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Delayed effects of radiation should always be considered before having a joint replacement. Soft tissue fibrosis and muscle contracture are both possible long-term side effects. Muscle weakness and atrophy can affect your rehab and recovery.
The area that was irradiated makes a difference, too. Your risk of problems after a total hip replacement are greater if your pelvic and hip areas were irradiated.
Research in this area is limited. A small number of cases of post-radiation lymphoma patients have been reported. Loosening of the femoral stem in uncemented implants suggests the need for a cemented component.
Talk to your orthopedic surgeon about your concerns. He or she may have some experience with other patients in similar circumstances to help guide you.
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