making the right decision about knee replacement surgery

MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY

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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?

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‘No biggie!’ is the general response most of us have

when that first bout of knee pain hits us. A little

exercise, pain balm, a hot water bag and we are

back to our normal lives.

Well to be honest, no one likes his or her daily

lifestyle to be hampered by a little knee pain. It is

only when our daily routine is disrupted, and the

knee pain starts governing our lifestyle, do we finally

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Contents

① Introduction…….

② Understanding the pain….

③ Who is eligible for a knee replacement

surgery?.....

④ Risks of delaying Surgery…

⑤ Checklist to analyze if you need a

knee replacement procedure……

Introduction


1Akeem Hamid, a 76 year old patient underwent surgery only when he

could not bend his knees to pray. The pain came in the way of his

devotion and he decided to put an end to it

2Then there is Lloyd Emmanuel, 62 years old, tennis pro from NYC. Llyod has been playing

competitively for more than 50 years. When the pain started in his knee, he was asked by his

doctors to slow down. But turning a blind eye, he continued playing all out, until the pain

boomed into an ugly monster, which he had to finally consider seriously. The result was a

total knee replacement surgery.

3

Racheal Nwaigwe’s story is a classic example of why you should undergo a knee

replacement surgery: to end the suffering. Her pain began at the tender age of four and

after battling pain, fatigue and stiffness for a long period of 40 years; Racheal underwent a

bilateral knee replacement to deal with her rheumatoid arthritis.

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So in which category do you lie? Are you one of those who have

been suffering for some time now like Racheal? Or like Llyod you are

ignoring the situation till you are forced to face it? Or maybe like

Akeem, you will address this pain only when everyday activities like

your prayers are disrupted? The question we are trying to help you

answer is:

Do You Need a Knee Replacement

Surgery


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CHAPTER 1

UNDERSTANDING THE PAIN

Before you consider surgery, it is important that you understand

what is happening in your knee and why you feel the pain:

The knee joint is made up of three bones primarily,

the tibia (shin bone), the femur (thigh bone) and the

patella (knee cap). These bones are held together

with a connective tissue called cartilage

With elastic, rubber like properties, the cartilage

allows these bones to smoothly move over one

another when there is knee movement and serves as

a cushion.

1

2

The body is unable to

heal the damaged

cartilage and in due

time the health of the

cartilage deteriorates

further. The outcome is

that all treatments to

contain the pain fail

after a point and the

person experiences

more pain, with the

movement of the limbs

being increasingly

hindered.

There may also be an increase in the friction with the

growth of bone tissue called spurs. This friction causes

inflammation, pain and results in stiffness and

decreased movement of the knee joint.

In some cases the person suffers from an

autoimmune disease called rheumatoid

arthritis, which leads to the damage to the

cartilage.

Damage to the cartilage, decreases the gap between

these bones causing them to rub against each other.

The damage to the cartilage may be due to the normal

wear and tear (osteoarthritis) that occurs as a person

Progresses in age. It may also be due to a knee

injury or accident.

3

4

5

6


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Once you begin to get knee pain, treatment is aimed

at containing the pain and slowing down the

progressive damage to the cartilage. But if you have

already advanced to a stage where the pain is

constant and your mobility highly restricted then it

may be time for you to consider a knee

replacement surgery.

KNEE REPLACEMENT SURGERY

CHAPTER 2

WHO IS ELIGIBLE FOR A KNEE REPLACEMENT SURGERY ?


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If you are suffering from osteoarthritis or rheumatoid

arthritis, you are a likely candidate for a knee

replacement procedure . However, there are many

factors which surgeons consider before suggesting

surgery for a patient:

Patient symptoms form a vital part of the

doctor’s decision while considering surgery.

Knee pain while walking, climbing stairs,

standing, and even when the knee is rested

are important indicators that the patient

should be considered for surgery.

Patient Symptoms

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A doctor will most likely give you anti inflammatory drugs, suggest

physical therapy, and ask you to apply ice packs and use

compressive bandages. In advanced cases, doctors may also

administer hyaluronic acid and other injections which will decrease

the pain and improve the movement of the knee joint. After all this,

if you still experience pain, and your symptoms persist, you may be

advised to consider surgery.

Earlier Treatment Failure

I need a Revision Surgery. My previous

treatment failed


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Typically, arthritic patients in their sixties were considered eligible

candidates for knee replacement surgery. However, given the fact that

knee replacement prostheses have a life of approximately 15 years,

patients in their forties are also increasingly opting for knee replacement

surgery. The need to maintain flexibility and agility in their productive

phase of life is a factor that prompts this decision.

Many youngsters, who have suffered injuries to the knees, like

sportspersons and those who have been in an unfortunate accident,

are also among those who have successfully undergone a knee

replacement and returned back to an active lifestyle.

Th

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An

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OLD

YOUNG


A knee replacement surgery is

also advised for those with

metastatic cancer related to the

knees, and those with congenital

defects like knock- knees and

bowed legs.

CHAPTER 3

RISKS OF DELAYING SURGERY

And the Rare Cases

META

STA

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CA

NC

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KN

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KED

KN

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BO

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KN

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Everybody fears a surgery, no matter what the surgical procedure.

An important fact that you should realize is that, doctors

themselves resort to surgery only if absolutely needed. Their aim

remains to provide a patient with less invasive and non surgical

treatment for as long as they can. So when a medical practitioner

advises you to undergo a knee replacement surgery, you must not

delay.

Do I really need a Knee Replacement? I can do

without it…!!

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1When you delay a knee replacement surgery, you expose yourself to the risk of bone

spurs, which are abnormal bone extensions inside and outside the joint. These enhance

the pain and the damage to the knee.

2With a weak knee, your movement is restricted, leading to

decreased activity which in turn causes muscles and ligaments in

your knee becoming weak and losing function.

3Decreased mobility and increased pain

are two primary risks which you expose

yourself to when you delay a knee

replacement surgery.

4With increased difficulty in doing your daily activities, you

may feel frustrated and helpless, which will affect the

happiness quotient of your daily life.

Delaying a knee replacement surgery can lead to complications for a

patient;


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① I feel pain while walking, standing and even when

my knee is in a rested position

② My current treatment gives me temporary relief

and the pain returns after a while

③ My mobility is highly restricted and I have cut

down a lot of my physical activities to avoid

aggravating the pain

④ I have constant pain which becomes unbearable

and my restricted lifestyle is frustrating me

⑤ My doctor has hinted that I may need surgery in

the near future

If any of the above points apply to you, it is indication that you

may be in need of a knee replacement surgery. Consult a doctor

to explore this option and in the mean while read up more on

knee replacement surgeries.

CHECKLIST

TO ANALYZE IF YOU NEED

A KNEE REPLACEME

NT PROCEDUR

E

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