.
    Is there any hope for me????   I want my life back.

  9. Norma Johnson Norma Johnson United Kingdom says:

    I had my left hip replaced 2 years ago and my right one this January. Since having the 2nd one done I am not confident walking about as I feel I am unbalanced but my consultant says I am fine as the hips are both the same. Today when I was out I suddenly felt the right hip clicking as I walked and although I have no pain I feel somethings wrong. It sounds like a ratchet being wound up when I walk.Has anyone had this happen and could it be a warning f the hip dislocating? Any info would be welcome as I cant find anything online about it.

  10. Bettye Short Bettye Short United States says:

    I am wondering how often this happens.

  11. Don Yvonne Ryder Don Yvonne Ryder Canada says:

    i had my left hip replaced for the third time three years ago which left my leg numb from the knee down .i was told it would get better but it isn,t . so i have to walk with a walker. I was wondering if anyone else has this problem

  12. Alecia Papineau Parker Alecia Papineau Parker United States says:

    I had both hips replaced in 2014. I'm still having problems standing and sitting. While sitting I feel like I'm sitting on golf ball's. Is anyone else having or had this problem?

    • Kathy Radford-Scarale Kathy Radford-Scarale United States says:

      Hi had left replaced and never been quite right. Feels like I am sitting on something and when I stand up I usually have to stand still and get juices flowing before I can take a step. Sometimes have to hold onto things and then after a few steps gets a little better. Doc still can't figure what is wrong and is now talking about revision surgery....

  13. Melanie K Kelley Melanie K Kelley United States says:

    I had a total hip replacement and have had a lot of pain that started about a year ago and have not had any luck with getting the doctor to even look at it.  Get really sharp pain in pelvis when I sneeze cough or just move to fast.  Climbing stairs or hills also causes a lot of pain, and have numbness in lower leg.  Does anyone else have those problems.

    • Preston Ricks Preston Ricks United States says:

      I'm still having pain after walking 20 min or so and the numbness in my thigh is still very present. I see I'm not the only one going through this and somehow I feel better sorry! But this has been worrying me for sometime now and not trying to be a baby about it or that's how the surgeon makes me feel. Sorry your going through this but in short you are not alone. A bone density scan is the next procedure they want to run now to narrow down why I'm having so much trouble

  14. Michael Kennedy Michael Kennedy United States says:

    I had a total hip replacement on my right side in May of 2014.  Starting in August of 2014 I have had pain or spasms in my right thigh. I have talked to my hip Surgeon and no luck there and have even been to a spin surgeon to see if this could be related to the bad disks in my spin. He ran tests and nothing showed.  This pain does not show up all of the time, but when it does it stops me dead in my tracks.  Anyone else experiencing this type of thigh pain?

  15. Keith Herbert Keith Herbert United Kingdom says:

    I have a titanium hip replacement done in may 2017 I am getting irritation in my stomach area and throat. My emissions are affected. I experience a different a smell. I get what I call the titanium aroma emitting from my body. Does any one know what is the best treatment. please.

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