What I Wish I Knew Before Hip Replacement Surgery?

4 things you should know before hip replacement surgery – Hip replacement surgery is a procedure that replaces the damaged or diseased hip joint with an artificial joint known as a prosthesis. The goal of this surgery is to relieve pain and improve mobility in your hip.

Pre-surgery preparation — Prior to the surgery, patients may need to undergo medical tests, such as X-rays, blood tests and an electrocardiogram. They may also need to make arrangements for postoperative care, such as home health services or rehabilitation. Surgical procedure — Hip replacement surgery is typically performed under general anesthesia and may take between one and two hours, During the procedure, the damaged hip joint is removed and the prosthesis is attached to the remaining bone. Recovery — After the surgery, patients will need to rest and avoid putting weight on the operated hip for several weeks. Physical therapy is usually prescribed to help improve mobility and reduce pain. The recovery period can last several months, and full recovery can take up to a year or more. Risks and complications — As with any surgery, hip replacement surgery carries risks and potential complications, such as infection, bleeding, blood clots and joint dislocation.

It is important to know and discuss the risks, benefits, and alternatives of hip replacement surgery with a qualified medical professional and to have realistic expectations about the recovery process. Proper care and rehabilitation after the surgery can help ensure a successful outcome.

What hurts the most after hip replacement surgery?

Where will I feel pain after hip replacement surgery? – You can expect to experience some discomfort in the hip region itself, as well as groin pain and thigh pain. This is normal as your body adjusts to changes made to joints in that area. There can also be pain in the thigh and knee that is typically associated with a change in the length of your leg.

This is one of the many reasons why it’s important to closely follow a physical therapy routine following your surgery. You will be asked to do various exercises during the day. Some patients continue to work with a physical therapist at home to learn how to correctly sit, stand, get out of bed, and walk.

This process can be invaluable to get your mobility and strength back. While it is common to experience some pain at the site of your incisions, new advances in technology have made this aspect of the procedure much easier. Smaller instruments allow for incisions of just three inches, rather than the larger incisions that were necessary in the past.

What 3 things should be avoided after hip replacement surgery?

The Don’ts –

Don’t cross your legs at the knees for at least 6 to 8 weeks. Don’t bring your knee up higher than your hip. Don’t lean forward while sitting or as you sit down. Don’t try to pick up something on the floor while you are sitting. Don’t turn your feet excessively inward or outward when you bend down. Don’t reach down to pull up blankets when lying in bed. Don’t bend at the waist beyond 90 degrees.

What should you not do before hip replacement?

Drugs and Supplements –

Seven days before surgery: Stop taking all NSAIDs (nonsteroidal anti-inflammatory drugs), such as naproxen (Aleve), ibuprofen (Advil, Motrin) and aspirin. They interfere with blood clotting, which can increase blood loss during surgery. If you take blood thinners (anticoagulant medications), the doctor who prescribed them and the Prepare Clinic will determine how long before surgery you should stop. These include clopidogrel (Plavix), enoxaparin (Lovenox), warfarin (Coumadin, Jantoven), apixaban (Eliquis) and dabigatran (Pradaxa). Seven days before surgery: Stop taking most supplements. Examples include vitamin E, ginkgo biloba, ginseng, glucosamine and fish oil. You’ll review this in detail when you meet with the Prepare clinic before surgery. It’s fine to take Tylenol (acetaminophen) products or Celebrex (celecoxib) until the day of surgery.

How long does it take for muscles to stop hurting after hip replacement?

What is considered a “normal” amount of pain after a hip replacement surgery? – Some swelling and initial pain at the joint are normal after hip replacement. To help reduce pain:

Take time to rest between therapy sessions. Ice the leg and the incision site. Take anti-inflammatory medications, after consulting with your doctor, to help with these symptoms.

“Keeping the leg elevated above the heart when you lay down can also help the swelling to recede,” advises Thakkar. It’s important to pay attention to your pain levels. If you feel like you are consistently at a 6 or more on a 1–10 pain scale, mention it to your doctor, because it could be a sign of infection or another complication.

How long does it take to walk normally after a hip replacement?

What You Can Do to Improve your Recovery – Practicing these five total hip replacement recovery tips can help you to have a smooth and successful recovery.

