Newest Arthritis Information
SATURDAY, Could 7, 2022 (HealthDay Information)
In the event you’re one of many estimated a million People having complete hip or knee replacement surgical procedure this 12 months, some life-style modifications would possibly enhance your possibilities of an excellent final result, an professional says.
Lose weight safely through diet and exercise earlier than surgical procedure, stated orthopedic surgeon Dr. Matthew Abdel. The goal physique mass index (BMI) — an estimate of physique fats based mostly on weight and peak — is lower than 40, however the nearer you will get to a BMI of 25 to 30, the higher, added Abdel, who makes a speciality of hip and knee replacement on the Mayo Clinic in Rochester, Minn.
Even shedding 20 kilos earlier than hip or knee alternative surgical procedure improves outcomes, he stated. Listed below are a few of his different strategies:
- Cease utilizing cigarettes, chewing tobacco, cigars and all different nicotine merchandise a minimum of six weeks earlier than having surgical procedure. After surgical procedure, don’t use nicotine merchandise.
- Cease taking narcotic pain drugs a minimum of two weeks earlier than surgical procedure.
- When you have diabetes, ensure you have it below enough management earlier than surgical procedure. That is outlined as hemoglobin A1C lower than 7.5. You additionally need glorious blood sugar management within the time round surgical procedure.
Some life-style modifications don’t enhance outcomes after hip and knee alternative surgical procedures, Abdel famous. These embody natural supplements and vitamins, wound lotions and electrical stimulation gadgets.
The jury remains to be out on whether or not different measures earlier than surgical procedure assist enhance outcomes. Amongst them: bodily remedy earlier than hip and knee replacements and post-op bodily remedy for knee replacements.
Some sufferers have weight-loss (bariatric) surgery earlier than hip or knee alternative surgical procedure, however latest analysis by Abdel and colleagues raises questions on that.
The investigators discovered these sufferers had extra issues than those that simply had joint replacement surgery, no matter their BMI. The issues included an infection and instability and affected the success of the joint alternative surgical procedures.
“We predict it could have one thing to do with the bariatric sufferers’ underlying system, similar to their gut microbiome and underlying genetic host variation,” Abdel stated in a Mayo Clinic information launch. “Although they misplaced the load, the tender tissues and underlying collagen standing have been nonetheless of their unique nature.”
The American Academy of Orthopaedic Surgeons has extra on joint alternative.
SOURCE: Mayo Clinic, information launch, April 26, 2022
By Robert Preidt HealthDay Reporter
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