Ir al menú principal Ir al contenido principal Ir al pie de página Para Medicare Para Proveedores Para Agentes Para Empleadores English Para individuos y familias: Para individuos y familias Médica Dental Otros seguros complementarios Explorar cobertura a través de tu empleador Cómo comprar seguros de salud Tipos de seguro dental Período de Inscripción Abierta vs. Período Especial de Inscripción Ver todos los temas Comprar planes de Medicare Guía para miembros Buscar un médico Ingresar a myCigna
Inicio Centro de información Biblioteca del bienestar Juvenile Idiopathic Arthritis: Deciding About Total Joint Replacement

Juvenile Idiopathic Arthritis: Deciding About Total Joint Replacement

Topic Overview

If your child has severe joint damage from juvenile idiopathic arthritis (JIA), your child's doctors may recommend a total joint replacement. As you and the doctors work through this decision together, consider the following:

  • Your child's age. Consider how old your child is. His or her bones may still have a lot of growing to do. The decision to have surgery depends on the size and quality of your child's bones, the size of the joint replacement parts, the health of the tissues around the joint, and how likely it is that your child will be able to follow a rehabilitation (rehab) program.
  • Amount of growth remaining. Young children who still have a lot of bone growth remaining may lose some of their growth potential in height and size if total joint replacement affects nearby growth areas in the bones.
  • Size of the bones. Older children have larger bones, which are easier to fit with total joint replacement parts. Even when total joint replacement is delayed, many children need custom-fit knee replacement parts.
  • Other joint involvement. It is easier to predict the success of total joint replacement if only one joint, such as the knee joint, is involved and all other joints in that limb are normal. This is often not the case in children who need total joint replacement. Other joint abnormalities may make the surgical procedure difficult or may complicate the recovery process. For example, a child with an affected knee and hip in the same leg may have a difficult rehab from total hip replacement if the knee is painful and stiff.
  • Ability to use walking aids. If a child's upper extremities (such as the elbow and shoulder) are affected by arthritis, it may be hard for him or her to use crutches or walkers during the rehab process following a total hip replacement.
  • How long the joint replacement will last. Depending on how old a child is when diagnosed with JIA, he or she can expect to live for another 50 to 80 years. Many joint replacements must be redone after several years of use, because the parts loosen. Most children with JIA do not put the same amount of stress on a total joint replacement as active or athletic adults who have had replacements for osteoarthritis, but loosening still occurs eventually. A very young child may need another joint replacement by age 20 and might need to replace the same joint 3 or 4 times over a lifetime.
  • Anesthesia. Children with JIA require neck X-rays before they have any procedure that uses general anesthesia. General anesthesia causes the muscles of the neck to relax. This can increase the risk of spinal cord injury in children whose neck joints are affected by JIA. It is recommended that the child wear a soft neck collar to the operating room to remind the surgical team of the potential for cervical (neck) spine problems.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

Enlaces relacionados

Juvenile Idiopathic Arthritis

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

Quiero...

Obtener una tarjeta ID Presentar un reclamo Ver mis reclamos y EOB Verificar la cobertura de mi plan Ver la lista de medicamentos con receta Buscar un médico, dentista o centro dentro de la red Encontrar un formulario Encontrar información del formulario de impuestos 1095-B Ver el glosario de Cigna Contactar a Cigna

Audiencias

Individuos y Familias Medicare Empleadores Agentes Proveedores de cuidado de la salud

Sitios seguros para miembros

Portal myCigna para miembros Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Información de la compañía Cigna

Acerca de Cigna Perfil de la compañía Empleos Sala de prensa Inversionistas Distribuidores Administradores externos Internacional Evernorth

 Cigna. Todos los derechos reservados.

Privacidad Información legal Divulgaciones de productos Nombres de la compañía Cigna Derechos de los clientes Accesibilidad Aviso sobre no discriminación [PDF] Asistencia idiomática [PDF] Reportar un fraude Mapa del sitio

Divulgaciones

Los planes de seguro médico y dentales, tanto individuales como familiares, están asegurados por Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc. y Cigna HealthCare of North Carolina, Inc. El seguro de salud de grupo y los planes de beneficios de salud están asegurados o administrados por CHLIC, Connecticut General Life Insurance Company (CGLIC) o sus afiliados (consulta la lista de entidades legales que aseguran o administran HMO grupal, HMO dental y otros productos o servicios en tu estado). Los planes o pólizas de seguro para lesiones accidentales, enfermedades críticas y cuidado hospitalario son distribuidos exclusivamente por o a través de subsidiarias operativas de Cigna Corporation, son administrados por Cigna Health and Life Insurance Company y están asegurados por (i) Cigna Health and Life Insurance Company (Bloomfield, CT), (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA) o (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), anteriormente llamada Cigna Life Insurance Company of New York. El nombre Cigna, logotipo y otras marcas de Cigna son propiedad de Cigna Intellectual Property, Inc. LINA y NYLGICNY no son afiliadas de Cigna.

Todas las políticas de seguros y los planes de beneficios grupales contienen exclusiones y limitaciones. Para conocer la disponibilidad, costos y detalles completos de la cobertura, comunícate con un agente autorizado o con un representante de ventas de Cigna. Este sitio web no está dirigido a los residentes de New Mexico.

Al seleccionar estos enlaces, saldrás de Cigna.com hacia otro sitio web que podría ser un sitio web externo a Cigna. Es posible que Cigna no controle el contenido ni los enlaces de los sitios web externos a Cigna. Información detallada