1. Get in a healthy exercise routine
2. Most hip replacement patients are able to walk within the same day or next day of surgery; most can resume normal routine activities within the first 3 to 6 weeks of their total hip replacement recovery. Once light activity becomes possible, it’s important to incorporate healthy exercise into your recovery program. Recommended activities include gradually increased walking and light household activities (sitting, standing, climbing stairs). Movement is essential to a healthy recovery.
3. Pay attention to diet and weight
4. Excess weight can put stress on your new hip prosthesis and increase wear and the risk of complication. Maintaining a healthy body weight before and after your surgery can help to improve your recovery process and the ultimate lifespan of your prosthesis. Additionally, make sure to maintain a balanced diet during your recovery.
5. Exercise to Promote Blood Flow
6. Certain exercises can help to promote blood flow and prevent clots. These include:
   • Regularly squeezing the thigh and calf.
   • Motion exercises for the legs that utilize full range of leg motions
   • Walking with or without the assistance of supportive devices (such as walker/cane)
7. Make household preparations Your mobility and ability to accomplish normal, daily tasks following your surgery will be strongly reduced. Prior to your surgery, make practical modifications to your house so that the things you’ll need will be accessible without excess movement. Additionally, make plans with friends, family, or caretakers to ensure that someone will be available to help with tasks like cooking, bathing, and running errands.

Taking careful precautions and putting intentional effort into your recovery help to ensure a smooth and successful total hip replacement recovery. Keep these critical tips in mind as you prepare for your hip replacement surgery and the subsequent recovery period.

What is the fastest way to recover from a hip replacement?

3. Balance rest and recovery with gentle exercise – Orthopaedic Consultant, Mr Angus Lewis, says that it’s often tempting after surgery, to stay still — whether in bed or in a chair. While it’s important to rest to allow yourself time to recover, it’s also important to get moving too. This is because if you stay still for too long, you can become stiff which could hinder your recovery (and it could take longer).

Gentle exercise is beneficial, such as short, gentle walks around your home and outside. Supervised physiotherapy, like rehabilitation programmes and hydrotherapy, can also help improve recovery in the weeks following surgery. Your Orthopaedic Care team will be able to support you with this, as it’s important to not overdo it,

If you overdo things, you could experience more pain and lose confidence. So, it’s important to get the balance right.

How long are you on bed rest after a hip replacement?

What to Expect During Recovery from Hip Replacement Surgery – Most people will fully recover from hip replacement surgery within a few months to a year, but recovery times vary for each patient. Expect about one to four days of bed rest immediately after surgery, but physical rehabilitation usually starts the same day as your procedure.

The process is slow and steady, barring complications, and each week should bring less pain, better balance and increased mobility. A 2022 study reported that, following a hip replacement, 46.7% of participants experienced a clinically significant improvement, while 15.5% experienced worsened outcomes.

Hip Replacement Recovery Timeline

DAY OF SURGERY You will check into the hospital several hours before surgery. The operation will take two to three hours, and you’ll spend about two more hours in a recovery room as the anesthesia wears off. Expect a liquid diet for the rest of the day. You will also have various intravenous medications to prevent blood clots and infections and to ward off pain. 1 TO 2 DAYS FOLLOWING SURGERY Most patients will need help getting out of bed but should be able to move around with a walker or crutches. Take it slow but try to keep moving for 20 to 30 minutes at a time. This will keep your muscles strong and promote circulation to prevent blood clots. Physical therapists will show you motions that cause the least amount of pain, but you will be limited in your overall movements for several more weeks. You will likely return to a normal diet the day after surgery and oral pain medications will replace your IV. 3 TO 4 DAYS FOLLOWING SURGERY By day three you may be able to walk to the bathroom without help. You will still feel pain, but it should not overwhelm you. Most people can leave the hospital by day three or four if they have had no complications. If you are headed home, you will need someone to drive you and someone to stay with you for several days to a few weeks. Some patients will stay at a rehabilitation center for some time before going home. 4 TO 10 DAYS FOLLOWING SURGERY This time is critical for preventing infection. Follow your doctor’s instructions for taking care of the incision. Let them know immediately if you have any signs of infection such as redness, fever or oozing from the incision. Keep your incision dry. You won’t be allowed to shower or bathe until the doctor removes your surgical staples. Regular sponge baths will help keep the incision clean. Moving about as much as possible and sticking with your physical therapy exercises will prevent stiffness, improve circulation and speed your recovery. If you spend time at a rehabilitation center, physical therapists and nurses will watch for any signs of complications. They will also assist with exercises. 10 TO 14 DAYS FOLLOWING SURGERY The doctor will remove your surgery staples at this time. Once that happens, you’ll be able to take showers or baths and walk without a cane or walker. Depending on your recovery and your insurance coverage, if you are at a rehabilitation center you will likely be able to return home. 3 TO 6 WEEKS FOLLOWING SURGERY Light activities will resume and you should not need crutches or a walker at this point. Your doctor may also clear you to drive again, as long as you are not taking any pain medication. You should be able to resume sexual activity about six weeks following surgery. 10 WEEKS TO 1 YEAR FOLLOWING SURGERY Many people return to normal activities within 10 to 12 weeks after surgery, but full recovery can take six to 12 months. Pain usually goes away during this time, but some people feel some pain beyond the first year. Most hip replacements last 20 years, but a fraction of implants fail sooner. Watch for signs of loosening, instability, infection or additional pain. These could be indications that the implant is failing or wearing out and you may need hip revision surgery,

