Rochester, Minnesota — Total hip arthroplasty is one of the most common surgery in the United States, with an estimated 1 million surgeries performed each year. The demand for these surgeries is also increasing worldwide.
According to Matthew Abdel, MD, a Mayo Clinic orthopedic surgeon who specializes in hip and knee replacement, patients can change their lifestyle before surgery to increase their chances of success. However, patients also need to be aware that other preoperative practice may not be useful or yet definitive.
Encouraging education, maintaining a healthy weight, promoting good nutrition, and exercising can help reduce obesity, says Dr. Abdel. This is important because obesity can increase the risk of post-surgery complications.
Dr. Abdel says that if you are facing joint replacement surgery, these lifestyle changes can improve the outcome of your surgery.
• Safely lose weight through diet and exercise before surgery. The target body mass index is less than 40 kilograms per square meter. However, the closer you are to 25-30 kilograms per square meter, the better. Even a weight loss of 20 pounds was safely completed before surgery and the results were improved.
• Stop using all nicotine products, including tobacco, chewing tobacco and cigars, at least 6 weeks before surgery. Do not use nicotine products after surgery.
• Discontinue all narcotic analgesics at least 2 weeks before surgery.
• If you have diabetes, make sure it is properly managed. Proper management is defined as a preoperative HgA1C of less than 7.5. In addition, good glycemic control is required before and after surgery.
However, lifestyle changes may not improve the outcome of hip and knee replacements, says Dr. Abdel. They include taking herbal supplements and vitamins, applying wound cream, and using electrical stimulators.
It is still unclear whether other changes will improve post-surgery outcomes. These practices include physiotherapy prior to hip and knee arthroplasty, postoperative physiotherapy for total knee replacement, and hip prophylactic measures after total hip replacement.
The number of overweight and obese patients is increasing all over the world. Some patients have undergone weight loss surgery prior to joint replacement. However, Dr. Abdel and other researchers recently showed that patients who underwent weight loss surgery prior to hip or knee replacement surgery still have significant complications after surgery.
Researchers reviewed the results of hip and knee replacements in people who first underwent weight loss surgery. These patients had more complications than those who had just undergone joint replacement surgery, regardless of whether their body mass index was low or high. Complications, including infection and instability, affected the success of the procedure.
“I suspect it may be related to the underlying system of obese patients, such as the gut microbiota and the underlying genetic host mutations,” says Dr. Abdel. “Even if we lose weight, the condition of the soft tissue and the collagen beneath it remains in its original nature.”
Dr. Abdel and colleagues have been studying and studying patient tissues since surgery. They want to identify tissue differences at the molecular, histological, and / or cellular levels.
Total hip arthroplasty is one of the most common surgery in the United States.
Expert Alert: Tips for Good Results After Hip and Knee Replacement Surgery
Source link Expert Alert: Tips for Good Results After Hip and Knee Replacement Surgery