“Ideally, we’re looking to get patients back to work after a joint replacement within a matter of weeks to a couple of months,” Dr.H. John Cooper, a board certified orthopedic surgeon, told Drugwatch. The fastest way to recover from hip replacement surgery is to follow your surgeon’s instructions, watch for signs of problems, be diligent with your physical and occupational therapy and maintain a healthy diet.

What makes hip replacement worse?

Loosening of the Prosthetic – The new ball and socket should fit snuggly and securely with the existing natural bone. Over time, it is expected that the bones will heal to the surfaces of the porous metal implants. In rare cases this unfortunately may not occur.

What to expect the first week after hip replacement surgery?

The first two weeks after hip replacement surgery – Within the first week after surgery, stay alert for any signs of infection such as fever, redness, and discharge from the wound. Proper wound care is also essential. Sponge baths are recommended until two weeks after hip surgery or before the staples that close the wound are removed.

Can I manage on my own after hip replacement?

Most patients, even if they live alone, can safely go directly home from the hospital after hip or knee replacement surgery, according to a recent study. While some patients need to go to a rehabilitation facility to recover, those who go home did not face additional complications, concluded the study, which was published in The Journal of Bone & Joint Surgery,

• Patients living alone had a safe and manageable recovery when discharged directly home after total joint arthroplasty,” wrote the lead author, Andrew N.
• Fleischman, MD, of The Rothman Institute at Thomas Jefferson University in Philadelphia.
• The results confirmed what orthopedic surgeon Leonard F.
• Remia, MD, said he has known for years.

“I’ve been sending patients home for over a decade,” said Dr. Remia of Cape Cod Orthopaedics and Sports Medicine in Hyannis and Mashpee. “I like to get people moving quickly and into their home rehab protocols. If patients are mobilizing, they are going home unless they absolutely can’t go home and have to go to a skilled nursing facility.” The study followed 769 patients who were discharged home after having a hip or knee replaced.

• Researchers tracked complication rates and other outcomes for six months for those who lived alone (138 of the total) versus those who lived with relatives or someone else.
• Both groups had complication rates of about 8 percent and had similar rates of emergency department and urgent care visits.
• Almost 90 percent of those who lived alone said they would choose to be discharged home again.

These results should help ease the reluctance about going home alone, Dr. Remia said. “I understand the fear factor, but I think this study alleviates that,” he said. “It shows they can be successful after surgery, going home alone. “On Cape Cod, as in the study, most people have either family or friends with them at home.

But in my experience over the past 16 years, we have sent lots of people home alone and directly from the hospital without a skilled nursing stay – and those patients do just fine.” Patients who are frail or have memory issues should not be recovering at home alone, he said. All of his patients go home with clear instructions on next steps.

“We have a pamphlet on what to do each day, what they should do and what they shouldn’t do,” he said. “Also most patients prepare their home beforehand, and often we will have the home health agency or the physical therapist comes to the house beforehand to do a home safety evaluation.” Joint replacement patients also attend a preoperative session at the hospital with a nurse who sits with them and goes through what to expect, Dr.

Will I be able to take care of myself after hip replacement surgery?

Before hip replacement surgery even takes place, a surgeon and patient will talk about a recovery and rehabilitation plan. This plan can help the patient:

Leave the hospital sooner Regain hip strength and function more quickly Reduce the risk of developing a post-surgical limp Resume independent living sooner

People are typically able to take care of themselves and resume most activities 6 weeks after surgery, and are 90% recovered after 3 months. It can take up to a full year before they are 100% recovered. See Total Hip Replacement Surgery Recovery Faster and slower recoveries Healing and rehabilitation times vary among patients.

Can you climb stairs after hip replacement?

Using Assistive Devices to Climb Stairs After Hip Surgery – After the operation and throughout the early stages of recovery, you will need some form of support when ascending or descending stairs, such as using the handrails and a cane. At home, your stairs should have some handrails or banisters already installed.

If these don’t exist with your stairs, consider having them put in place before your surgery. When you are out in public, try to stay away from climbing stairs or sloped walkways that do not have any handrails. Additionally, avoid stairs with steps that are far apart from each other or have odd shaping.

If anything is amiss, always ask others for assistance.

When can I use a normal toilet after hip replacement?

You should use the raised toilet seat for six weeks following your operation. comply with the hip precautions.

What is the best exercise after total hip replacement?

What is the best exercise after a total hip replacement? – The effectiveness of exercises differs from patient to patient. However, walking is generally considered as the best exercise following total hip replacement, This is because it helps to promote hip movement and is a low-impact activity.

Is it better to sit or lay down after hip replacement surgery?

The best sleeping positions after a hip replacement – Home » Hips » The best sleeping positions after a hip replacement After you have a hip replacement, there are a few precautions you will need to take to ensure your hip is able to heal and so you don’t experience any post-surgery complications. One of the things you should be conscious of is the way you sleep, as some positions will better support your hip’s recovery and reduce any risk of dislocation.

The best sleeping position for your hip is to lie on your back with a pillow between your legs. This will ensure you won’t twist your body during sleep, which could put you at risk of your new hip popping out of its socket. Just make sure you don’t twist your feet outwards or cross your ankles; keep them naturally pointed towards the roof so you don’t put pressure on your recovering hip. If you prefer to sleep on your side, only lie on the side that does not have the recovering hip and make sure you line two pillows up between your legs. The pillows should prevent your top leg from moving forward across your body, which can cause pressure on your hip. Do not sleep on your stomach, as it is difficult to prevent your hip from twisting. Do not draw your knee up towards your stomach past a natural 90-degree angle. Avoid reaching to pull up the covers from a lying down position. While it can be difficult to get used to these new positions, it’s important that you do prioritise sleep. A good night of sleep will help your body heal naturally, boost your overall wellbeing, reduce stress and anxiety and help you to have the energy you need for your rehabilitation.

Your doctor will advise when you can return to your favourite sleeping positions again. To help you through your hip replacement and ensure you know the ins and outs of your surgery and recovery, Dr Stuart MacKenzie, one of the top Orthopaedic Surgeons in Newcastle and the Hunter, has created a free e-guide on hip replacements.

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All After Surgery Before Surgery Hips Joint Health Knees Robotic Surgery

Should I walk everyday after hip replacement?

Walking – Walk with a cane until you have regained your balance skills. It is also safe to walk on a treadmill if you are concerned about walking outside on uneven ground.

In the beginning, walk for 5 to 10 minutes, 3 to 4 times a day. As your strength and endurance improve, you can walk for 20 to 30 minutes, 2 to 3 times a day. Once you have fully recovered, regular walks of 20 to 30 minutes, 3 to 4 times a week, will help maintain your strength.

Should you walk a lot after hip surgery?

I recommend that you walk as much as your feel comfortable (at least 2-3 times a day), trying to walk a little further each time. You may walk inside or outside as you feel comfortable. As stated above, you will need a walker or cane for stability for the first 3-6 weeks.

Can you overdo walking after hip replacement?

Activities to Avoid After Hip Replacement Over my career, I have seen countless patients whose lives have forever been changed for the better with a hip replacement. This is one of the most successful surgeries ever devised. In spite of these positives, there are some ongoing concerns about what activities people can do after a hip replacement.

1. The restrictions on hip replacement can be divided into early and late restrictions.
2. One other important point: Some patients come to us and say that their surgeon told them that they do not have restrictions.
3. All surgeons are limited by the materials available on the market today.
4. Those surgeons who have less restrictions may be operating under a policy of generalized optimism.

Some of these restrictions are guided by experience rather than scientifically proven data. My approach is to think of the long-term payoff for short term sacrifices. The complications we are trying to avoid with restrictions are fractures of the bone, loosening of the implants, dislocations of the hip replacement and infections.

• Let’s discuss each of these separately.
• Most hip replacements we are currently performing are done so through an anterior approach.
• The prostheses we use are usually made of titanium.
• Titanium is a wonderful surface for hip replacements because it is flexible, just like the bone.
• The bone cells also love titanium, since a rough titanium surface feels like a bone surface to them and they actually fuse the bone to the titanium over the course of six to eight weeks.

The femur or thigh bone has to be carefully exposed and brought up in such as a way as to avoid putting in the prosthesis at the wrong angle. When this is not done properly, the bone can break. Even when done properly, sometime the bone is soft due to osteoporosis and can crack.

We carefully inspect the femur at the end of each surgery to be sure there is no crack. If a small crack is seen we augment the bone with metal wires or cables. It is important in general to put only the weight specified by your surgeon on the leg. In some cases, if the bone is very weak, we may restrict weightbearing to 30 pounds.

This can be assessed by the patient putting their leg on a scale to understand what 30 pounds will feel like on the bottom of their heel. Alternatively, 30 pounds can be estimated by telling the patient to pretend like they are walking on “eggshells.” We continue this for approximately six weeks after surgery to give the implant a chance to heal to the bone.

After that point, we let patients put their full weight on the leg. In most cases, we tell patients that they can put their entire weight on the leg and that makes the recovery even easier. So the take-home point is to follow the instructions provided by your surgeon. The second complication we try to avoid is loosening of the implants.

This can happen when patients do too much walking and stress the implants prior to the ingrowth process. Generally, I advise patients to walk only a few hundred yards a day total until they get to around six weeks. By that point, the implants are ingrown with bone, meaning that the bone is fused to the implant.

1. Dislocations used to be a very big concern for hip replacements.
2. Our native joints have a suction cup effect, meaning that even when a patient is under full anesthesia, one cannot easily separate the joint due to this effect.
3. An artificial joint like a hip replacement does not have that effect due to the nature of hard materials like plastic, metal and ceramic.

The anterior approach has really reduced the rate of dislocations since the muscles that stabilize the hip from the back (the piriformis, the gemelli muscles, and the quadratus femoris. for the anatomy buffs) are not cut. This leads to an inherently stable hip.

Even with the posterior approach, the repairs that we do can often protect the hip. However, for all approaches, it is important to avoid extremes of motion after hip replacement. What do I mean by the extremes of motion? That is really a subjective term. I tell my patients that they should never try and get their hips super flexible.

Achieving a high level of flexibility can stretch out the joint covering called the capsule, the ligaments and the tendons that keep the artificial hip in its socket. I typically recommend avoidance of bending the hip more than around 90 degrees (a right angle) for the first six weeks and 130 degrees (a six-inch gap or less between the knee and the chest) thereafter.

• I also recommend always having the knee of the surgical leg pointing outward with any bending.
• That means if you are picking up something off the ground, have your knees always going outward.
• This is the safest position for the hip replacement.
• In spite of all of these measures, hip replacements can still dislocate.

This can be due to other factors like implant positioning, soft tissue laxity or stretchiness, or decreased flexibility in the spine. Dislocations are painful and dangerous. They usually require an urgent trip to the emergency room and anesthesia to put the hip “back in.” As a result, the best thing is to avoid them if at all possible by following the instructions of your surgeon.

Is it better to sit or lay down after hip replacement surgery?

The best sleeping positions after a hip replacement – Home » Hips » The best sleeping positions after a hip replacement After you have a hip replacement, there are a few precautions you will need to take to ensure your hip is able to heal and so you don’t experience any post-surgery complications. One of the things you should be conscious of is the way you sleep, as some positions will better support your hip’s recovery and reduce any risk of dislocation.

The best sleeping position for your hip is to lie on your back with a pillow between your legs. This will ensure you won’t twist your body during sleep, which could put you at risk of your new hip popping out of its socket. Just make sure you don’t twist your feet outwards or cross your ankles; keep them naturally pointed towards the roof so you don’t put pressure on your recovering hip. If you prefer to sleep on your side, only lie on the side that does not have the recovering hip and make sure you line two pillows up between your legs. The pillows should prevent your top leg from moving forward across your body, which can cause pressure on your hip. Do not sleep on your stomach, as it is difficult to prevent your hip from twisting. Do not draw your knee up towards your stomach past a natural 90-degree angle. Avoid reaching to pull up the covers from a lying down position. While it can be difficult to get used to these new positions, it’s important that you do prioritise sleep. A good night of sleep will help your body heal naturally, boost your overall wellbeing, reduce stress and anxiety and help you to have the energy you need for your rehabilitation.

Your doctor will advise when you can return to your favourite sleeping positions again. To help you through your hip replacement and ensure you know the ins and outs of your surgery and recovery, Dr Stuart MacKenzie, one of the top Orthopaedic Surgeons in Newcastle and the Hunter, has created a free e-guide on hip replacements.

All After Surgery Before Surgery Hips Joint Health Knees Robotic Surgery

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All After Surgery Before Surgery Hips Joint Health Knees Robotic Surgery

Why does my hip replacement hurt so bad?

Mayo Clinic Q and A: Pain near artificial hip should be evaluated without delay DEAR MAYO CLINIC: Six years ago, at age 67, I had my right hip replaced. I’d been feeling fine until about eight weeks ago, when it started to hurt toward the front of my hip when I lift my right leg. The pain is quite significant — to the point where it hurts every time I get in my car or attempt to put on socks.

What could be causing this to happen? ANSWER: There are a number of possible reasons for the discomfort you’re experiencing. It might be a problem with the artificial joint, or you may have an infection. The pain also could be related to a condition called hip flexor tendinitis. To find out the underlying cause, make an appointment to see your surgeon to have your situation evaluated soon.

surgery involves removing the hip joint and replacing it with an artificial joint that typically consists of metal, ceramic and hard plastic. The implants used in hip replacements are made to resist corrosion and wear. For most people who undergo the surgery, hip replacement successfully relieves hip pain and restores hip function.

1. When, as in your situation, people have pain after the surgery, there’s often an underlying problem that can be diagnosed and effectively resolved if it’s treated promptly.
2. It’s possible that you’ve developed an infection around the artificial joint.
3. Many infections can be treated effectively with antibiotics.

But a major infection near your artificial hip joint may require surgery to remove and replace the joint. Another potential cause of your pain could be a loose implant. This can happen over time in some cases, but it’s not as common now as it used to be.

Today’s technology makes a loose implant less likely than in the past, because many implants used now are designed to grow into the bone. If your implant has come loose, though, it’s important to have that identified and fixed as soon as possible. As an implant loosens, it tends to rub against the bone.

And that can cause bone loss, making the joint more difficult to repair. The pain also could be a result of hip flexor, also known as psoas tendinitis. Tendinitis is an inflammation or irritation of a tendon. Tendons are the thick, fibrous cords that attach muscle to bone.

In this case, the tendon that’s affected is the psoas — a tendon located in the hip joint that helps the joint move. Psoas tendinitis often causes pain in the hip, groin and thigh. The pain of psoas tendinitis typically worsens when you lift your leg, or when you walk up steps or get up out of a chair.

Patients consistently state that it hurts the most when getting in and out of a vehicle. Physical therapy may help relieve tendinitis. An injection of corticosteroid medication around the tendon also can be used to reduce inflammation and relieve pain.

1. If those treatments are not successful, surgery may be needed.
2. It’s important that you have your condition assessed as soon as possible to uncover the underlying cause of your hip pain.
3. If you delay in seeking care, additional damage could occur within the hip joint, making treatment more difficult.
4. If possible, make an appointment for an evaluation with the surgeon who originally performed your hip replacement.

If that isn’t an option, ask your health care provider to refer you to another surgeon, preferably one who has experience working with hip replacements. —, Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota : Mayo Clinic Q and A: Pain near artificial hip should be evaluated without delay

What makes hip replacement worse?

Loosening of the Prosthetic – The new ball and socket should fit snuggly and securely with the existing natural bone. Over time, it is expected that the bones will heal to the surfaces of the porous metal implants. In rare cases this unfortunately may not occur.